Clinical Nurse III - Ambulatory Care

Under general supervision, to apply the theoretical concepts of the nursing profession while providing direct patient care within the parameters of established nursing policies and procedures in patient care situations required by the assigned clinical setting; to initiate and perform established nursing interventions utilizing current clinical knowledge. Santa Clara County Health System is seeking full‑time, part‑time, extra‑help, and per diem clinic nurses to work in various primary and specialty care departments within their ambulatory care network. Responsibilities Assessment Analyzes and validates data taken from interviews of patients; revises assessments based on observation of patient behaviors. Identifies common recurrent patient problems, symptoms, and behavioral changes in relation to standards of care and individual patient needs. Assesses the needs of a specific patient population by making purposeful rounds, participating in clinical conferences, and collaborating with physicians and other healthcare team members. Assesses the competencies of personnel assigned to a specific patient group. Assesses the need for development of standards of care for a specific patient population. Assesses the numbers and levels of personnel needed to provide nursing care for a specific patient population. Planning Identifies patient care problems, establishes priorities, and develops individual patient care plans based on nursing and medical diagnosis. Plans strategies for solving patient care problems with other members of the healthcare team. Plans for patient needs within current assignment to determine amount and type of assistance needed. Develops a plan for teaching patients and family regarding recurrent health problems, coping mechanisms, and health practices related to maintenance of wellness and prevention of disease. Implementation Collaborates with appropriate personnel in performing new procedures and/or in functioning in unfamiliar situations. Coordinates activities needed to implement the plan of care. Coordinates patient and family teaching. Coordinates discharge plans with appropriate support personnel. Complies with external and internal regulations pertaining to nursing practice. Recognizes legal and ethical duties and responsibilities of registered nurses. May participate in conducting research activities. When assigned charge responsibility, makes recommendations for the unit level staffing pattern and assigns personnel to provide for patient care during an 8‑hour period. Assists in teaching students and staff. May assume role of primary nurse with accountability to specific assigned patients. May be assigned as a Disaster Service Worker (DSW) as required. Performs other related duties, as required. Qualifications Active California Registered Nurse License without restrictions. Three (3) years of full‑time RN experience, of which one (1) year must have been within the last three (3) years, in an accredited hospital, clinic, or healthcare setting. One (1) year of full‑time RN experience, within the last three (3) years, in the nursing specialty area. Possession of a Bachelor of Science in Nursing (BSN) preferred. Possession of a nationally recognized certification in a specialty area preferred. Special Requirements Must possess and maintain Basic Life Saving Certification (BLS) during employment. For clinical specialty areas, must possess and maintain Advance Cardiovascular Life Saving Certification (ACLS) and other identified specialty area certification(s) for specialty patient populations as required. Ability to travel to alternate locations; possession of a valid California driver’s license and ability to qualify for and maintain a County driver authorization. All County of Santa Clara employees are designated Disaster Service Workers (DSW) and must complete all assigned DSW‑related training and be available to return to work when required. Knowledge California Nurse Practice Act. American Nursing Association Code of Ethics. Nursing Professional Practice Model. Federal and State healthcare laws and regulations relevant to California hospitals. Current nursing and related medical theory necessary to administer nursing care within assigned clinical setting. Principles, practices, and methods of acute and primary care clinical nursing, including community aspects and continuity of patient care. Diagnosis and treatment of common medical problems as related to a clinical specialty area. Clinical systems, supplies, and equipment. Safety and Infection Control practices. Sciences basic to nursing (anatomy, physiology, pharmacology, microbiology). English usage, style, grammar, punctuation, and spelling. Common computer systems and charting applications. Ability Establish relationships with patients/families in difficult or crisis situations. Advocate for the patient/family perspective and work toward resolution of conflict. Develop and implement complex teaching plans. Be a subject matter expert and be recognized by other staff nurses and physicians for their expert knowledge. Support less experienced Registered Nurses. Recognize and report subtle variations in patient responses. Anticipate and identify the needs of other patients and the capabilities of the nurses assigned to them. Develop innovative strategies to enhance patient care. Model high performance leadership behaviors such as thoughtful listening, effective questioning, and empowerment. Act as a change agent and facilitate implementation and evaluation of change. Perform skillfully under pressure. Juggle and integrate needs and requests of multiple patients without losing important information or overlooking significant needs. Communicate effectively, both orally and in writing, with people of diverse backgrounds and cultures. Establish and maintain effective working relationships with those contacted in the course of work, at all levels, including colleagues, the public, and representatives of other agencies. Physical Requirements Ability to work alternate work schedules, weekends, and holidays as necessary. Ability to perform physical skills required to deliver patient care. Bend, stoop, reach, perform fine motor movements, see, hear, and touch. Strength to lift, move, and transfer most patients; restrain and carry children; move and carry equipment; and perform cardiopulmonary resuscitation (CPR). Mobility: bend, stoop, get down on the floor; ability to move around physically and adequately in confined spaces (patient rooms, bathrooms, treatment settings, around patient equipment). Fine motor movements: manipulate syringes and IVs; assist patients with feeding and hygiene; write appropriate notations; document in health record; and perform sterile procedures and other skilled procedures. Vision to visualize patients in order to assess and observe their health status and changes. Hearing to monitor signs and symptoms, hear alarms, patient voices, call lights, and assess patient conditions. Touch to palpate both superficially and deeply and to discriminate tactile sensations. #J-18808-Ljbffr The County of Santa Clara