Clinical Nurse III - Ambulatory Care

Under general supervision, to apply 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.

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.

• All Hospitals
  - Employee Health
• St. Louise Regional Hospital
  - Wound Clinic
• O'Connor Hospital
  - Wound Clinic
• O'Connor Hospital
  - Infusion
• Santa Clara Valley Medical Center Community Based Outreach and Clinical Disaster Response Team
• Valley Specialty Centers
• Regional Medical Center
• Primary Care
• Valley Health Center Bascom
• Valley Health Center Downtown
• Valley Health Center East Valley
• Valley Health Center Gilroy
• Valley Health Center Lenzen
• Valley Health Center Milpitas
• Valley Health Center Moorpark
• Valley Health Center Sunnyvale
• Valley Health Center Tully
• Valley Health Center Lundy
• Valley Health Center Mc Kee
• Valley Specialty Center
• Valley Homeless Health Care Program (VHHP)
• Valley Health Center Vietnamese American Service Center

• Analyzes and validates data taken from interviews of patients; revises assessments based on observation of patient behaviors;
• 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, and collaborating with physicians and other healthcare 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 care plans based on nursing and medical diagnosis;
• Plans strategies for solving patient care problems with other members of the healthcare team;
• Plans for 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, and health practices related to maintenance of wellness and 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;
• May be assigned as a Disaster Service Worker (DSW), as required;
• Performs other related duties, as required.

Training and Experience

Note:

The required knowledge and abilities are attained through possession of an active California Registered Nurse License without restrictions;

• 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.
• One (1) year of full-time RN experience, within the last three (3) years, in the nursing specialty area.
• Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred.

• 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.

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