University of Southern California (USC)
RN Clinical - 4S Cardiovascular ICU - Full Time 12 Hour Nights (Non-Exempt) (Uni
University of Southern California (USC), Los Angeles, California, United States, 90079
As an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. The Registered Nurse is accountable for the coordination of patient care and education to the patient and family in accordance with the standards, policies, and practices in a compassionate, supportive, and therapeutic environment.
Essential Duties
Follows policies and procedures; demonstrates ability to access online manuals. Transfers learned scientific knowledge into practical application in applying the Nursing Process. ASSESSMENT Interprets the Nursing Assessment upon patient admission, at each shift and with change of condition. Completes patient acuity by 0200/1400 daily. DIAGNOSIS Interprets assessment information and formulates Nursing Diagnoses. PLAN Develops Plans of Care with individualized interventions. Documents expected/projected patient outcomes. Reviews/Revises/Updates Plans of Care daily based on evaluation of patient outcomes. INTERVENTION Administers medication and IV therapy appropriately at prescribed intervals. Completes patient care procedures correctly per policy at prescribed intervals. Delegates tasks based on others scope of practice and competency. Acts as patient advocate. Manages restraint use per policy. Attempts alternative non-restraint measures first. Assures complete MD order per policy. Ensures MD assessment per policy. Ensures patient monitoring per policy. Ensures Restraint Audit Form is completed each shift. DOCUMENTATION Documentation is complete and correct on all necessary flow sheets and chart forms: Admission Assessment, Pain scale assessment and reassessment before and after intervention, Daily flow sheet, Restraint flow sheet, Diabetes flow sheet, Educational flow sheet, Kardex, Care Plan, Risk Assessment & Reassessment upon Fall, MAR, Equipment & Supplies, Intra and Inter Facility Transfer Forms, Belonging Tracking Form. Ensures orders are transcribed and signed off prior to the end of the shift. Completes 12h/24h chart checks. EDUCATION Provides patient/family education as needed: Room/unit orientation, Plan of Care; Identifies knowledge deficits related to diagnoses and care. Uses and provides MICROMEDEX information to patients and families. TRANSFER & DISCHARGE Collaborates with Case Manager and/or physician regarding discharge planning. Ensures all transfer paperwork is completed. Ensures belongings are sent with patient. EQUIPMENT Utilizes patient care equipment appropriately and safely according to manufacturer guidelines: IV pump, Feeding pump, PCA pump, Epidural pump, Sequential compression device, Wound VAC, Heating pad/pump. COMMUNICATION Communicates effectively with all members of the healthcare team including patient and family: Shift to shift report, Physician rounds, Patient/family interactions, MDP rounds, Hand-off reports, Facility email, Student/New employee/Contract employee. ORGANIZATION Manages time effectively. Able to organize and prioritize responsibilities. Takes meal breaks without incurring overtime. Completes shift on time. OBSERVES REGULATORY AGENCY REQUIREMENTS: National Patient Safety Goals, patient identifiers, unapproved abbreviations, Universal Protocol (Procedural Time Out), Hand-Off, Medication Reconciliation, Clinical Alarms, Hazardous waste management, Biohazard, Sharps, HIPAA, OSHA requirements (i.e. no food or drink in clinical areas), JCAHO continuous survey readiness, Core medical safety practices. MANAGEMENT OF THE CARE OF MEDICAL SURGICAL PATIENTS (6N) Includes management of patients with THA, TKA, spinal surgery, isolation precautions for CF patients, transplant recipients, hepatic encephalopathy protections. MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S (ICU) Demonstrates management of complex critically ill patients and advanced therapeutic modalities (e.g., hemodynamic monitoring, CRRT, ICP monitoring, VADs, etc.). MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS Demonstrates management of high acuity patients with ventilator care, arterial/CVP lines, VADs, lumbar drains, etc. MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS Initiates and terminates dialysis per policy; completes pre-treatment checks and documentation; communicates treatment plan to patient. MANAGEMENT OF THE CARE OF THE PSYCHIATRIC PATIENT Engages patients therapeutically; maintains therapeutic milieu; assesses safety; manages treatment planning and documentation; adheres to legal status and reporting requirements. BEHAVIORAL RESTRAINTS Uses de-escalation techniques; applies restraints when appropriate; monitors safety; ensures physician assessment within specified timeframes; completes debriefing after incidents. QUALITY MEASURES Identifies Core Measure criteria and participates in related documentation and data collection for quality improvement. PROFESSIONAL DEVELOPMENT Participates in professional hospital/nursing activities and committees. BONUS POINTS May include preceptor role, certifications, and recognition awards as described. Performs other related duties as assigned. Required Qualifications
Req Bachelors Degree in Nursing (BSN) or equivalent. Grandfathered from BSN if hired prior to 12/2019. Req Specialized/technical training; graduate from an accredited school of Nursing. Req 1 year acute inpatient hospital experience as RN. Req Excellent communication skills in English (spoken and written). Req Knowledge of medical procedures and conditions, including ability to perform duties per policies, regulations and procedures. Req Commitment to excellence in patient care and customer service. Req Ability to work independently with minimal direction. Preferred Qualifications
Pref Specialty Certification Required Licenses/Certifications
Req Registered Nurse (CA Board of Registered Nursing). Req Basic Life Support (BLS) Healthcare Provider, American Heart Association. Req Advanced Cardiovascular Life Support (ACLS) Healthcare Provider, American Heart Association. Req Fire Life Safety Training (LA City); must obtain within 30 days of hire and maintain by renewal before expiration (where applicable). Hourly rate range for this position is $44.00 - $95.00. USC considers factors such as position scope, experience, education, skills, and market considerations when extending offers. Quick Apply Link:
