Clinical Nurse III - Ambulatory Care
<p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.0in;"><span style="color: inherit;" data-uw-rm-color-contrast="prs">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.</span></p><br><em><strong data-uw-rm-color-contrast="prs">Santa Clara Valley Healthcare (SCVH) is the second largest public health care system in California and includes four acute care hospitals, 14 clinics and 60+ specialty and sub-specialty services. Our mission is to provide high-quality, accessible healthcare and excellent service to everyone in Santa Clara County.</strong></em><p><strong><em data-uw-rm-color-contrast="prs">Because we serve patients throughout multiple hospitals and clinics, you may have to work at different sites. We will meet any obligations we may have when this occurs.</em></strong></p><p><strong><em data-uw-rm-color-contrast="prs">Santa Clara Valley Medical Center </em></strong><em data-uw-rm-color-contrast="prs">- SCVMC is a full-service tertiary acute care teaching hospital with 699 licensed beds providing a wide range of specialized services, including Rehabilitation, Burn, Trauma, and NICU. SCVMC was ranked by U.S. News and World Report as #6 Rehabilitation Hospital in the nation and #1 in the West and designated as a 2024 High Performing hospital for Maternity Care, Heart Failure, Stroke, Hip Fracture, and Pneumonia.</em></p><p><strong><em data-uw-rm-color-contrast="prs">O'Connor Hospital</em></strong><em data-uw-rm-color-contrast="prs"> - O'Connor Hospital (OCH) is a 358 licensed bed acute care facility offering a full range of inpatient and outpatient medical, surgical and specialty programs to residents of Santa Clara County. It was founded in 1889 as one of the first hospitals in the county. OCH has grown significantly over the past five years in both its inpatient volume and its Emergency Department visits. Along with these volume increases other ancillary and clinical departments like imaging, lab, pharmacy, and respiratory have seen growth as well.</em></p><p><strong><em data-uw-rm-color-contrast="prs">St. Louise Regional Hospital</em></strong><em data-uw-rm-color-contrast="prs"> - Since 1989, St. Louise Regional Hospital (SLRH) has been caring for the residents in Santa Clara and San Benito Counties, offering a wide range of inpatient and outpatient medical specialties. SLRH has 93 beds, is a Designated Primary Stroke Center, and is the only acute care hospital in the area. Located in Gilroy, SLRH maintains a CALSTAR 2 emergency helicopter base on the premises. </em></p><p><strong><em data-uw-rm-color-contrast="prs">Regional Medical Center</em></strong><em data-uw-rm-color-contrast="prs">– Regional Medical Center (RMC) is a 258-bed hospital that is the main emergency healthcare provider for East San José, treating a wide range of critical and life-threatening conditions for more than 60 years. Since the SCVH integration of RMC effective 4/1/25, RMC has expanded the critical services including Level II trauma, Thrombectomy capable Stroke Center and STEMI care, and has been seeing an increased number of emergency visits and inpatient volume. </em></p><strong data-uw-rm-color-contrast="prs">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. </strong><br><br><div style="color: inherit;font-style: normal;text-indent: 0.0px;"><strong data-uw-rm-color-contrast="prs">The list established may be used for other vacancies as they occur in Ambulatory Care, which includes (but not limited):</strong></div><div style="color: inherit;font-style: normal;text-indent: 0.0px;"><strong><br></strong><span style="color: inherit;font-style: normal;text-align: left;text-indent: 0.0px;" data-uw-rm-color-contrast="prs">All Hospitals - Employee Health</span> </div><div style="color: inherit;font-style: normal;text-indent: 0.0px;" data-uw-rm-color-contrast="prs">St. Louise Regional Hospital - Wound Clinic<br>O'Connor Hospital - Wound Clinic<br>O'Connor Hospital - Infusion</div><div style="color: inherit;font-style: normal;text-indent: 0.0px;"><span style="color: inherit;font-style: normal;text-indent: 0.0px;" data-uw-rm-color-contrast="prs">Santa Clara Valley Medical Center Community Based Outreach and Clinical Disaster Response Team</span> </div>Valley Specialty Centers<br>Regional Medical Center<br>Primary Care <br><div style="color: inherit;font-style: normal;text-indent: 0.0px;"><br></div><div style="color: inherit;font-style: normal;text-indent: 0.0px;" data-uw-rm-color-contrast="prs">Valley Medical Center - HEALTH CENTERS<ul style="list-style-type: disc;padding: 0.0px 0.0px 0.0px 40.0px;"><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;text-align: left;" data-uw-rm-color-contrast="prs">Valley Health Center Bascom</p></li><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;text-align: left;" data-uw-rm-color-contrast="prs">Valley Health Center Downtown</p></li><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;text-align: left;" data-uw-rm-color-contrast="prs">Valley Health Center East Valley</p></li><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;text-align: left;" data-uw-rm-color-contrast="prs">Valley Health Center Gilroy</p></li><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;text-align: left;" data-uw-rm-color-contrast="prs">Valley Health Center Lenzen</p></li><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;text-align: left;" data-uw-rm-color-contrast="prs">Valley Health Center Milpitas</p></li><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;text-align: left;" data-uw-rm-color-contrast="prs">Valley Health Center Moorpark</p></li><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;text-align: left;" data-uw-rm-color-contrast="prs">Valley Health Center Sunnyvale</p></li><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;text-align: left;" data-uw-rm-color-contrast="prs">Valley Health Center Tully</p></li><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;text-align: left;" data-uw-rm-color-contrast="prs">Valley Health Center Lundy</p></li><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;text-align: left;" data-uw-rm-color-contrast="prs">Valley Health Center McKee</p></li><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;text-align: left;" data-uw-rm-color-contrast="prs">Valley Specialty Center</p></li><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;" data-uw-rm-color-contrast="prs">Valley Homeless Health Care Program (VHHP)</p></li><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;" data-uw-rm-color-contrast="prs">Valley Health Center Vietnamese American Service Center</p></li><li style="list-style-type: inherit;padding: 0.0px;margin: 0.0px;"><p style="margin: 1.0em 0.0px;" data-uw-rm-color-contrast="prs">Etc.