Staff Nurse V - Assistant Nursing Department Manager-Inpatient (#RH1106)
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$63.80-$77.54 Hourly / $11,058.67-$13,440.27 Monthly / $132,704.00-$161,283.20 Yearly

Under general supervision, performs responsible supervision, advanced level, and highly skilled professional nursing care and treatment of the physically and/or mentally ill; assists in the management of either an inpatient or outpatient nursing unit; and does related or other work as required in accordance with Rule 3, Section 3 of the Civil Service Rules.

This is the assistant manager-level class in the Staff Nurse series. In an inpatient setting, employees have full supervisory responsibility for a nursing service unit or units during a shift. Employees assist the Nursing Department Manager in assessing total patient needs, evaluating performance of staff and coordinating the unit with other hospital divisions or services. They assume full responsibility for management of the unit in the Manager’s absence. In an outpatient setting, employees function as a second-level supervisor, or have full supervisory responsibility for an especially large and/or complex clinic, program or service.

• Supervises staff and assists with management of the unit or units; assists in planning and implementing staff schedules; assists in assigning work to professional, para-professional and technical staff in order to best utilize the skills of personnel and to maintain a high quality of patient care; evaluates performance of and disciplines assigned personnel, including subordinate supervisory staff; participates in the selection of new employees.
• Supervises staff and assists with management of the unit or units; assists in planning and implementing staff schedules; assists in assigning work to professional, para-professional and technical staff in order to best utilize the skills of personnel and to maintain a high quality of patient care; evaluates performance of and disciplines assigned personnel, including subordinate supervisory staff; participates in the selection of new employees.
• Participates in formulating, interpreting and implementing policies, procedures, and standards of nursing care; assists in coordinating the services of the unit with other hospital divisions; may oversee and coordinate insurance billing and reimbursement-related procedures for the unit; may develop and implement various quality control measures; assists with development and maintenance of the department budget.
• Participates in initiating the nursing process and performing clinical patient care, including
  therapeutic measures prescribed by medical authority within the limits of the Nurse Practice Act and department policy; participates in preparation and implementation of written nursing care plans for individual patients.
• Evaluates the total nursing needs of the patient including physical, psychological,
  spiritual, cultural and socio-economic; participates in planning, coordinating and administering total patient care; evaluates symptoms, reactions, and progress.
• Participates with clinical staff in working with patients and families through teaching, counseling, and other methodology in order to help them understand, cope with, and accept illness, treatment, and therapy; assists in self care strategies; may supervise and participate in therapy groups, individual counseling and family conferences as necessary; 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; initiates and completes performance improvement and other studies in cooperation with management.
• Maintains and updates knowledge base and nursing skills by reading literature, attending workshops, lectures, conferences, and classes as may be required by the Administration of the Department of Health Care Services.
• Participates on committees as assigned; may represent the department to outside organizations as assigned.

Experience:  Three years of experience as a registered nurse in an acute care or mental health facility at a level equivalent to a San Joaquin County Staff Nurse III.

Substitution:  Possession of a Bachelor’s Degree in Nursing, Health Science, Business Administration or other closely related field may be substituted for one year of the required experience.

Licenses and Certificates:  Current registration as a nurse in the State of California.

Special Requirements:  (1) Successful completion of a San Joaquin General Hospital in-service or comparable training program in nursing 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.

Theory, practices and techniques of nursing, particularly in area of specialty; current trends and developments in the practice of nursing; goals of patient care; current medical treatment methods, standards, equipment and supplies; nursing staffing patterns; basic principles of management and supervision; leadership skills; safety principles and practices; applicable Federal and State laws as related to patient care.

Assign, supervise, train, assist and evaluate members of a nursing service unit; prepare and maintain records, charts, reports, and statistical data; deal with patients empathetically and respectfully while performing treatments prescribed; instruct patients in self care and preventative health strategies; 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; 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 effectively under pressure; supervise and participate effectively in performance improvement processes; provides and promotes a positive learning environment.

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.

San Joaquin County complies with the Americans with Disabilities Act (ADA) and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions.