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The Position The Board of Supervisors have authorized the following future salary increases: 4% on July 1, 2023 4% on July 1, 2024 4% on July 1, 2025 Bargaining Unit: CNA - Registered Nurses Unit The Health Services Department of Contra Costa County is currently recruiting individuals interested in Charge Nurse employment opportunities. Most assignments are located at the Contra Costa County Regional Medical Center, Martinez, California. Other assignments are in ambulatory care clinics and public health centers at various locations throughout the County and at the Detention Facilities in Central and West County. Charge Nurses are responsible for maintaining and advancing quality patient care standards on an assigned unit or in a clinic. They serve as a resource for subordinate nursing staff on clinical issues and provide daily direction while managing their own patient assignments. Typical Tasks Serves in a lead capacity during an assigned shift in a hospital unit, health center or detention facility Assesses patient needs, unit resources and activity level and delegates patient care assignment based on competency of subordinate nursing staff Monitors appropriate completion of patient care documentation Acts as a patient advocate Assesses performance of subordinate staff Investigates and directs patient care issues to appropriate persons for follow-up Provides input to the nurse manager on staffing needs, policies and procedures Prepares staffing schedules on hospital units, prepares patient acuity information for the next shift and for reporting to the nursing office Assists in educational needs, assessment of subordinate staff and recommends training Participates in the Quality Management Programs and other committees as required Enforces safety measures and takes corrective action as necessary Provides direct patient care as needed Serves as a resource to subordinate nursing staff for problem solving and decision making Conducts meetings and disseminates information under direction of Nurse Program Manager Provide and promote excellence in customer service for both internal and external customers Minimum Qualifications License Required: Candidates must possess and maintain throughout the duration of employment: a current, valid and unrestricted license as a Registered Nurse in the State of California and a valid Basic Life Support certification (BLS) issued by the American Heart Association or CPR certification issued by the American Red Cross. Special Requirements: As a condition of employment all applicants: When assigned to Detention Facilities, must possess and maintain a Sheriff's Department security clearance. Experience: Acute Care and Specialty Clinics: Three (3) years of full-time or its equivalent experience performing the duties of a Registered Nurse in an acute care hospital, one (1) year of which must have been in the specialty area. Ambulatory Care Clinics: Three (3) years of full-time experience or its equivalent performing the duties of a Registered Nurse in a hospital, clinic, or medical facility for family practice clinic appointments. Qualifications for Restricted Positions: Reference classification description for a list of specific qualifications required for specialty assignments Other Requirements: A background investigation/fingerprint and/or physical exam may be required prior to the start of employment. A COMPLETED SUPPLEMENTAL QUESTIONNAIRE IS REQUIRED AND YOU MUST ATTACH COPIES OF LICENSE AND CERTIFICATIONS TO YOUR APPLICATION. Selection Process 1. Application Filing: All applicants, including County employees, are to apply on-line at Contra Costa County Department of Human Resources , and submit the required information as indicated on the job announcement by the final filing date listed above. All applicants must clearly demonstrate that they meet the minimum qualifications provided on the job announcement. Resumes may not be substituted for the official County application. Paper, faxed, or late applications WILL NOT be accepted . To view the typical tasks, knowledge, skills, and abilities associated with this position, please visit our website to see the detailed job description. Please see additional locations to apply on the reverse side of this announcement. 2. Application Evaluation: Depending on the number of applications received, an Application Evaluation Board may be convened to evaluate and select the best-qualified candidates for invitation to the next phase of the examination. 3. Examination: The examination will consist of an evaluation of each candidate's relevant education, training and/or experience as presented on the application and supplemental questionnaire. Candidates must receive a rating of at least 70% from a majority of the Board members to be ranked on the employment list. (Weighted 100%) The Human Resources Department may change the examination steps noted above in accordance with the Personnel Management Regulations and accepted selection practices. COVID-19 Vaccine Requirements Please note that as of August 24, 2021, Contra Costa County enacted a mandatory COVID-19 vaccine requirement for employees. Proof of full vaccination will be required of all employees, including new hires. The policy requirements can be found here: https://www.contracosta.ca.gov/DocumentCenter/View/72164/2021824-Mandatory-Vaccination-Policy-PDF?bidId= CONVICTION HISTORY After you receive a conditional job offer, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction conflicts with the specific duties and responsibilities of the job for which you have received a conditional job offer. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances. Having a conviction history does not automatically preclude you from a job with Contra Costa County. If you accept a conditional job offer, the Human Resources department will contact you to schedule a fingerprinting appointment. DISASTER SERVICE WORKER All Contra Costa County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency. EQUAL EMPLOYMENT OPPORTUNITY It is the policy of Contra Costa County to consider all applicants for employment without regard to race, color, religion, sex, national origin, ethnicity, age, disability, sexual orientation, gender, gender identify, gender expression, marital status, ancestry, medical condition, genetic information, military or veteran status, or other protected category under the law.

Description: Type of Appointment : Full-Time, Probationary Collective Bargaining Unit : California State University Employees Union - Unit 2 Job Classification : Registered Nurse III Classification Salary Range : $4,793 - $9,249 per month Anticipated Hiring Amount: $4,793 - $6,278 per month Work Hours : Monday - Friday 8:00am-5:00pm Recruitment Closing Date : Open Until Filled First Review Date: October 25, 2022 THE DEPARTMENT Student Health & Wellness Services is one component of the Student Health and Wellbeing section within the Division of Student Affairs. This section stresses the University's commitment to preventative and holistic approaches to wellbeing in support of students and the institution's mission and strategic plan. In addition to Student Health & Wellness Services, this section includes Counseling and Psychological Services (CAPS). The mission of Student Health and Wellness Services is to promote students' healthy lifestyles and academic success by providing quality medical and wellness services. The department provides ambulatory health care, health education programs, prevention, and healing services to students of Cal Poly Pomona. DUTIES AND RESPONSIBILITIES The Charge Nurse provides direction that involves organizing, scheduling, and assigning work, training and orienting clinical employees. Acts as a Lead in collaboration with the Director and Associate Director for all types of care provided in daily clinical operations of Student Health Services, including patient flow, clinical work schedules and assignments, provider schedule formats, nursing visit appointments (immunization clinics/ well patient physical exams). Oversees the smooth functioning of assigned area and possesses decision making capabilities to problem solve and facilitate patient care. Participates in the planning of an orientation program and is responsible for the orientation and competency evaluation of assigned nursing personnel. Provide input to the Director and Lead Physician for approval of absence requests to ensure adequate coverage for clinic needs. In conjunction with the Director, provides input into the selection, training, assignment, supervision and evaluation of all licensed nurses, medical assistants and clinical assistants. Makes recommendations for recruitments and provides input for staffing requirements; interviews candidates and makes recommendations for appointments. Assigns and schedules work and provides training for staff. Responsible for the continued professional growth of staff. Ensure that the legal and ethical standards are upheld in the execution of clinical services. Ensure clinic staff members have received and properly documented all required clinical and campus safety training requirements. Creates reports and reviews tracking systems (EMR) for statistical purposes to maintain operational compliance and efficiencies. Serves as primary liaison to the Lead Physician, Health Promotion & Wellness Services Coordinator, Associate Director for Health Services and Director on all clinical health and nursing matters. Assists the Associate Director for Health Services in writing, revising, and carrying out Health Services policies and procedures. Conducts in Nursing Quality Management and Improvement Programs. Responsible for the continued professional growth of staff. Ensure that the legal and ethical standards are upheld in the execution of clinical services. Ensure that professional staff maintain a proficient understanding of laws and regulations, and satisfy applicable training requirements (i.e.; OSHA, safety). Responsible for the development and implementation of a professional development training program for clinical staff within Student Health Services (i.e.; OSHA, safety). Ensure clinic staff members have received and properly documented all required clinical and campus safety training requirements. Creates reports and reviews tracking systems (EMR) for statistical purposes to maintain operational compliance and efficiencies. Provides quality, student-centered patient care in accordance with all types of care provided by Student Health Services policies and procedures. Possess nursing skills and knowledge to triage all patients and identify those who require immediate medical intervention. Provides nursing assessment, observation, and intervention in any patient care area of Student Health Services. Maintains an inventory of medical and surgical supplies; stocking of supplies, equipment and medication required to carry out clinician orders. Daily cleaning and stocking of supplies in clinician offices, examining rooms and nurses’ stations. Documents the nursing assessment, appropriate vital signs and evaluates the need for laboratory tests and/or x-rays prior to clinician examination. Prepares the patient and assists the physician with examination and procedures. Carries out clinician's orders for diagnostic tests, procedures, and administration of medications. Documents all nursing interventions in the medical record. Provides all immunizations offered by Student Health Services. Serves on Student Health Services Committees as designated by the Director. Participates in disaster planning and drills. Assists in providing services to the campus community for any functions associated with Student Health Services. QUALIFICATIONS Possess and maintain a valid license as a Registered Nurse in the State of California and certification in CPR/AED. Three years of progressively responsible professional nursing experience which has provided evidence of the ability to perform the nursing duties described above and has included administrative and lead responsibilities; or equivalent combination of education and experience which provides the required knowledge and abilities. Thorough knowledge of professional nursing principles, methods, and procedures; anatomy and physiology applicable to assigned duties; medical supplies and equipment used in nursing practice; and the uses and effects of medications and narcotics. Working knowledge of applicable state and federal laws and regulations pertaining to registered nursing and the scope of practice limitations of clinic support staff. Ability to effectively apply nursing knowledge and demonstrate proper techniques and skills in performing nursing duties; accurately observe and record symptoms, behaviors, and reactions to treatments in order to make a nursing diagnosis; respond with therapy to treatment reactions; use applicable health center automated systems to perform duties and maintain records and prepare reports; gain the cooperation of patients; analyze emergency situations and take prompt action; maintain patient confidentiality and privacy in compliance with applicable state and federal laws and regulations; maintain effective working relationships with practitioners and other health center support staff; and be sensitive to and communicate effectively with patients from diverse backgrounds. Possess broader and specialized nursing knowledge that supports the performance of specialized duties in such areas as, but not limited to, triage and assessment, patient counseling, and staffing specialized nursing clinics; broader knowledge of clinic operations and the development and implementation of a nursing program, including procedures and protocols. Ability to effectively apply specialized nursing skills. Possess a working knowledge of effective supervisory methods and techniques, more comprehensive understanding of nursing programs and specialties. Ability to provide effective work direction; plan and organize the work of others; assess, plan, develop, implement, and evaluate a nursing program which may include one or more nursing specialties or clinics. Preferred Qualifications Experience in an ambulatory setting providing nursing services for a diverse demographic similar to the university student demographic. Ability to apply nursing knowledge and techniques; ability to observe and record or respond with therapy to reactions, symptoms, and behaviors; ability to keep records and prepare reports; ability to gain the interest, respect, and cooperation of patients; ability to work cooperatively with staff, faculty, students, and others. Ability to stay calm in a crisis situation COVID-19 Vaccination CSU requires faculty, staff, and students who physically access campus facilities or programs to be fully vaccinated against COVID-19, which includes obtaining a COVID-19 booster dose, or declare a medical or religious exemption from doing so. Any candidates advanced in a currently open search process should be prepared to comply with this requirement. See policy at https://calstate.policystat.com/policy/11030468/latest. Out of State Work The California State University (CSU) system is a network of twenty-three public universities providing access to a quality education through the support of California taxpayers. Part of CSU’s mission is to prepare educated, responsible individuals to contribute to California’s schools, economy, culture, and future. As an agency of the State of California, the CSU’s business operations almost exclusively reside within California. The CSU Out-of-State Employment Policy prohibits hiring employees to perform CSU-related work outside California. See policy at https://calstate.policystat.com/v2/policy/10899725/latest/. Background Check Satisfactory completion of a background check (including a criminal records check) is required for employment. Cal Poly Pomona will make a conditional offer of employment, which may be rescinded if the background check reveals disqualifying information, and/or it is discovered that the candidate knowingly withheld or falsified information. Failure to satisfactorily complete the background check may affect the continued employment of a current Cal Poly Pomona employee who was conditionally offered the position. See policy at https://www.cpp.edu/eoda/employee-labor//documents/employment-policies/hr2017-17.pdf. I-9: Employment Verification Cal Poly Pomona hires only individuals lawfully authorized to work in the United States. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. See Form I-9 Acceptable Documents at https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents. Child Abuse/Neglect Reporting Act (CANRA) The person holding this position is considered a “mandated reporter” under the California Child Abuse and Neglect Reporting Act and is required to comply with the requirements set forth in CSU Executive Order 1083 as a condition of employment. See policy at https://calstate.policystat.com/v2/policy/10927154/latest/. Smoking Cal Poly Pomona is a smoke and tobacco-free campus. See policy at https://calstate.policystat.com/policy/6591951/latest/. Clery Act In compliance with state and federal crime awareness and campus security legislation, including The Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act, California Education Code section 67380, and the Higher Education Opportunity Act (HEOA), the Cal Poly Pomona Annual Security and Fire Safety Report is available at: https://www.cpp.edu/campus-safety-plan.shtml. Reasonable Accommodation We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact the ADA Coordinator by email at ADACoordinator@cpp.edu. More information is available at: https://www.cpp.edu/eoda/employee-labor//access-accommodations/index.shtml. EEO Cal Poly Pomona is an Equal Opportunity, Affirmative Action Employer. The university subscribes to the pay transparency nondiscrimination provision and all state and federal regulations that prohibit discrimination based on race, color, religion, national origin, sex, gender identity/gender expression, sexual orientation, marital status, pregnancy, age, disability, genetic information, medical condition, and covered veteran status. More information is available at: https://www.dol.gov/sites/dolgov/files/OFCCP/pdf/pay-transp_%20English_formattedESQA508c.pdf and at https://www.cpp.edu/eoda/employee-labor/documents/aa-eeo-doc/policy-statement_2022-aap-for-california-state-polytechnic-university-pomona_confidential_20220127.pdf. Closing Date/Time: Open until filled

