RN Clinical - Same Day Surgery (Pre-Op) - Full Time 10 Hour Rotating Shift (Non-Exempt) (Union)

Overview As an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. The RN is accountable for the coordination of patient care and education to the patient and family in accordance with standards, policies and practices in a compassionate, supportive, and therapeutic environment. Essential Duties Policies and Procedures Follows policies and procedures; demonstrates ability to access online manuals. 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. Ensures complete MD order, MD assessment and 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 end of 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. 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, JCAHO continuous survey readiness, critical values, write‑down, read‑back, follow‑up telephone order, appropriate documentation, 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, cystic fibrosis, abdominal organ transplants, hepatic encephalopathy. Institutes safety precautions and skin care for patients with hepatic encephalopathy. Management of the Care of Patients in the Intensive Care Unit / S Manages 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, ventriculostomy, intracranial pressure monitoring, ventricular assist devices, balloon pumps. Management of the Care of Patients in the Step‑down/Telemetry Units Manages 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 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 on the dialysis treatment record. Performs all pre‑treatment safety checks and machine maintenance per dialysis policies. Checks charts for dialysis orders prior to arriving on the unit with dialysis equipment. Calls physicians for orders early in the shift when dialysis orders have been placed but no treatment orders written. Completes med/surg dialysis treatments on 3S whenever more than 2 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 on admission, change of shift and prn; initiates and participates in treatment planning; monitors locked doors; logs visitors and assesses for contraband; follows patient legal status each shift and communicates with Department of Mental Health and other agencies. 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 or seclusion. Applies restraint/seclusion when appropriate and continuously monitors patients for safety or delegates as appropriate. Ensures physician assessment of patient within 1 hour of application and at least every 8 hours thereafter. Obtains physician orders per policy and notifies Manager of all incidents. Contacts significant other as allowed by patient and completes debriefing with patient if appropriate after the incident. 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) 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 speaking, reading and writing English proficiently. Knowledge of medical procedures and conditions and ability to understand, follow and perform duties including whole blood collection and apheresis procedures per policies and procedures. Committed to excellence in patient care and customer service. Ability to work independently with minimal direction and supervision. Preferred Qualifications Experience in Surgical Units: ICU and Telemetry. 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 renewed before expiration. (Required within LA City only). Advanced Cardiovascular Life Support (ACLS) – Healthcare Provider from American Heart Association. Pediatric Advanced Life Support (PALS) – Healthcare Provider from American Heart Association. Compensation 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, 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. Equal Opportunity Statement 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, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at View phone number on click.appcast.io, or by e‑mail at . Inquiries will be treated as confidential to the extent permitted by law. USC is a smoke‑free environment and complies with the Clery Act Annual Security Report, Digital Accessibility, and Goodwill ICU. #J-18808-Ljbffr 3M HEALTHCARE