Clinical Nurse III - Emergency Department

County of Santa Clara Santa Clara, CA

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. 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.

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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.

Veterans Preference Information

This recruitment has been identified as non-entry level by the Human Resources Director. Any veteran who has submitted a copy of their DD214 form, and received an honorable discharge within the last five years, will be given a preferential credit of five percent (ten percent for those identified as disabled veteran's), after attaining a passing examination score for a numerically scored examination.

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