Clinical Nurse I - Mother Baby

Salary : $146,263.52 - $177,779.68 Annually

Location : Throughout the County of Santa Clara, CA

Job Type : Full-Time / Part-Time

Job Number : 24-S89-D

Department : County-Wide Recruitment

Opening Date : 10 / 07 / 2024

Closing Date : 10 / 18 / 2024 11 : 59 PM Pacific

Bargaining Unit : 04

Description

Under close supervision, to apply the theoretical concepts of the nursing profession while providing routine direct patient care within the parameters of established nursing policies and procedures in controlled patient care situations required by the assigned clinical setting;

to develop the skills, knowledge, and abilities of nursing. This is the entry-level class in the series.

Distinguishing Characteristics

The Clinical Nurse I classification is the entry level classification in the Clinical Nurse classification series. The Clinical Nurse I is distinguished from the Clinical Nurse II in that the Clinical Nurse I is a graduate nurse or registered nurse (RN) with limited nursing experience.

Incumbents work under close supervision of another registered nurse, providing only routine and general patient care assignments within well-defined guidelines.

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.

The eligible list will be used for future openings within this competency area. The competency area includes the units listed below.

Clinical Nurse I - Mother Baby

Obstetrics / Maternity units at each hospital include :

O'Connor Hospital - Mother Baby Unit

Santa Clara Valley Medical Center - Family Baby Unit

St Louise Regional Hospital - Maternal Child Health

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 provides 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- ed 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.

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Typical Tasks

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.

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.

Planning

• 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.

Implementation

• 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.

Evaluation

• 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.

Employment Standards

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;

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.

Physical Requirements

The physical requirements may include :

• 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.

The County offers comprehensive first-class medical, dental, and vision benefits plans for County employees and their dependents, including plans with no deductibles, no co-pays, no co-insurance, and no prescription drug co-pays. Learn more

The County also offers generous paid time off with significant vacation, sick time, and 13 paid County holidays annually! Details are included in the with the bargaining unit applicable to the job classification.

In addition to the amazing perks above, the County also offers the additional benefits below.

Retirement Benefits

The County offers robust retirement plans including a (similar to the private sector's 401(k) plan) and the In addition to lifetime retirement income available through the CalPERS pension plan, the 457(b) Deferred Compensation plan provides a great way to save for retirement and supplement the defined benefit pension available to employees.

These plans help our employees build a plan for their future and contribute to their family's long-term financial well-being.

Health Flexible Spending Account

The empowers employees to manage healthcare expenses efficiently with tax-free contributions (up to $3,200 for the 2024 calendar year).

Secure tax-free solutions for your healthcare expenses and enjoy the flexibility to manage your healthcare finances effectively with the HFSA.

Dependent Care Assistance Program (DCAP)

The enables employees to utilize tax-free funds for dependent care services, facilitating a convenient and cost-effective approach for managing your dependent care expenses.

The County also offers the , an employer-funded DCAP, for employees with annual income under $120,000.

Life and AD&D

The County offers life and disability benefits including , Insurance, These benefits ensure financial security and income support when you and your family need it most.

Employee Assistance Program (EAP)

The County prioritizes employee mental health and well-being and offers a top-tier through Concern providing confidential counseling sessions covering stress, anxiety, relationships, grief, as well as financial / legal services, personal coaching, child and elder care referrals, and comprehensive crisis support.

Employee Wellness

The offers free wellness programing, fitness classes and resources; including Elevate My Wellness an all-in-one platform designed to elevate your well-being journey.

Education Reimbursement

A generous program is available, including Education Reimbursement for employees seeking additional training and professional development.

NOTE : 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.

Please answer the following questions. Completion of the following supplemental questions is REQUIRED and is an integral part of the evaluation process.

Initially, it will be used to determine minimum qualifications. For those applicants meeting the employment standards, this information will be critical in the subsequent competitive assessment to identify those candidates to be invited to continue in the examination process.

Your responses to the questions may also be reviewed and scored in a Competitive Rating evaluation process based on pre-determined rating criteria.

Your answers should be as complete and consistent as possible , as no additional information will be accepted from applicants once the Competitive Rating evaluation has begun.

A response of "see resume" or "see application" will deem your application incomplete. Do you understand the requirement to provide complete answers in order to determine relevant experience for each area in question?

Do you have an active California Registered Nurse License or a California Interim Registered Nurse Permit License?

If you have an active California RN license or California RN Interim Permit, please indicate your RN license number / Interim Permit number and expiration.

What is your highest level of Nursing Education?

• AA / AS / Diploma, Clinical Practicum concurrent with theory in a non-accreditied Joint Commission acute care hospital
• AA / AS / Diploma, Clinical Practicum concurrent with theory in an accredited Joint Commission acute care hospital
• BSN, Clinical Practicum concurrent with theory in a non-accreditied Joint Commission acute care hospital
• BSN, Clinical Practicum concurrent with theory in an accredited Joint Commission acute care hospital
• MEPN with RN license pursuing MS

Do you have a current NRP certification?

