University of Southern California
RN Clinical - 4 S ICU - Full Time 12 Hour Days (Non-Exempt) (Union)
University of Southern California, Glendale, California, us, 91222
RN Clinical - 4 S ICU - Full Time 12 Hour Days (Non-Exempt) (Union)
Keck Medicine of USC Hospital
Los Angeles, California
Overview
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: 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 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 for 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. 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, hand-off, medication reconciliation, clinical alarms, hazardous waste management, biohazard, sharps, HIPAA, OSHA requirements, JCAHO continuous survey readiness, critical values documentation and related workflows, safe work practices, body mechanics, electrical safety, infection control, hand washing. MANAGEMENT OF THE CARE OF MEDICAL-SURGICAL PATIENTS (6N): Demonstrates ability to manage patients with THA, TKA, spinal surgery, isolation precautions for CF, transplant recipients, and related care; maintains safety precautions and skin care as appropriate. MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S: Demonstrates ability to manage complex critically ill patients with applicable specialties and advanced therapeutic modalities (hemodynamic monitoring, CRRT, ICP monitoring, VAD/balloon pumps). MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS: Manages high acuity patients with specialized monitoring and care; includes post-transplant and complex surgical patients and ventilator/hemodynamic support where applicable. MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS TREATMENT: Initiates and terminates dialysis per policy; completes documentation and safety checks; coordinates with physicians for orders. MANAGEMENT OF THE CARE OF THE PSYCHIATRIC PATIENT: Engages patients in therapeutic interactions; maintains therapeutic milieu; assesses safety; participates in treatment planning; adheres to admission and transfer protocols. BEHAVIORAL RESTRAINTS: Applies de-escalation techniques and restraints when appropriate; ensures physician assessment within required windows; documents and debriefs after incidents. QUALITY MEASURES: Identifies patients meeting Core Measure criteria; documents and participates in data collection and process improvements related to Nurse-Sensitive Quality Indicators. PROFESSIONAL DEVELOPMENT: Participates in professional activities, committees and unit projects; supports continuous learning. BONUS POINTS: Preceptor, professional certification, CEH credits, recognition programs as outlined by unit. Performs other related duties as assigned. Required Qualifications
BSN degree or higher from an accredited nursing program (grandfathered BSN if hired prior to 12/2019). Graduate from an accredited school of nursing with specialized/technical training. 1 year acute inpatient hospital RN experience. Excellent communication skills in English (speaking, reading, writing). Knowledge of medical procedures and conditions, including specimen collection and related policy compliance. Commitment to excellence in patient care and customer service. Ability to work independently with minimal direction and supervision. Preferred Qualifications
Required Licenses/Certifications
Registered Nurse (CA Board of Registered Nursing). Basic Life Support (BLS) Healthcare Provider, American Heart Association. Fire Life Safety Training (LA City) or obtain within 30 days of hire and renew as required. Advanced Cardiovascular Life Support (ACLS) Healthcare Provider, American Heart Association. Specialty Certification (preferred). Hourly rate: $44.00 - $95.00. USC considers factors including scope and responsibilities, candidate experience, education, skills, internal equity, laws, contracts, funding, and market considerations when extending offers.
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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: 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 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 for 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. 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, hand-off, medication reconciliation, clinical alarms, hazardous waste management, biohazard, sharps, HIPAA, OSHA requirements, JCAHO continuous survey readiness, critical values documentation and related workflows, safe work practices, body mechanics, electrical safety, infection control, hand washing. MANAGEMENT OF THE CARE OF MEDICAL-SURGICAL PATIENTS (6N): Demonstrates ability to manage patients with THA, TKA, spinal surgery, isolation precautions for CF, transplant recipients, and related care; maintains safety precautions and skin care as appropriate. MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S: Demonstrates ability to manage complex critically ill patients with applicable specialties and advanced therapeutic modalities (hemodynamic monitoring, CRRT, ICP monitoring, VAD/balloon pumps). MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS: Manages high acuity patients with specialized monitoring and care; includes post-transplant and complex surgical patients and ventilator/hemodynamic support where applicable. MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS TREATMENT: Initiates and terminates dialysis per policy; completes documentation and safety checks; coordinates with physicians for orders. MANAGEMENT OF THE CARE OF THE PSYCHIATRIC PATIENT: Engages patients in therapeutic interactions; maintains therapeutic milieu; assesses safety; participates in treatment planning; adheres to admission and transfer protocols. BEHAVIORAL RESTRAINTS: Applies de-escalation techniques and restraints when appropriate; ensures physician assessment within required windows; documents and debriefs after incidents. QUALITY MEASURES: Identifies patients meeting Core Measure criteria; documents and participates in data collection and process improvements related to Nurse-Sensitive Quality Indicators. PROFESSIONAL DEVELOPMENT: Participates in professional activities, committees and unit projects; supports continuous learning. BONUS POINTS: Preceptor, professional certification, CEH credits, recognition programs as outlined by unit. Performs other related duties as assigned. Required Qualifications
BSN degree or higher from an accredited nursing program (grandfathered BSN if hired prior to 12/2019). Graduate from an accredited school of nursing with specialized/technical training. 1 year acute inpatient hospital RN experience. Excellent communication skills in English (speaking, reading, writing). Knowledge of medical procedures and conditions, including specimen collection and related policy compliance. Commitment to excellence in patient care and customer service. Ability to work independently with minimal direction and supervision. Preferred Qualifications
Required Licenses/Certifications
Registered Nurse (CA Board of Registered Nursing). Basic Life Support (BLS) Healthcare Provider, American Heart Association. Fire Life Safety Training (LA City) or obtain within 30 days of hire and renew as required. Advanced Cardiovascular Life Support (ACLS) Healthcare Provider, American Heart Association. Specialty Certification (preferred). Hourly rate: $44.00 - $95.00. USC considers factors including scope and responsibilities, candidate experience, education, skills, internal equity, laws, contracts, funding, and market considerations when extending offers.
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