Comprehensive Care Nurse II - Juvenile Health Services

COMPREHENSIVE CARE NURSE II (Registered Nurse)

Juvenile Health Services – County of Orange Health Care Agency

• Bilingual Pay: $0.70 per hour for all hours paid.
• Night Shift Differential: differential for each hour worked on the night shift.
• Nurse Retention: $1,000 one‑time lump‑sum incentive within 2 pay periods after completing probation.
• New Hire Incentive: 3% of annual base salary after completing 10,400 service hours (approximately 5 years).
• Jail Supplement: $1.50 per hour for employees assigned to adult or juvenile correctional facilities.

• Perform nursing assessments and obtain patient histories relative to current complaints, physical or emotional illness, past medical history, familial and social history.
• Perform comprehensive nursing assessments and refer to higher level of care as necessary (e.g., Pediatrician, Nurse Practitioner, on‑call providers, or off‑site referrals).
• Obtain and interpret vital signs: temperature, blood pressure, pulse, respiration, and pain scale assessment.
• Implement standardized nursing protocols.
• Conduct youth sick call.
• Administer treatments, drugs, medications, and immunizations as prescribed by clinicians or nursing protocol.
• Review and maintain accurate and concise patient medical records; observe, identify, interpret documents and data, and report changes in patient conditions; monitor outcomes.
• Document in Subjective‑Objective‑Assessment‑Plan (SOAP) or narrative format within electronic health record.
• Dress minor wounds and injuries.
• Perform venipuncture and other laboratory testing.
• Respond to medical or psychiatric emergencies within the facility.
• Provide guidance, education, and counseling to patients and/or family regarding health or mental health issues.
• Perform patient releases and assist in discharge planning and transfer to other facilities to ensure continuity of care.
• Participate in staff development and educational programs to maintain professional competency.
• Perform other work as assigned.

Experience in pediatric or adolescent nursing is highly preferred but not required.

• Provide routine and emergency nursing services to pediatric/adolescent population according to State and Federal Standards.
• Knowledge of Title 15, Title 22, and National Commission on Correctional Health Care (NCCHC) standards to ensure nursing services are rendered according to community standards and JHS policies and procedures.
• Knowledge of common medical and mental health complaints of youth, including substance use disorders and complications, MOUD, anxiety, depression, chronic illness, diabetes, asthma, seizure disorders, etc.
• Ability to assess and treat clients with complex medical and/or mental health related chronic illnesses.
• Perform triage and assessment competently.
• Make sound clinical nursing decisions.
• Use technology and other healthcare related systems effectively.

• Reduce correctional‑related or dependent care‑related liability risks by complying with Federal, State laws and mandated standards.
• Be aware of environmental hazards while working inside the facility.
• Be alert and aware of personal safety and security while providing care and/or treatment to medical and mental health clients.

• Work effectively in a changing and stressful environment, and adjust as necessary.
• Develop resiliency by maintaining energy and tenacity.
• Continuously provide compassionate care while fulfilling nursing responsibilities.
• Effectively and efficiently manage multiple clients needing triage.

• Work collaboratively and communicate professionally at all times.
• Establish and maintain cooperative working relationships with patients, peers, supervisors, and managers.

• Applicants must not have felony convictions or be on any form of probation.
• Must be able to pass and maintain background investigation to the satisfaction of the Orange County Probation Department (includes personal history form, interview, fingerprinting, and possible polygraph).
• Employees must be able to work weekends, evenings, night shifts, holidays, and may need to provide on‑call coverage as this is a 24‑hour, 7‑day operation.

Minimum qualifications are available here.

Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply.