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• <br />Health — Existing Public Health Nurse I/School Health Nurse <br />Request: Increase the hours of a permanent part-time (32 hours) Public Health <br />Nurse I to permanent full -time (40 hours). <br />Purpose: To increase the number of students receiving Hepatitis B immunizations and <br />increase the number of public health education presentations on Hepatitis B for students, <br />parents and teachers. To increase nursing services to the two public schools to which the <br />nurse is assigned. <br />Job Functions: <br />Plans and implements the Hepatitis B Immunization program for sixth graders. <br />• Schedules and administers vaccines. <br />• Coordinates with school nurses for clinic setup. <br />• Educates parents and teachers on immunization information. <br />Provides nursing services to two public schools. <br />• Makes regularly visits to schools. - <br />❑ Provides individualized health counseling, referral and follow -up. <br />• Identifies health problems. <br />❑ Provides case management and services to children with chronic diseases in the <br />school setting. <br />Reason for Request: <br />The increase in hours is needed to address the following areas: <br />❑ Orange County and Chapel Hill/Carrboro Schools have school nurses that are <br />available to assist with the Hepatitis B immunizations. However the charter and <br />private schools do not have nurses available and the number of private and/or charter <br />schools has increased from 4 to 7 over the past few years. In those schools, this <br />position has full responsibility for the entire Hepatitis B immunization process. <br />❑ The Hepatitis B vaccine series consists of three injections: an initial shot, the second <br />shot administered 30 days later and a third shot administered five months later. The <br />student may opt to get an MRR shot along with the second Hepatitis B immunization <br />and may opt to get a Tetanus shot along with the third Hepatitis B immunization. <br />Therefore, the Public Health Nurse may potentially administer five shots to a student <br />over the course of the year. <br />• Due to the overall growth of the Hepatitis B immunization program, the Public Health <br />Nurse I is spending a minimal amount of time on conducting public health education <br />presentations on Hepatitis B to students, parents and teachers. <br />• Due to the increase in student enrollment and additional school sites to be visited to <br />administer the Hepatitis B immunization, the Public Health Nurse I is spending less <br />