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POSITION ADJUSTMENT REQUEST No. LA/ IT
_..,-: . Date: 9/30/87'
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Department Health Services e8ud"t &it Wo. .b540 Org. No. N/A Agency No. 54
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Action Requested: Establish the classes of Clinical Nurse 'Specialist - OB/GYN and Clinical
Nurse Specialist - Psychiatric and allocate em bOtn to salary eve - - .
pre 7/1/87 ad.i level')
Proposed Effective Date: 10/28/„
Explain why adjustment is needed: To provide new... classes of employment -to enhance the quality
nf natio t rare_
E4assifieation-@nestiannaire attached: Yes ® No
DRAFT SPECS
Estimated cost of adjustment: _ 0 (classes only)
Cost is within department's budget: Yes ® No []
If not within budget, use reverse side to explain how costs are to be funded
Department must initiate necessary appropriation adjustment. Web Beadle,
Use additional sheets for further explanations or comments. Dept. Personnel Officer
For) Department ea
Personnel Department Recommendation Date: /[7 -/5-87
Establish the classes of Clinical Nurse Specialist - OB/GYN-and Clinical Nurse
Specialist - Psychiatric and allocate them- both to salary level C5 1920 (3097=3765) 9
pre 7/1/87 adj. level .
These classes are not exempt from overtime.
. i
Amend Resolution 71/17 establishing positions and resolutions allocating classes to the
Basic/Exempt Salary Schedule, as described above. 1
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Effective: 0 day following Board action. � ,
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Date ` ., or Director of EtsonnU
County Administrator Recommendatfon
Date:
prove Recommendation of Director of Personnel
D Disapprove Recommendation of Director of Personnel
Q Other:
i
f ministrator i
Board of Supervisors Action i
Adjustment APPROVED/DISAPPROVED on J.R. Olsson, County Clerk
Date:
By:
APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT.
••f� CONTRA COSTA COUNTY
HEALTH SERVICES DEPARTMENT
To: Larry Fugazi , Date: September 30, 1987
Supervising Personnel -Analyst
From: Web Beadle,f/ Subject: Clinical Nurse Specialist
Department Personnel Officer
This is a request to establish two variations of the above entitled new
class, one for OB/GYN and one for Psychiatric . A companion request will
follow: separately asking to establish new positions in both classes. The
following background is provided.
Clinical Nurse Specialist is an emerging new occupation within the pro-
fession of Registered Nursing. The role is typically one of an advanced
level Clinical Specialist with graduate academic training. They are
vi.ewed. as a clinical expert on the psychophysiology of disease and fre-
qu'ently provide professional practice direction to others within the area
of their specialization. Attached is the following information documenting
and describing the existence of this occupation in other jurisdiction:
job descriptions from San Francisco, San Mateo and Alameda Counties; S.F.
Chronicle Classified Ad from 7/19/87; material from Tulane University and
the American Nurses Association describing the training and 'role of CNS's.
We feel it is necessary to establish these classes of employment in Contra
Costa County to enhance the overall quality of patient care provided to
our patients. The availability of such highly skilled and trained persons
would enable us to upgrade the skill level of our nursing and other clinical
personnel over a period of time. Our need for specialized expertise and the
above referenced resource materials supports an MQ consisting of a Masters
degree; in Nursing and several years of specialized experience. A salary
survey;we conducted (copy attached) also supports a pay range approximating
that of Family Nurse Practitioner. The reason for two classes is that
while the role is the same, the specialized emphasis is different (analygeous
perhaps to the Mental Health Clinical Supervisor classes) .
Attached find the above resource material together with a P-300 and two (2)
draft specifications relating to this issue. Please shoot for getting
this request on the 10/28/87 Board agenda.
WB:RP:lp
attachments
cc: Frank Puglisi
Stu McCullough
William Walker, M.D.
Pat Godley
Chris Dailey
Joseph Hartog, M.D.
Ray Philbin
Bob Alaniz
A-41 x/81 Tony Enea