Position Summary EMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status. Position Summary: Functions as a charge nurse responsible for assigning patients to and monitoring the work of nurses within the unit on assigned shift and to assist the Clinical Manager in the supervision of assigned employees on shift. The position also carries a patient load and applies the nursing process to deliver basic, safe, therapeutic care, for individuals or groups of patients. Job Requirement Education/Experience: Graduation from an accredited school of nursing and three (3) years of clinical nursing experience. Licensing/Certification Requirements: Valid License by the Nevada State Board of Nursing to Practice as a Registered Nurse, and; Basic Life Support (BLS) certification, Advanced Cardiac Life Support, and Pediatric Advanced Life Support. Additional and/or Preferred Position Requirements PREFERENCES WILL BE GIVEN TO APPLICANTS WHO DOCUMENTS THE FOLLOWING: Minimum two (2) years experience as a OR/Surgical Services Charge Nurse or higher Nursing L eadership role. Documented experience in the following services lines but not limited to: Gyn/General/Urology - All robotics Plastics/ENT/Burns - All Reconstruction Endo/Pulmonology/Diagnostics CNOR certification a plus! Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: Modern principles of effective supervision; nursing process (assessment, planning, implementation and coordination of patient care); standards of care; disease process; equipment used in providing patient care in specialty area; patient care plan development; patient evaluation and assessment techniques; body mechanics used with ambulating, transferring and repositioning patients; Nurse Practice Act; department and hospital safety practices and procedures; patient rights; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures; age specific patient care practices. Skill in: Assigning and monitoring the work of others; assigning work to cover patients' needs; evaluating quality control; implementing nursing process including assessment, planning, implementation and evaluation; working with high risk or critically ill patients; performing invasive nursing procedures associated with area of specialty; developing and implementing education programs associated with specialty; organizing, prioritizing and delegating work; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds under stressful conditions; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment. Physical Requirements and Working Conditions: Mobility to work in a typical clinical setting, including stamina to stand and walk for extended periods of time, strength to examine and treat varied individuals, vision to use standard office equipment and read printed materials including a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently to move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification. #LI-MH1 Closing Date/Time: 3/29/2023 5:00 PM Pacific

Position Description Employees in this classification are responsible for nursing care at unit of the Texas Department of Criminal Justice. Implements unit objectives and administrative policies. This position is under clinical supervision of the Unit Director of Nurses. Major/Essential Functions Makes daily assignments as appropriate and ensures all daily assignments are accomplished. Communicates patient data using EMR to support decision-making to improve patient care. Assists with or performs exams and procedures and documents intervention in EMR. Administer or assist with administration and documentation of medication. Supports the goal of the unit by attending meetings and sharing the information with the staff in regular staff meetings. Triage SCR per policy. QA/QI activities and audits. Maintains documentation for standards of care and compliance with policies. Trains new nursing staff and participates in the annual performance evaluation process. Conducts training to TDCJ officers per policy. Ensures clinic counts and logs are complete and accurate. Any other duties as assigned by supervisor. About Texas Tech Health Sciences Center (TTUHSC) Managed Care: Since 1989, TTUHSC Managed Care has been providing clinical and operational support to correctional facilities throughout West Texas and other regional areas. We serve approximately 30,000 patients utilizing a broad range of comprehensive medical and health services. TTUHSC Managed Care strives to positively impact the lives of our patients, to include many who had no previous access to quality health care. Learn more about TTUHSC Managed Care HERE This valuable team member shall perform work in a manner that reflects the Values of TTUHSC : ONE TEAM unite and include diverse perspectives to achieve our mission KINDHEARTED exceed expectations with a kind heart, helping hands, and a positive attitude INTEGRITY be honorable and trustworthy even when no one is looking VISIONARY nurture innovative ideas, bold explorations, and a pioneering spirit BEYOND SERVICE create and deliver positive defining moments Benefits Offered: Generous paid time off, sick leave, and holiday schedule 100% paid health insurance for full time employees, 50% paid for dependents Dental, vision, long-term, and short-term disability benefits. State of Texas pension plan that vests in 5 years. State Employee tuition forgiveness and tuition assistance for continuing education Medical liability insurance for all licensed health care employees. And much more . Required Qualifications Graduate from an accredited nursing program. Two years of nursing experience, with at least 6 months of that experience as a Registered Nurse. Possession of a valid, current RN license as approved by the Texas State Board of Examiners. Pay Statement Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage. EEO Statement As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran. Jeanne Clery Act The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx .

Position Description Employees in this classification are responsible for nursing care at unit of the Texas Department of Criminal Justice. Implements unit objectives and administrative policies. This position is under clinical supervision of the Unit Director of Nurses. Major/Essential Functions Makes daily assignments as appropriate and ensures all daily assignments are accomplished. Communicates patient data using EMR to support decision-making to improve patient care. Maintains working knowledge of current issues and treatment modalities. Administer or assist with administration and documentation of medication Assists with or performs exams and procedures and documents intervention in EMR. Supports the goal of the unit by attending meetings and sharing the information with the staff in regular staff meetings. Assists with or performs exams and procedures and documents intervention in EMR. About Managed Care: Since 1989, TTUHSC Managed Care has been providing clinical and operational support to correctional facilities throughout West Texas and other regional areas. We serve approximately 30,000 patients utilizing a broad range of comprehensive medical and health services. TTUHSC Managed Care strives to positively impact the lives of our patients, to include many who had no previous access to quality health care. Learn more about TTUHSC Managed Care HERE This valuable team member shall perform work in a manner that reflects the Values of TTUHSC : ONE TEAM unite and include diverse perspectives to achieve our mission KINDHEARTED exceed expectations with a kind heart, helping hands, and a positive attitude INTEGRITY be honorable and trustworthy even when no one is looking VISIONARY nurture innovative ideas, bold explorations, and a pioneering spirit BEYOND SERVICE create and deliver positive defining moments Take care of yourself and your family, Enjoy some of the best benefits in the state of Texas : Comprehensive Benefits Package Training provided Continuing education Loan Forgiveness Program Retiree Insurance Paid Leave Leadership Program State Pension Occasional Duties Other duties as assigned. Required Qualifications Graduate from an accredited nursing program. Two years of nursing experience, with at least 6 months of that experience as a Registered Nurse. Possession of a valid, current RN license as approved by the Texas State Board of Examiners. Pay Statement Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage. EEO Statement As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran. Jeanne Clery Act The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx .

Position Description Employees in this classification are responsible for nursing care at unit of the Texas Department of Criminal Justice. Implements unit objectives and administrative policies. This position is under clinical supervision of the Unit Director of Nurses. Major/Essential Functions Communicates patient data using EHR to support decision making to improve patient care. Assist with or performs exams and procedures and documents intervention in the EMR. Prepares and operates necessary equipment and instruments for examinations, treatments and procedures. Complies with TDCJ and TTUHSC policy and procedures including all necessary paperwork. Safety and Security-provides an environment conductive to safety and security of patients, visitors, and employees. Assesses risk to patient and staff and takes appropriate action. Administer or assist with administration or documentation of medications. Makes daily assignments as appropriate and ensures all daily assignments are accomplished. Supports the goal of the unit by attending meetings and sharing the information with the staff in regular staff meetings. Maintains working knowledge of current issues and treatment modalities. Demonstrates an understanding of mental illness and correctional managed healthcare. Other duties deemed appropriate by supervisor. About Managed Care: Since 1989, TTUHSC Managed Care has been providing clinical and operational support to correctional facilities throughout West Texas and other regional areas. We serve approximately 30,000 patients utilizing a broad range of comprehensive medical and health services. TTUHSC Managed Care strives to positively impact the lives of our patients, to include many who had no previous access to quality health care. Learn more about TTUHSC Managed Care HERE This valuable team member shall perform work in a manner that reflects the Values of TTUHSC : ONE TEAM unite and include diverse perspectives to achieve our mission KINDHEARTED exceed expectations with a kind heart, helping hands, and a positive attitude INTEGRITY be honorable and trustworthy even when no one is looking VISIONARY nurture innovative ideas, bold explorations, and a pioneering spirit BEYOND SERVICE create and deliver positive defining moments Take care of yourself and your family. Enjoy some of the best benefits in the state of Texas: Comprehensive Benefits Package Training provided Continuing education Loan Forgiveness Program Retiree Insurance Paid Leave Leadership Program State Pension Required Qualifications Graduate from an accredited nursing program. Two years of nursing experience, with at least 6 months of that experience as a Registered Nurse. Possession of a valid, current RN license as approved by the Texas State Board of Examiners. Pay Statement Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage. EEO Statement As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran. Jeanne Clery Act The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx .

