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University of Southern California

RN Clinical - 6 S Telemetry - Full Time 12 Hour Nights (Non-Exempt) (Union)

University of Southern California, Glendale, California, us, 91222

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RN Clinical - 6 S Telemetry - Full Time 12 Hour Nights (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. 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. 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 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. 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, Other Hazardous waste management, Biohazard, Medication, Sharps, HIPAA, OSHA requirements, JCAHO - continuous survey readiness, Critical Values (write down, read back, follow up), Telephone orders, Documentation requirements, Logging, Safety 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 (6S), isolation precautions for CF, hepatic encephalopathy, and related care. MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S: Demonstrates ability to manage complex critically ill patients; includes neurosurgery, thoracic, liver/kidney/pancreas transplants, open heart, heart and lung transplants; hemodynamic monitoring; CRRT, ventilatory support, intracranial pressure monitoring, VADs. MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS: Manages high-acuity patients requiring specialized monitoring and care; includes post-transplant, thoracic-for-gut, bypass, and other complex cases; ventilator care and lines. MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS TREATMENT: Initiates, performs and terminates dialysis per policy; communicates with physicians; complete documentation; pre-treatment safety checks. MANAGEMENT OF THE CARE OF THE PSYCHIATRIC PATIENT: Engages patients, maintains milieu, assesses safety, treatment planning, and documentation; administers psychotropic medications with proper consent and records. BEHAVIORAL RESTRAINTS: Applies de-escalation techniques and restraints per policy; ongoing patient safety monitoring; physician assessment within 1 hour of application and every 8 hours thereafter; debriefing as appropriate. QUALITY MEASURES: Identifies Core Measure criteria, documents, and participates in data collection and process improvement. PROFESSIONAL DEVELOPMENT: Participates in professional activities and committees, unit projects, and related development activities. BONUS POINTS: Preceptor, certifications, CE hours, recognitions, and other incentives as outlined. Performs other related duties as assigned. Required Qualifications

Req Bachelor's Degree Nursing Degree in Nursing (BSN) - Grandfathered from BSN if hired prior to 12/2019. Req 1 year Acute inpatient hospital experience in the United States Req Excellent communication skills in English (speaking, reading, writing). Req Knowledge of medical procedures and conditions; ability to perform duties including blood collection and apheresis in accordance with policies and procedures. Req Committed to excellence in patient care and customer service. Req Ability to work independently with minimal direction and supervision. Preferred Qualifications

Pref Specialty Certification. Required Licenses/Certifications

Req Registered Nurse - RN (CA Board of Registered Nursing). Req Basic Life Support (BLS) Healthcare Provider from American Heart Association. Req Advanced Cardiovascular Life Support (ACLS) Healthcare Provider from American Heart Association (Required for Intensive Care, Step-down, and Telemetry). Req Fire Life Safety Training (LA City). If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date (Required within LA City only). The hourly rate range for this position is $44.00 - $95.00. When extending an offer of employment, the University of Southern California considers factors such as the scope and responsibilities of the position, the candidate\'s work experience, education/training, key skills, internal peer equity, and legal/commercial considerations.

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