Clinical Nurse III - Emergency Departmen...
County of Santa Clara - San Jose, CA

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Under general supervision, incumbents provide care to patients in a structured environment. Clinical Nurse III's initiate and perform established nursing interventions utilizing current clinical knowledge.

The Emergency Department (ED) is an integral component of the SCVMC Trauma Center. The unit consists of 24 beds, all with monitoring capabilities. The ED is recognized as the only comprehensive Emergency Department in Santa Clara County and the ED houses the county's only Paramedic Base Station. The ED staff treat and care for a diverse population of approximately 70,000 patients per year. ED nursing staff interact with nearly every specialty in the medical center. Patient conditions range from minor illnesses to life-threatening diseases and injuries. Computerized documentation and a patient tracking system are used to care for the over 200 patient per day. The Sexual Assault Response Team (SART) is another important part of this dynamic department. The multidisciplinary, team-oriented work environment that presents opportunities that may rarely be experienced in other Bay Area hospitals.

Clinical Nurse II would acquire the qualifications listed for this position by possessing a valid California Registered Nurse license and at least one year of recent acute care experience. New Graduate Nurses do not meet the requirements for a Clinical Nurse II.

This recruitment requires the submission of an online application. No paper applications will be accepted. Applicants must apply online at Computers are available at the County Government Center, 70 West Hedding Street, 8th Floor, East Wing, San Jose, CA 95110, normal business hours, for applicants to apply online.

All applicants are required to complete the supplemental questionnaire. Applications received without the completion of the supplemental questionnaire will be rejected.

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.

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all Memoranda of Understanding and most recent Summary of Change

Distinguishing Characteristics:
Typical Tasks:

Analyzes and validates data taken from interview of patients for common relationships, revises assessments based on patient behaviors and conceptual view of individuals;

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

Collaborating with physicians and other health 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.


Identifies patient care problems, establishes priorities and develops individual patient plan of care based on nursing and medical diagnosis;

Plans strategies for solving patient care problems with other members of the health team;

Involves the 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

Health practices related to maintenance of wellness/prevention of disease

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;


Evaluates patient response to care and utilizes this information to re-assess and revise plan of care;

As a clinical partner:
Evaluates orientee, student or staff's ability to perform critical nursing procedures;

Evaluates orientee, student, staff's decision-making abilities in adapting policy and procedures to the clinical setting;

Evaluates documentation of patients response to care.

Evaluates and adapts policies, procedures and standards.

Employment Standards:
Possession of the legal requirements to practice as a Registered Nurse as determined by the California Board of Registered Nursing and sufficient experience to enable a candidate to demonstrate possession of the qualifications necessary to successfully perform the typical tasks noted above. This class has a nine-month probationary period.

Experience Note:
A candidate would typically acquire the experience necessary to successfully perform at this level through at least three to four years of progressively responsible acute clinical experience.

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