Position Description Employees in this classification are responsible for nursing care at unit of the Texas Department of Criminal Justice. Implements unit objectives and administrative policies. This position is under clinical supervision of the Unit Director of Nurses. Major/Essential Functions Makes daily assignments as appropriate and ensures all daily assignments are accomplished. Communicates patient data using EMR to support decision-making to improve patient care. Assists with or performs exams and procedures and documents intervention in EMR. Administer or assist with administration and documentation of medication Supports the goal of the unit by attending meetings and sharing the information with the staff in regular staff meetings. Complies with CMHC and TTUHSC policy and security procedures, including all necessary paperwork. Maintains working knowledge of current issues and treatment modalities Demonstrates an understanding of mental illness and correctional managed healthcare. Performs direct therapeutic interaction/care for the patient in PAMIO, CMI and Crisis Management. Performs other duties as assigned. About Managed Care: Since 1989, TTUHSC Managed Care has been providing clinical and operational support to correctional facilities throughout West Texas and other regional areas. We serve approximately 30,000 patients utilizing a broad range of comprehensive medical and health services. TTUHSC Managed Care strives to positively impact the lives of our patients, to include many who had no previous access to quality health care. Learn more about TTUHSC Managed Care HERE This valuable team member shall perform work in a manner that reflects the Values of TTUHSC : ONE TEAM unite and include diverse perspectives to achieve our mission KINDHEARTED exceed expectations with a kind heart, helping hands, and a positive attitude INTEGRITY be honorable and trustworthy even when no one is looking VISIONARY nurture innovative ideas, bold explorations, and a pioneering spirit BEYOND SERVICE create and deliver positive defining moments Take care of yourself and your family. Enjoy some of the best benefits in the state of Texas: Comprehensive Benefits Package Training provided Continuing education Loan Forgiveness Program Retiree Insurance Paid Leave Leadership Program State Pension Occasional Duties Other duties as assigned. Required Qualifications Graduate from an accredited nursing program. Two years of nursing experience, with at least 6 months of that experience as a Registered Nurse. Possession of a valid, current RN license as approved by the Texas State Board of Examiners. Pay Statement Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage. EEO Statement As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran. Jeanne Clery Act The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx .

Position Description Employees in this classification are responsible for nursing care at unit of the Texas Department of Criminal Justice. Implements unit objectives and administrative policies. This position is under clinical supervision of the Unit Director of Nurses. Major/Essential Functions Makes daily assignments as appropriate and ensures all daily assignments are accomplished. Communicates patient data using EMR to support decision-making to improve patient care. Assists with or performs exams and procedures and documents intervention in EMR. Administer or assist with administration and documentation of medication Supports the goal of the unit by attending meetings and sharing the information with the staff in regular staff meetings. Complies with CMHC and TTUHSC policy and security procedures, including all necessary paperwork. Maintains working knowledge of current issues and treatment modalities Demonstrates an understanding of mental illness and correctional managed healthcare. Performs direct therapeutic interaction/care for the patient in PAMIO, CMI and Crisis Management. About Managed Care: Since 1989, TTUHSC Managed Care has been providing clinical and operational support to correctional facilities throughout West Texas and other regional areas. We serve approximately 30,000 patients utilizing a broad range of comprehensive medical and health services. TTUHSC Managed Care strives to positively impact the lives of our patients, to include many who had no previous access to quality health care. Learn more about TTUHSC Managed Care HERE This valuable team member shall perform work in a manner that reflects the Values of TTUHSC : ONE TEAM unite and include diverse perspectives to achieve our mission KINDHEARTED exceed expectations with a kind heart, helping hands, and a positive attitude INTEGRITY be honorable and trustworthy even when no one is looking VISIONARY nurture innovative ideas, bold explorations, and a pioneering spirit BEYOND SERVICE create and deliver positive defining moments Take care of yourself and your family, Enjoy some of the best benefits in the state of Texas : Comprehensive Benefits Package Training provided Continuing education Loan Forgiveness Program Retiree Insurance Paid Leave Leadership Program State Pension Occasional Duties Other duties as assigned. Required Qualifications Graduate from an accredited nursing program. Two years of nursing experience, with at least 6 months of that experience as a Registered Nurse. Possession of a valid, current RN license as approved by the Texas State Board of Examiners. Pay Statement Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage. EEO Statement As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran. Jeanne Clery Act The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx .

Position Description Employees in this classification are responsible for professional nursing care. They function within their legal scope of practice and in accordance with the polices and procedures of the organization and practice setting. They perform a variety of general and specialized nursing duties as part of the total correctional managed health care team in providing safe and competent care to patients. Employees in this position generally assist the Director of Nurses in the supervision of other clinic personnel and may substitute for the Director of Nurses in their absence. Work is performed under usual clinic conditions, necessitating a high degree of contact with patients and clinic personnel. Major/Essential Functions Makes daily assignments as appropriate and ensures all daily assignments are accomplished Communicates patient data using EMR to support decision-making to improve patient care. Assists with or performs exams and procedures and documents intervention in EMR. Administer or assist with administration and documentation of medication. Supports the goal of the unit by attending meetings and sharing the information with the staff in regular staff meetings. Develop and insure nursing standards are met. Facilitate the movement of patients in the unit as necessary. Maintain documentation and records and working knowledge of current issues and treatment modalities. Respond to emergencies. Performs direct therapeutic interaction/care for the patient in PAMIO, CMI and Crisis Management. Demonstrates an understanding of mental illness and correctional managed healthcare. About Managed Care: Since 1989, TTUHSC Managed Care has been providing clinical and operational support to correctional facilities throughout West Texas and other regional areas. We serve approximately 30,000 patients utilizing a broad range of comprehensive medical and health services. TTUHSC Managed Care strives to positively impact the lives of our patients, to include many who had no previous access to quality health care. Learn more about TTUHSC Managed Care HERE This valuable team member shall perform work in a manner that reflects the Values of TTUHSC : ONE TEAM unite and include diverse perspectives to achieve our mission KINDHEARTED exceed expectations with a kind heart, helping hands, and a positive attitude INTEGRITY be honorable and trustworthy even when no one is looking VISIONARY nurture innovative ideas, bold explorations, and a pioneering spirit BEYOND SERVICE create and deliver positive defining moments Take care of yourself and your family, Enjoy some of the best benefits in the state of Texas : Comprehensive Benefits Package Training provided Continuing education Loan Forgiveness Program Retiree Insurance Paid Leave Leadership Program State Pension Occasional Duties Other duties as assigned. Required Qualifications License/Certification Current Registered Nurse license as approved by the Texas State Board of Nursing or ability to transfer current R.N. license to Texas. Current CPR Certification. Education Graduated from an approved accredited nursing program. Experience Two years of Registered Nursing experience in a hospital, clinic, or community based setting. Preferred Qualifications Current CPR Computer Experience Experience in a prison setting Optional Attachments Professional License/Certification Pay Statement Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage. EEO Statement As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, national origin, age, disability, genetic information or status as a protected veteran. Jeanne Clery Act The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx .

Position Description Employees in this classification are responsible for nursing care at unit of the Texas Department of Criminal Justice. Implements unit objectives and administrative policies. This position is under clinical supervision of the Unit Director of Nurses. Major/Essential Functions Makes daily assignments as appropriate and ensures all daily assignments are accomplished. Communicates patient data using EMR to support decision-making to improve patient care. Assists with or performs exams and procedures and documents intervention in EMR. Administer or assist with administration and documentation of medication. Supports the goal of the unit by attending meetings and sharing the information with the staff in regular staff meetings. Maintains appropriate supplies and equipment. Collects statistical data, prepares reports and maintains records. Participates in scheduling procedures and surgeries. About Managed Care: Since 1989, TTUHSC Managed Care has been providing clinical and operational support to correctional facilities throughout West Texas and other regional areas. We serve approximately 30,000 patients utilizing a broad range of comprehensive medical and health services. TTUHSC Managed Care strives to positively impact the lives of our patients, to include many who had no previous access to quality health care. Learn more about TTUHSC Managed Care HERE . This valuable team member shall perform work in a manner that reflects the Values of TTUHSC : • ONE TEAM unite and include diverse perspectives to achieve our mission • KINDHEARTED exceed expectations with a kind heart, helping hands, and a positive attitude • INTEGRITY be honorable and trustworthy even when no one is looking • VISIONARY nurture innovative ideas, bold explorations, and a pioneering spirit • BEYOND SERVICE create and deliver positive defining moments Take care of yourself and your family. Enjoy some of the best benefits in the state of Texas: • Comprehensive Benefits Package • Training provided • Continuing education • Loan Forgiveness Program • Retiree Insurance • Paid Leave • Leadership Program • State Pension Occasional Duties Other duties as assigned. Required Qualifications Graduate from an accredited nursing program. Two years of nursing experience, with at least 6 months of that experience as a Registered Nurse. Possession of a valid, current RN license as approved by the Texas State Board of Examiners. Pay Statement Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage. EEO Statement As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran. Jeanne Clery Act The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx .

Description C li ni c al Nurse III - Progressive Care 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 would meet the employment standards by possessing a valid California Registered Nurse license and at least three years of recent acute care experience. Progressive Care departments include: O'Connor Hospital - Progressive Care Unit (PCU) O'Connor Hospital - Float Pool Santa Clara Valley Medical Center - Progressive Care Unit (PCU) Santa Clara Valley Medical Center - Float Pool The 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 Risk Distinguishing Characteristics The Clinical Nurse III classification is expected to have the knowledge and abilities to assume charge nurse responsibility. The Clinical Nurse III classification is distinguished from the Clinical Nurse II classification in that the Clinical Nurse III performs under general supervision and is expected to identify and implement nursing interventions that have less predictable outcomes and evaluate the results of these interventions for a given patient population, whereas the Clinical Nurse II works under supervision while performing specific patient care assignments . The Clinical Nurse III classification is distinguished from the Nurse Coordinator classification in that the Nurse Coordinator has permanent, ongoing responsibility to teach staff and organize the patient care of a specific patient population or designated clinical program. The Clinical Nurse III classification is distinguished from the Assistant Nurse Manager classification in that the Assistant Nurse Manager has permanent, ongoing responsibility to supervise a designated nursing unit or ambulatory care clinic. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions. 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, and St. Louise Regional Hospital. 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. Learn more about Santa Clara Valley Medical Center: Hospital and Clinics at www.scvmc.org and follow us on: Twitter I @scvmctalent Facebook I facebook.com/SCVMC LinkedIn | linkedin.com/ scvmc Job Subscription | Sign Up #indsp Typical Tasks 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. Employment Standards 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; and Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited hospital, clinic, or healthcare setting. and One (1) year of full-time RN experience, within the last three (3) years, in the nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. 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: Establish relationships with patients/families in difficult or crisis situations; Advocate for the patient/family perspective and work toward resolution of conflict; Develop and implement complex teaching plans; Be a subject matter expert and be recognized by other staff nurses and physicians for their expert knowledge; Support less experienced Registered Nurses; Recognize and report subtle variations in patient responses; Anticipate and identify the needs of other patients and the capabilities of the nurses assigned to them; Develop innovative strategies to enhance patient care; Model high performance leadership behaviors (e.g., thoughtful listening, effective questioning, and empowerment); Act as a change agent and facilitate implementation and evaluation of change; Perform skillfully under pressure; Juggle and integrate needs and requests of multiple patients without losing important information or overlooking significant needs; 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 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. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes. Closing Date/Time: Continuous