</p></li></ul></div>Learn more about Santa Clara Valley Healthcare: <a href="https://www.scvh.org/home" target="_blank" rel="noopener noreferrer" data-uw-rm-brl="PR" data-uw-original-href="https://www.scvh.org/home" data-uw-rm-ext-link="" data-uw-rm-empty-ctrl=""><strong><span style="color: rgb(0, 96, 127) !important;" data-uw-rm-color-contrast="afix" data-data-uw-rm-color-contrast-styled="true">https://www.scvh.org/home</span></strong></a> and follow us on:<br> <br><strong data-uw-rm-color-contrast="prs">LinkedIn | </strong><a href="http://www.linkedin.com/company/county-of-santa-clara/" target="_blank" rel="noopener noreferrer" data-uw-rm-ext-link="" data-uw-rm-empty-ctrl=""><strong><span style="color: rgb(0, 96, 127) !important;" data-uw-rm-color-contrast="afix" data-data-uw-rm-color-contrast-styled="true">www.linkedin.com/company/county-of-santa-clara/</span></strong></a><p style="margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;"><strong data-uw-rm-color-contrast="prs">Facebook | </strong><a href="http://www.facebook.com/sccjob" target="_blank" rel="noopener noreferrer" data-uw-rm-brl="PR" data-uw-original-href="http://www.facebook.com/sccjob" data-uw-rm-ext-link="" data-uw-rm-empty-ctrl=""><strong><span style="color: rgb(0, 96, 127) !important;" data-uw-rm-color-contrast="afix" data-data-uw-rm-color-contrast-styled="true">www.facebook.com/sccjob</span></strong></a><br><strong data-uw-rm-color-contrast="prs">Instagram | </strong><a href="http://www.instagram.com/sccjobs/" data-uw-rm-brl="PR" data-uw-original-href="http://www.instagram.com/sccjobs/" data-uw-rm-empty-ctrl=""><strong><span style="color: rgb(0, 96, 127) !important;" data-uw-rm-color-contrast="afix" data-data-uw-rm-color-contrast-styled="true">www.instagram.com/sccjobs/</span></strong></a></p><p style="margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;"><strong data-uw-rm-color-contrast="prs"><br> Newsletter Subscription | </strong><a href="https://santaclaracounty.us21.list-manage.com/subscribe?u=44353d9430febdf8a18423bd9&id=75c60849e5" data-uw-rm-brl="PR" data-uw-original-href="https://santaclaracounty.us21.list-manage.com/subscribe?u=44353d9430febdf8a18423bd9&id=75c60849e5" data-uw-rm-empty-ctrl=""><strong><span style="color: rgb(0, 96, 127) !important;" data-uw-rm-color-contrast="afix" data-data-uw-rm-color-contrast-styled="true">Sign Up</span></strong></a></p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">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.</p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"> </p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><strong>Assessment</strong></p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Analyzes and validates data taken from interviews of patients; revises assessments based on observation of patient behaviors; </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Identifies common recurrent patient problems, symptoms, and behavioral changes in relation to standards of care and individual patient needs; </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">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;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Assesses the competencies of personnel assigned to a specific patient group; </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Assesses the need for development of standards of care for a specific patient population;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Assesses the numbers and levels of personnel needed to provide nursing care for a specific patient population.</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"> </p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><strong>Planning </strong></p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Identifies patient care problems, establishes priorities, and develops individual patient care plans based on nursing and medical diagnosis; </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Plans strategies for solving patient care problems with other members of the healthcare team; </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Plans for patient needs within current assignment to determine amount and type of assistance needed; </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">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;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"> </p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><strong>Implementation</strong></p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Collaborates with appropriate personnel in performing new procedures and/or in functioning in unfamiliar situations;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"><strong> </strong></p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Coordinates activities needed to implement the plan of care;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Coordinates patient and family teaching; </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Coordinates discharge plans with appropriate support personnel; </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Complies with external and internal regulations pertaining to nursing practice;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Recognizes legal and ethical duties and responsibilities of registered nurses; </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">May participate in conducting research activities; </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">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; </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Assists in teaching students and staff; </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">May assume role of primary nurse with accountability to specific assigned patients;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">May be assigned as a Disaster Service Worker (DSW), as required*;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Performs other related duties, as required.