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Job Specification

ADVANCED PRACTICE NURSE, PEDIATRICS

DEFINITION:

Under direction, provides primary health care to patients by 
assessing their physical, developmental, and psychosocial status 
by means of obtaining their health history, and conducting physical 
examinations and diagnostic tests; interprets test results data, and 
develops and implements plans of health care management and 
follow through on the continuum of patient care; implements health 
care plans through independent action, appropriate referrals, health 
counseling, guidance, instruction of patients, and collaboration with 
a physician and other members of the health care team; does 
other related duties as required.

NOTE:  The examples of work for this title are for illustrative
purposes only. A particular position using this title may not 
perform all duties listed in this job specification. Conversely, 
all duties performed on the job may not be listed.

EXAMPLES OF WORK:

Recognizes and manages specific common deviations from 
wellness including stabilized long-term illnesses, some of which 
may be determined by joint protocol.

Assesses the physical, developmental, and psychosocial health 
status of individuals in a variety of settings through collection of 
health data.

Interviews and counsels patient and/or parents and families to 
compile a complete medical history, and counsels patients and/or 
parents and families on any problems which may arise during interview.

Performs complete physical examinations which include but are 
not limited to observation, taking blood pressure, weight, height, 
and blood samples, palpation, percussion, and auscultation, 
utilizing appropriate tools and instruments.

Performs eye examinations including the testing by eye chart,
illiterate eye chart, and Titmus machine.

Performs inspection of the cervix through internal examinations
including obtaining cytological specimens for study to determine
development of disease in female infants and children.

Performs rectum and colon examinations including obtaining 
cytological and/or stool samples for study to determine abnormalities 
and/or disease in infants.

Performs inspection of the genital organs and abdomen of infant 
males to determine presence of hydrocele, inguinal hernias as 
well as other hernias, undescended testicles, hypospadia, and 
malformation of the prepuce.

Performs ear examinations to detect ear infections or other 
disease and abnormalities.

Performs hearing screens for deafness or hearing impairment 
including tone tests and VASC audiometers and tuning forks.

Performs throat and nose examinations for identification of
infections, growths, and irregular tonsils and adenoids including 
the gathering of throat cultures for identification of disease.

Performs examination of the chest including auscultation of the 
heart for detection of heart murmur and other irregularities as 
well as examination by auscultation of the lungs and bronchial 
tubes to determine asthma, bronchitis, pneumonia, and other 
pulmonary diseases.

Makes accurate identification of problems/diagnoses based 
on interpretation of findings.

Evaluates patient need for immediate nursing intervention,
consultation, and other health team referrals.

Manages the plan of care by monitoring all aspects of the
therapeutic regimen, recording patients' responses and progress, 
advising patient and/or parents and family regarding nursing needs, 
providing for these needs as appropriate, and advising patient and/or 
parents and family on other therapeutic measures.

Counsels patient and/or parents and family as to findings, and refers
patient to licensed physician for necessary follow up and treatment.

Performs, orders, and interprets routine laboratory tests.

Develops a health maintenance plan for patient including health
education, disease prevention, and general anticipatory guidance.

Provides periodic health supervision of well baby primary 
preventive health care and examinations.

Provides clinical management within medical protocols of 
children with uncomplicated childhood diseases.

Provides infant care including regulation of nutrition, cleanliness,
and environmental surroundings through the education of parents 
and families.

Provide education to parents regarding birth control and family
planning including explanation of contraceptive drugs and 
devices, hygiene, and the psychological dimensions of family life.

Provide health education and counseling to children, parents, and
families including the psychosocial dimensions in the area of
nutrition, psychomotor development, and family life in the cultural
and social implications.

Performs routine examination of the skeletal system for 
abnormalities or diseases of the bone.

Will be required to learn to utilize various types of electronic
and/or manual recording and information systems used by 
the agency, office, or related units.

REQUIREMENTS:

LICENSE:

Applicant must posses a current and valid certification as 
an Advanced Practice Nurse , Pediatrics, issued by the 
New Jersey Board of Nursing

Appointee will be required to possess a driver's license valid 
in New Jersey only if the operation of a vehicle, rather than 
employee mobility, is necessary to perform essential duties 
of the position.

KNOWLEDGE AND ABILITIES:

Knowledge of normal pediatric care of infants and children 
from postnatal care to adulthood.

Knowledge of the growth of children and the recognition 
and treatment of pediatric problems and deviations.

Knowledge of normal physical and psychosexual development 
among children.

Knowledge of appropriate management and interpretation 
of diagnostic studies and tests relevant to pediatric practice.

Knowledge of the preparation and maintenance of accurate 
medical and other records.

Knowledge of the development of the orthopedic structure 
of infants and children and the nutritional and health aspects 
of preventive care.

Knowledge of the physiology of male infants and children 
and their particular problems with regard to intestinal and 
urological development and abnormalities.

Knowledge of the origin, effects, treatment, and prevention 
of childhood diseases and their after effects.

Knowledge of the mental, physical, psychological, and social 
aspects of children and infants and their relationship to their 
families and social environment.

Knowledge of contraception and the various methods, health 
effects, family considerations, and economic results of 
family planning.

Ability to conduct physical examinations which include eye, ear, 
nose, throat, thorax, abdomen, pelvic, rectal, colon, and orthopedic 
and general physical development.

Ability to observe and report symptoms and conditions of patients.

Ability to administer medications.

Ability to analyze and interpret test and examination results and 
to communicate those results effectively with agency clients.

Ability to prepare clear, informative, and accurate reports.

Ability to establish and maintain essential records and files.

Ability to secure a general pediatric health history from patient,
parents, or families.

Ability to recognize common medical problems or deviations 
from normality.

Ability to make an assessment of psychological, social, cultural, 
and behavioral aspects of parenting.

Ability to assess, plan, implement, and evaluate patient care
collaboratively with other health care professionals.

Ability to obtain and interpret a comprehensive pediatric history.

Ability to interpret data obtained through a systematic assessment 
of all body systems to differentiate normal from abnormal states.

Ability to obtain clinical, laboratory, and diagnostic information and
interpret resultant data.

Ability to institute biophysical monitoring techniques and interpret
resultant data.

Ability to utilize historical, clinical, and biophysical data in
collaboration with physicians to formulate a diagnosis.

Ability to initiate diagnostic, therapeutic, and educational
interventions including consultations and referrals.

Ability to evaluate and document responses to interventions and 
modify the plan of care as indicated.

Ability to interpret current research findings to determine
appropriateness for application to practice and standards of care.

Ability to utilize adult learning principles to teach the family,
nursing staff, and other health care providers and the community 
about the care, growth, and development of infants and children.

Ability to learn to utilize various types of electronic and/or manual
recording and information systems used by the agency, office, or
related units.

Ability to read, write, speak, understand, and communicate in 
English sufficiently to perform the duties of this position. American 
Sign Language or Braille may also be considered as acceptable 
forms of communication.

Persons with mental or physical disabilities are eligible as 
long as they can perform the essential functions of the job after 
reasonable accommodation is made to their known limitations. 
If the accommodation cannot be made because it would cause 
the employer undue hardship, such persons may not be eligible.


This job specification is applicable to the following title code:
Job
Spec
Code
VariantState,
Local or
Common
Class of
Service
Work
Week
State
Class
Code
Local
Class
Code
Salary
Range
Note
06241LN N/A25-

This job specification is for local government use only.
Salary range is only applicable to state government.
Local salaries are established by individual local jurisdictions.

6/21/2008