Description Under general supervision, to apply the theoretical concepts of the nursing profession while providing direct patient care within the parameters of established nursing policies and procedures in patient care situations required by the assigned clinical setting; to initiate and perform established nursing interventions utilizing current clinical knowledge. Distinguishing Characteristics The Clinical Nurse III classification is expected to have the knowledge and abilities to assume charge nurse responsibility. The Clinical Nurse III classification is distinguished from the Clinical Nurse II classification in that the Clinical Nurse III performs under general supervision and is expected to identify and implement nursing interventions that have less predictable outcomes and evaluate the results of these interventions for a given patient population, whereas the Clinical Nurse II works under supervision while performing specific patient care assignments . The Clinical Nurse III classification is distinguished from the Nurse Coordinator classification in that the Nurse Coordinator has permanent, ongoing responsibility to teach staff and organize the patient care of a specific patient population or designated clinical program. The Clinical Nurse III classification is distinguished from the Assistant Nurse Manager classification in that the Assistant Nurse Manager has permanent, ongoing responsibility to supervise a designated nursing unit or ambulatory care clinic. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions. The eligible list will be used for future openings within this competency area. The competency area includes the units listed above. Clinical Nurse III - Medical Surgical Units Medical Surgical units include: St. Louise Regional Hospital - Med/Surg/Peds (Mixed Unit - Adults/Pediatrics) O'Connor Hospital - Oncology O'Connor Hospital - Neurosurgery/Orthopedic O'Connor Hospital - Float Pool Valley Medical Center - 3 Surgical Valley Medical Center - 4 Surgical Valley Medical Center - 4 Medical Valley Medical Center - 6 Medical Valley Medical Center - Express Admissions Unit (EAU) Valley Medical Center - Float Pool Clinical Nurse III applicants would meet the employment standard for this specialty by possessing: An active California Registered Nurse License without restrictions; and Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited acute care hospital setting. and One (1) year of full-time RN experience, within the last three (3) years, in the Medical Surgical nursing specialty area in an accredited acute care hospital setting. Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Support Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advanced Cardiac Life Support (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. COVID-19 Risk Tier - High Risk 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, and St. Louise Regional Hospital. Santa Clara Valley Medical Center - 731 bed tertiary level acute care hospital provides 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. Learn more about us and follow us on: Twitter I @scvmctalent Website I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Facebook I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital LinkedIn | Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Job Subscription | Sign Up #indsp Typical Tasks 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. Employment Standards 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; and Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited hospital, clinic, or healthcare setting. and One (1) year of full-time RN experience, within the last three (3) years, in the nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. 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: Establish relationships with patients/families in difficult or crisis situations; Advocate for the patient/family perspective and work toward resolution of conflict; Develop and implement complex teaching plans; Be a subject matter expert and be recognized by other staff nurses and physicians for their expert knowledge; Support less experienced Registered Nurses; Recognize and report subtle variations in patient responses; Anticipate and identify the needs of other patients and the capabilities of the nurses assigned to them; Develop innovative strategies to enhance patient care; Model high performance leadership behaviors (e.g., thoughtful listening, effective questioning, and empowerment); Act as a change agent and facilitate implementation and evaluation of change; Perform skillfully under pressure; Juggle and integrate needs and requests of multiple patients without losing important information or overlooking significant needs; 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 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. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes. Closing Date/Time: 4/5/2023 11:59 PM Pacific

Description Under general supervision, to apply the theoretical concepts of the nursing profession while providing direct patient care within the parameters of established nursing policies and procedures in patient care situations required by the assigned clinical setting; to initiate and perform established nursing interventions utilizing current clinical knowledge. The Clinical Nurse III classification is expected to have the knowledge and abilities to assume charge nurse responsibility. The Clinical Nurse III classification is distinguished from the Clinical Nurse II classification in that the Clinical Nurse III performs under general supervision and is expected to identify and implement nursing interventions that have less predictable outcomes and evaluate the results of these interventions for a given patient population, whereas the Clinical Nurse II works under supervision while performing specific patient care assignments . The Clinical Nurse III classification is distinguished from the Nurse Coordinator classification in that the Nurse Coordinator has permanent, ongoing responsibility to teach staff and organize the patient care of a specific patient population or designated clinical program. The Clinical Nurse III classification is distinguished from the Assistant Nurse Manager classification in that the Assistant Nurse Manager has permanent, ongoing responsibility to supervise a designated nursing unit or ambulatory care clinic. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions. Clinical Nurse III - Labor & Delivery Positions available throughout County of Santa Clara Health System: St. Louise Regional Hospital - Maternal Child Health - Mixed Unit O'Connor Hospital - Labor & Delivery Valley Medical Center - Labor & Delivery The eligible list will be used for future openings within this competency area. The competency area includes the units listed above. Clinical Nurse III applicants would meet the employment standard for this specialty by possessing: An active California Registered Nurse License without restrictions; and Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited acute care hospital setting. and One (1) year of full-time RN experience, within the last three (3) years, in the Labor and Delivery nursing specialty area in an accredited acute care hospital setting. Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Support Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. COVID-19 Risk Tier - High Risk 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, and St. Louise Regional Hospital. Santa Clara Valley Medical Center - 731 bed tertiary level acute care hospital provides 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. Learn more about us and follow us on: Employee Benefits I Why Join Us Website I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Facebook I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital LinkedIn | Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Job Subscription | Sign Up Typical Tasks 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. Employment Standards 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; and Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited hospital, clinic, or healthcare setting. and One (1) year of full-time RN experience, within the last three (3) years, in the nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. 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: Establish relationships with patients/families in difficult or crisis situations; Advocate for the patient/family perspective and work toward resolution of conflict; Develop and implement complex teaching plans; Be a subject matter expert and be recognized by other staff nurses and physicians for their expert knowledge; Support less experienced Registered Nurses; Recognize and report subtle variations in patient responses; Anticipate and identify the needs of other patients and the capabilities of the nurses assigned to them; Develop innovative strategies to enhance patient care; Model high performance leadership behaviors (e.g., thoughtful listening, effective questioning, and empowerment); Act as a change agent and facilitate implementation and evaluation of change; Perform skillfully under pressure; Juggle and integrate needs and requests of multiple patients without losing important information or overlooking significant needs; 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 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. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes.

Description Under general supervision, to apply the theoretical concepts of the nursing profession while providing direct patient care within the parameters of established nursing policies and procedures in patient care situations required by the assigned clinical setting; to initiate and perform established nursing interventions utilizing current clinical knowledge. Distinguishing Characteristics The Clinical Nurse III classification is expected to have the knowledge and abilities to assume charge nurse responsibility. The Clinical Nurse III classification is distinguished from the Clinical Nurse II classification in that the Clinical Nurse III performs under general supervision and is expected to identify and implement nursing interventions that have less predictable outcomes and evaluate the results of these interventions for a given patient population, whereas the Clinical Nurse II works under supervision while performing specific patient care assignments . The Clinical Nurse III classification is distinguished from the Nurse Coordinator classification in that the Nurse Coordinator has permanent, ongoing responsibility to teach staff and organize the patient care of a specific patient population or designated clinical program. The Clinical Nurse III classification is distinguished from the Assistant Nurse Manager classification in that the Assistant Nurse Manager has permanent, ongoing responsibility to supervise a designated nursing unit or ambulatory care clinic. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions New Graduate Nurses do not meet the requirements for a Clinical Nurse III. Clinical Nurse III would meet the employment standards by possessing a valid California Registered Nurse license and at least three's year of Operating Room/Perioperative experience. COVID - 19 Risk Tier - High Risk Clinical Nurse III - Operating Room / Perioperative Operating Room / Perioperative departments in each hospital include: O'Connor Hospital - Operating Room St. Louise Regional Hospital - Operating Room Valley Medical Center - Operating Room The eligible list will be used for future openings within this competency area. The competency area includes the units listed above. 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, and St. Louise Regional Hospital. 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. Learn more about Santa Clara Valley Medical Center: Hospital and Clinics at www.scvmc.org and follow us on: Twitter I @scvmctalent Facebook I facebook.com/SCVMC LinkedIn | linkedin.com/ scvmc Job Subscription | Sign Up #INDVMC Typical Tasks 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. Employment Standards 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; and Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited hospital, clinic, or healthcare setting. and One (1) year of full-time RN experience, within the last three (3) years, in the nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. 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: Establish relationships with patients/families in difficult or crisis situations; Advocate for the patient/family perspective and work toward resolution of conflict; Develop and implement complex teaching plans; Be a subject matter expert and be recognized by other staff nurses and physicians for their expert knowledge; Support less experienced Registered Nurses; Recognize and report subtle variations in patient responses; Anticipate and identify the needs of other patients and the capabilities of the nurses assigned to them; Develop innovative strategies to enhance patient care; Model high performance leadership behaviors (e.g., thoughtful listening, effective questioning, and empowerment); Act as a change agent and facilitate implementation and evaluation of change; Perform skillfully under pressure; Juggle and integrate needs and requests of multiple patients without losing important information or overlooking significant needs; 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 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. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes. Closing Date/Time: Continuous

