RN Clinical - 8 W Medical ICU - Full Time 12 Hour Days (Non-Exempt) (Union)

Job 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 Assessment Appropriately completes Nursing Assessment upon patient admission, at each shift and with change of condition. Completes patient acuity calculations 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, and 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, and ensures patient monitoring per policy. Ensures Restraint Audit Form is completed each shift. Documentation Ensures documentation is complete and correct on all flow sheets and chart forms, including 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, including Room/unit orientation, 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 and belongings are sent with patient. Equipment Utilizes patient care equipment appropriately and safely according to manufacturer guidelines, including 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 and with patient and family, including 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. Regulatory 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 order; Appropriate, Documented, Signed, Timed and Dated, Stamped, Entered into unit log. Maintains safe practice: Correct body mechanics, Electrical safety, Infection Control Procedures, Hand Washing. Management of the Care of Medical Surgical Patients (6N) Manage patients with THA and TKA. Maintain isolation precautions, respiratory and nutrition care specific to cystic fibrosis patients. Manage medications and maintain protective isolation precautions for patients with abdominal organ transplants. Institute safety precautions and skin care for patients with hepatic encephalopathy. Management of the Care of Patients in the Intensive Care Unit/S (6S) Manage complex critically ill patients in fields such as Neurosurgery, thoracic‑forgut, gastric bypass, orthopedic, liver/kidney/pancreas transplants, hepatobiliary, open heart, heart and lung transplants. Manage 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 Step‑down/Telemetry Units Manage high acuity patients requiring specialized monitoring and care after open heart, transplant, or major surgical procedures. Manage ventilator care, arterial/CVP lines, ventricular assist devices, lumbar drains. Management of the Care of Patients Undergoing Dialysis Treatment Initiate, perform, and terminate all dialysis treatments according to policy and dialysis standards of care. Review all orders and labs prior to initiating treatments. Perform safety checks, machine maintenance, and manage dialysis equipment. Complete med/surg dialysis treatments on 3S when more than two med/surg patients are scheduled. Management of the Care of the Psychiatric Patient Engage patients in therapeutic interactions and maintain therapeutic milieu. Assess and monitor for patient safety, including contraband assessment upon admission, shift change, and PRN. Participate in treatment planning and monitor locked doors and visitor logs. Administer psychotropic medications only after proper consent and documentation. Behavioral Restraints Use de‑escalation techniques to prevent the need for behavioral restraint or seclusion. Apply restraint/seclusion when appropriate and monitor patients continuously or delegate as needed. Ensure physician assessment within 1 hour of application and at least every 8 hours thereafter. Notify manager of all restraint incidents and complete debriefing with patient where appropriate. Quality Measures Accurately identify patients that meet Core Measure criteria and 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 and Relief Charge Nurse Nursing committees/councils. Engage in Hospital Teams, Unit Based Projects, and research; publish peer-reviewed article. Other related duties as assigned. Required Qualifications Bachelor’s Degree in Nursing (BSN) or equivalent. 1 year acute inpatient hospital experience as RN. Excellent communication skills in speaking, reading, and writing English proficiently. Knowledge of medical procedures and conditions, including whole blood collection and apheresis procedures. Committed to excellence in patient care and customer service. Ability to work independently with minimal direction and supervision. Preferred Qualifications Specialty certification and required licenses/certifications (Registered Nurse–RN, CA Board of Registered Nursing, Basic Life Support (BLS), Fire Life Safety Training, Advanced Cardiovascular Life Support (ACLS) for ICU/step‑down/telemetry). Hourly Rate $44.00 - $95.00 per hour. Employment Equity USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations. #J-18808-Ljbffr University of Southern California