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Clinical Nurse II – Critical Care Full Time

Description

Under supervision, Clinical Nurse II apply the theoretical concepts of nursing to clinical practice by performing routine patient care assignments and established nursing policies and procedures in controlled patient care situations.

Distinguishing Characteristics

The Clinical Nurse II classification is distinguished from the Clinical Nurse I classification in that the Clinical Nurse I is specifically an entry level classification for registered nurses with no or limited experience, whereas the Clinical Nurse II is a registered nurse (RN) with at least one year of recent RN experience in a nursing specialty.   

The Clinical Nurse II classification is distinguished from the Clinical Nurse III classification in that the Clinical Nurse II works under supervision while performing specific patient care assignments, whereas the Clinical Nurse III is expected to have the knowledge and abilities to assume charge nurse responsibility.

 

The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. 

 

The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions. 

COVID-19 Risk Tier – Higher Risk

Clinical Nurse II – Critical Care
Prefer experience in Critical Care and completion of a Critical Care Training program.
Position available in critical care units at each hospital  include:

Saint Louise Regional Hospital – Mixed Intensive Care Unit
O’Connor Hospital – Mixed Intensive Care Unit
Valley Medical Center – Medical Intensive Care Unit
Valley Medical Center – Cardiac Care Unit
Valley Medical Center – Surgical Intensive Care Unit
Valley Medical Center – Trauma Intensive Care Unit
Valley Medical Center – Burn Unit
Float Pool 

The eligible list will be used for future openings within this competency area. The competency area includes the units listed above.

Better Health for All!
The County of Santa Clara owns and operates a Hospitals and Clinics Delivery System that includes Santa Clara Valley Medical Center, O’Connor Hospital, and St. Louise Regional Hospital.

Santa Clara Valley Medical Center – 731 bed tertiary level acute care hospital provides the highest level of adult and pediatric emergency medical and trauma services, a regional high risk Neonatal Intensive Care Unit, an ACS-verified Burn Trauma Center, a Primary Stroke Center, a CARF-accredited Rehabilitation Center, emergency and acute inpatient psychiatric services, as well as a range of other specialized services – in some cases the only such treatment in the region.

O’Connor Hospital -358 bed acute care facility offering a full range of inpatient and outpatient medical, surgical and specialty programs to more than 1 million residents of San Jose. O’Connor Hospital was founded in 1889 as one of the first hospitals in Santa Clara County.

St. Louise Regional Hospital – 93 bed acute care facility, affectionately known as South County’s community hospital, is a Designated Primary Stroke Center, and is the only acute care hospital in the area. Located in Gilroy, St. Louise is one of the largest employers in the community.

 

 
Typical Tasks

The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed.

 

Assessment

  • Interviews patient and/or family to obtain data for nursing assessment; records and reports data;

 

  • Utilizes assessment data to formulate nursing diagnosis;

 

  • Applies knowledge of normal parameters; identifies deviation from normal, obvious patient problems, symptoms, and/or behavioral changes; reports these to the appropriate authority;

 

  • Makes observations about physical, psycho-social, cultural, learning needs, and response of patient and families; documents in a clear, concise manner.

 

Planning 

  • Identifies patient care problems and establishes priorities for care based on nursing and medical diagnosis;

 

  • Understands goals and plans of care for the typical patient population;

 

  • Initiates a patient care plan and collaborates when appropriate;

 

  • Contributes to the revision of the initial patient care plan dependent upon the changing needs of the patient;

 

  • Contributes to the development of unit standards of care;

 

  • Plans patient teaching activities.

 

Implementation 

  • Establishes priorities and gives nursing care based on the patient care plan;

 

  • Implements the patient care plan;

 

  • Seeks supervision and guidance in further developing nursing skills, in performing procedures not yet mastered, and/or in functioning in unfamiliar situations;

 

  • Accepts accountability for all nursing care provided;

 

  • Monitors compliance with safety standards and care protocols for self and others;

 

  • Records nursing care given and patient’s response to care;

 

  • Assists in coordinating the activities needed to implement the patient care plan;

 

  • Participates in implementation of patient discharge plan;

 

  • Teaches patient and families;

 

  • Complies with external and internal regulations pertaining to nursing practice; recognizes legal and ethical duties and responsibilities of registered nurses;

 

  • May participate in research projects.

 

Evaluation 

  • Evaluates the patient’s response to care provided;

 

  • Communicates evaluation outcomes;

 

  • Evaluates teaching provided by self and others;

 

  • May be assigned as a Disaster Service Worker (DSW), as required*;

 

  • Performs other related duties, as required.
Employment Standards

Sufficient education, training, and experience to demonstrate the ability to perform the above tasks, plus the possession and direct application of the following knowledge and abilities:

 

Training and Experience Note: The required knowledge and abilities are attained through possession of an active California Registered Nurse (RN) license without restrictions;

and

One (1) year, within the last three (3) years, of full-time Registered Nurse (RN) experience in an accredited hospital, clinic, or healthcare setting.

and

One (1) year, within the last three (3) years, of full-time RN experience in a nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. 

