Clinical Nurse III – Emergency

The County of Santa Clara - County-Wide Recruitment
July 27, 2022
Santa Clara, CA
Job Type



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 ot 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.

Clinical Nurse III- Emergency
Positions available in the Emergency units at each hospital include:
O'Connor Hospital - Emergency Department
St. Louise Regional Hospital - Emergency Department
Valley Medical Center - Emergency Department
Valley Medical Center - Express Care

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 – Higher 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.

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Typical Tasks


  • Analyzes and validates data taken from interview of patients for common relationships, revises assessments based on patient behaviors and conceptual view of individuals;
  • 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
    • Collaborating with physicians and other health 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.


  • Identifies patient care problems, establishes priorities and develops individual patient plan of care based on nursing and medical diagnosis;
  • Plans strategies for solving patient care problems with other members of the health team;
  • Involves the 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
  • Health practices related to maintenance of wellness/prevention of disease
  • 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;


  • Evaluates patient response to care and utilizes this information to re-assess and revise plan of care;
  • As a clinical partner:
    • Evaluates orientee, student or staff's ability to perform critical nursing procedures;
    • Evaluates orientee, student, staff's decision-making abilities in adapting policy and procedures to the clinical setting;
    • Evaluates documentation of patients response to care;
    • Evaluates and adapts policies, procedures and standards.

Employment Standards

Possession of the legal requirements to practice as a Registered Nurse as determined by the California Board of Registered Nursing and sufficient experience to enable a candidate to demonstrate possession of the qualifications necessary to successfully perform the typical tasks noted above. This class has a nine-month probationary period.

Experience Note: A candidate would typically acquire the experience necessary to successfully perform at this level through at least three to four years of progressively responsible acute clinical experience.

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