Keck Medicine of USC
RN Clinical - 4 FL ICU - Full Time 12 Hour Nights (Non-Exempt) (Union)
Keck Medicine of USC, Los Angeles, California, United States, 90079
RN Clinical - 4 FL ICU - Full Time 12 Hour Nights (Non-Exempt) (Union)
Join to apply for the RN Clinical - 4 FL ICU - Full Time 12 Hour Nights (Non-Exempt) (Union) role at Keck Medicine of USC.
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, attempting alternative non-restraint measures first. Assures complete MD order per policy. Ensures MD assessment per policy. Assures 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, and 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 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 (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, TKA, spinal surgery; manages isolation precautions, respiratory and nutrition care for cystic fibrosis patients; manages medications and maintains protective isolation for abdominal organ transplant patients; institutes safety precautions and skin care for 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, liver/kidney/pancreas transplants, hepatobiliary, open heart, heart and lung transplants; manages advanced therapeutic modalities – Hemodynamic monitoring, Continuous renal replacement therapy (CRRT, CVVHD), Ventriculostomy, intracranial pressure monitoring, Ventricular assist devices, balloon pumps.
MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS: Demonstrates the ability to manage high acuity patients requiring specialized monitoring and care – Status post open heart, heart transplant, lung transplant, liver/kidney transplants, orthopedics, hepatobiliary, general surgeries, thoracic‑forgut, gastric bypass, neurology, neurosurgery; manages advanced therapeutic modalities – Ventilator care, Arterial/CVP lines, Ventricular assist devices, Lumbar drains.
MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS TREATMENT: Initiates, performs and terminates dialysis treatments per policy and standards of care; reviews orders and labs prior to initiating; informs patient of treatment plan; completes complete documentation per policy; performs pre‑treatment safety checks; maintains machine; checks charts for orders; calls physicians for early orders; completes med/surg dialysis treatments on 3S when >2 med/surg patients are scheduled.
MANAGEMENT OF THE CARE OF THE PSYCHIATRIC PATIENT: Engages patients in therapeutic interactions; maintains therapeutic milieu; assesses and monitors for patient safety – Contraband assessment upon admission, change of shift, prn; initiates and participates in treatment planning; monitors locked doors; logs visitors and contraband; followed legal status; administers psychotropic medications after proper consent and documentation; submits Fire Arms Reporting Form.
BEHAVIORAL RESTRAINTS: Demonstrates de‑escalation techniques to prevent restraint/seclusion; applies restraint/seclusion when appropriate; continuously monitors patients; ensures physician assessment within 1 hour of application and every 8 hours thereafter; obtains physician orders; notifies Manager; contacts significant other; completes debriefing with patient if appropriate.
QUALITY MEASURES
Accurately identify patients that fit Core Measure criteria.
Complete Core Measure Documentation.
Participate in data collection and process improvements related to Nurse Sensitive Quality Indicators.
PROFESSIONAL DEVELOPMENT: Participate in professional hospital/nursing activities; Relief Charge Nurse; Nursing committees/councils; Hospital Teams; Unit Based Projects; Research; Published peer review article.
BONUS POINTS
Preceptor (5)
Professional Certification (5)
More than 8 Non‑mandatory CEH (3)
USCUH Nurse Week Recognition (5)
Monthly Hospital or Unit Spirit Award Winner (1)
Public nursing recognition (3)
Performs other related duties as assigned.
Required Qualifications
Req Bachelor’s 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, including the ability to speak, read and write English proficiently.
Req Knowledge of medical procedures and conditions and ability to understand, follow and perform duties, including whole blood collection and apheresis procedures, in accordance with administrative and clinical policies, regulations and procedures.
Req Committed to excellence in patient care and customer service.
Req Demonstrates 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.
Req ONS Chemotherapy & Biotherapy Oncology units required within six months of hire.
Pref Oncology Certified Nurse – OCN (ONCC).
Req Fire Life Safety Training (LA City). If no card upon hire, obtain within 30 days and renew before expiration. (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 (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
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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.
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, attempting alternative non-restraint measures first. Assures complete MD order per policy. Ensures MD assessment per policy. Assures 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, and 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 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 (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, TKA, spinal surgery; manages isolation precautions, respiratory and nutrition care for cystic fibrosis patients; manages medications and maintains protective isolation for abdominal organ transplant patients; institutes safety precautions and skin care for 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, liver/kidney/pancreas transplants, hepatobiliary, open heart, heart and lung transplants; manages advanced therapeutic modalities – Hemodynamic monitoring, Continuous renal replacement therapy (CRRT, CVVHD), Ventriculostomy, intracranial pressure monitoring, Ventricular assist devices, balloon pumps.
MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS: Demonstrates the ability to manage high acuity patients requiring specialized monitoring and care – Status post open heart, heart transplant, lung transplant, liver/kidney transplants, orthopedics, hepatobiliary, general surgeries, thoracic‑forgut, gastric bypass, neurology, neurosurgery; manages advanced therapeutic modalities – Ventilator care, Arterial/CVP lines, Ventricular assist devices, Lumbar drains.
MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS TREATMENT: Initiates, performs and terminates dialysis treatments per policy and standards of care; reviews orders and labs prior to initiating; informs patient of treatment plan; completes complete documentation per policy; performs pre‑treatment safety checks; maintains machine; checks charts for orders; calls physicians for early orders; completes med/surg dialysis treatments on 3S when >2 med/surg patients are scheduled.
MANAGEMENT OF THE CARE OF THE PSYCHIATRIC PATIENT: Engages patients in therapeutic interactions; maintains therapeutic milieu; assesses and monitors for patient safety – Contraband assessment upon admission, change of shift, prn; initiates and participates in treatment planning; monitors locked doors; logs visitors and contraband; followed legal status; administers psychotropic medications after proper consent and documentation; submits Fire Arms Reporting Form.
BEHAVIORAL RESTRAINTS: Demonstrates de‑escalation techniques to prevent restraint/seclusion; applies restraint/seclusion when appropriate; continuously monitors patients; ensures physician assessment within 1 hour of application and every 8 hours thereafter; obtains physician orders; notifies Manager; contacts significant other; completes debriefing with patient if appropriate.
QUALITY MEASURES
Accurately identify patients that fit Core Measure criteria.
Complete Core Measure Documentation.
Participate in data collection and process improvements related to Nurse Sensitive Quality Indicators.
PROFESSIONAL DEVELOPMENT: Participate in professional hospital/nursing activities; Relief Charge Nurse; Nursing committees/councils; Hospital Teams; Unit Based Projects; Research; Published peer review article.
BONUS POINTS
Preceptor (5)
Professional Certification (5)
More than 8 Non‑mandatory CEH (3)
USCUH Nurse Week Recognition (5)
Monthly Hospital or Unit Spirit Award Winner (1)
Public nursing recognition (3)
Performs other related duties as assigned.
Required Qualifications
Req Bachelor’s 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, including the ability to speak, read and write English proficiently.
Req Knowledge of medical procedures and conditions and ability to understand, follow and perform duties, including whole blood collection and apheresis procedures, in accordance with administrative and clinical policies, regulations and procedures.
Req Committed to excellence in patient care and customer service.
Req Demonstrates 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.
Req ONS Chemotherapy & Biotherapy Oncology units required within six months of hire.
Pref Oncology Certified Nurse – OCN (ONCC).
Req Fire Life Safety Training (LA City). If no card upon hire, obtain within 30 days and renew before expiration. (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 (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
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