The Position The Board of Supervisors have authorized the following future salary increases: 4% on July 1, 2023 4% on July 1, 2024 4% on July 1, 2025 Bargaining Unit: CNA - Registered Nurses Unit Contra Costa County Health Services Department offers a variety of opportunities and has an ongoing need for Registered Nurses. Our facilities include the Contra Costa Regional Medical Center (CCRMC) in Martinez, a full service acute hospital which includes an acute psychiatric unit. We have nine (9) outpatient health centers throughout the County, detention facilities, and juvenile hall. Typical Tasks The typical tasks described in class are representative samples of duties commonly performed in each specialty area. Some tasks performed require specialized training or certifications depending upon the area of assignment or position designation. Follows MD orders to administer intravenous therapy and other prescribed medication and treatments Prepares equipment and assists physician during procedures, treatment and, examination of patients Assesses patient needs, identifies problems, plans and implements appropriate nursing interventions, evaluates patient care outcomes and documents all of the above, reporting significant deviation from abnormal to normal to the physicians Assigns ancillary personnel Orients, precepts and mentors new and entry level nurses for problem solving and decision making Identifies urgent needs of the patient and/or significant others and initiates measures to meet these needs Provides directions to other members of the nursing team to ensure patient care is administered in a thorough, safe, and evidence based manner Provides and promotes excellent customer service for all internal and external customers Performs physical assessments, plans, implement, and evaluates care Performs case management Monitors laboratory tests Documents all care provided Identifies actual and potential problems; intervenes and reports all related problems to the appropriate disciplines. Coordinates the care of the patient; initiates and participates in patient/family teaching and discharge planning Address the physiological, psychological, socio-cultural, and spiritual needs of all patients Performs medication management Performs on-going patient education Participates in Quality improvement projects Participates in continuous learning and evidence based research May act as a Relief Charge Nurse Minimum Qualifications License Required (All Assignments): Candidates must possess and maintain throughout the duration of employment: a current, valid and unrestricted Registered Nurse license issued by the California Board of Registered Nursing. Special Requirements (All Assignments): As a condition of employment all applicants: 1) When assigned to Detention Health Services must possess and maintain a security clearance approved and issued by the Sheriff's Department; 2) When assigned to the Perioperative unit must be available to provide off shift coverage. Acute Care (All Acute Care Assignments): Experience: One (1) year of full time experience, or its equivalent, performing duties of a registered nurse in an acute care setting obtained in the United States within the last five (5) years. Certification: Valid Basic Life Support (BLS) certification issued by the American Heart Association or CPR certification issued by the American Red Cross (Healthcare Provider). Substitution for experience: Possession of a BSN and six (6) months of experience as a Beginning Level Registered Nurse working in an acute care hospital may be substituted for the 1 (one) year of required experience. Additional Requirements by Assignment: Critical Care and Intermediate Care Unit Assignment: Certification: Must possess and maintain throughout the duration of employment a current Advanced Cardiac Life Support Certificate (ACLS) issued by the American heart Association. Within six (6) months of hire must possess a CCRMC approved cardiac EKG Class, a Moderate Sedation class, and a Crisis management and prevention certificate. Within one (1) year of hire must complete a CCRMC approved Critical care Course. Emergency Department Assignment: Certification: Must possess and maintain throughout the duration of employment a current Advanced Cardiac Life Support Certificate (ACLS) issued by the American Heart Association, a Pediatric Advanced Life Support (PALS) issued by the American Heart Association, and a CCRMC Crisis management and prevention certificate. Within six (6) months of hire must possess a CCRMC approved cardiac EKG Class, and a Moderate Sedation class. Within one year (1) year of hire must complete a CCRMC approved ED triage training course. Labor and Delivery Assignment: Certification: Must possess and maintain throughout the duration of employment: 1). A current Advanced Cardiac Life Support Certificate (ACLS) issued by the American Heart Association; 2). Complete all lessons to obtain the Neonatal Resuscitation Program Certificate (NRP) issued by the American Academy of Pediatrics. Within one (1) year of hire must obtain and maintain a CCRMC approved advanced fetal monitoring certificate. Telemetry Unit Assignment: Certification : Must possess and maintain throughout the duration of employment a current Advanced Cardiac Life Support Certificate (ACLS) issued by issued by the American Heart Association. Within six (6) months of hire must complete a CCRMC approved cardiac EKG Class. Medical Unit Assignment: Certification and Special Requirements : Must possess and maintain throughout the duration of employment a current Advanced Cardiac Life Support Certificate (ACLS) issued by the American Heart Association. Within six (6) months of hire must complete an Oncology Nursing Society Chemotherapy and Biotherapy Course and possess and maintain a current Chemotherapy Provider Card issued by The Oncology Nursing Society.* Within ten (10) years of hire perform three (3) chemotherapy starts, and one (1) chemotherapy push. Must complete an Oncology Nursing Society (ONS) education class every two (2) years. Surgical Unit: Certification: Must possess and maintain throughout the duration of employment a current Advanced Cardiac Life Support Certificate (ACLS) issued by the American Heart Association. Within six (6) months of hire must possess a CCRMC approved cardiac EKG Class certificate. Nursery Assignment: Certification: Must possess and maintain throughout the duration of employment: 1). A current Neonatal Resuscitation Certificate (NRP); 2). Must complete all lessons to obtain the Neonatal Resuscitation Program Certificate (NRP) issued by the American Academy of Pediatrics, 3). Possession of Pediatric Advanced Life Support (PALS) issued by the American Heart Association. Operating Room Assignment: Experience: Two (2) years of full-time, or its equivalent, experience performing duties as a Registered Nurse in an acute care setting, one (1) year of which must have been in Operating Room nursing. Substitution for Experience: Completion of the didactic portion of the Association of Operating Room Nurses, and completion of an approved preceptorship or training program issued by CCRMC may be substituted for the one (1) year Operating Room nursing experience. Gastroenterology unit (GI) Assignment: Certification: Must possess and maintain throughout the duration of employment a current Advanced Cardiac Life Support Certificate (ACLS) issued by the American Heart Association. Within six (6) months of hire must possess a CCRMC approved cardiac EKG Class and a Moderate Sedation class. Perianesthesia Unit (PACU) Assignment: Certification: Must possess and maintain throughout the duration of employment a current Advanced Cardiac Life Support Certificate (ACLS) issued by the American Heart Association and Pediatric Advanced Life Support (PALS) issued by the American Heart Association. Within six (6) months of hire must possess a CCRMC approved cardiac EKG Class and a Moderate Sedation class. Postpartum Assignment: Certification: Must possess and maintain throughout the duration of employment: 1) A current Advanced Cardiac Life Support Certificate (ACLS) issued by issued by the American Heart Association; 2). Complete all lessons to obtain the Neonatal Resuscitation Program Certificate (NRP) issued by the American Academy of Pediatrics. Inpatient Psychiatry and Psychiatric Emergency Services Assignment: Special Requirements : Must possess and maintain throughout the duration of employment a CCCRMC approved Crisis management and prevention certificate. Ambulatory Care or Detention Assignments: Experience: One (1) year of full time experience, or its equivalent, performing duties of a registered nurse in a hospital, medical facility or ambulatory care setting obtained in the United States within the last five (5) years. Certification: Valid Basic Life Support (BLS) certification issued by the American Heart Association or CPR certification issued by the American Red Cross (Healthcare Provider). Substitution for experience: Possession of a BSN and six (6) months of experience as a Beginning Level Registered Nurse may be substituted for the one (1) year of required experience. Special Requirements and Certifications: All ambulatory care specialty clinic and Detention assignments require training to perform standardized procedures in accordance with Board of Registered Nursing guidelines including successful completion of training and competency requirements and preceptorship for each applicable procedure, and specialty. AFI/NST (Amniotic Fluid Volume Assessment and Non-Stress Heart Rate) Monitoring Clinics must possess and maintain a CCRMC approved advanced fetal monitoring certificate. Hematology/Oncology clinics and Infusion Center require within six month of hire to be in possession of a valid chemotherapy provider card certification issued by the (ONS) Oncology Nursing Society, annual education related to oncology and demonstrated competency. Within 12 months of hire and every 12 months while employed perform three (3) chemotherapy starts and administer three (3) chemotherapy pushes every year.Must take and complete an ONS education class every two (2) years.' Public Health Division: Experience: One (1) year of full time experience, or its equivalent, performing duties of a registered nurse in a hospital, medical facility or ambulatory care setting obtained in the United States within the last five (5) years. Certification: Valid Basic Life Support (BLS) certification issued by the American Heart Association or CPR certification issued by the American Red Cross (Healthcare Provider). Substitution for Experience: Possession of a BSN and six (6) months of experience as a Beginning Level Registered Nurse may be substituted for the one (1) year of required experience. Behavioral Health Division: Experience: One (1) year of full-time experience, or its equivalent, performing the duties of a Registered Nurse in a hospital, clinic, medical facility or detention obtained in the United States within the last five (5) years, six (6) months of which must have been in the Mental Health area. Certification: Valid Basic Life Support (BLS) certification issued by the American Heart Association or CPR certification issued by the American Red Cross (Healthcare Provider). Substitution for Experience: Possession of a BSN and six (6) months of experience as a Beginning Level Registered Nurse may be substituted for the one (1) year of required experience. Emergency Medical Services Assignment: Experience: Requires two (2) years of full-time experience, or its equivalent, performing duties as a Registered Nurse in an acute care setting, one (1) year of which must have been in an Emergency Department obtained in the United States within the last five (5) years. Substitution for Experience: Possession of a BSN and six (6) months of experience as a Beginning Level Registered Nurse may be substituted for the one (1) year of required experience. Contra Costa Health Plan Assignment: Experience: One (1) year of full time experience, or its equivalent, performing duties of a registered nurse in a hospital, medical facility, ambulatory care setting, or health plan case management setting obtained in the United States within the last five (5) years. Substitution for Experience : Possession of a BSN and six (6) months of experience as a Beginning Level Registered Nurse may be substituted for the one (1) year of required experience. OTHER REQUIREMENTS: A background investigation/fingerprint, and/or physical exam may be required prior to the start of employment. A COMPLETED SUPPLEMENTAL QUESTIONNAIRE IS REQUIRED AND YOU MUST ATTACH COPIES OF LICENSE & CERTIFICATIONS TO YOUR APPLICATION. Selection Process Application Filing: All applicants must apply on-line at www.cccounty.us/hr and submit the information as indicated on the job announcement by the final filing date. Application Evaluation: Depending on the number of applications received, an Application Evaluation Board may be convened to evaluate and select the best-qualified candidates for invitation to the next phase of the examination. Training and Experience Evaluation: Consists of an evaluation of each candidate's relevant education, training and/or experience as presented on the application and supplemental questionnaire. (Weighted 100%) The Human Resources Department may change the examination steps noted above in accordance with the Personnel Management Regulations and accepted selection practices. COVID-19 Vaccine Requirements Please note that as of August 24, 2021, Contra Costa County enacted a mandatory COVID-19 vaccine requirement for employees. Proof of full vaccination will be required of all employees, including new hires. The policy requirements can be found here: https://www.contracosta.ca.gov/DocumentCenter/View/72164/2021824-Mandatory-Vaccination-Policy-PDF?bidId= CONVICTION HISTORY After you receive a conditional job offer, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction conflicts with the specific duties and responsibilities of the job for which you have received a conditional job offer. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances. Having a conviction history does not automatically preclude you from a job with Contra Costa County. If you accept a conditional job offer, the Human Resources department will contact you to schedule a fingerprinting appointment. DISASTER SERVICE WORKER All Contra Costa County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency. EQUAL EMPLOYMENT OPPORTUNITY It is the policy of Contra Costa County to consider all applicants for employment without regard to race, color, religion, sex, national origin, ethnicity, age, disability, sexual orientation, gender, gender identity , gender expression, marital status, ancestry, medical condition, genetic information, military or veteran status, or other protected category under the law.

Description Under supervision, to apply the theoretical concepts of the nursing profession while providing routine direct patient care within the parameters of established nursing policies and procedures in controlled patient care situations required by the assigned clinical setting. Distinguishing Characteristics The Clinical Nurse II classification is distinguished from the Clinical Nurse I classification in that the Clinical Nurse I is specifically an entry level classification for registered nurses with no or limited experience, whereas the Clinical Nurse II is a registered nurse (RN) with at least one year of recent RN experience in a nursing specialty. The Clinical Nurse II classification is distinguished from the Clinical Nurse III classification in that the Clinical Nurse II works under supervision while performing specific patient care assignments, whereas the Clinical Nurse III is expected to have the knowledge and abilities to assume charge nurse responsibility. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions. The eligible list will be used for future openings within this competency area. The competency area includes the units listed above. Clinical Nurse II - Medical Surgical Units Medical Surgical units include: Saint Louse Regional Hospital - Med/Surg/Peds (Mixed Unit - Adults/Pediatrics) O'Connor Hospital - Oncology O'Connor Hospital - Neurosurgery/Orthopedic O'Connor Hospital - Float Pool Valley Medical Center - 3 Surgical Valley Medical Center - 4 Surgical Valley Medical Center - 4 Medical Valley Medical Center - 6 Medical Valley Medical Center - Express Admission Unit (EAU) Valley Medical Center - Float Pool Clinical Nurse II applicants would meet the employment standard for this specialty by possessing: An active California Registered Nurse License without restrictions; and One (1) year, within the last three (3) years, of full-time Registered Nurse (RN) experience in an accredited acute care hospital setting. and One (1) year of full-time RN experience, within the last three (3) years, in the Medical Surgical nursing specialty area in an accredited acute care hospital setting. Possession of a Bachelor of Science in Nursing (BSN) is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Support Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advanced Life Support Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. COVID-19 Risk Tier - High Risk 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, and St. Louise Regional Hospital. Santa Clara Valley Medical Center - 731 bed tertiary level acute care hospital provides 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. Learn more about us and follow us on: Twitter I @scvmctalent Website I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Facebook I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital LinkedIn | Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Job Subscription | Sign Up #indsp Typical Tasks 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 Interviews patient and/or family to obtain data for nursing assessment; records and reports data; Utilizes assessment data to formulate nursing diagnosis; Applies knowledge of normal parameters; identifies deviation from normal, obvious patient problems, symptoms, and/or behavioral changes; reports these to the appropriate authority; Makes observations about physical, psycho-social, cultural, learning needs, and response of patient and families; documents in a clear, concise manner. Planning Identifies patient care problems and establishes priorities for care based on nursing and medical diagnosis; Understands goals and plans of care for the typical patient population; Initiates a patient care plan and collaborates when appropriate; Contributes to the revision of the initial patient care plan dependent upon the changing needs of the patient; Contributes to the development of unit standards of care; Plans patient teaching activities. Implementation Establishes priorities and gives nursing care based on the patient care plan; Implements the patient care plan; Seeks supervision and guidance in further developing nursing skills, in performing procedures not yet mastered, and/or in functioning in unfamiliar situations; Accepts accountability for all nursing care provided; Monitors compliance with safety standards and care protocols for self and others; Records nursing care given 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; Teaches patient and families; Complies with external and internal regulations pertaining to nursing practice; recognizes legal and ethical duties and responsibilities of registered nurses; May participate in research projects. Evaluation Evaluates the patient's response to care provided; Communicates evaluation outcomes; Evaluates teaching provided by self and others; May be assigned as a Disaster Service Worker (DSW), as required*; Performs other related duties, as required. Employment Standards 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 (RN) license without restrictions; and One (1) year, within the last three (3) years, of full-time Registered Nurse (RN) experience in an accredited hospital, clinic, or healthcare setting. and One (1) year, within the last three (3) years, of full-time RN experience in a nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. Possession of a Bachelor of Science in Nursing (BSN) is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. 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: Adapt approach readily and consistently when patient/family displays unexpected response; Monitor patient satisfaction and take action to improve care; Use creative strategies to ensure patient/family possess understanding of the plan; Provide guidance to new staff; Serve as coach or preceptor to evaluate and validate a colleague’s clinical judgment; Identify changes that require actions other than those anticipated or planned; Utilize critical thinking skills to interpret complex data; Foster an environment that promotes mutual respect and professional growth; Balance competing demands; Plan and coordinate multiple patient needs and reshuffle their priorities in the midst of constant patient changes; 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 The physical requirement 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.); 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. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes. Closing Date/Time: 4/5/2023 11:59 PM Pacific

