Medical Surgical Nurse (Open & Promotional)

Medical-Surgical Nurse Positions

At San Mateo Medical Center, we are always seeking ways to enhance the already impressive services we offer. This dedication to excellence is reflected in the exceptional care we provide and the extraordinary professionals who provide it. Here, you'll have the chance to develop your talents with a skilled team of people who actively support and encourage each other's success. If you're ready to open new doors for your career, join us today! We are seeking qualified and experienced Registered Nurses to work in our Medical-Surgical unit. We are currently looking to fill one (1.0 FTE) full-time, and two (0.5 FTE's) part-time Medical-Surgical nurse positions. A typical shift duration is 8-hours. Under direction, the incumbent will perform varied professional nursing duties with primary emphasis on professional nursing care for hospital or patients; treat and educate patients, their families and the public about various medical conditions; record medical histories and symptoms; perform diagnostic tests and analyze results; operate medical machinery; administer treatment and medications; assist with patient follow-up and rehabilitation; and perform other duties as assigned and required by assigned clinical setting. The incumbent will be responsible for the care of general medical-surgical patients, such as Telemetry, Oncology, and Pediatric patients. The ideal candidate is fully competent to:

• Provide hands-on care to patients, practicing in an evidence-based manner.
• Practice within the Scope of Practice of the California Nursing Practice Act, regulatory requirement, standards of care, and hospital policies.
• Perform all steps of the nursing process, including assessing patients; interpreting data, planning, implementing, and evaluating care; coordinating care with other providers; and teaching the patient and family the knowledge and skills needed to manage their care and prevent complications.
• Partner with the patient's family wherever possible, considering all aspects of care, to deliver family centered care.
• Monitor the quality of nursing care provided.
• Take responsibility for his/her own professional development, including licensure, Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) certifications, and maintaining current knowledge regarding assigned patient population.
• Contribute to the profession of nursing through such activities as teaching others, sharing expertise in unit or hospital wide.
• Fluency in Spanish is preferred, but not required.
• Chemotherapy Certification is preferred.
• Recent acute inpatient medical surgical experience for greater than 1 year is also preferred.

Medical Surgical Nurse Salary $66.49 - $78.58 Hourly $5,319.20 - $6,286.40 Biweekly $11,524.71 - $13,620.27 Monthly Relief Nurse Salary $66.02 - $82.52 Hourly $5,281.60 - $6,601.60 Biweekly $11,443.47 - $14,303.47 Monthly NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies. Extra-help / relief assignments are at-will, and the employee is paid on an hourly basis. Some extra help / relief positions are eligible for benefits under the Affordable Care Act. Extra-help / relief workers are not guaranteed permanent status at the end of the extra-help / relief assignment.

Duties may include, but are not limited to, the following:

• Complete patient assessments and triage; record patient histories, symptoms and observations.
• Establish and implement nursing care plans for each patient through assessment, development, activation and evaluation.
• Participate in patient case conferences and rounds.
• Organize, assign and supervise duties and responsibilities of other staff members as a team leader; orient and teach new staff members of the nursing team and students.
• Perform nursing care following prescribed rules, policies, protocol and procedures.
• Identify problems, assist in data gathering, propose solutions and participate in evaluation of quality assurance issues.
• Work with patients and their families to provide in-hospital and after-hospital follow-up through teaching and referral.
• Participate in educational programs to maintain level of expertise.
• Participate in non-clinical assignments, which may include maintaining records, preparing reports and/or serving on special committees.
• Maintain records and prepare reports.
• Operate a variety of medical machinery and equipment.
• Administer treatment and medications.
• Maintain knowledge of outpatient resources.
• Develop discharge plans for patients.
• Perform related duties as assigned and as required by assigned work setting, as described below.

Medical-Surgical Nurse Provide care to patients after illness, injury or surgery or with acute health conditions or patients who are being treated with pharmaceuticals. Record, assess and observe patient progress, reactions and symptoms. Assess needs of patient and develop plan of care based on assessment. Check vital signs, give injections and perform catheterizations and Point of Care Testing. Coordinate referrals and interagency communication. Manage pain. Monitor patients in restraint and seclusion and maintain patient safety. Determine medical or psychiatric emergency need and provide intervention. Perform related duties as assigned.

Licensure/Certification: Possession of a California license as a Registered Nurse or equivalent. Possession and maintenance of BLS certification. Possession and maintenance of ACLS certification. Possession and maintenance of Oncology Nursing certification within three months of hire. Knowledge of Nurse Practice Act. Current nursing and related medical theory and skills necessary to administer nursing care within assigned clinical setting. Safety and infection control practices. Clinical systems, supplies and equipment. Skill/Ability to Perform nursing procedures required for assigned clinical setting. Comply with clinical procedures and policies. Maintain professional nurse-patient relationships. Communicate with and educate patients, families, and the public who come from a diverse background. Work harmoniously with other personnel. Follow safety practices. Assist in the instruction of other nursing and paraprofessional personnel. Bend, kneel and squat as needed. Occasionally use upper extremities to exert force to push and pull patients/objects weighing up to 50 pounds or more. Work in a busy environment.

Open and Promotional. Anyone may apply. Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, Confidential and Management extra-help/limited term, and SEIU or AFSCME represented extra help/limited term positions prior to the final filing date will receive five points added to their final passing score on this examination. A supplemental application form must be submitted in addition to our regular employment application form. A resume or CV will not be accepted as a substitute for the required employment application and supplemental questionnaire. The examination process will consist of an application screening (pass/fail) based on the candidates' application and responses to the supplemental questions. Candidates who pass the application screening will be invited to a panel interview (weight: 100%). Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations or further evaluation of work experience may be conducted to group applicants by level of qualification. All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in San Mateo County, California, and applicants must participate at their own expense. IMPORTANT Applications for this position will only be accepted online. If you are currently on the County's website, you may click the "Apply" button. If you are not on the County's website, please go to to apply. Online applications must be received by the Human Resources Department before midnight on the final filing date. ~TENTATIVE RECRUITMENT SCHEDULE~ This is a continuous recruitment which may close at any time. Apply immediately. This recruitment is open on a continuous basis and selections may be made at any time within the process. Apply Online at:

The County of San Mateo is an equal opportunity employer. We seek to hire, support, and retain employees who reflect our diverse community.