RN ER Full-time

Job Summary and Responsibilities

As our Staff Nurse, you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery.

Every day, you will leverage your expertise to provide individualized, comprehensive care, making critical assessments, performing skilled procedures, and meticulously implementing patient care plans. You'll collaborate seamlessly within an interdisciplinary team, contributing to a dynamic environment focused on optimal patient outcomes.

To thrive in this vital role, you will possess keen assessment skills, acute critical thinking, and a patient-first mindset, driven by a profound enthusiasm to help others. Your sense of urgency and dedication to excellence in a fast-paced environment will not only support patient recovery but also fuel your own career advancement.

  • Demonstrates a professional and responsive atmosphere by greeting patients, visitors, staff, and physicians promptly and courteously. Refers to each individual by name when appropriate.
  • Performs initial assessment utilizing professional nursing knowledge and skills. Appropriately assess for: a. physical & psychosocial emotional needs b. pain level c. barriers to learning d. educational learning needs e. discharge needs f. age related needs g. issues related to assault or abuse
  • Analyzes patient related data, such as vital signs, past medical history, prenatal history, physical exam findings, laboratory values and other information, including age specific criteria, to determine appropriate care.
  • Provides health education and teaching to patient, family and significant others, that is age specific, providing for any barriers to learning. Clearly communicates health, treatment and discharge information, ensuring the patient, family member or significant other understands all discharge and follow-up instructions.
  • Demonstrates the use of advanced, specialized knowledge and skills to implement interventions for all emergency patients, by prioritizing needs, and using a patient centered approach.
  • Demonstrates clinical skills, from IV's to pelvic exams within the scope of practice of the department.
Job Requirements

Required:

  • Minimum of one year Emergency or critical care experience and
  • Registered Nurse: CA, upon hire and
  • Basic Life Support - CPR, upon hire and
  • Advanced Cardiac Life Support, upon hire and
  • Pediatric Advanced Life Support, upon hire


Preferred:

  • Graduation from an accredited school of professional nursing, upon hire and
  • Bachelors Of Science Nursing, upon hire
Where You'll Work

Founded in 1950, Dignity Health - Sequoia Hospital is a 208-bed, acute care, nonprofit hospital located in Redwood City, California. Serving over 50,000 patients annually, the hospital offers a full complement of services including heart care, stroke care, and a birthing center. Additionally, Sequoia Hospital has been recognized as an LGBTQ+ Healthcare Equality Leader by the Human Rights Campaign Foundation. It is a Joint Commission-certified Primary Stroke Center, and recently was awarded the AMA/ASA’s Get the Guidelines - Stroke Gold Plus Quality Achievement, recognizing the hospital’s commitment to providing the best stroke care. It was recently named a Leapfrog 2025 Top General Hospital.

One Community. One Mission. One California 

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Suncrest Hospice

Resource Registered Nurse (RN)

$50 - $60 / hour
Why Suncrest At Brighton/Suncrest Hospice, we're more than a hospice provider—we're a compassionate team on a mission to change the expectation of hospice care in our communities. Our rapid growth is driven by one simple belief: exceptional patient care starts by investing in our people. We are proud to be a Community Health Accreditation Partner (CHAP)-certified hospice. If you have a commitment to providing the highest quality of care to patients and their families, we would like to hear from you! Benefits $50-60/hour 144 PTO hours per calendar year Monthly bonus opportunities Mileage & Cell Phone reimbursement Medical, HSA, Dental, Vision, Life, EAP 401k plan with employer match and immediate 100% vesting after 90 days of employment No on-call obligations Ongoing opportunities for professional growth and career advancement Details Join a team that's redefining hospice care! Brighton/Suncrest Hospice is dedicated to providing exceptional care and service through a compassionate, supportive team that values communication, integrity, teamwork, and continuous growth. As a Registered Nurse (RN), you'll provide compassionate, individualized hospice care wherever patients call home—including private residences, skilled nursing facilities, and assisted living communities. You will collaborate with an interdisciplinary team of nurses, Social Workers, Chaplains, CNAs, and volunteers to develop care plans that support the physical, emotional, and spiritual needs of patients and their families. We prioritize quality over quantity by maintaining lower clinician caseloads and higher staff-to-patient ratios. This allows our nurses to spend more meaningful time with patients and families, build lasting relationships, and provide the compassionate, personalized care every patient deserves. Depending on your strengths and interests, we have various nursing opportunities available. Location: Covering Alameda, Contra Costa County, Tri-Valley, Solano County. Needs to be open to traveling. Monday-Friday 8:30AM-5PM Qualifications Current Registered Nurse (RN) license in good standing in the state of practice 1 year of hospice, SNF, hospital experience preferred A passion for providing exceptional, patient-centered hospice care Strong collaboration and communication skills with interdisciplinary care teams Ability to work independently while effectively managing your daily schedule Excellent time management and organizational skills to balance patient visits, documentation, meetings, and urgent needs Comfort learning and utilizing electronic medical record (EMR) systems Reliable transportation, a valid driver's license, and current auto insurance to travel throughout the service area
Alameda Healthcare & Wellness Center

