RN Clinical - 4S ICU - Full Time 12 Hour Nights (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/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: 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 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. 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, Other 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, TKA, spinal surgery, cystic fibrosis, abdominal organ transplants, hepatic encephalopathy. MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S: Demonstrates ability to manage complex critically ill patients in Neurosurgery, thoracic‑forgut, gastric bypass, orthopedic, liver/kidney/pancreas transplants, hepatobiliary, open heart, heart and lung transplants. Demonstrates ability to manage advanced therapeutic modalities (hemodynamic monitoring, CRRT, CVVHD, 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—status post open heart, heart transplant, lung transplant, liver/kidney transplants, orthopedics, hepatobiliary, general surgeries, thoracic‑forgut, gastric bypass, neurology, neurosurgery. Demonstrates ability to manage 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 completely and according to policy on the dialysis treatment record. Performs all pre‑treatment safety checks. Performs appropriate machine maintenance. Checks charts for dialysis orders before arriving on the unit with the dialysis equipment. Calls physicians for orders early in the shift when orders for dialysis have been placed but no treatment orders are written. Completes med/surg dialysis treatments on 3S whenever there are more than 2 med/surg patients scheduled. MANAGEMENT OF THE CARE OF THE PSYCHIATRIC PATIENT: Engages patients in therapeutic interactions. Maintains therapeutic milieu. Assesses and monitors for patient safety—including contraband assessment upon admission, change of shift, and prn. Initiates and participates in treatment planning. Monitors locked doors into and out of the unit. Logs visitors and assesses for contraband. Follows patients’ legal status each shift and communicates with Department of Mental Health and other agencies as required. Administers psychotropic medications only after proper consent and documentation. Initiates and participates in treatment planning. Submits Fire Arms Reporting Form. BEHAVIORAL RESTRAINTS: Demonstrates de‑escalation techniques as an effort to prevent the need for behavioral restraint/seclusion. Applies behavioral restraint/seclusion when appropriate. Continuously monitors patients for safety or delegates as appropriate. Ensures physician assessment of patient within 1 hour of application of restraint/seclusion and then at least every 8 hours. Obtains physician orders per policy. Notifies Manager of all behavioral restraint incidences. Contacts significant other as allowed by patient. Completes debriefing, with patient if appropriate, after the incident. QUALITY MEASURES: Accurately identifies patient who 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, Professional Certification, More than 8 Non‑mandatory CEH, USCUH Nurse Week Recognition, Monthly Hospital or Unit Spirit Award Winner, Public nursing recognition. 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: Specialized/technical training. Graduate from an accredited school of Nursing. Req: 1 year Acute inpatient hospital experience as RN. 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 successfully perform duties—including whole blood collection, apheresis procedures—according to administrative and clinical policies, regulations and procedures. Req: Commitment 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: Fire Life Safety Training (LA City). If no card upon hire, one must be obtained within 30 days of hire and renewed before expiration date (Required within LA City only). Req: Advanced Cardiovascular Life Support (ACLS) Healthcare Provider from American Heart Association. 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. #J-18808-Ljbffr Keck Medicine of USC