University of Southern California (USC)
RN Clinical - 7 W ICU - Per Diem 12 Hour Days (Non-Exempt) (Union)
University of Southern California (USC), Los Angeles, California, United States, 90079
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. 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, Hazardous waste management, Biohazard, Medication Sharps, HIPAA, OSHA requirements (e.g., no food or drink in clinical areas), 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): Demonstrates the ability to manage patients with THA (6N), TKA (6N), spinal surgery (6S); maintain isolation precautions, respiratory and nutrition care specific to cystic fibrosis patients (6S); manage medications and maintain protective isolation for abdominal organ transplants (6S); institutes safety precautions and skin care for patients with hepatic encephalopathy. MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S: Demonstrates the ability to manage complex critically ill patients (neurosurgery, thoracic-forgut, gastric bypass, orthopedic, transplants). Demonstrates ability to manage advanced therapeutic modalities including hemodynamic monitoring, CRRT, ventriculostomy, ICP monitoring, VADs, balloon pumps. MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS: Manages high-acuity patients requiring specialized monitoring and care including post-open heart, transplant cases, thoracic-forgut, gastric bypass, neurology, neurosurgery, ventilator care, arterial/venous lines, VADs, lumbar drains. MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS TREATMENT: Initiates, performs and terminates dialysis according to policy and standards. Reviews orders and labs prior to initiating treatments. Informs patient of treatment plan. Completes all documentation. Performs pre-treatment safety checks. Performs machine maintenance per policy. Communicates with physicians about dialysis orders. MANAGEMENT OF THE CARE OF THE PSYCHIATRIC PATIENT: Engages patients in therapeutic interactions; maintains therapeutic milieu; assesses and monitors patient safety; initiates/takes part in treatment planning; monitors locked doors; logs visitors; follows legal status and communicates with agencies as required; administers psychotropic medications only after proper consent and documentation; initiates/debriefs when appropriate. BEHAVIORAL RESTRAINTS: Demonstrates de-escalation techniques; applies restraints when appropriate; monitors patients for safety; ensures physician assessment within 1 hour of restraint and every 8 hours thereafter; obtains physician orders; notifies Manager of incidents; completes debriefing when appropriate. QUALITY MEASURES: Identifies patients meeting Core Measure criteria; completes Core Measure documentation; participates in data collection and process improvements related to Nurse Sensitive Quality Indicators. PROFESSIONAL DEVELOPMENT: Participates in professional hospital/nursing activities, relief charge nursing, committees/councils, hospital teams, unit-based projects, research, publications. BONUS POINTS: Preceptor (5), Professional Certification (5), >8 non-mandatory CEHs (3), USCUH Nurse Week Recognition (5), monthly hospital or unit spirit award, public nursing recognition (3). Performs other related duties as assigned. Qualifications
Required: Bachelor’s Degree in Nursing (BSN) — grandfathered for hires prior to 12/2019 Required: 1 year acute inpatient hospital experience in the United States as a licensed RN Required: Excellent communication skills in English (speaking, reading, writing) Required: Knowledge of medical procedures and conditions; ability to perform duties including whole blood collection and apheresis per policies and procedures Required: Commitment to excellence in patient care and customer service Required: Ability to work independently with minimal direction Licenses and Certifications
Required: Registered Nurse - RN (CA Board of Registered Nursing) Required: Basic Life Support (BLS) Healthcare Provider, American Heart Association Required: Fire Life Safety Training (LA City) or obtain within 30 days of hire (required in LA City) Required: Advanced Cardiovascular Life Support (ACLS) Healthcare Provider, American Heart Association Preferred: Specialty Certification Hourly rate range: $44.00 - $95.00. When extending an offer of employment, USC considers factors such as scope of position, work experience, education/training, key skills, internal peer equity, applicable laws, contractual stipulations, funding, and market considerations. Quick Apply Link: https://usccareers.usc.edu/job/-/-/1209/87790113360
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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. 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, Hazardous waste management, Biohazard, Medication Sharps, HIPAA, OSHA requirements (e.g., no food or drink in clinical areas), 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): Demonstrates the ability to manage patients with THA (6N), TKA (6N), spinal surgery (6S); maintain isolation precautions, respiratory and nutrition care specific to cystic fibrosis patients (6S); manage medications and maintain protective isolation for abdominal organ transplants (6S); institutes safety precautions and skin care for patients with hepatic encephalopathy. MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S: Demonstrates the ability to manage complex critically ill patients (neurosurgery, thoracic-forgut, gastric bypass, orthopedic, transplants). Demonstrates ability to manage advanced therapeutic modalities including hemodynamic monitoring, CRRT, ventriculostomy, ICP monitoring, VADs, balloon pumps. MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS: Manages high-acuity patients requiring specialized monitoring and care including post-open heart, transplant cases, thoracic-forgut, gastric bypass, neurology, neurosurgery, ventilator care, arterial/venous lines, VADs, lumbar drains. MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS TREATMENT: Initiates, performs and terminates dialysis according to policy and standards. Reviews orders and labs prior to initiating treatments. Informs patient of treatment plan. Completes all documentation. Performs pre-treatment safety checks. Performs machine maintenance per policy. Communicates with physicians about dialysis orders. MANAGEMENT OF THE CARE OF THE PSYCHIATRIC PATIENT: Engages patients in therapeutic interactions; maintains therapeutic milieu; assesses and monitors patient safety; initiates/takes part in treatment planning; monitors locked doors; logs visitors; follows legal status and communicates with agencies as required; administers psychotropic medications only after proper consent and documentation; initiates/debriefs when appropriate. BEHAVIORAL RESTRAINTS: Demonstrates de-escalation techniques; applies restraints when appropriate; monitors patients for safety; ensures physician assessment within 1 hour of restraint and every 8 hours thereafter; obtains physician orders; notifies Manager of incidents; completes debriefing when appropriate. QUALITY MEASURES: Identifies patients meeting Core Measure criteria; completes Core Measure documentation; participates in data collection and process improvements related to Nurse Sensitive Quality Indicators. PROFESSIONAL DEVELOPMENT: Participates in professional hospital/nursing activities, relief charge nursing, committees/councils, hospital teams, unit-based projects, research, publications. BONUS POINTS: Preceptor (5), Professional Certification (5), >8 non-mandatory CEHs (3), USCUH Nurse Week Recognition (5), monthly hospital or unit spirit award, public nursing recognition (3). Performs other related duties as assigned. Qualifications
Required: Bachelor’s Degree in Nursing (BSN) — grandfathered for hires prior to 12/2019 Required: 1 year acute inpatient hospital experience in the United States as a licensed RN Required: Excellent communication skills in English (speaking, reading, writing) Required: Knowledge of medical procedures and conditions; ability to perform duties including whole blood collection and apheresis per policies and procedures Required: Commitment to excellence in patient care and customer service Required: Ability to work independently with minimal direction Licenses and Certifications
Required: Registered Nurse - RN (CA Board of Registered Nursing) Required: Basic Life Support (BLS) Healthcare Provider, American Heart Association Required: Fire Life Safety Training (LA City) or obtain within 30 days of hire (required in LA City) Required: Advanced Cardiovascular Life Support (ACLS) Healthcare Provider, American Heart Association Preferred: Specialty Certification Hourly rate range: $44.00 - $95.00. When extending an offer of employment, USC considers factors such as scope of position, work experience, education/training, key skills, internal peer equity, applicable laws, contractual stipulations, funding, and market considerations. Quick Apply Link: https://usccareers.usc.edu/job/-/-/1209/87790113360
#J-18808-Ljbffr