County of Santa Clara
Clinical Nurse I - Progressive Care
County of Santa Clara, Los Angeles, California, United States,
Clinical Nurse I - Progressive CareUnder 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 PoolValley Medical Center - Progressive Care Unit (PCU)Valley Medical Center - Float PoolSt. Louise Regional Hospital - Progressive Care Unit (PCU), Float Pool, Clinical Nurse ResourcesThe eligible list will be used for future openings within this competency area. The competency area includes the units listed above.COVID-19 Risk Tier – High RiskDistinguishing CharacteristicsThe 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.Duties: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.AssessmentObtains 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.PlanningIdentifies 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.ImplementationComplies 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.EvaluationEvaluates the patient's response to care provided;Communicates evaluation outcomes to appropriate staff;Evaluates teaching provided by self and others.Minimum Qualifications: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 RequirementsMust possess and maintain the following certification(s) during employment:Basic Life Saving Certification (BLS)For clinical specialty areas, must possess and maintain the following certification(s) during employment: Advance Cardiovascular Life Saving Certification (ACLS); Other identified specialty area certification for specialty patient populations at appointment, as required.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: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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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 RequirementsMust possess and maintain the following certification(s) during employment:Basic Life Saving Certification (BLS)For clinical specialty areas, must possess and maintain the following certification(s) during employment: Advance Cardiovascular Life Saving Certification (ACLS); Other identified specialty area certification for specialty patient populations at appointment, as required.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: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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