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

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, 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, attempts 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, 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, 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; ensures belongings are sent with patient. EQUIPMENT: Utilizes patient care equipment appropriately and safely according to manufacture guidelines for 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, organizes and prioritizes 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 ability to manage patients with THA, TKA, spinal surgery, isolation precautions, respiratory and nutrition care for cystic fibrosis patients, medications and protective isolation precautions for abdominal organ transplants, and skin care for hepatic encephalopathy. MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S: Demonstrates ability to manage complex critically ill patients (neurosurgery, thoracic‑forgut, gastric bypass, orthopedic, liver/kidney/pancreas transplants, hepatobiliary, open heart, heart and lung transplants) and advanced therapeutic modalities (hemodynamic monitoring, continuous renal replacement therapy, ventriculostomy, intracranial pressure monitoring, ventricular assist devices, balloon pumps). MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS: Demonstrates ability to manage high acuity patients requiring specialized monitoring and care; 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 all dialysis treatments according to policy and dialysis standards of care; reviews all orders and labs prior to initiating treatments; informs patient of treatment plan; completes all documentation per policy; performs pre‑treatment safety checks and machine maintenance; calls physicians for orders early in the shift; completes med/surg dialysis treatments on 3S when more than two med/surg patients are scheduled. MANAGEMENT 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 into and out of the unit, logs in visitors and assesses for contraband, follows legal status, administers psychotropic medications only after proper consent and documentation, submits Fire Arms Reporting Form. BEHAVIORAL RESTRAINTS: Demonstrates de‑escalation techniques to prevent the need for restraint/seclusion, applies restraints when appropriate, continuously monitors patients for safety, ensures physician assessment within 1 hour of application and at least every 8 hours thereafter, obtains physician orders per policy, notifies manager of all incidents, contacts significant other as allowed, completes debriefing with patient if appropriate. QUALITY MEASURES: Accurately identifies patients that fit core measure criteria, completes core measure documentation, identifies and participates in data collection and process improvements related to nurse‑sensitive quality indicators. PROFESSIONAL DEVELOPMENT: Participates 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 Bachelor’s Degree in Nursing (BSN). Grandfathered from BSN if hired prior to 12/2019. 1 year acute inpatient hospital experience as RN. Excellent communication skills, including the ability to speak, read and write English proficiently. Knowledge of medical procedures and conditions and ability to understand, follow and successfully perform duties, including whole blood collection and apheresis procedures, in accordance with administrative and clinical policies, regulations and procedures. Committed to excellence in patient care and customer service. Demonstrates ability to work independently with minimal direction and supervision. Preferred Qualifications Specialty Certification. Required Licenses/Certifications Registered Nurse – RN (CA Board of Registered Nursing). Basic Life Support (BLS) Healthcare Provider from American Heart Association. 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). Advanced Cardiovascular Life Support (ACLS) Healthcare Provider from American Heart Association. Required for Departments: Intensive Care, Step‑down, Telemetry. RNs without prior telemetry or critical care experience must obtain ACLS within 180 days or by the end of orientation, whichever is sooner. 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 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, and external market and organizational considerations. Job ID: REQ20175529 Posted Date: 05/26/2026 #J-18808-Ljbffr Keck Medicine of USC