Registered Nurse (RN) Sub Acute

$51 - $56 / hour
Registered Nurse (RN) Sub Acute is a licensed professional nurse directly under the supervision of the Director of Nursing Services. The RN Supervisor is to assist the planning, organizing, developing and directing of nursing service to assure that the highest degree of quality resident care can be maintained at all times. Registered Nurse (RN) Sub Acute QUALIFICATIONS • Graduate of an accredited school of nursing. • Current RN nursing licensure in the state of California. • At least one year of experience in supervision.• Subacute experience required. • Strong qualities of leadership, communication and organizational skills. • Ability to communicate effectively in English through both speech and writing. • Possess mental, emotional and physical health. Registered Nurse (RN) Sub Acute GENERAL DUTIES AND RESPONSIBILITIES: GENERAL • Assure that residents have a clean, safe, orderly and comfortable environment. • Initiate resident Plans of Care on admission. • Assist in implementing recommendations from consultants and the Quality Assurance team as directed by the Director of Nursing Services. • Assist in developing, reviewing, revising an updating resident Plans of Care for individual residents. • Ensure that notification is given to the resident’s attending/alternate physician, as well as the resident’s legal guardian/representative, when the resident becomes critically ill, injured, etc., or has a significant change in condition as outlined within our established policies. • Review complaints and grievances form families and notify the Director of Nursing Services as necessary. • Evaluate emergencies and assist in implementing emergency measures. • Assure that the unit area is maintained in a clean and safe manner for resident comfort and convenience, by ensuring that necessary equipment and supplies are maintained to perform nursing care. • Assist in notification of physician of any resident incidents/unusual occurrences. Ensure that the Accident/Incident Report forms are filled out and completed on all such occurrences and such information charted in the resident’s medical record as outlined in our established policies and procedures. • Assist the Charge Nurse on investigation of alleged abuse or unusual occurrence as outlined within our established policies and procedures. • Start and monitor intravenous medication as ordered. • Assist the Charge Nurse and other nursing personnel in performing nursing procedures as necessary. • Assist the Charge Nurse in admitting, transferring and discharging residents. • Assist in correcting findings and deficiencies from the Department of Health Services, Consultants, and the Quality Assurance Team.• Assist in completing restraint assessments, pain assessments, oral assessments, psychotropic assessments, bowel and bladder assessments and I & O weekly evaluations. • Assure that all nurse’s notes are charted in an informative and descriptive manner that reflects the are provided as well as the resident’s response to the care. • Attend and participate in staff meetings and in-service classes. • Others as may become necessary and appropriate or as may be directed by the Director of Nursing Services or Administrator. SUPERVISION • Make resident rounds to ensure appropriate care is being rendered, identifying and making corrections as necessary. • Meet with nursing personnel to assist in identifying and correcting problem areas and/or the improvement of resident care. • Assist in making rounds with the attending physician as necessary. • Assist the Charge Nurse in revision and distribution of assignments in case of nursing shortage. • Assist in the supervision and direction of nursing personnel. • Participate in disciplinary action and evaluation of nursing personnel. CONSUMER SERVICE • Presents professional image to consumers through dress, behavior and speech. • Adheres to Company standards for resolving consumer concerns. • Ensures that all resident rights are protected.
Sutter Health

