Clinical Nurse III - Ambulatory Surgery Care Unit / Post Anesthesia Care Unit (PACU)

JOB 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 and are expected to have the skills and knowledge to assume charge nurse responsibility. Clinical Nurse III apply the theoretical concepts of nursing to clinical practice by performing routine patient care assignments and established nursing policies and procedures in controlled patient care situations. Clinical Nurse III applicants would meet the employment standards by possessing a valid California Registered Nurse license and at least three years of recent acute care experience. The list established may be used for vacancies as they occur in the Ambulatory Surgery Care Unit (ASU) or Post Anesthesia Care Unit (PACU) Competency Area in the County of Santa Clara Health System. The required competencies are recent ASU, PACU or Critical Care experience. Clinical Nurse III

• Ambulatory Surgery Care Unit / Post Anesthesia Care Unit O'Connor Hospital
• Ambulatory Surgery Care Unit O'Connor Hospital
• OR Recovery
• PACU St. Louise Regional Hospital
• OR Recovery
• PACU Santa Clara Valley Medical Center
• Ambulatory Surgery Post Anesthesia Regional Medical Center
• Ambulatory Surgery Post Anesthesia 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, St. Louise Regional Hospital, and Regional Medical Center. 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. Regional Medical Center
• Regional Medical Center (RMC) is a 258-bed hospital that is the main emergency healthcare provider for East San José, treating a wide range of critical and life-threatening conditions for more than 60 years.

Since the SCVH integration of RMC effective 4/1/25, RMC has expanded the critical services including Level II trauma, Thrombectomy capable Stroke Center and STEMI care, and has been seeing an increased number of emergency visits and inpatient volume. Learn more about

Santa Clara Valley Medical Center:

Hospital and Clinics at www.scvmc.

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EXAMPLE OF 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. Assessment Analyzes and validates data taken from interviews of patients; revises assessments based on observation of patient behaviors; 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, and collaborating with physicians and other healthcare 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. Planning Identifies patient care problems, establishes priorities, and develops individual patient care plans based on nursing and medical diagnosis; Plans strategies for solving patient care problems with other members of the healthcare team; Plans for 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, and health practices related to maintenance of wellness and prevention of disease; Implementation 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; May be assigned as a Disaster Service Worker (DSW), as required

• ; Performs other related duties, as required.

SUPPLEMENTAL INFORMATION

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.); Be able to perform all physical skills required to deliver patient care;

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.