Keck Medicine of USC
RN Clinical - 5 W ICU - Full Time 12 Hour Nights (Non-Exempt) (Non-Union)
Keck Medicine of USC, Los Angeles, California, United States, 90079
Overview
RN Clinical - 5 W ICU - Full Time 12 Hour Nights (Non-Exempt) (Non-Union) 2 weeks ago Be among the first 25 applicants Responsibilities
Follows policies and procedures; demonstrates ability to access online manuals. Transfers learned scientific knowledge into practical application in applying the Nursing Process. ASSESSMENT: Appropriately completes 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 and interpretation 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. Ensures 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 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 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 E-mail, Student/New employee/Contract employee. ORGANIZATION: Manages time effectively. Organizes and prioritizes 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, Hand-Off, Medication Reconciliation, Clinical Alarms, Other Hazardous waste management, Biohazard, Medication Sharps, HIPAA, OSHA requirements, JCAHO, continuous survey readiness, Critical Values. Write Down; Read Back; Follow up Telephone order; Appropriate; Documented; Signed, Timed and Dated; Stamped; Entered into unit log. Maintains safe practice in the work environment; Correct body mechanics; Electrical safety; Infection Control Procedures; Hand Washing. MANAGEMENT OF THE CARE OF MEDICAL SURGICAL PATIENTS (6N): Manage patients with THA, TKA, spinal surgery, isolation precautions for CF patients, hepatic encephalopathy precautions. MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S: Manage complex critically ill patients (neurosurgery, thoracic, organ transplants, open heart, etc.). Hemodynamic monitoring, CRRT, ICP monitoring, VADs. MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS: High acuity monitoring and care; Ventilator care; Arterial/CVP lines; VADs; Lumbar drains. MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS TREATMENT: Initiates and terminates dialysis treatments; pre-treatment safety checks; documentation; communication with physicians for orders. MANAGEMENT OF THE PSYCHIATRIC PATIENT: Therapeutic engagement, safety assessments, treatment planning, contraband monitoring, required reporting. BEHAVIORAL RESTRAINTS: De-escalation, restraint/seclusion when needed, monitoring, physician assessment, debriefing. QUALITY MEASURES: Identify Core Measure criteria, complete Core Measure documentation, participate in data collection and process improvements. PROFESSIONAL DEVELOPMENT: Participate in hospital/nursing activities, committees, unit projects, research. BONUS POINTS: Preceptor, professional certifications, CEH, recognitions. Performs other related duties as assigned. Qualifications
Req Bachelor’s Degree in Nursing (BSN) *Grandfathered from BSN if hired prior to 12/2019 Req 1 year acute inpatient hospital experience as RN Pref Surgical Units: ICU and Telemetry experience Req Excellent communication skills in English Req Knowledge of medical procedures, including blood collection and apheresis, per policies Req Committed to excellence in patient care and customer service Req Ability to work independently with minimal direction Licenses & Certifications
Req RN license (CA Board of Registered Nursing) Req BLS Healthcare Provider Req Fire Life Safety Training (LA City) if required within 30 days of hire Req ACLS Healthcare Provider (required for ICU, Step-down, Telemetry; obtain within 180 days if not already held) Pref Specialty Certification Hourly rate range: $44.00 – $95.00. USC considers factors such as scope, experience, education, skills, and market conditions when extending offers. IsExpired status not indicated in the description.
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RN Clinical - 5 W ICU - Full Time 12 Hour Nights (Non-Exempt) (Non-Union) 2 weeks ago Be among the first 25 applicants Responsibilities
Follows policies and procedures; demonstrates ability to access online manuals. Transfers learned scientific knowledge into practical application in applying the Nursing Process. ASSESSMENT: Appropriately completes 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 and interpretation 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. Ensures 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 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 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 E-mail, Student/New employee/Contract employee. ORGANIZATION: Manages time effectively. Organizes and prioritizes 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, Hand-Off, Medication Reconciliation, Clinical Alarms, Other Hazardous waste management, Biohazard, Medication Sharps, HIPAA, OSHA requirements, JCAHO, continuous survey readiness, Critical Values. Write Down; Read Back; Follow up Telephone order; Appropriate; Documented; Signed, Timed and Dated; Stamped; Entered into unit log. Maintains safe practice in the work environment; Correct body mechanics; Electrical safety; Infection Control Procedures; Hand Washing. MANAGEMENT OF THE CARE OF MEDICAL SURGICAL PATIENTS (6N): Manage patients with THA, TKA, spinal surgery, isolation precautions for CF patients, hepatic encephalopathy precautions. MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S: Manage complex critically ill patients (neurosurgery, thoracic, organ transplants, open heart, etc.). Hemodynamic monitoring, CRRT, ICP monitoring, VADs. MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS: High acuity monitoring and care; Ventilator care; Arterial/CVP lines; VADs; Lumbar drains. MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS TREATMENT: Initiates and terminates dialysis treatments; pre-treatment safety checks; documentation; communication with physicians for orders. MANAGEMENT OF THE PSYCHIATRIC PATIENT: Therapeutic engagement, safety assessments, treatment planning, contraband monitoring, required reporting. BEHAVIORAL RESTRAINTS: De-escalation, restraint/seclusion when needed, monitoring, physician assessment, debriefing. QUALITY MEASURES: Identify Core Measure criteria, complete Core Measure documentation, participate in data collection and process improvements. PROFESSIONAL DEVELOPMENT: Participate in hospital/nursing activities, committees, unit projects, research. BONUS POINTS: Preceptor, professional certifications, CEH, recognitions. Performs other related duties as assigned. Qualifications
Req Bachelor’s Degree in Nursing (BSN) *Grandfathered from BSN if hired prior to 12/2019 Req 1 year acute inpatient hospital experience as RN Pref Surgical Units: ICU and Telemetry experience Req Excellent communication skills in English Req Knowledge of medical procedures, including blood collection and apheresis, per policies Req Committed to excellence in patient care and customer service Req Ability to work independently with minimal direction Licenses & Certifications
Req RN license (CA Board of Registered Nursing) Req BLS Healthcare Provider Req Fire Life Safety Training (LA City) if required within 30 days of hire Req ACLS Healthcare Provider (required for ICU, Step-down, Telemetry; obtain within 180 days if not already held) Pref Specialty Certification Hourly rate range: $44.00 – $95.00. USC considers factors such as scope, experience, education, skills, and market conditions when extending offers. IsExpired status not indicated in the description.
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