Wound Care RN, Home Health

$70.98 - $95.38 / hour
We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Bay Position Overview: The Wound Care Certified RN (WCC) serves as a clinical resource for the interdisciplinary team for patients with complicated wounds and related care issues. The position is a resource for clinical staff, administrative staff, Quality department, and materials management department. Completes wound consults as assigned by Lead WOCN when evaluating wound care patients and develops complex plan of care for wound treatment, prevention and healing modalities. The Team WCC is an integral part of the Wound Care Team at SCAH. Job Description : EDUCATION Other: RN Graduate from an accredited curriculum. EXPERIENCE 2 Minimum of two years of recent home care experience. Direct patient care experience within the past five years required. LICENSURES AND CERTIFICATIONS Registered Nurse - State Licensure - RN Wound Care Certified – WCC OR CWON-Certified Wound Ostomy Nurse OR CWOCN-Certified Wound Ostomy Continence Nurse within 6 months DL-Valid Drivers License: Continence certification recommended Automobile Insurance - INSURANCE Basic Life Support Certification - BLS Other: Current PPD SKILLS AND KNOWLEDGE Exhibits excellent oral and written communication skills: with legible handwriting for documentation of patient records in a clear and concise manner. Basic understanding of home care services, clinical standards of care and practice; must have clinical knowledge and critical thinking ability to effectively plan and provide patient care consistent with the standards and regulations of Title XXII, Medicare Conditions of Participation and CHAP home health accreditation requirements, QI outcomes/benchmarking, infection control; good understanding of reimbursement patterns for Medicare and other payors; good working understanding of budget and other financial reports. Self-starter with a high degree of initiative, motivation, flexibility, energy, and creativity. Ability to form harmonious working relationships with internal and external customers. Demonstrated leadership and negotiation skills and the ability to manage resources for patient care in a cost effective manner. Excellent collaborative and problem solving skills with customers and management. Ability to exercise independent sound judgment in planning and providing patient care. Demonstrated ability in physical, psychosocial, and environmental assessment skills and in implementing plan of treatment. Excellent organizational skills. Administers skilled nursing patient care in a home or assisted living environment; following written or oral instructions; assists patients in walking and transfer from bed to chair and in patient positioning. Must be able to remain sedentary for approximately 50% of the day, maneuver around objects, climb stairs and/or work in relatively small spaces, bend over or stretch as necessary in care provision, operate telephone and manipulate small clerical items (e.g. paperclips, staples, etc.); ability to raise, lower, or transfer objects and supplies from one level to another; transport an object usually by hands, arms or shoulders; ability to bend, stoop, twist and lift and transfer up to 50 pounds in patient care. Must be able to meet company productivity standards as indicated by organization and manager. Must be able to hear, read, write, and speak clearly to effectively communicate with department staff, other Sutter Care at Home employees and community, and carryout essential functions. Must be able to handle sensitive issues, conflict with or among others, respectively direct and reinforce staff efforts; effectively plan and organize and prioritize work, think critically to both effectively plan and organize department operations consistent with Sutter Care at Home’s strategic and operating objectives and to effectively solve unique problems as they arise or identify when to consult supervisor. Must be able to deal with challenging work environment with time demands and occasional conflicting priorities. Maintain a positive and professional image and demonstrate self-directed learning to meet professional development and/or license requirements. Is responsible for maintaining all required licensure and certifications. At orientation and annually thereafter, must be able to meet Sutter Care at Home core competencies for position and area of specialty, as appropriate. Must have reliable transportation. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: As Needed Benefits: Yes Unions: Yes Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $70.98 to $95.38 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
County of Santa Clara

Clinical Nurse III - Emergency Department

$190,948.16 - $255,927.36 / year
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. Clinical Nurse III - Emergency Positions available in the Emergency units at each hospital include: O'Connor Hospital - Emergency Department Regional Medical Center - Emergency Department St. Louise Regional Hospital - Emergency Department Valley Medical Center - Emergency Department 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 Emergency or Intensive Care 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): o Basic Life Support Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s): o Advanced Cardiac Life Support (ACLS) o Pediatric Advance Life Support (PALS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. 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! Santa Clara Valley Healthcare (SCVH) is the second largest public health care system in California and includes four acute care hospitals, 14 clinics and 60+ specialty and sub-specialty services. Our mission is to provide high-quality, accessible healthcare and excellent service to everyone in Santa Clara County. Because we serve patients throughout multiple hospitals and clinics, you may have to work at different sites. We will meet any obligations we may have when this occurs. Santa Clara Valley Medical Center - SCVMC is a full-service tertiary acute care teaching hospital with 699 licensed beds providing a wide range of specialized services, including Rehabilitation, Burn, Trauma, and NICU. SCVMC was ranked by U.S. News and World Report as #6 Rehabilitation Hospital in the nation and #1 in the West and designated as a 2024 High Performing hospital for Maternity Care, Heart Failure, Stroke, Hip Fracture, and Pneumonia. O'Connor Hospital - O'Connor Hospital (OCH) is a 358 licensed bed acute care facility offering a full range of inpatient and outpatient medical, surgical and specialty programs to residents of Santa Clara County. It was founded in 1889 as one of the first hospitals in the county. OCH has grown significantly over the past five years in both its inpatient volume and its Emergency Department visits. Along with these volume increases other ancillary and clinical departments like imaging, lab, pharmacy, and respiratory have seen growth as well. St. Louise Regional Hospital - Since 1989, St. Louise Regional Hospital (SLRH) has been caring for the residents in Santa Clara and San Benito Counties, offering a wide range of inpatient and outpatient medical specialties. SLRH has 93 beds, is a Designated Primary Stroke Center, and is the only acute care hospital in the area. Located in Gilroy, SLRH maintains a CALSTAR 2 emergency helicopter base on the premises. Regional Medical Center – Regional Medical Center (RMC) is a 265-bed hospital that is the main emergency healthcare provider for East San José, treating a wide range of critical and life-threatening conditions for more than 60 years. Since the SCVH integration of RMC effective 4/1/25, RMC has expanded the critical services including Level II trauma, Thrombectomy capable Stroke Center and STEMI care, and has been seeing an increased number of emergency visits and inpatient volume. Learn more about 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 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. 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): o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s): o Advance Cardiovascular Life Saving Certification (ACLS) o Pediatric Advance Life Support (PALS) 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. 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.
County of Santa Clara