 

Possession of a Bachelor of Science in Nursing (BSN) is preferred.

 

Special Requirements

  • Must possess and maintain the following certification(s) during employment:

o          Basic Life Saving Certification (BLS)

  • For clinical specialty areas, must possess and maintain the following certification(s) during employment: 

o          Advance Cardiovascular Life Saving Certification (ACLS) 

o          Other identified specialty area certification(s) for specialty patient populations at appointment, as required.

 

  • Ability to travel to alternate locations in the course of work.  If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization.

 

  • *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help.  A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered.

 

Knowledge of:

  • California Nurse Practice Act;

 

  • American Nursing Association Code of Ethics;

 

  • Nursing Professional Practice Model;

 

  • Federal and State healthcare laws and regulations appropriate to the operation of 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 to:

  • Adapt approach readily and consistently when patient/family displays unexpected response; 

 

  • Monitor patient satisfaction and take action to improve care;

 

  • Use creative strategies to ensure patient/family possess understanding of the plan;

 

  • Provide guidance to new staff;

 

  • Serve as coach or preceptor to evaluate and validate a colleague’s clinical judgment;

 

  • Identify changes that require actions other than those anticipated or planned;

 

  • Utilize critical thinking skills to interpret complex data;

 

  • Foster an environment that promotes mutual respect and professional growth;

 

  • Balance competing demands;

 

  • Plan and coordinate multiple patient needs and reshuffle their priorities in the midst of constant patient changes;

 

  • 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

The physical requirement may include: 

  • 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; to restrain and carry children; to move and carry equipment; and to perform cardiopulmonary resuscitation (CPR), which requires sufficient body weight and adequate lung expansion;

 

  • Mobility: bend, stoop, get down on the floor; combination of strength, dexterity, mobility, and coordination to assist patients; ability to move around physically and adequately in confined spaces (patient rooms, bathrooms, treatment settings, around patient equipment, etc.); 

 

  • 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: Visualize patients in order to assess and observe their health status, skin tone, color changes, dermatological conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, etc.;

 

  • Hearing: Hear and see patients, monitor signs and symptoms, hear alarms, patient voices, call lights, and assess patient conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, hear through the stethoscope to discriminate sounds, and accurately hear on the telephone;

 

  • Touch: Ability to palpate both superficially and deeply and to discriminate tactile sensations.
Benefit and Retirement information may vary from bargaining unit to bargaining unit.  Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied.  Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts.

Click here to access all Memoranda of Understanding and most recent Summary of Changes.

01

Please answer the following questions. Completion of the following supplemental questions is REQUIRED and is an integral part of the evaluation process. Initially, it will be used to determine minimum qualifications. For those applicants meeting the employment standards, this information will be critical in the subsequent competitive assessment to identify those candidates to be invited to continue in the examination process. Your responses to the questions may also be reviewed and scored in a Competitive Rating evaluation process based on pre-determined rating criteria. Your answers should be as complete as possible, as no additional information will be accepted from applicants once the Competitive Rating evaluation has begun. A response of “see resume” or “see application” will deem your application incomplete.

Include a detailed description of your work experience in the following format for EACH employer referenced, in each answer:
a) Employer name(s)
b) Job title(s)
c) Start/end dates of employment
d) Total hours worked per week
e) Description of task(s) performed

Do you understand the requirement to provide complete answers in order to determine relevant experience for each area in question?

  • Yes
  • No

02

Do you have an active California Registered Nurse License without restrictions?

  • Yes
  • No

03

If you have an active California RN license, please indicate license number and expiration date.

04

What is your highest level of Nursing Education?

  • BSN, Clinical Practicum concurrent with theory in a non-accreditied Joint Commission acute care hospital
  • AA/ AS/ Diploma, Clinical Practicum concurrent with theory in a non-accreditied Joint Commission acute care hospital
  • MEPN with RN license pursuing MS
  • AA/ AS/ Diploma, Clinical Practicum concurrent with theory in an accredited Joint Commission acute care hospital
  • BSN, Clinical Practicum concurrent with theory in an accredited Joint Commission acute care hospital
  • MSN
  • PhD

05

Indicate which hospital/location in the County of Santa Clara Health System you are willing to work.

  • O’Connor Hospital
  • Saint Louise Regional Hospital
  • Santa Clara Valley Medical Center

06

Indicate which unit you are willing to work within the Critical Care Competency Area.

  • O’Connor Hospital – Mixed Intensive Care Unit
  • St. Louise Regional Hospital – Mixed Intensive Care Unit
  • Valley Medical Center – Trauma Intensive Care Unit (TICU)
  • Valley Medical Center – Surgical Intensive Care Unit (SICU)
  • Valley Medical Center – Medical Intensive Unit (MICU)
  • Valley Medical Center – Cardiac Care Unit
  • Valley Medical Center – Burn Unit

07

Indicate the commitment you are willing to work (Check all that apply).

  • 1.0 FTE, 80 hours in two weeks
  • .9 FTE, 72 hours in two weeks
  • .8 FTE, 64 hours in two weeks
  • .75 FTE, 60 hours in two weeks
  • .7 FTE, 56 hours in two weeks
  • .6 FTE, 48 hours in two weeks
  • .5 FTE, 40 hours in two weeks

08

Select all shifts you are willing to work.

