Clinical Nurse I - Progressive Care Training Program
Job description
The Progressive Care Training program is a comprehensive training that covers all systems of the body, pathophysiology, EKG interpretation, etc. and is a combination of both didactic (classroom) and clinical orientation time with a skilled preceptor. Training Programs for Progressive Care are available at Santa Clara Valley Medical Center and O'Connor Hospital.
Note: This particular application is specifically for applicants interested in training in the Progressive Care Unit. Applicants interested in other critical care training programs should apply to the job bulletin identified as critical care.
Notice:
Qualified applicants will be invited to an interview event scheduled on June 29, 2023. Qualified applicants from this recruitment will be interviewed for Progressive Care Unit training programs. Nurses will also have an opportunity to m eet with the hiring managers, talk with members of the County's Benefits department and prepare for your next professional role. To participate, nurses must submit an application during this open recruitment as a requirement for the Interview Event. Invitations will be sent to candidates who meet the employment standard.
To qualify, candidates must have a California (CA) RN license or CA RN Interim Permit. Applications without the required license or permit a will be rejected.
Clinical Nurse I - Progressive Care
Under close supervision, incumbents apply the theoretical concepts of nursing in order to perform routine nursing patient care within established nursing policies and procedures in controlled patient care situations; and develop the skills, knowledge and techniques of acute nursing. This is the entry-level class in the series.
Progressive Care departments include:
O'Connor Hospital - Progressive Care Unit (PCU)
O'Connor Hospital - Float Pool
Valley Medical Center - Progressive Care Unit (PCU)
Valley Medical Center - Float Pool
The eligible list will be used for future openings within this competency area. The competency area includes the units listed above.
Distinguishing Characteristics
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.
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 providing 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.
Covid-19 Risk Tier- High Risk
Learn more about Santa Clara Valley Medical Center: Hospital and Clinics at www.scvmc.org and follow us on:
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Assessment
- Obtains data for nursing assessment from patient and/or family;
- Learns to utilize assessment data to formulate nursing diagnosis;
- Observes patient behavior and documents it in a clear, concise manner.
- Identifies obvious patient care problems and establishes priorities for care based on nursing and medical diagnoses;
- Under direction, initiates a patient care plan and collaborates with other staff members when appropriate; may suggest revisions to a patient care plan dependent upon the changing needs of the patient;
- Contributes to the development of unit standards of care;
- Under direction, plans patient teaching activities.
- Complies with external and internal licensure regulations and accreditation body standards pertaining to nursing practice;
- Recognizes and implements legal and ethical responsibilities and duties of registered nurses;
- Establishes priorities and provides nursing care based on the patient care plan;
- Accepts accountability for all nursing care provided;
- Monitors compliance with safety standards and care protocols for self and others;
- Documents nursing care provided 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;
- Under direction, teaches patient and families;
- Seeks supervision and guidance in developing nursing skills, in performing procedures not yet mastered, and when functioning in unfamiliar situations.
- Evaluates the patient's response to care provided;
- Communicates evaluation outcomes to appropriate staff;
- Evaluates teaching provided by self and others.
- May be assigned as a Disaster Service Worker (DSW), as required*;
- Performs other related duties, as required.
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 License without restrictions;
OR
Possession of a California Interim Permit issued to a graduate of a California Board of Registered Nursing (BRN) approved registered nurse program.
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 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:
- Build effective therapeutic relationships;
- Assume responsibility and accountability for patients;
- Collaborate with peers to develop and implement individualized teaching plans;
- Utilize educational resources available for promoting self-learning;
- Focus on the whole clinical picture of the patient;
- Integrate input from other disciplines for decision making;
- Respond in a timely manner to changes in patient condition;
- Model professional accountability for clinical practice;
- Respond to patient requests and needs with some ability to shuffle priorities;
- Escalate issues when demands exceed capacity;
- Read and understand material safety data sheets and other safety communications;
- 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.
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.
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