Under general supervision, performs advanced level, highly skilled, professional nursing care and treatment of the physically and/or mentally ill; and does related or other work as required in accordance with Rule 3, Section 3 of the Civil Service Rules.
This is the advanced clinical-level class in the Staff Nurse series. Employees are expected to be knowledgeable clinical practitioners who can provide highly skilled, coordinated nursing care using a variety of interdisciplinary resources. In an inpatient hospital setting, they are also expected to assume full responsibility for supervision of a shift in the absence of an Assistant Nursing Department Manager or Nursing Department Manager. This class is distinguished from Staff Nurse IV in that there is typically a single Staff Nurse V (Clinical) per nursing inpatient unit.
Initiates the nursing process and performs highly skilled, clinical patient care including therapeutic measures prescribed by medical authority within the limits of the Nurse Practice Act and department policy; participates in preparation and implementation of written nursing care plans for individual patients.
Evaluates the total nursing needs of the patient including physical, psychological, spiritual, cultural and socio-economic; participates in planning, coordinating and administering total patient care; evaluates symptoms, reactions, and progress; participates in preparation and implementation of written nursing care plans for individual patients.
Works with patients and families through teaching, counseling, and other methodology in order to help them understand, cope with, and accept illness, treatment, and therapy; assists in self care strategies; may supervise and participate in therapy groups, individual counseling and family conferences, as necessary; provides crisis intervention, stabilization and follow-up therapy; makes crisis referrals as required.
Implements and interprets standards of care; communicates and records assessments, nursing diagnoses, interventions, and evaluations of patient's progress using nursing care plans; maintains a safe, therapeutic environment for patients.
Serves as a preceptor for new employees by orienting, teaching, participating in the evaluation process, and by serving as a role model and resource person.
Keeps records of patient's health care treatment and/or hospital stay; prepares reports and standard forms; initiates and completes performance improvement and other studies in cooperation with the Nursing Department Manager.
Assumes full responsibility for the supervision of a unit or shift in the absence of an Assistant Nursing Department Manager or Nursing Department Manager; supervises and assists nursing personnel in the performance of patient care.
Maintains and updates knowledge base and nursing skills by reading literature, attending workshops, lectures, conferences and classes as may be required by the Administration of the Department of Health Care Services.
Participates on committees as assigned; may represent the department to outside organizations.
Participates in the identification of staff development needs for members of the nursing staff.
Prepares and presents, within established guidelines, clinical projects as assigned; as applicable, consults and coordinates projects with Clinical Nurse Specialists, the Education and Training Division, or other divisions as appropriate for preparation of courses for Nursing and other staff.
Experience: Three years of progressively responsible experience as a registered nurse in an acute care or mental health facility at a level equivalent to a San Joaquin County Staff Nurse III.
Certification: Possession of a Mobile Intensive Care Nurse (MICN) certificate, Advanced Cardiac Life Support (ACLS) certificate or state, national, or other types of certification in area of specialty. All certifications must be approved by the Administration of the Department of Health Care Services.
Substitution: Possession of a Bachelor's Degree in Nursing, Health Science or closely related field may be substituted for one year of the required experience.
Licenses and Certificates: Current registration as a nurse in the State of California.
Special Requirements: (1) Successful completion of a San Joaquin General Hospital in-service or comparable training program in nursing preceptor-ships may be required prior to completion of the probationary period and periodically thereafter. (2) Possession of a San Joaquin County Mobile Intensive Care Nurse (MICN) certificate, Advanced Cardiac Life Support (ACLS) certificate, completion of an approved ICU/CCU training course, or other approved training, experience and/or education may be required for assignment or continued assignment to specialized nursing units.
Theory, techniques, and practices of nursing, particularly in area of specialization; new developments in patient care; skills specific to clinical scope of practice: the nursing process; nursing staffing patterns; basic supervision; leadership skills; safety principles and practices; applicable Federal and State laws as related to patient care.
Supervise and assist members of the health care team; maintain a high standard of care; deal with patients empathetically and respectfully while performing treatments prescribed; instruct patients in self care and preventative health strategies; follow oral and written instructions of a technical and professional nature in accurately; establish and maintain effective working relationships with others; establish and maintain effective customer service; maintain accurate records and prepare routine reports; develop and implement individualized care plans for patients; coordinate the several types of services which may be necessary for appropriate care; assist other staff in understanding current psycho-physiological aspects of illness; set priorities; work accurately under pressure; interpret policies and procedures; teach clinical skills; develop basic teaching plans and teach classes; supervise and participate effectively in performance improvement processes; provide and promote a positive learning environment.
Mobility-Constant walking; frequent operation ofa keyboard; standing for long periods of time, pushing/pulling, bending and squatting; occasional sitting for long periods of time, running, climbing stairs and climbing;Frequency of Lifting-Frequent restraining lifting/turning of heavy objects or people;Visual Requirements-Constant need for overall vision, color and depth perception, hand/eye coordination, and field of vision/peripheral vision; frequent reading and close up work;Dexterity-Frequent holding, reaching, grasping, repetitive motion and writing;Hearing/Talking-Constant hearing of normal speech; frequent hearing and talking on telephone or radio; occasional hearing of faint sounds and talking over public address; Emotional/Psychological Factors-Constant concentration and public contact; occasional exposure to hazardous materials; frequent exposure to emergency situations, including trauma, grief and death, decision making, working weekends and nights; occasional work at heights, working alone and overtime; Environmental Conditions-Frequent exposure to assaultive behavior by clients; occasional exposure to noise, cold/heat, and hazardous materials, dirt, dust, smoke, fumes and poor ventilation.