Duties

Direct Patient Care Responsibilities  45% The incumbent is responsible for maintaining a primary care/urgent care clinic for all ICASS eligible DHA American Employees and their eligible family members.  In addition, they will maintain an occupational health unit for all embassy employees, LES, Contractors, and DHA.  They will evaluate and assess patients within their scope of training by means of a health history, observation, interview, physical examination and selected diagnostic measures.  They will review and interpret the medical history and record and apply appropriate diagnostic measures.  Working within the Nursing Scope of Practice, they will select appropriate actions including treatment, referral for additional care, or collaborate care with Medical Unit providers.  They will document and maintain an appropriate record of all patient visits in the Medical Unit. The incumbent will provide appropriate patient education such as wound care, diabetes care, or other specific health related topics as needed.  They will respond to all Mission clinical medical needs as requested/required to include home visits, hospital visits, and compound emergencies. The Nurse will participate in after-hours call responsibilities with other Medical Unit members.

Immunization Clinic for routine and travel-related immunizations :10% The incumbent will assess each patient’s immunization needs and using CDC and ACIP guidelines provide appropriate immunizations.  Maintains logs and/or appropriate data bases compliant with U.S. Federal Regulations and requirements.  They must budget for, order and rotate all stocks of vaccines.  Remain current with vaccination requirements and adverse events.

Medical Clearance examinations :5% Prepares cables for fund cites requests and verifies and approves Clearance-related medical and laboratory invoices for payment.  Schedules medical appointments, labs, and special tests as required by MED/Clearances.  Assists medical personnel with clinical examinations performed in the medical unit and performs basic diagnostic tests as approved by the RMO or MP. Reviews all completed medical clearance papers for thoroughness and transmits to MED/Clearances.  Packages and ships laboratory specimens as necessary.

Medical Evacuations:10% Arranges Medevacs though RMO/MP and in coordination with MED/Foreign Programs or appropriate Regional Medevac Center.  Drafts MED Channel cables and referral documents with appropriate medical coding.  Coordinates requests for specialty appointments with accepting medevac site and serves as liaison between local providers and MED when necessary.  Requests fund cites from appropriate agency.  Assists patients with access to medical services prior to evacuation and may accompany patient as a medical attendant when necessary.

Local Hospitalizations:5% Initiates DS-3067, Authorization for Medical Services for Employees and Dependents for urgent/emergency or non-elective hospitalizations.  Requests fund cite from appropriate agency.  Conducts hospital visits to assess appropriate health care of the patient during hospitalization.  Informs MED/Foreign Programs of all overseas hospitalizations and status.

Point of Contact for FSMSs and the Bureau of Medical Services:5% Acts as control officer for regional medical visits of MED Personnel.  Maintains regular phone/DVC/email contact with RMO/RMO-P/MP/RMLS as necessary.

Custody and Proper Internal Controls for the Medical Unit and Mission Medical Response:10%Maintains inventory and procurement process for all medical supplies and medical equipment. Performs workplace health and safety surveys with the POSHO.  Maintains an accident log book and provides essential reporting per MED/SHEM guidelines and in conjunction with HR requirements.  Serves as the Emergency Preparedness Coordinator and is responsible for all aspects of maintenance, inventory, and training regarding emergency medical supplies and equipment on all USG facilities under Chief of Mission Authority.

Relationship with Local Medical Providers and Facilities:10%Maintains a list of acceptable local medical consultants and copy of their credentials.  Identifies quality providers and facilities in local community and works with the RMO/MP to develop a referral network of providers/facilities that is vetted and assures the best quality of care for the Mission members.  Monitors public health issues that may impact the Mission community and coordinates with the RMO/MP and Administration regarding appropriate responses.  Works with RMO/MP/RMO-P/RMLS and Post Medical Advisor to assess level of care at clinics, laboratories, blood banks, hospitals, and individual providers to update and maintain the MCI registry of services.