https://usccareers.usc.edu/job/-/-/1209/86443061744
#J-18808-Ljbffr
Follows policies and procedures; demonstrates ability to access online manuals. Transfers learned scientific knowledge into practical application in applying the Nursing Process. ASSESSMENT Interprets the Nursing Assessment upon patient admission, at each shift and with change of condition. Completes patient acuity by 0200/1400 daily. DIAGNOSIS Interprets assessment information and formulates Nursing Diagnoses. PLAN Develops Plans of Care with individualized interventions. Documents expected/projected patient outcomes. Reviews/Revises/Updates Plans of Care daily based on evaluation of patient outcomes. INTERVENTION Administers medication and IV therapy appropriately at prescribed intervals. Completes patient care procedures correctly per policy at prescribed intervals. Delegates tasks based on others scope of practice and competency. Acts as patient advocate. Manages restraint use per policy. Attempts alternative non-restraint measures first. Assures complete MD order per policy. Ensures MD assessment per policy. Ensures patient monitoring per policy. Ensures Restraint Audit Form is completed each shift. DOCUMENTATION Documentation is complete and correct on all necessary flow sheets and chart forms: Admission Assessment, Pain scale assessment and reassessment before and after intervention, Daily flow sheet, Restraint flow sheet, Diabetes flow sheet, Educational flow sheet, Kardex, Care Plan, Risk Assessment & Reassessment upon Fall, MAR, Equipment & Supplies, Intra and Inter Facility Transfer Forms, Belonging Tracking Form. Ensures orders are transcribed and signed off prior to the end of the shift. Completes 12h/24h chart checks. EDUCATION Provides patient/family education as needed: Room/unit orientation, Plan of Care; Identifies knowledge deficits related to diagnoses and care. Uses and provides MICROMEDEX information to patients and families. TRANSFER & DISCHARGE Collaborates with Case Manager and/or physician regarding discharge planning. Ensures all transfer paperwork is completed. Ensures belongings are sent with patient. EQUIPMENT Utilizes patient care equipment appropriately and safely according to manufacturer guidelines: IV pump, Feeding pump, PCA pump, Epidural pump, Sequential compression device, Wound VAC, Heating pad/pump. COMMUNICATION Communicates effectively with all members of the healthcare team including patient and family: Shift to shift report, Physician rounds, Patient/family interactions, MDP rounds, Hand-off reports, Facility email, Student/New employee/Contract employee. ORGANIZATION Manages time effectively. Able to organize and prioritize responsibilities. Takes meal breaks without incurring overtime. Completes shift on time. OBSERVES REGULATORY AGENCY REQUIREMENTS: National Patient Safety Goals, patient identifiers, unapproved abbreviations, Universal Protocol (Procedural Time Out), Hand-Off, Medication Reconciliation, Clinical Alarms, Hazardous waste management, Biohazard, Sharps, HIPAA, OSHA requirements (i.e. no food or drink in clinical areas), JCAHO continuous survey readiness, Core medical safety practices. MANAGEMENT OF THE CARE OF MEDICAL SURGICAL PATIENTS (6N) Includes management of patients with THA, TKA, spinal surgery, isolation precautions for CF patients, transplant recipients, hepatic encephalopathy protections. MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S (ICU) Demonstrates management of complex critically ill patients and advanced therapeutic modalities (e.g., hemodynamic monitoring, CRRT, ICP monitoring, VADs, etc.). MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS Demonstrates management of high acuity patients with ventilator care, arterial/CVP lines, VADs, lumbar drains, etc. MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS Initiates and terminates dialysis per policy; completes pre-treatment checks and documentation; communicates treatment plan to patient. MANAGEMENT OF THE CARE OF THE PSYCHIATRIC PATIENT Engages patients therapeutically; maintains therapeutic milieu; assesses safety; manages treatment planning and documentation; adheres to legal status and reporting requirements. BEHAVIORAL RESTRAINTS Uses de-escalation techniques; applies restraints when appropriate; monitors safety; ensures physician assessment within specified timeframes; completes debriefing after incidents. QUALITY MEASURES Identifies Core Measure criteria and participates in related documentation and data collection for quality improvement. PROFESSIONAL DEVELOPMENT Participates in professional hospital/nursing activities and committees. BONUS POINTS May include preceptor role, certifications, and recognition awards as described. Performs other related duties as assigned. Required Qualifications
Req Bachelors Degree in Nursing (BSN) or equivalent. Grandfathered from BSN if hired prior to 12/2019. Req Specialized/technical training; graduate from an accredited school of Nursing. Req 1 year acute inpatient hospital experience as RN. Req Excellent communication skills in English (spoken and written). Req Knowledge of medical procedures and conditions, including ability to perform duties per policies, regulations and procedures. Req Commitment to excellence in patient care and customer service. Req Ability to work independently with minimal direction. Preferred Qualifications
Pref Specialty Certification Required Licenses/Certifications
Req Registered Nurse (CA Board of Registered Nursing). Req Basic Life Support (BLS) Healthcare Provider, American Heart Association. Req Advanced Cardiovascular Life Support (ACLS) Healthcare Provider, American Heart Association. Req Fire Life Safety Training (LA City); must obtain within 30 days of hire and maintain by renewal before expiration (where applicable). Hourly rate range for this position is $44.00 - $95.00. USC considers factors such as position scope, experience, education, skills, and market considerations when extending offers. Quick Apply Link:
https://usccareers.usc.edu/job/-/-/1209/86443061744
#J-18808-Ljbffr