Per Diem Clinical Nurse - Emergency Department

$242,172.32 - $306,192.64 / year
Under general supervision, incumbents provide care to patients in a structured environment. Per Diem Clinical Nurse initiate and perform established nursing interventions utilizing current clinical knowledge. Per Diem Clinical Nurse would acquire the qualifications listed for this position by possessing a valid California Registered Nurse license and at least 1 year of recent acute care experience. Specialty skills required to work in specialty areas. Positions available in units at each hospital include: O'Connor Hospital - Emergency Department Regional Medical Center - Emergency Department St. Louise Regional Hospital - Emergency Department Valley Medical Center - Emergency Department Valley Medical Center - Express Care Per Diem Clinical Nurse are appointments to non-permanent positions established to meet peak load or other unusual work situations. Per Diem Clinical Nurses are required to be available to work at least six (6) 8 hours shifts a month, two of which are weekend shifts (if applicable). PD nurses hired into shifts longer than eight (8) hours are required to be available to work at least four (4) shifts a month, two of which shall be weekend shifts (if applicable). Four (4) weekend shifts per month may be approved as an alternate schedule to the eight shifts per month work requirement. Per Diem Clinical Nurses must be available to work one of the 3 major Winter holidays. When assigned and worked, Per Diem nurses shall be paid at time and one half for all hours worked on two of the three major holidays as note above. The Power of WE : Together, we can make a greater impact. Bringing better care and expanding healthcare services across the community. Santa Clara Valley Healthcare (SCVH) is the second largest public health care system in California and includes three acute care hospitals, 14 clinics and 60+ specialty and sub-specialty services. Our mission is to provide high-quality, accessible healthcare and excellent service to everyone in Santa Clara County. Santa Clara Valley Healthcare (SCVH) is the second largest public health care system in California and includes three acute care hospitals, 14 clinics and 60+ specialty and sub-specialty services. Our mission is to provide high-quality, accessible healthcare and excellent service to everyone in Santa Clara County. Because we serve patients throughout multiple hospitals and clinics, you may have to work at different sites. We will meet any obligations we may have when this occurs. Santa Clara Valley Medical Center - SCVMC is a full-service tertiary acute care teaching hospital with 699 licensed beds providing a wide range of specialized services, including Rehabilitation, Burn, Trauma, and NICU. SCVMC was ranked by U.S. News and World Report as #6 Rehabilitation Hospital in the nation and #1 in the West and designated as a 2024 High Performing hospital for Maternity Care, Heart Failure, Stroke, Hip Fracture, and Pneumonia. O'Connor Hospital - O'Connor Hospital (OCH) is a 358 licensed bed acute care facility offering a full range of inpatient and outpatient medical, surgical and specialty programs to residents of Santa Clara County. It was founded in 1889 as one of the first hospitals in the county. OCH has grown significantly over the past five years in both its inpatient volume and its Emergency Department visits. Along with these volume increases other ancillary and clinical departments like imaging, lab, pharmacy, and respiratory have seen growth as well. St. Louise Regional Hospital - Since 1989, St. Louise Regional Hospital (SLRH) has been caring for the residents in Santa Clara and San Benito Counties, offering a wide range of inpatient and outpatient medical specialties. SLRH has 93 beds, is a Designated Primary Stroke Center, and is the only acute care hospital in the area. Located in Gilroy, SLRH maintains a CALSTAR 2 emergency helicopter base on the premises. Regional Medical Center – Regional Medical Center (RMC) is a 265-bed hospital that is the main emergency healthcare provider for East San José, treating a wide range of critical and life-threatening conditions for more than 60 years. Since the SCVH integration of RMC effective 4/1/25, RMC has expanded the critical services including Level II trauma, Thrombectomy capable Stroke Center and STEMI care, and has been seeing an increased number of emergency visits and inpatient volume. Learn more about Santa Clara Valley Healthcare: https://www.scvh.org/home and follow us on: LinkedIn | www.linkedin.com/company/county-of-santa-clara/ Facebook | www.facebook.com/sccjob Instagram | www.instagram.com/sccjobs/ Newsletter Subscription | Sign Up 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. 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. 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.