If you have a current NRP certification, please indicate date it was issued, agency that issued it, and expiration date.

Indicate which hospital in the County of Santa Clara Health System you are willing to work?

• O'Connor Hospital
• Santa Clara Valley Medical Center
• St Louise Regional Hospital

Indicate which unit you are willing to work within the Mother Baby Competency Area.

• O'Connor Hospital - Mother Baby Unit
• Santa Clara Valley Medical Center - Family Baby Unit
• St Louise Regional Hospital - Maternal Child Health Unit

Please select all the shifts you are willing to work.

• Day 8 hour shift
• Day 12 hour shift
• Evening 8 hour shift
• Night 8 hour shift
• Night 12 hour shift
• Variable

Indicate the commitment you are willing to work (Check all that apply).

• 1.0 FTE, 80 hours in two weeks
• 9 FTE, 72 hours in two weeks
• 8 FTE, 64 hours in two weeks
• 75 FTE, 60 hours in two weeks
• 7 FTE, 56 hours in two weeks
• 6 FTE, 48 hours in two weeks
• 5 FTE, 40 hours in two weeks

Are you currently working as a RN in a Mother Baby unit in a Joint Commission accredited acute care hospital?

Indicate the number of months of RN experience in a Joint Commission accredited acute care hospital in a Mother Baby Unit.

Do not include time while in nursing school.

• No Mother Baby Unit acute care RN experience
• Less than 1 month
• 1-2 months
• 2-3 months
• 3-4 months
• 4-5 months
• 5-6 months
• 6-7 months
• 7-8 months
• 8-9 months
• 9-10 months
• 10-11 months
• 11 months less than 12 months
• more than 1 year

Are you currently working as a RN in a Joint Commission accredited Acute Care Hospital?

Indicate the number of months of RN experience in a Joint Commission accredited acute care hospital. Do not include time while in nursing school.

• No acute care RN Experience
• Less than 1 month
• 1-2 months
• 2-3 months
• 3-4 months
• 4-5 months
• 5-6 months
• 6-7 months
• 7-8 months
• 8-9 months
• 9-10 months
• 10-11 months
• 11 months less than 12 months
• more than 1 year

Indicate the location of your current RN nursing role.

• No prior RN nursing experience
• Inpatient Acute Care Hospital
• Ambulatory Care Clinic
• Sub Acute Care Facility
• Surgery Center
• Long Term Care
• Home Care
• Inpatient Subacute Unit
• Hospice
• Dialysis Center
• Specialty Care Clinic
• Psychiatric Hospital
• Other

Describe the patient populations / unit in your current RN nursing role.

Have you completed or are you currently participating in a Mother Baby Training Program as a RN within the last 3 years?

This does not refer to time while in nursing school.

Describe your training program. Include the name of the hospital, start date, and end date. Number of precepted orientation shifts completed.

This refers to an onsite hospital-based training program with both classroom time and a precepted orientation on the unit.

The question does not refer to time in nursing school. If not applicable, indicate "N / A".

Do you have employment experience working in a County Public Hospital and Health system?

Indicate the County Public Hospital and Health System you have employment experience. If not applicable, indicate "N / A".

Do you have RN experience teaching breastfeeding to new mothers in an inpatient Mother Baby Unit?

Do you have RN experience administering Mag Sulfate to antepartum women in an inpatient Mother Baby unit?

Do you have RN experience with Electronic Fetal Monitoring interpretation in an inpatient Mother Baby unit?

Do you have RN experience caring for patients with postpartum hemorrhage in an inpatient Mother Baby unit?

Do you have RN experience working in a Mother Baby unit, in a Baby Friendly certified hospital?

Indicate type of electronic health record software you have experience using.

• All Scripts
• ARCIS
• Cerner
• e Clinical Works
• EPIC
• Essentris
• GE EMR
• IBEX
• Intergy
• Meditech
• Other
• No exp with electronic health record software

How did you find out about this job?

• Contacted by County Recruiter
• Contacted by a Recruitment Firm
• County Employee Referral
• County of Santa Clara Career Website
• County of Santa Clara Job Interests Email Notification
• Facebook
• Instagram
• LinkedIn
• Indeed
• Virtual Job Fair
• In Person Job Fair
• In-Person Networking Professional Event
• Virtual Networking Event
• Community Event
• Glassdoor
• Governmentjobs.com
• Professional Association
• Search Engine (Google, Bing, online search, etc.)
• Hospital Website : SCVMC, O'Connor Hospital, St. Louise Regional Hospital Website
• Handshake
• Student Career Center
• County Text Message
• County Career Newsletter
• Other (Specify in the next question)

Required Question