Per Diem Clinical Nurse - Medical Surgical Division

County of Santa Clara•San Jose, CA
•Onsite

About The Position

Under supervision, applies nursing concepts to provide routine direct patient care within established nursing policies and procedures in controlled patient-care situations. This position is in the Medical Surgical specialty and may be based at O'Connor Hospital, Regional Medical Center, St. Louise Regional Hospital, or Valley Medical Center. Per Diem Clinical Nurses are appointed to non-permanent positions established to meet peak workloads or other unusual work situations. Nurses must be available to work at least six 8-hour shifts per month, including two weekend shifts if applicable. Nurses hired for shifts longer than eight hours must be available for at least four shifts per month, including two weekend shifts if applicable. Four weekend shifts per month may be approved as an alternate schedule to the eight-shift monthly work requirement. Nurses must also be available to work one of the three major winter holidays. When assigned and working, per diem nurses receive time and one-half for all hours worked on two of the three major holidays noted in the posting. Santa Clara Valley Healthcare (SCVH) is a public healthcare system serving Santa Clara County. It includes three acute care hospitals, 14 clinics, and more than 60 specialty and subspecialty services. Its mission is to provide high-quality, accessible healthcare and excellent service to everyone in the county. The position’s duties span nursing assessment, care planning and implementation, patient and family education, evaluation of care, and related responsibilities. Employees may perform other related duties at an equivalent level, and not every employee necessarily performs all listed duties.

Requirements

  • Active California Registered Nurse (RN) license without restrictions.
  • For the Medical Surgical specialty: one year of full-time RN experience within the last three years in an accredited acute care hospital setting.
  • For the Medical Surgical specialty: one year of full-time RN experience within the last three years in the Medical Surgical nursing specialty in an accredited acute care hospital setting.
  • Basic Life Support (BLS) certification must be possessed and maintained during employment.
  • For clinical specialty areas, Advanced Life Support (ACLS) certification must be possessed and maintained during employment.
  • Must be available to work the required monthly shifts and applicable weekend shifts for the scheduled shift length.
  • Must be available to work one of the three major winter holidays.
  • Ability to work alternate schedules, weekends, and holidays as necessary.
  • Ability to perform the physical skills needed to deliver patient care, including bending, stooping, reaching, fine motor movements, seeing, hearing, and touching.
  • Strength to lift, move, and transfer most patients; restrain and carry children; move and carry equipment; and perform CPR.
  • Mobility, strength, dexterity, and coordination to assist patients and work in confined spaces.
  • Fine motor ability to manipulate syringes and IVs, assist with feeding and hygiene, document, and perform sterile and other skilled procedures.
  • Vision to assess and observe patients’ health status and changes in condition.
  • Hearing to monitor patients, alarms, call lights, and clinical signs, use a stethoscope, and hear accurately on the telephone.
  • Ability to palpate superficially and deeply and discriminate tactile sensations.

Nice To Haves

  • Bachelor of Science in Nursing (BSN) preferred.
  • Other specialty-area certifications for specialty patient populations at appointment, as required.

Responsibilities

  • Interview patients and/or families to gather nursing assessment data, and record and report the information.
  • Use assessment data to formulate nursing diagnoses; identify deviations from normal, patient problems, symptoms, or behavioral changes; and report concerns to the appropriate authority.
  • Observe patients’ physical, psychosocial, cultural, and learning needs and their responses, and document findings clearly and concisely.
  • Identify patient-care problems, prioritize care, understand goals and care plans for typical patient populations, initiate care plans, and collaborate when appropriate.
  • Contribute to revising patient care plans as needs change and to developing unit standards of care; plan patient teaching activities.
  • Provide nursing care according to the patient care plan, establish priorities, and seek supervision or guidance when developing skills or handling unfamiliar situations.
  • Accept accountability for nursing care provided and monitor compliance with safety standards and care protocols.
  • Document nursing care and patient responses; help coordinate activities needed to implement care plans and participate in discharge planning.
  • Teach patients and families and evaluate the teaching provided by self and others.
  • Comply with regulations governing nursing practice and recognize registered nurses’ legal and ethical duties and responsibilities.
  • Evaluate patient responses to care and communicate evaluation outcomes.
  • May participate in research projects and may be assigned as a Disaster Service Worker (DSW), as required.
  • Perform other related duties as required.

Benefits

  • When assigned and working, per diem nurses receive time and one-half for all hours worked on two of the three major holidays noted in the posting.
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