U

University of Southern California

Research university in Los Angeles, CA

Registered Nurse - 4S ICU

Full-TimeUpdated on 10/23/2026
$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 1 year of acute inpatient hospital experience as a registered nurse.
  • Speak, read, and write English proficiently.
  • Have 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 an active Registered Nurse license from the California Board of Registered Nursing.
  • Hold Basic Life Support certification from the American Heart Association.
  • Complete Los Angeles City Fire Life Safety Training; if not held at 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 certification from the American Heart Association.
Responsibilities
  • Use the nursing process to provide therapeutic patient care and coordinate patient care and education for patients and families in accordance with 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 patient outcomes, and review, revise, and update plans daily based on evaluation of outcomes.
  • Administer medications and intravenous therapy at prescribed intervals and perform patient-care procedures according to policy and schedule.
  • Delegate tasks based on others’ scope of practice and competency, act as a patient advocate, and manage restraint use according to policy, attempting alternatives first.
  • Ensure complete physician orders, physician assessments, patient monitoring, and completion of restraint audit forms each shift, as required by policy.
  • Complete and accurately maintain required flow sheets and chart forms, including admission and pain assessments, daily, restraint, diabetes, and educational flow sheets, Kardex, care plans, risk assessments and reassessments, fall documentation, medication administration records, equipment and supply records, transfer forms, and belongings tracking forms.
  • Ensure orders are transcribed and signed off before the end of the shift and complete 12-hour/24-hour chart checks.
  • Provide patient and family education and room/unit orientation, identify knowledge deficits related to diagnoses and care, and use and provide MICROMEDEX information.
  • Collaborate with the case manager and/or physician on discharge planning, complete transfer paperwork, and ensure patient belongings accompany 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 with the healthcare team, patients, and families during shift reports, physician rounds, patient/family interactions, MDP rounds, hand-offs, facility email, and interactions with students and new or contract employees.
  • Manage time, organize and prioritize responsibilities, take meal breaks without incurring overtime, and complete shifts on time.
  • Observe regulatory and agency requirements, including National Patient Safety Goals, patient identifiers, approved abbreviations, Universal Protocol, hand-offs, medication reconciliation, clinical alarms, hazardous-waste management, biohazard, medication and sharps safety, HIPAA, OSHA requirements, and continuous survey readiness.
  • Manage critical values and telephone orders by writing down, reading back, following up, documenting, and ensuring orders are signed, timed, dated, stamped, entered, and logged as appropriate.
  • 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 or knee arthroplasty, spinal surgery, cystic fibrosis, abdominal organ transplants, and hepatic encephalopathy, as applicable to the unit.
  • Manage complex critically ill intensive-care patients and advanced therapeutic modalities, including hemodynamic monitoring, continuous renal replacement therapy, ventriculostomy and intracranial pressure monitoring, ventricular assist devices, and balloon pumps.
  • Manage high-acuity stepdown/telemetry patients requiring specialized monitoring, including post-operative and transplant patients, and advanced modalities such as ventilator care, arterial/central venous pressure 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 records; perform pre-treatment safety checks and machine maintenance; check charts for orders; contact physicians when treatment orders are missing; and complete medical-surgical dialysis treatments on 3S when more than two patients are scheduled.
  • Engage psychiatric patients in therapeutic interactions and maintain a therapeutic milieu; assess and monitor safety, including contraband checks, locked doors, visitor logs, legal status, and required communications with agencies; administer psychotropic medications only after proper consent and documentation; participate in treatment planning; and submit Fire Arms Reporting Forms.
  • Use de-escalation techniques to prevent behavioral restraint or seclusion when possible; apply restraint/seclusion appropriately; continuously monitor patients or delegate monitoring; ensure required physician assessments and orders; notify the manager of behavioral restraint incidents; contact significant others as permitted; and complete post-incident debriefing when appropriate.
  • Accurately identify patients who meet Core Measure criteria and complete Core Measure documentation.
  • Identify and participate in data collection and process improvements related to Nurse Sensitive Quality Indicators.
  • Participate in professional hospital and nursing activities, including serving as a relief charge nurse, participating in committees/councils, hospital teams, unit-based projects, research, and published peer-reviewed articles.
  • Perform other related duties as assigned.
Desired Qualifications
  • Specialty certification.

About the company

U

University of Southern California

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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.

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