Job Posting Title Licensed Practical Nurse III Agency 650 DEPARTMENT OF VETERANS AFFAIRS Supervisory Organization Job Posting End Date (Continuous if Blank) Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above. Estimated Appointment End Date (Continuous if Blank) Full/Part-Time Full time Job Type Regular Compensation Hiring LPNs of all experience levels. Norman, OK LPN III salary $56,000.00 ($26.92 hourly) Shift differentials $1.44 hour for hours on evening and night shifts worked only, does not apply for leave used. Biweekly benefit allowance for 2023 as follow: Employee only $343.28 Employee & Spouse $682.90 Employee, Spouse & Child $802.50 Employee, Spouse & Children $872.88 Employee & Child $464.14 Employee & Children $548.39 Brief outline on retirement: Pathfinder is a 401K with 3 plan choices: Standard: 4.5% we put in 6% High: 7% we put in 7% Customized -You have the opportunity to put in any amount over 4.5% or 7%. We put in 6% for anything less than 7% and 7% for anything over 7%. You vest 20% each year. At 5 years you are fully vested. Additional Incentive amounts: You can earn up to 10% of your annual salary by completing any incentive bonus listed that does not pertain to your job description and that would benefit this facility (example: keeping your CNA cert updated while working in accounting is $2600 per year because it will benefit this facility, but getting your cleat would not benefit this facility so it wouldn’t be one that you would be able to get the incentive pay for) Student loan repayment program We will pay $5,000 per year up to 3 year ($15,000) toward your student loans Longevity bonus: Longevity begins after 2 years. You receive your first longevity payment in the pay period of your anniversary date. You will receive a longevity payment on year 2 and every year after but on even years it will increase (Example: year 2 -$250, year 3 -$250, Year 4 -$426 so on and so on) Paid time off: Annual leave: • 1-5 years - 15 days a year possible - 4.62 hours biweekly (based on hours worked 0.057692 per minute) • 5-10 years - 18 days a year possible - 5.54 hours biweekly (based on hours worked 0.069231 per minute) • 10-20 years - 20 days per year possible - 6.15 hours biweekly (based on hours worked 0.076923 per minute) • 20 years plus - 25 days per year possible - 7.69 hours biweekly (based on hours worked 0.096154 per minute) Sick leave: 15 days a year possible - 4.62 hours biweekly (based on hours worked 0.057692 per minute) Holiday leave: 11 holidays accrued yearly to use within 6 months after accrual date. Admin Weather leave: We are considered essential personnel; we will be required to work during inclement weather. You will accrue up to 8 hours per day or 36 hours total of admin leave if you are working during inclement weather to use within the 6 months from the date of accrual. Job Description Basic Purpose Positions in this job family are assigned responsibilities for performing technical direct and indirect nursing care in a clinic, hospital, institution, or home setting for individuals under the supervision or direction of a registered nurse, licensed physician, or dentist. This includes taking temperatures, pulse, respiration, and blood pressure, and various other technical nursing tasks in providing health care to patients and others. Typical Functions Performs nursing procedures or specialized functions in accordance with knowledge, skills, and licensure. Participates in the evaluation of responses to interventions. Teaches basic nursing skills and related principles. Delegates nursing care tasks such as: taking temperature, pulse, respiration, and blood pressure, giving enemas, douches, and sitz baths, collecting specimens, and measuring intake and output. Assists in assessing, reporting, and recording health status of patients, families, and groups in a variety of settings. Participates in developing and implementing appropriate aspects of a plan of care. Administers medications as ordered. Reports appropriate patient information to supervisor or appropriate health team member. Serves as Charge Nurse on a unit, supervising staff performing medication administration and patient care. Level Descriptor This is the specialist level of the job family where employees are assigned responsibility for performing the more complex nursing tasks and may serve as lead worker. This includes tasks involving the assignment and review of work, providing required training, and insuring that the quality of care meets established standards. Responsibilities will also include providing guidance and training to others in completing the more complex nursing tasks and activities. Education and Experience Education and Experience requirements at this level consist of possession of a valid permanent Oklahoma license as a licensed practical nurse as approved by the Oklahoma Board of Nursing plus two years of practical nursing experience; or Licensed Practical Nurse License recognized by the Enhanced Nurse Licensure Compact (eNLC) plus two years of practical nursing experience. Knowledge, Skills, Abilities and Competencies Knowledge, Skills and Abilities required at this level include knowledge of nursing techniques, procedures, practices, and theory; of medical terminology; and of infection control measures. Ability is required to exercise sound judgment; to follow detailed oral or written instructions; to establish and maintain effective working relationships with others; to provide nursing care to patients or clients; and to monitor and direct the work of others. Special Requirements Positions within the Oklahoma Department of Mental Health and Substance Abuse Services shall have a current certification as a Certified Alcohol and Drug Counselor (CADC) or be working toward CADC certification on all levels. ## Upon appointment, incumbents designated by the Oklahoma Department of Mental Health and Substance Abuse Services shall complete certification in one of the following required Departmental sponsored training in case management: Certified Behavioral Health Case Manager - Adult; Certified Behavioral Health Case Manager - Child, Adolescent and Family; or Certified Behavioral Health Case Manager - Dual Certification.Some agencies may have determined positions in this job family to be safety sensitive as defined by63 O.S. § 427.8. Additional Job Description Equal Opportunity Employment The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability. Current State of Oklahoma employees must apply for open positions through their Workday account. Go to Careers app on WD home screen>Click on 'Find Jobs-Internal State of Oklahoma'.

