Title
a. Reallocate a 1.0 FTE Public Health Nurse III to a 1.0 FTE Public Health Licensed Vocational Nurse in Health Department Budget Unit HEA004-8121 as shown in Attachment A; and
b. Authorize the County Administrative Office to incorporate the approved position changes in the FY 2013-14 Adopted Budget.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Reallocate a 1.0 FTE Public Health Nurse III to a 1.0 FTE Public Health Licensed Vocational Nurse in Health Department Budget Unit HEA004-8121 as shown in Attachment A; and
b. Authorize the County Administrative Office to incorporate the approved position changes in the FY 2013-14 Adopted Budget.
SUMMARY/DISCUSSION:
This recommended action will provide the appropriate staffing level for the Childhood Lead Prevention Program (CLPPP) and the Child Health and Disability Prevention Program (CHDP) in the Health Department Public Health Bureau's Children's Medical Services Branch. Reallocating the CLPPP Public Health Nurse III (PHN III) position to a Public Health Licensed Vocational Nurse (PH LVN) will benefit both CLPPP and CHDP. In both programs there is a need for additional para-professional nursing expertise.
Over the past five years, the number of CLPPP cases requiring PHN case management has decreased to the point that the current workload does not support the need for the budgeted vacant PHN III position. The CLPPP Scope of Work requirements can be efficiently met using the expertise of the Supervising PHN/CLPPP Coordinator and the para-professional expertise of the PH LVN at .40 FTE. The current CHDP care coordination workload has increased following the transition of Healthy Families clients to Medi-Cal. Additional counseling and education is needed for CHDP to continue to support its federally mandated Early and Periodic Screening, Diagnosis, and Treatment role. Because there is a greater number of candidates desiring full-time employment, combining the ...
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