Registered Nurse

The Position

The Board of Supervisors have authorized the following future salary increases:

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.

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.

To find more information on Benefits offered by Contra Costa County, please go to https://www.contracosta.ca.gov/1343/Employee-Benefits

Closing Date/Time: Continuous

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• Contra Costa County Human Resources Department

• 925-655-2100

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