</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">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:</p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"> </p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><strong>Training and Experience Note:</strong> The required knowledge and abilities are attained through possession of an active California Registered Nurse License without restrictions;</p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;text-align: center;">and</p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited hospital, clinic, or healthcare setting. </p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;text-align: center;">and</p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">One (1) year of full-time RN experience, within the last three (3) years, in the nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. </p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"> </p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred.</p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"> </p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><strong>Special Requirements</strong></p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Must possess and maintain the following certification(s) during employment:</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.5in;">o Basic Life Saving Certification (BLS)</p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">For clinical specialty areas, must possess and maintain the following certification(s) during employment: </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.5in;">o Advance Cardiovascular Life Saving Certification (ACLS) </p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.5in;">o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">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.</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">*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.</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"> </p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><strong>Knowledge of:</strong></p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">California Nurse Practice Act;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">American Nursing Association Code of Ethics;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Nursing Professional Practice Model;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Federal and State healthcare laws and regulations appropriate to the operation of California hospitals;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Current nursing and related medical theory necessary to administer nursing care within assigned clinical setting;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Principles, practices, and methods of acute and primary care clinical nursing, including community aspects and continuity of patient care;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Diagnosis and treatment of common medical problems as related to a clinical specialty area;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Clinical systems, supplies, and equipment;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Safety and Infection Control practices;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Sciences basic to nursing (anatomy, physiology, pharmacology, microbiology);</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">English usage, style, grammar, punctuation, and spelling;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Common computer systems and charting applications.</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"> </p><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><strong>Ability to:</strong></p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Establish relationships with patients/families in difficult or crisis situations;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Advocate for the patient/family perspective and work toward resolution of conflict;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Develop and implement complex teaching plans;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Be a subject matter expert and be recognized by other staff nurses and physicians for their expert knowledge;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Support less experienced Registered Nurses;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Recognize and report subtle variations in patient responses;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Anticipate and identify the needs of other patients and the capabilities of the nurses assigned to them;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Develop innovative strategies to enhance patient care;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Model high performance leadership behaviors (e.g., thoughtful listening, effective questioning, and empowerment); </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Act as a change agent and facilitate implementation and evaluation of change;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Perform skillfully under pressure;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Juggle and integrate needs and requests of multiple patients without losing important information or overlooking significant needs;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Communicate effectively, both orally and in writing, with people of diverse backgrounds and cultures; </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">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.</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">The physical requirements may include: </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Ability to work alternate work schedules, weekends, and holidays as necessary;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Ability to perform physical skills required to deliver patient care;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Bend, stoop, reach, perform fine motor movements, see, hear, and touch;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">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;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">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.); </ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Be able to perform all physical skills required to deliver patient care;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">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;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">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.;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">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;</ul></div><p style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 0.0in;margin-left: 0.5in;"> </p><div style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;"><ul style="margin-bottom: 3.0pt;"><li style="margin-top: 0.0in;margin-right: 0.0in;margin-bottom: 8.0pt;margin-left: 0.0in;">Touch: Ability to palpate both superficially and deeply and to discriminate tactile sensations.</ul></div>