  • Day 8 hour shift
  • Day 12 hour shift
  • Evening 8 hour shift
  • Night 8 hour shift
  • Night 12 hour shift
  • Variable

09

List all active national and international nursing certification. Indicate the first year certified.

10

Is your ACLS certification current?

  • Yes
  • No

11

If you have a current ACLS certification, please indicate the Agency who issued it, the date it was issued and expiration date. If not, enter “N/A”.

12

Is your BLS certification current?

  • Yes
  • No

13

If you have a current BLS certification, please indicate the Agency who issued it, the date it was issued and expiration date. If not, enter “N/A”.

14

Is your PALS certification current?

  • Yes
  • No

15

If you have a current PALS certification, please indicate the Agency who issued it, the date it was issued and expiration date. If not, enter “N/A”.

16

Have you completed an EKG certification course or cardiac arrhythimas course?

  • Yes
  • No

17

Indicate the date and location of EKG certification course or cardiac arrhythmia course.

18

Have you completed NIH Stroke Scale (NIHSS) certification?

  • Yes
  • No

19

Is your NIH Stroke Scale (NIHSS) certification current?

  • Yes
  • No

20

Do you have recent RN experience (1 year in the last 3 years, not including nursing school) in an acute care hospital?

  • Yes
  • No

21

Do you have recent ICU Department experience as a RN (1 year in the last 3 years) at a Joint Commission accredited acute care hospital? (do not include nursing school experience)

  • Yes
  • No

22

ICU – Indicate the number of years (not counting clinical experience while in nursing school) of RN experience in a Joint Commission Accredited ICU Department.

  • No ICU experience
  • 1 – 2 years
  • 2 – 3 years
  • 3 – 4 years
  • 4 – 5 years
  • 5 + years
  • 10+years

23

Are you currently working as a Critical Care nurse?

  • Yes
  • No

24

Indicate the location of your current RN role:

  • Inpatient Acute Care Hospital
  • Ambulatory Care Clinic
  • Sub Acute Care Facility
  • Surgery Center
  • Long Term Care
  • Home Care
  • Inpatient Subacute Unit
  • Hospice
  • Dialysis Center
  • No prior RN nursing experience
  • Specialty Care Clinic

25

Describe the patient population in your current RN position.

26

Have you completed a Critical Care Training Program within the past year at a Joint Commission Accredited Hospital? (The question does not refer to time in nursing school.)

  • Yes
  • No

27

If you have completed a Critical Care Training Program in the past (less than 1 year ago) in a Joint Commission Accredited Hospital, state the dates you completed your training, the sponsoring acute care hospital and the length of the program. (The question does not refer to time in nursing school.)

28

While in the critical care training program, what unit/s did you have your precepted orientation?

  • No precepted orientation
  • Burn Unit
  • Cardiac Care Unit
  • Medical Intensive Care Unit
  • Mixed ICU (Medical,Surgical, Neuro and Cardiac)
  • Neuro Intensive Care Unit
  • Surgical Intensive Care Unit
  • Trauma Intensive Care Unit

29

Do you have recent burn experience (1 year in the last 3 years) at a Joint Commission accredited acute care hospital? Do not include nursing school experience.

  • Yes
  • No

30

Do you have experience with caring for Hemodialysis patients in the ICU?

  • Yes
  • No

31

Are you currently caring for patients with IABPs?

  • Yes
  • No

32

Do you have recent experience with Bispectral Index Monitoring (BIS Monitoring)?

  • Yes
  • No

33

Do you have recent experience, training or in-service with Hill Rom Progressa ICU bed?

  • Yes
  • No

34

Indicate type of electronic health record software you have experience using

  • All Scripts
  • ARCIS
  • Cerner
  • e Clinical Works
  • EPIC
  • Essentris
  • GE EMR
  • IBEX
  • Intergy
  • Meditech
  • Other
  • No exp with electronic
    health record software

35

Do you have 1 year of RN experience in a County facility?

  • Yes
  • No

36

How did you find out about this job?

  • Contacted by County Recruiter
  • Contacted by a Recruitment Firm
  • County Employee Referral
  • County of Santa Clara Career Website
  • County of Santa Clara Job Interests Email Notification
  • Facebook
  • Instagram
  • LinkedIn
  • Indeed
  • Virtual Job Fair
  • In Person Job Fair
  • In-Person Networking Professional Event
  • Virtual Networking Event
  • Community Event
  • Glassdoor
  • Governmentjobs.com
  • Professional Association
  • Search Engine (Google, Bing, online search, etc.)
  • Hospital Website: SCVMC, O’Connor Hospital, St. Louise Regional Hospital Website
  • Handshake
  • Student Career Center
  • County Text Message
  • Other (Specify in the next question)

37

If you selected an event/fair or other in the question above. Please specify. If not, type n/a.

* Required Question

Job Overview

  • Date Posted:
  • Job Title: Clinical Nurse II – Critical Care
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