Trauma Nurse Clinician - Staff Nurse IV Inp - Per Diem

This recruitment is being conducted to fill per diem position(s) in San Joaquin General Hospital's Trauma Department. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing deadline.

San Joaquin General Hospital is designated as a Level III Trauma Center. The Trauma Nurse Clinician coordinates the care of trauma patients in the emergency room, and assists and monitors the care of the patient through the hospital continuum of care. The position also coordinates care with various disciplines and ensures that protocols, processes, and care are implemented for the trauma patient. The Trauma Nurse applies knowledge of the nursing process to trauma patients to ensure appropriate care.

To learn more about San Joaquin General Hospital, please visit: www.sjgeneral.org

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.

Initiates the trauma nursing process and performs advanced level clinical patient care, including complex and difficult therapeutic measures prescribed by medical authority within the limits of Nurse Practice Act and department policy.

Continuously monitors trauma bays to ensure readiness of equipment and supplies. Follows-up and coordinates with other departments to ensure support is provided to ensure readiness of trauma bays.

Responds to each Trauma Activation immediately upon notification. Assumes responsibility for patient by receiving report from Mobile Intensive Care Nurse (MICN) and determines if acitivation level is appropriate. Identifies and prepares essential staff for incoming trauma cases. Monitors sound levels to ensure patient status and care is accurately communicated.

Oversees initial resuscitation of trauma patient, ensures scribe accurately, and completely documents the assessment of the patient. Reviews and ensures other required documentation is complete and accurate. May assist in the resuscitation of patients.

Initiates and oversees all aspects of trauma patient care. As required, coordinates call of Operating Room staff. Monitors proper access of Massive Transfusion Protocol (MTP) refrigerator and ensures blood units are scanned and monitored. Ensures patient receives medication for pain, antibiotics, and other required interventions.

Coordinates care with medical staff and ensures appropriate monitoring of patient based on severity of trauma. Maintains readiness of staff and monitors patient care by accompanying patient throughout the hospital. Follows and accompanies patient's movements, e.g. to ancillary services for testing and diagnostics.

Coordinates with other hospital staff to ensure ongoing assessment of patient by other staff and that documentation of trauma patient care is complete and accurate. Follows patients to operating room and assists if required. Monitors blood usage. Responds to Post Anesthesia Care Staff (PACU) to assist with continued resuscitation, as needed. Coordinates post care with Intensive Care Unit (ICU) and may assist with recovery of patient in ICU. Monitors patient until adequate staff is available to care for patient in ICU.

Rounds on trauma patients and ensures that all orders written have been carried out and documented in logs and other records. Determines status of discharge planning and follows up with appropriate staff.

Participates in Performance Improvement by checking for needed audits. Audits patient care records identified through the PI process and makes notes for the Trauma Program Director (TPD) and Trauma Medical Director (TMD).

As required assists Emergency Department by providing professional registered nurse duties. Serves as a resource in house and responds with Nursing Supervisor, if needed, to help assess, stabilize, or help Rapid Resonse Team.

Maintains and updates knowledge base and nursing skills by reading literature, attending workshops, lectures, conferences, and classes as may be required.

Participates on committees as assigned.

Prepares and presents, within established guidelines, clinical projects as assigned.

Note:  Supplemental application must be submitted with employment application.

Either I

Experience:  Two years of progressively responsible advanced critical care registered nursing experience in a high volume (a minimum of 2500 ER visits per month) Emergency Department, Intensive Care Unit, PACU (Recovery Room), or as a Flight Nurse or Trauma Nurse Clinician.

Certification: Possession of 1) Current Advance Cardiac Life Support (ACLS) and BLS certification, 2) A certificate of completion of Trauma Nurse Core Curriculm (TNCC) and 3) Pediatric Life Support (PALS) or Emergency Nurse Pediatric Course (ENPC).

OR II

Education: Possession of a Bachelor's Degree in Nursing, Health Science, or closely related field.

Experience: One year of progressively responsible advanced critical care registered nursing experience in a high volume (a minimum of 2500 ER visits per month) Emergency Department, Intensive Care Unit, PACU (Recovery Room), or as a Flight Nurse or Trauma Nurse Clinician.

Certification: Possession of 1) Current Advance Cardiac Life Support (ACLS) and BLS certification, 2) A certificate of completion of Trauma Nurse Core Curriculum (TNCC) and 3) Pediatric Life Support (PALS) or Emergency Nurse Pediatric Course (ENPC).

AND

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

Special Requirements: Must successfully complete the Emergency Medical Services Agency (SJEMSA) Mobile Intensive Care Nurse (MICN) AND Trauma Care after Resuscitation Course (TCAR) or Transport Nurse Advanced Trauma Course (TNATC) within one year from date of employment with San Joaquin General Hospital. 

Demonstrate in depth knowledge of resuscitation and care of critically injured patients; theory, techniques, and practices of trauma nursing; new developments in patient care, particularly in area of trauma; skills specific to clinical scope of practice; the nursing process; health care safety principles and practices.

Ability to show initiative, work effectively, and collaboratively with hospital staff; ability to be self directed and work well under pressure, meet deadlines and use judgement in balancing work priorities; demonstrate proficiency with continuous bedside monitoring and telemetry, vasoactive medications, hemodynamic monitoring and pressure lines, as well as patients receiving mechanical ventilation; maintain accurate records and prepare routine reports; accurately follow oral and written instructions of technical and professional nature; coordinate the care of the trauma patient with other disciplines and the family.

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.

Applicants for part-time and temporary recruitments who meet the minimum qualifications are either referred to the hiring department for further selection or they may be required to take a written examination.  If a written examination is given, the top candidates may be referred to the hiring department for further selection.

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. 

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.

Employment of Relatives: Applicants who are relatives of employees in a department within the 3rd degree of relationship, (parent, child, grandparent, grandchild 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 Heads 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.

Apply Online:       

www.sjgov.org/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 current employment opportunities please call our 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/eeo.