U

University of Southern California

Research university in Los Angeles, CA

Registered Nurse - 4 S ICU

Full-Time
$44 - $95/hr
Junior
Bachelor's
Los Angeles, CA, USA
In Person
Medical, Clinical & VeterinaryNursing & Frontline Patient Care

About the job

Requirements
  • A Bachelor’s degree in Nursing (BSN) is required; employees hired before December 2019 are grandfathered from the BSN requirement.
  • Graduate from an accredited school of Nursing.
  • At least one year of acute inpatient hospital experience as a Registered Nurse.
  • Speak, read, and write English proficiently.
  • Knowledge of medical procedures and conditions, and the 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.
  • Demonstrate the ability to work independently with minimal direction and supervision.
  • Hold a Registered Nurse license from the California Board of Registered Nursing.
  • Hold Basic Life Support (BLS) Healthcare Provider certification from the American Heart Association.
  • Complete Los Angeles City Fire Life Safety Training; if not held upon hire, obtain it within 30 days and maintain it through renewal before expiration. This is required within Los Angeles City only.
  • Hold Advanced Cardiovascular Life Support (ACLS) Healthcare Provider certification from the American Heart Association.
Responsibilities
  • Provide therapeutic patient care using the nursing process as part of the interdisciplinary team, and coordinate patient care and education for patients and families in accordance with applicable standards, policies, and practices.
  • Follow policies and procedures and demonstrate the ability to access online manuals.
  • Apply learned scientific knowledge in the Nursing Process.
  • Complete nursing assessments upon admission, each shift, and when a patient's condition changes; complete patient acuity by 0200/1400 daily.
  • Interpret assessment information and formulate nursing diagnoses.
  • Develop individualized plans of care, document expected or projected patient outcomes, and review, revise, and update plans daily based on evaluation and interpretation of patient outcomes.
  • Administer medications and IV therapy at prescribed intervals and complete patient care procedures correctly according to policy and prescribed intervals.
  • Delegate tasks according to others’ scope of practice and competency, and act as a patient advocate.
  • Manage restraint use according to policy, attempt alternative non-restraint measures first, ensure complete physician orders and required physician assessments, ensure patient monitoring, and complete the restraint audit form each shift.
  • Complete and maintain accurate documentation on flow sheets and chart forms, including admission assessments; pain assessments and reassessments before and after interventions; daily, restraint, diabetes, and educational flow sheets; Kardex; care plans; risk assessments and reassessments upon falls; medication administration records; equipment and supplies records; intra- and inter-facility transfer forms; and belonging tracking forms. Transcribe and sign off orders before the end of the shift and complete 12-hour/24-hour chart checks.
  • Educate patients and families as needed on room and unit orientation and plans of care; identify knowledge deficits related to diagnoses and care; and use and provide MICROMEDEX information to patients and families.
  • Collaborate with the case manager and/or physician on discharge planning, complete transfer paperwork, and ensure patient belongings are sent with the patient.
  • Use patient care equipment safely and appropriately according to manufacturer guidelines, including IV pumps, feeding pumps, PCA pumps, epidural pumps, sequential compression devices, wound VACs, and heating pads/pumps.
  • Communicate effectively with the healthcare team, patients, and families through shift-to-shift reports, physician rounds, patient/family interactions, MDP rounds, hand-off reports, facility email, and interactions with students and new or contract employees.
  • Manage time effectively, organize and prioritize responsibilities, take meal breaks without incurring overtime, and complete shifts on time.
  • Observe regulatory agency requirements, including National Patient Safety Goals; patient identifiers; unapproved abbreviations; Universal Protocol procedural time-outs; hand-offs; medication reconciliation; clinical alarms; hazardous waste management; biohazard, medication, and sharps safety; HIPAA and OSHA requirements; JCAHO continuous survey readiness; and critical-value and telephone-order procedures, including read-back, follow-up, documentation, signature, timing, dating, stamping, and unit-log entry.
  • Maintain safe work practices, including correct body mechanics, electrical safety, infection-control procedures, and hand washing.
  • Manage medical-surgical patients, including patients with total hip arthroplasty, total knee arthroplasty, and spinal surgery; maintain isolation precautions and respiratory and nutrition care for patients with cystic fibrosis; manage medications and protective isolation precautions for patients with abdominal organ transplants; and institute safety precautions and skin care for patients with hepatic encephalopathy.
  • Manage complex critically ill ICU patients, including neurosurgery, thoracic foregut, gastric bypass, orthopedic, liver/kidney/pancreas transplant, hepatobiliary, open-heart, and heart and lung transplant patients; manage advanced therapeutic modalities including hemodynamic monitoring, continuous renal replacement therapy (CRRT/CVVHD), ventriculostomy, intracranial pressure monitoring, ventricular assist devices, and balloon pumps.
  • Manage high-acuity stepdown/telemetry patients who require specialized monitoring and care, including patients following open-heart, heart, lung, liver, or kidney transplants; orthopedic, hepatobiliary, general, thoracic foregut, gastric bypass, neurology, and neurosurgery procedures; and provide advanced modalities including ventilator care, arterial/CVP lines, ventricular assist devices, and lumbar drains.
  • Initiate, perform, and terminate dialysis treatments according to policy and standards of care; review orders and laboratory results before treatment; inform patients of treatment plans; complete dialysis treatment records; perform pre-treatment safety checks and machine maintenance; check charts for dialysis orders before arriving with equipment; contact physicians early when dialysis orders lack treatment orders; and complete med/surg dialysis treatments on 3S when more than two such patients are scheduled.
  • Engage psychiatric patients in therapeutic interactions and maintain a therapeutic milieu; assess and monitor patient safety, including contraband checks upon admission, at shift change, and as needed; initiate and participate in treatment planning; monitor locked unit doors; log visitors and assess for contraband; track patients’ legal status each shift and communicate with the Department of Mental Health and other agencies as required; administer psychotropic medications only with proper consent and documentation; and submit the Fire Arms Reporting Form.
  • Use de-escalation techniques to prevent behavioral restraint or seclusion when possible; apply restraint or seclusion when appropriate; continuously monitor patients for safety or delegate monitoring appropriately; ensure physician assessments within one hour of application and at least every eight hours thereafter; obtain physician orders according to policy; notify the manager of behavioral restraint incidents; contact significant others as permitted; and debrief with the patient when appropriate after the incident.
  • Accurately identify patients who meet Core Measure criteria, complete Core Measure documentation, and identify and participate in data collection and process improvements related to Nurse Sensitive Quality Indicators.
  • Participate in professional hospital and nursing activities, including relief charge nursing, nursing committees and councils, hospital teams, unit-based projects, and research; contribute to a published peer-reviewed article.
  • Perform other related duties as assigned.
Desired Qualifications
  • Hold a specialty certification.

About the company

U

University of Southern California

View
Website

The University of Southern California is a private research university with academic programs across the arts, sciences, business, engineering, law, health, and other professional fields.

Company Size

N/A

Company Stage

N/A

Total Funding

N/A

Headquarters

N/A

Founded

N/A

Get referred to University of Southern California

See people who can refer or advise you