Clinical Nurse III - Medical Surgical
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.

Medical Surgical Division

The Medical Surgical division consists of three units with 142 beds dedicated to this patient population. On each unit the RN is supported by a charge nurse, relief nurse, hospital service assistant (nurse assistant)and the medical unit clerk. Ancillary and support services on each unit include physical and occupational therapists, social workers, case managers, and dietitians. The Medical Surgical Division places a strong emphasis on teamwork as well as professional growth and development. The team is a highly motivated group of health care professionals working together to optimize the delivery and continuum of care.

4 Surgical is a 30-bed medical surgical nursing unit. Specialties include General Surgery, Trauma, Otolaryngology, Cardiac Surgery, Plastic Surgery, Urology, Ophthalmology, Telemetry, and Comfort Care.

3 Surgical is a 56-bed medical surgical nursing unit. Sub-specialties include Orthopedics, OB/GYN, Short Stay Procedures, and Surgical Overflow.

4 Medical is a 56-bed medical surgical nursing unit. Specialties include Oncology, HIV/Aids, CAPD, and Comfort Care. 10 beds in this unit are dedicated to the care of incarcerated patients. Each registered nurse is certified in chemotherapy.

The current vacancies include :

4 Medical
  • 8 hours PMs and Nights shifts
4 Surgical
  • 8 hour PMs and Night Shifts

However the eligible list established may be used for other vacancies as they occur.

Completion of the supplemental questionnaire is required. Applications submitted without the supplemental questions will be rejected.

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, during normal business hours, for applicants to apply online.

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.

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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