This examination is being given to fill multiple vacancies in the Behavioral Health Services Department and to establish an eligible list to fill future vacancies. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing deadline. Offers of employment are contingent upon passing a pre-employment background check and a pre-employment drug screening. NOTE: All correspondences relating to this recruitment will be delivered via e-mail. The e-mail account used will be the one provided on your employment application during time of submittal. Please be sure to check your e-mail often for updates. If you do not have an e-mail account on file, Human Resources will send you correspondences via US Mail. The following incentives and bonuses may be available for eligible new hires . Incentives and bonuses are subject to approval by Human Resources: Vacation Accrual Rate : San Joaquin County vacation accrual rate consistent with the candidate's total years of public service. Sick Leave : Candidates leaving other employment may receive credit for actual non-reimbursable sick leave hours (up to 160 hours) from their last agency. Hours shall be subject to San Joaquin County's minimum sick leave cash out provisions. New Hire Retention Bonus : $2,000 upon completion of first year equivalent employment (2,080 hours) $1,000 upon completion of third year equivalent employment (6,240 hours) $3,000 upon completion of sixth year equivalent employment (12,480 hours) TYPICAL DUTIES Initiates the nursing process and performs journey-level nursing care, including therapeutic measures prescribed by medical authority within the limits of the Nurse Practice Act and department policy. 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; may participate in or lead therapy groups. Participates in the orientation, teaching, leading and evaluating of assigned para-professional and/or technical personnel; participates in teaching patients the principles of health and self care. May facilitate insurance billing and other reimbursement-related procedures by processing appropriate paperwork and making necessary internal and external contacts. May consult with therapeutic multi-disciplinary team in reviewing patient progress and success of treatment plans. May provide crisis intervention, crisis stabilization and follow-up therapy; may make crisis referrals as required. Keeps records of patient's health care treatment and/or hospital stay; prepares reports and standard forms. 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 function as a charge nurse; may assume full responsibility for the supervision of a shift in the absence of a Staff Nurse IV, Staff Nurse V or Nursing Department Manager; may supervise and assist 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; as assigned, may represent the Department of Health Care Services to outside agencies. MINIMUM QUALIFICATIONS Experience : Six months as a registered nurse in an acute care or mental health facility. Substitution : Possession of a Bachelor's Degree in Nursing may be substituted for the required experience. Licenses and Certificates : Current registration as a nurse in the State of California; or possession of an interim permit issued by the State of California Board of Registered Nursing. Special Requirement : 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 or experience may be required for assignment or continued assignment to specialized nursing units. Note: Supplemental application must be submitted with employment application. KNOWLEDGE Theory, practices and techniques of nursing; safety principles and practices, applicable Federal and State laws as related to patient care. ABILITY Lead 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 technical and professional nature accurately; establish and maintain effective working relationships with others; maintain a safe facility environment; maintain cohesiveness and communication as a team during high stress; establish and maintain effective customer service; maintain accurate records and prepare routine reports; participate effectively in performance improvement processes; provide and promote a positive learning environment. PHYSICAL/MENTAL REQUIREMENTS Mobility -Constant walking; frequent operation of a 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. Equal Opportunity Employer San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to Equal Employment Opportunity Division (sjgov.org) . Accommodations for those covered by the Americans with Disabilities Act (ADA): San Joaquin County complies with the Americans with Disabilities Act and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions. BENEFITS Health Insurance : San Joaquin County provides full-time employees and part-time employees eligible for benefits with a choice of three health plans: a Kaiser Plan, a Select Plan, and a Premier Plan. Employees pay a portion of the cost of the premiums.Dependent coverage is available for all plans. Dental Insurance : The County provides employees with a choice of two dental plans: Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan. There is no cost for employee only coverage in either plan; dependent coverage is available at the employee's expense. Vision Insurance : The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employee's expense. For more detailed information on the County's benefits program, visit our website at www.sjgov.org under Human Resources/Benefits. Life Insurance : The County provides eligible employees with life insurance coverage as follows: 1 but less than 3 years of continuous service: $1,000 3 but less than 5 years of continuous service: $3,000 5 but less than 10 years of continuous service: $5,000 10 years of continuous service or more: $10,000 Employees may purchase additional term life insurance up to a maximum of $200,000 at the group rate. 125 Flexible Benefits Plan : This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit). Retirement Plan : Employees of the County are covered by the County Retirement Act of 1937. Please visit the San Joaquin County Employees' Retirement Association (SJCERA) at www.sjcera.org for more information. NOTE: If you are receiving a retirement allowance from another California county covered by the County Employees' Retirement Act of 1937 or from any governmental agency covered by the California Public Employees' Retirement System (PERS), you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance. Deferred Compensation : The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $18,000 or 100% of your includible compensation, whichever is less. Individuals age 50 or older may contribute to their plan, up to $24,000. The Roth IRA (after tax) is also now available. Vacation : Maximum earned vacation is 15 days each year up to 10 years; 20 days after 10 years; and 23 days after 20 years. Accrual rate is prorated for part-time employees eligible for benefits. Holiday : 14 paid holidays per year. Educational Leave : Each fiscal year, department heads grant 40 hours to full-time employees or 24 hours to part-time employees eligible for benefits of educational leave that are not carried beyond the end of the fiscal year. Sick Leave : 12 working days of sick leave annually with unlimited accumulation. Sick leave incentive : An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one-half of the cumulative amount that the employee is eligible to accrue. The employee must also be on payroll during the entire calendar year. Bereavement Leave : 3 days of paid leave for the death of an immediate family member, 2 additional days of accrued leave for death of employee's spouse, domestic partner, parent or child. Merit Salary Increase : New employees will receive the starting salary, which is the first step of the salary range. After employees serve 52 weeks (2080 hours) on each step of the range (1840 hours for part-time employees), they are eligible for a merit increase to the next step. Standby Pay : Employees designated by appointing authority to be in standby status is compensated at 33.33% of their regular hourly rate. Educational Supplement: Any bargaining unit nurse who meets at least one of the following criteria will receive an Educational Supplement equal to 5% of their base salary: For those classifications that require an Associate's Degree of Nursing, the nurse has a Bachelor's of Science in Nursing. (Nurses who work in Mental Health may substitute a Bachelor's Degree in Pyschology or Social Worker for a degree in Nursing.) For those classifications that require a Bachelor's of Science in Nursing, the nurse has a Master's of Science in Nursing. Possess National or approved International certification in the specialty area in which the nurse currently is assigned. Possess CCRN Certification and active ACLS Certificate. Provide proof of completion of a critical care class and active ACLS Certificate. License/Certificate Fees : The County provides reimbursement for specific classifications under the CNA MOU for fees required to renew State required license/certification. Fees associated with initial license/certification will not be covered. Pre-Employment Physical Exam : If required, will be conducted at San Joaquin County General Hospital at no cost to the employee. Job Sharing : Any regular, permanent full-time employee may agree to job-share a position, subject to approval by a Department Head and the Director of Human Resources. Educational Reimbursement Program : The County offers an Educational Reimbursement Program. Eligible employees (civil service and part-time eligible for benefits) may be reimbursed for career-related course work taken on the employee's own time up to $850 per fiscal year; an employee enrolled in an approved degree program may be reimbursed up to$800 per semester for a maximum of $1600 per fiscal yearper fiscal year. Parking Supplemental Downtown Stockton : The County contributes up to $17 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area. School Activities : Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children's school activities. Selection Procedures Applicants who meet the minimum qualifications will go through the following examination process: Written Exam : The civil service written exam is a multiple choice format. If the written exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. Oral Exam : The oral exam is a structured interview process that will assess the candidate's education, training, and experience and may include a practical exercise. The oral exam selection process is not a hiring interview. A panel of up to four people will determine the candidate's score and rank for placement on the eligible list. Top candidates from the eligible list are referred for hiring interviews. If the oral exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. Written & Oral Exam: If both a written exam and an oral exam is administered, the written exam is weighted at 60% and the oral exam is weighted at 40% unless otherwise indicated on the announcement. Candidates must achieve a minimum rating of 70% on each examination in order to be placed on the eligible list. Rate-out: A rate-out is an examination that involves a paper rating of the candidate's application using the following criteria: education, training, and experience. Candidates will not be scheduled for the rate-out process. Note: The rating of 70 referred to may be the same or other than an arithmetic 70% of the total possible points. Testing Accommodation: Candidates who require testing accommodation under the Americans with Disabilities Act (ADA) must call Human Resources Division at (209) 468-3370 prior to the examination date. Veteran's Points : Eligible veterans, unmarried widows and widowers of veterans of the United States Armed Forces who have been honorably discharged and who have served during wartime shall be given veteran's points in initial appointment to County service. Eligible veterans receive 5 points and eligible disabled veterans receive 10 points. Disabled veterans must submit a recent award letter stating a 10% service connected disability issued by the United States Veterans Administration. Note: A copy of your DD214 showing the discharge type must be received in the Human Resources by the date of the examination. Acceptable wartime service dates: September 16, 1940 to December 31, 1946 June 27, 1950 to January 31, 1955 August 5, 1964 to May 7, 1975 Persian Gulf War, August 2, 1990, through a date to be set by law or Presidential Proclamation. Eligible Lists: Candidates who pass the examination will be placed on an eligible list for that classification. Eligible lists are effective for nine months, but may be extended by the Human Resources Director for a period which shall not exceed a total of three years from the date established. Certification/Referral: Names from the eligible list will be referred to the hiring department by the following methods. Rule of the Rank: The top rank orranks of eligibles will be referred for hiring interviews. The minimum number of names to be referred will be equal to the number of positions plus nine, or 10% of the eligible list, whichever is higher. When fillingnine or more positions in a department at the same time, the top rank or ranks will be referred and the minimum number of names shall be two times the number of positions to be filled or 10% of the eligible list, whichever is higher. This applies only to open competitive recruitments. Rule of Five: The top five names will be referred for hiring interviews. This applies only to department or countywide promotional examination. Rule of the List: For classifications designated by the Director of Human Resources, the entire eligible list will be referred to the department. Physical Exam: Some classifications require physical examinations. Final appointment cannot be made until the eligible has passed the physical examination. The County pays for physical examinations administered in its medical facilities. Pre-Employment Drug Screening Exam: Some classifications require a new employee successfully pass a pre-employment drug screen as a condition of employment. Final appointment cannot be made until the eligible has passed the drug screen. The County pays for the initial drug screen. Employment of Relatives: Applicants who are relatives of employees in a department within the 3rd degree of relationship, (parent, child, grand parent, grand child or sibling) either by blood or marriage, may not be appointed, promoted, transferred into or within the department when; They are related to the Appointing Authority or The employment would result in one of them supervising the work of the other. Department Head may establish additional limitations on the hiring of relatives by departmental rule. Proof of Eligibility: If you are offered a job you will be required to provide proof of U.S. citizenship or other documents that establish your eligibility to be employed in the U.S. HOW TO APPLY Apply Online: www.sjgov.org/department/hr By mail or in person: San Joaquin County Human Resources 44 N. San Joaquin Street Suite 330 Stockton, CA 95202 Office hours: Monday - Friday 8:00 am to 5:00 pm; excluding holidays. Phone: (209) 468-3370 Job Line: For currentemployment opportunitiesplease callour 24-hour job line at (209) 468-3377. When a final filing date is indicated, applications must be filed with the Human Resources Division before 5:00 p.m. or postmarked by the final filing date. Resumes will not be accepted in lieu of an application. Applications sent through county inter-office mail, which are not received by the final filing date, will not be accepted. ( The County assumes no responsibility for mailed applications which are not received by the Human Resources Division) . San Joaquin County Substance Abuse Policy: San Joaquin County has adopted a Substance Abuse Policy in compliance with the Federal Drug Free Workplace Act of 1988. This policy is enforced by all San Joaquin County Departments and applies to all San Joaquin County employees. Equal Opportunity Employer : San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to www.sjgov.org/department/hr/eeo . Click on a link below to apply for this position: Fill out the Supplemental Questionnaire and Application NOW using the Internet. Apply Online View and print the Supplemental Questionnaire. This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here . View and print the official application form as an Acrobat pdf file. A San Joaquin County application form is required for this recruitment. You may print this Acrobat PDF document and then fill it in. Contact us via conventional means. You may contact us by phone at (209) 468-3370, or by email , or apply for a job in person at the San Joaquin County Human Resources Division. Closing Date/Time: Open Until Filled

