Tuberculosis Nurse Consultant


Job/Position DescriptionUnder the general supervision of the Tuberculosis (TB) Program Manager and with moderate latitude for the use of initiative and independent judgment, performs complex nursing duties in the Tuberculosis program. Assists the Tuberculosis Program Manager as a resource at the regional and local level on nursing processes and case management practices for persons diagnosed with suspected or confirmed TB disease or infection. Ensures appropriate, comprehensive, and coordinated care for the duration of TB treatment. Performs comprehensive case review of all reported suspects and cases. Provides education to patients, contacts and others regarding TB prevention, transmission, and treatment plans, and to private health care providers on the recommendations given from Centers for Disease Control and Prevention (CDC), the Infectious Diseases Society of America (IDSA), and the American Thoracic Society (ATS). Consults with the regional medical director and Texas Department of State Health Services (DSHS) recognized medical experts on complicated TB suspects, cases or infected persons as needed. Assists with quality assurance and program evaluations of TB elimination activities. Adheres to infection control measures and assists with the Respiratory Protection Program and annual TB testing. Work is performed within state and national guidelines and approved regional Tuberculosis Standing Delegation Orders with demonstrated nursing competences in the assessment, evaluation, and management of suspects, cases, and contacts.Essential Job FunctionsEvaluates patients for TB risk factors, clinical presentation, and screening results, as well as radiologic and bacteriologic evidence of disease. Ensures each patient is on an acceptable regimen and monitors for adverse effects and toxicity. Reviews patient records to monitor and evaluate treatment regimen orders, treatment plans and adherence, treatment barriers and interventions, treatment completion, and identification, screening, and medical evaluation of high-risk contacts. Provides technical oversight for the nursing clinic staff within PHR-7 and regionally funded local health departments. Prepares and maintains case review forms and schedules and facilitates case reviews.Assists with the development, review, and revision of program procedures, disease prevention strategies, priorities, and standards for achieving program goals. Reviews drafts and makes recommendations on TB standing orders; instructs on and assists to interpret approved standing orders used in clinical practice. Assists in developing quality assurance tools and conducts quality assurance and program evaluations.Educates medical providers, stakeholders (i.e., local officials), and general public on TB related topics. Conducts assessments to determine the educational need concerning reporting, prevention, and treatment of TB. Evaluates available training materials, prepares and disseminates TB educational materials in a variety of formats, and provides informal and formal information classes.Communicates with private healthcare providers in the community caring for these individuals, providing specific and detailed clinical guidance according to the recommendations given from the CDC, IDSA, and ATS. Takes appropriate steps to address plans of care that do not adhere to current national and state recommendations. Assists the lead investigator in complex or extraordinarily extensive contact investigations. Ensures high priority contacts are screened and Copy the URL in the preceding sentence to an Internet Explorer browser to apply to the job directly through the Texas Health and Human Services Career Portal.