This examination is being given to fill one (1) vacancy in Behavioral Health Services - 24 Hour Services (Rotating Shifts) and to establish an eligible list to fill future vacancies. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing deadline. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing deadline. Offers of employment are contingent upon passing a background investigation. NOTE: All correspondences relating to this recruitment will be delivered via e-mail. The e-mail account used will be the one provided on your employment application during time of submittal. Please be sure to check your e-mail often for updates. If you do not have an e-mail account on file, Human Resources will send you correspondences via US Mail. The following incentives and bonuses may be available for eligible new hires . Incentives and bonuses are subject to approval by Human Resources: Vacation Accrual Rate : San Joaquin County vacation accrual rate consistent with the candidate's total years of public service. Sick Leave : Candidates leaving other employment may receive credit for actual non-reimbursable sick leave hours (up to 160 hours) from their last agency. Hours shall be subject to San Joaquin County's minimum sick leave cash out provisions. New Hire Retention Bonus : $2,000 upon completion of first year equivalent employment (2,080 hours) $1,000 upon completion of third year equivalent employment (6,240 hours) $3,000 upon completion of sixth year equivalent employment (12,480 hours) TYPICAL DUTIES Initiates the nursing process and performs advanced level clinical patient care, including complex and difficult 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. May function as a first-level supervisor in an outpatient clinic or program over para-professional or clerical staff; may select, assign, train, direct, evaluate and discipline staff as appropriate; may participate in the development of unit policies and procedures; may assist with development and maintenance of the department budget; may provide crisis intervention, may consult with therapeutic multi-disciplinary team in reviewing patient progress and success of treatment plans. May facilitate insurance billing and other reimbursement-related procedures by processing appropriate paperwork and making necessary internal and external contacts. 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. 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. Maintains record of patient's health care treatment and/or hospital stay; prepares reports and standard forms. May function as a charge nurse in an inpatient unit; may assume full responsibility for the supervision of a shift in the absence of a Staff Nurse V 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 in the identification of staff development needs for members of the Nursing staff. Participates on committees as assigned; may represent the Department of Health Care Services to outside agencies. Prepares and presents, within established guidelines, clinical projects as assigned. MINIMUM QUALIFICATIONS EITHER I Education: Possession of a Bachelor's Degree in Nursing, Health Science, or closely related field. Experience: One year of progressively responsible experience as a registered nurse in mental health at a level equivalent to a San Joaquin County Staff Nurse III. OR II Certification: National Certification Experience: One year of progressively responsible experience as a registered nurse in mental health at a level equivalent to a San Joaquin County Staff Nurse III. OR III Experience: Two years of progressively responsible experience as a registered nurse in mental health setting at a level equivalent to a San Joaquin County Staff Nurse III. AND Licenses: Current registration as a nurse in the State of California. Certification: Preceptor Class or equivalent and San Joaquin County Mental Health Department Psychiatric Nursing Assessment Certification Special Requirements: (1) Successful completion of a San Joaquin General Hospital in-service or comparable training program in nursing preceptorships 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 or experience may be required for assignment or continued assignment to specialized nursing units. Note: Supplemental application must be submitted with employment application. KNOWLEDGE Theory, techniques, and practices of nursing; new developments in patient care, particularly in area of specialization; skills specific to clinical scope of practice; the nursing process; nursing staffing patterns; principles and practices of employee supervision; health care safety principles and practices. ABILITY 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 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; participate effectively in performance improvement processes; provide and promote a positive learning environment. PHYSICAL/MENTAL REQUIREMENTS Mobility - Constant walking; frequent operation of a 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 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. Equal Opportunity Employer San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to www.sjgov.org/department/hr/eeo . Accomodations for those covered by the Americans with Disabilities Act (ADA): San Joaquin County complies with the Americans with Disabilities Act and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions. BENEFITS Health Insurance : San Joaquin County provides full-time employees and part-time employees eligible for benefits with a choice of three health plans: a Kaiser Plan, a Select Plan, and a Premier Plan. Employees pay a portion of the cost of the premiums.Dependent coverage is available for all plans. Dental Insurance : The County provides employees with a choice of two dental plans: Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan. There is no cost for employee only coverage in either plan; dependent coverage is available at the employee's expense. Vision Insurance : The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employee's expense. For more detailed information on the County's benefits program, visit our website at www.sjgov.org under Human Resources/Benefits. Life Insurance : The County provides eligible employees with life insurance coverage as follows: 1 but less than 3 years of continuous service: $1,000 3 but less than 5 years of continuous service: $3,000 5 but less than 10 years of continuous service: $5,000 10 years of continuous service or more: $10,000 Employees may purchase additional term life insurance up to a maximum of $200,000 at the group rate. 125 Flexible Benefits Plan : This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit). Retirement Plan : Employees of the County are covered by the County Retirement Act of 1937. Please visit the San Joaquin County Employees' Retirement Association (SJCERA) at www.sjcera.org for more information. NOTE: If you are receiving a retirement allowance from another California county covered by the County Employees' Retirement Act of 1937 or from any governmental agency covered by the California Public Employees' Retirement System (PERS), you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance. Deferred Compensation : The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $18,000 or 100% of your includible compensation, whichever is less. Individuals age 50 or older may contribute to their plan, up to $24,000. The Roth IRA (after tax) is also now available. Vacation : Maximum earned vacation is 15 days each year up to 10 years; 20 days after 10 years; and 23 days after 20 years. Accrual rate is prorated for part-time employees eligible for benefits. Holiday : 14 paid holidays per year. Educational Leave : Each fiscal year, department heads grant 40 hours to full-time employees or 24 hours to part-time employees eligible for benefits of educational leave that are not carried beyond the end of the fiscal year. Sick Leave : 12 working days of sick leave annually with unlimited accumulation. Sick leave incentive : An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one-half of the cumulative amount that the employee is eligible to accrue. The employee must also be on payroll during the entire calendar year. Bereavement Leave : 3 days of paid leave for the death of an immediate family member, 2 additional days of accrued leave for death of employee's spouse, domestic partner, parent or child. Merit Salary Increase : New employees will receive the starting salary, which is the first step of the salary range. After employees serve 52 weeks (2080 hours) on each step of the range (1840 hours for part-time employees), they are eligible for a merit increase to the next step. Standby Pay : Employees designated by appointing authority to be in standby status is compensated at 33.33% of their regular hourly rate. Educational Supplement: Any bargaining unit nurse who meets at least one of the following criteria will receive an Educational Supplement equal to 5% of their base salary: For those classifications that require an Associate's Degree of Nursing, the nurse has a Bachelor's of Science in Nursing. (Nurses who work in Mental Health may substitute a Bachelor's Degree in Pyschology or Social Worker for a degree in Nursing.) For those classifications that require a Bachelor's of Science in Nursing, the nurse has a Master's of Science in Nursing. Possess National or approved International certification in the specialty area in which the nurse currently is assigned. Possess CCRN Certification and active ACLS Certificate. Provide proof of completion of a critical care class and active ACLS Certificate. License/Certificate Fees : The County provides reimbursement for specific classifications under the CNA MOU for fees required to renew State required license/certification. Fees associated with initial license/certification will not be covered. Pre-Employment Physical Exam : If required, will be conducted at San Joaquin County General Hospital at no cost to the employee. Job Sharing : Any regular, permanent full-time employee may agree to job-share a position, subject to approval by a Department Head and the Director of Human Resources. Educational Reimbursement Program : The County offers an Educational Reimbursement Program. Eligible employees (civil service and part-time eligible for benefits) may be reimbursed for career-related course work taken on the employee's own time up to $850 per fiscal year; an employee enrolled in an approved degree program may be reimbursed up to$800 per semester for a maximum of $1600 per fiscal yearper fiscal year. Parking Supplemental Downtown Stockton : The County contributes up to $17 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area. School Activities : Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children's school activities. Selection Procedures Applicants who meet the minimum qualifications will go through the following examination process: Written Exam : The civil service written exam is a multiple choice format. If the written exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. Oral Exam : The oral exam is a structured interview process that will assess the candidate's education, training, and experience and may include a practical exercise. The oral exam selection process is not a hiring interview. A panel of up to four people will determine the candidate's score and rank for placement on the eligible list. Top candidates from the eligible list are referred for hiring interviews. If the oral exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. Written & Oral Exam: If both a written exam and an oral exam is administered, the written exam is weighted at 60% and the oral exam is weighted at 40% unless otherwise indicated on the announcement. Candidates must achieve a minimum rating of 70% on each examination in order to be placed on the eligible list. Rate-out: A rate-out is an examination that involves a paper rating of the candidate's application using the following criteria: education, training, and experience. Candidates will not be scheduled for the rate-out process. Note: The rating of 70 referred to may be the same or other than an arithmetic 70% of the total possible points. Testing Accommodation: Candidates who require testing accommodation under the Americans with Disabilities Act (ADA) must call Human Resources Division at (209) 468-3370 prior to the examination date. Veteran's Points : Eligible veterans, unmarried widows and widowers of veterans of the United States Armed Forces who have been honorably discharged and who have served during wartime shall be given veteran's points in initial appointment to County service. Eligible veterans receive 5 points and eligible disabled veterans receive 10 points. Disabled veterans must submit a recent award letter stating a 10% service connected disability issued by the United States Veterans Administration. Note: A copy of your DD214 showing the discharge type must be received in the Human Resources by the date of the examination. Acceptable wartime service dates: September 16, 1940 to December 31, 1946 June 27, 1950 to January 31, 1955 August 5, 1964 to May 7, 1975 Persian Gulf War, August 2, 1990, through a date to be set by law or Presidential Proclamation. Eligible Lists: Candidates who pass the examination will be placed on an eligible list for that classification. Eligible lists are effective for nine months, but may be extended by the Human Resources Director for a period which shall not exceed a total of three years from the date established. Certification/Referral: Names from the eligible list will be referred to the hiring department by the following methods. Rule of the Rank: The top rank orranks of eligibles will be referred for hiring interviews. The minimum number of names to be referred will be equal to the number of positions plus nine, or 10% of the eligible list, whichever is higher. When fillingnine or more positions in a department at the same time, the top rank or ranks will be referred and the minimum number of names shall be two times the number of positions to be filled or 10% of the eligible list, whichever is higher. This applies only to open competitive recruitments. Rule of Five: The top five names will be referred for hiring interviews. This applies only to department or countywide promotional examination. Rule of the List: For classifications designated by the Director of Human Resources, the entire eligible list will be referred to the department. Physical Exam: Some classifications require physical examinations. Final appointment cannot be made until the eligible has passed the physical examination. The County pays for physical examinations administered in its medical facilities. Pre-Employment Drug Screening Exam: Some classifications require a new employee successfully pass a pre-employment drug screen as a condition of employment. Final appointment cannot be made until the eligible has passed the drug screen. The County pays for the initial drug screen. Employment of Relatives: Applicants who are relatives of employees in a department within the 3rd degree of relationship, (parent, child, grand parent, grand child or sibling) either by blood or marriage, may not be appointed, promoted, transferred into or within the department when; They are related to the Appointing Authority or The employment would result in one of them supervising the work of the other. Department Head may establish additional limitations on the hiring of relatives by departmental rule. Proof of Eligibility: If you are offered a job you will be required to provide proof of U.S. citizenship or other documents that establish your eligibility to be employed in the U.S. HOW TO APPLY Apply Online: www.sjgov.org/department/hr By mail or in person: San Joaquin County Human Resources 44 N. San Joaquin Street Suite 330 Stockton, CA 95202 Office hours: Monday - Friday 8:00 am to 5:00 pm; excluding holidays. Phone: (209) 468-3370 Job Line: For currentemployment opportunitiesplease callour 24-hour job line at (209) 468-3377. When a final filing date is indicated, applications must be filed with the Human Resources Division before 5:00 p.m. or postmarked by the final filing date. Resumes will not be accepted in lieu of an application. Applications sent through county inter-office mail, which are not received by the final filing date, will not be accepted. ( The County assumes no responsibility for mailed applications which are not received by the Human Resources Division) . San Joaquin County Substance Abuse Policy: San Joaquin County has adopted a Substance Abuse Policy in compliance with the Federal Drug Free Workplace Act of 1988. This policy is enforced by all San Joaquin County Departments and applies to all San Joaquin County employees. Equal Opportunity Employer : San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to www.sjgov.org/department/hr/eeo . Click on a link below to apply for this position: Fill out the Supplemental Questionnaire and Application NOW using the Internet. Apply Online View and print the Supplemental Questionnaire. This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here . View and print the official application form as an Acrobat pdf file. A San Joaquin County application form is required for this recruitment. You may print this Acrobat PDF document and then fill it in. Contact us via conventional means. You may contact us by phone at (209) 468-3370, or by email , or apply for a job in person at the San Joaquin County Human Resources Division. Closing Date/Time: Open Until Filled

Description Clinical Nurse II - Progressive Care Under supervision, Clinical Nurse II 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. New Graduate Nurses do not meet the requirements for a Clinical Nurse II. Clinical Nurse II would meet the employment standards by possessing a valid California Registered Nurse license and at least one year of recent acute care experience. Progressive Care Units include: O'Connor Hospital - Progressive Care Unit (PCU) O'Connor Hospital - Float Pool Valley Medical Center - Progressive Care Unit (PCU) Valley Medical Center - Float Pool The 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 Risk Distinguishing Characteristics The Clinical Nurse II classification is distinguished from the Clinical Nurse I classification in that the Clinical Nurse I is specifically an entry level classification for registered nurses with no or limited experience, whereas the Clinical Nurse II is a registered nurse (RN) with at least one year of recent RN experience in a nursing specialty. The Clinical Nurse II classification is distinguished from the Clinical Nurse III classification in that the Clinical Nurse II works under supervision while performing specific patient care assignments, whereas the Clinical Nurse III is expected to have the knowledge and abilities to assume charge nurse responsibility. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions. 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, and St. Louise Regional Hospital. 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. Learn more about Santa Clara Valley Medical Center: Hospital and Clinics at www.scvmc.org and follow us on: Twitter I @scvmctalent Facebook I facebook.com/SCVMC LinkedIn | linkedin.com/ scvmc Job Subscription | Sign Up #indsp Typical Tasks 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 Interviews patient and/or family to obtain data for nursing assessment; records and reports data; Utilizes assessment data to formulate nursing diagnosis; Applies knowledge of normal parameters; identifies deviation from normal, obvious patient problems, symptoms, and/or behavioral changes; reports these to the appropriate authority; Makes observations about physical, psycho-social, cultural, learning needs, and response of patient and families; documents in a clear, concise manner. Planning Identifies patient care problems and establishes priorities for care based on nursing and medical diagnosis; Understands goals and plans of care for the typical patient population; Initiates a patient care plan and collaborates when appropriate; Contributes to the revision of the initial patient care plan dependent upon the changing needs of the patient; Contributes to the development of unit standards of care; Plans patient teaching activities. Implementation Establishes priorities and gives nursing care based on the patient care plan; Implements the patient care plan; Seeks supervision and guidance in further developing nursing skills, in performing procedures not yet mastered, and/or in functioning in unfamiliar situations; Accepts accountability for all nursing care provided; Monitors compliance with safety standards and care protocols for self and others; Records nursing care given 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; Teaches patient and families; Complies with external and internal regulations pertaining to nursing practice; recognizes legal and ethical duties and responsibilities of registered nurses; May participate in research projects. Evaluation Evaluates the patient's response to care provided; Communicates evaluation outcomes; Evaluates teaching provided by self and others; May be assigned as a Disaster Service Worker (DSW), as required*; Performs other related duties, as required. Employment Standards 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 (RN) license without restrictions; and One (1) year, within the last three (3) years, of full-time Registered Nurse (RN) experience in an accredited hospital, clinic, or healthcare setting. and One (1) year, within the last three (3) years, of full-time RN experience in a nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. Possession of a Bachelor of Science in Nursing (BSN) is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. 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: Adapt approach readily and consistently when patient/family displays unexpected response; Monitor patient satisfaction and take action to improve care; Use creative strategies to ensure patient/family possess understanding of the plan; Provide guidance to new staff; Serve as coach or preceptor to evaluate and validate a colleague’s clinical judgment; Identify changes that require actions other than those anticipated or planned; Utilize critical thinking skills to interpret complex data; Foster an environment that promotes mutual respect and professional growth; Balance competing demands; Plan and coordinate multiple patient needs and reshuffle their priorities in the midst of constant patient changes; 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 The physical requirement 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.); 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. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes. Closing Date/Time: Continuous