University of Southern California

Research university in Los Angeles, CA

Registered Nurse Clinical - 5 W ICU

Nursing & Frontline Patient CareConfirmed live in the last 24 hours

Full-timeLos Angeles, CA, USA$45.76 - $98.80 /hrIn-person

About the Job

Requirements

A Bachelor’s degree in Nursing (BSN) is required; employees hired before December 2019 are grandfathered from the BSN requirement.
At least 1 year of acute inpatient hospital experience as a registered nurse is required.
Must speak, read, and write English proficiently.
Must know medical procedures and conditions and be able to understand, follow, and successfully perform duties, including whole blood collection and apheresis procedures, in accordance with administrative and clinical policies, regulations, and procedures.
Must be committed to excellence in patient care and customer service.
Must be able to work independently with minimal direction and supervision.
Must hold Registered Nurse (RN) licensure from the California Board of Registered Nursing.
Must hold Basic Life Support (BLS) Healthcare Provider certification from the American Heart Association.
Must complete Los Angeles City Fire Life Safety Training; if not held at hire, it must be obtained within 30 days and maintained through renewal. This is required within Los Angeles City only.
Must hold Advanced Cardiovascular Life Support (ACLS) Healthcare Provider certification from the American Heart Association for Intensive Care, Step-down, and Telemetry departments. Registered nurses without prior telemetry or critical care experience must obtain ACLS within 180 days or by the end of orientation, whichever is sooner.

Responsibilities

Use the nursing process to provide therapeutic care to patients and coordinate patient care and education for patients and families according to 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 and projected outcomes, and review, revise, and update plans daily based on evaluation of patient outcomes.
Administer medications and intravenous therapy at prescribed intervals, perform patient-care procedures according to policy, delegate tasks based on others’ scope and competency, and act as a patient advocate.
Manage restraint use according to policy, attempt alternatives first, ensure complete physician orders and assessments, ensure patient monitoring, and complete a restraint audit form each shift.
Complete and correctly document all required flow sheets and chart forms, including admission assessments, pain assessments and reassessments, daily and restraint flow sheets, diabetes and educational flow sheets, Kardex, care plans, risk assessments and reassessments, medication administration records, equipment and supplies, 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.
Provide patient and family education as needed, orient them to the room or unit and plan of care, 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 are sent with the patient.
Use patient-care equipment safely and appropriately according to manufacturer guidelines, including IV, feeding, PCA, and epidural pumps; sequential compression devices; wound VACs; and heating pads/pumps.
Communicate effectively with the healthcare team, patients, and families during shift reports, physician rounds, patient/family interactions, MDP rounds, handoffs, facility email communications, 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 requirements, including National Patient Safety Goals, patient identifiers, approved abbreviations, Universal Protocol procedural time-outs, handoffs, medication reconciliation, clinical alarms, hazardous waste, biohazard and sharps handling, HIPAA, OSHA requirements, and continuous survey readiness.
Manage critical values by writing them down, reading them back, and following up; ensure telephone orders are appropriate, documented, signed, timed, dated, stamped, and entered into the unit log.
Maintain a safe work environment through correct body mechanics, electrical safety, infection-control procedures, and hand washing.
Manage medical-surgical patients, including patients with total hip arthroplasty, total 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 modalities, including hemodynamic monitoring, continuous renal replacement therapy, continuous venovenous hemodialysis, ventriculostomy and intracranial pressure monitoring, ventricular assist devices, and balloon pumps.
Manage high-acuity stepdown and telemetry patients requiring specialized monitoring and care, including post-operative and post-transplant patients, and use advanced modalities such as ventilator care, arterial and 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, explain treatment plans, document treatment, perform pre-treatment safety checks and machine maintenance, check charts for orders, contact physicians when orders are missing, and complete medical-surgical 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 safety, including contraband checks, locked-door monitoring, and visitor logging; participate in treatment planning; monitor and communicate patients’ legal status; administer psychotropic medications only with proper consent and documentation; and submit Fire Arms Reporting Forms.
Use de-escalation to prevent behavioral restraint or seclusion when possible; apply restraint/seclusion when appropriate, monitor patient safety, ensure physician assessment and orders according to policy, notify the manager of incidents, contact significant others as permitted, and debrief with the patient when appropriate.
Identify patients meeting Core Measure criteria and complete Core Measure documentation; participate in data collection and process improvements related to Nurse Sensitive Quality Indicators.
Participate in professional hospital and nursing activities, including relief charge nurse duties, nursing committees and councils, hospital teams, unit-based projects, research, and published peer-reviewed articles.
Perform other related duties as assigned.

Desired Qualifications

ICU and Telemetry experience in surgical units is preferred.
Specialty certification is preferred.

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.

Departmental Specific Summary

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 manufacture guidelines IV pump Feeding pump PCA pump Epidural pump Sequential compression device Wound VAC Heating pad/pump
COMMUNCATION 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. Able to organize and prioritize 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 (i.e. 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. (6N) Demonstrates the ability to manage patients with TKA. (6N) Demonstrates the ability to manage patients with spinal surgery (6S) Demonstrates the ability to maintain isolation precautions, respiratory and nutrition care specific to cystic fibrosis patients. (6S) Demonstrates the ability to manage medications and maintain protective isolation precautions for patients with abdominal organ transplants (6S) Institutes safety precautions and skin care for patients with hepatic encephalopathy.
MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S Demonstrates the ability to manage complex critically ill patients. Neurosurgery, thoracic-forgut, gastric bypass, orthopedic. Liver/kidney/pancreas transplants, hepatobiliary. Open heart, heart and lung transplants. Demonstrates the ability to manage advanced therapeutic modalities. Hemodynamic monitoring. Continuous renal replacement therapy (CRRT, CVVHD). Ventriculostomy, intracranial pressure monitoring. Ventricular assist devices, balloon pumps.
MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS Demonstrates the ability to manage high acuity patients requiring specialized monitoring and care. Status post open heart, heart transplant, lung transplant. Status post liver/kidney transplants, orthopedics, hepatobiliary, general surgeries. Status post thoracic-forgut, gastric bypass, neurology, neurosurgery. Demonstrates the 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 according to dialysis policies and procedures. Checks charts for dialysis orders prior to 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 in Visitors and assesses for contraband. Follows patients’ legal status q 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. Submit 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 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.

Qualifications

Req Bachelor’s Degree Nursing Degree in Nursing (BSN) *Grandfathered from BSN if hired prior to 12/2019
Req 1 year Acute inpatient hospital experience as RN.
Pref Surgical Units: ICU and Telemetry experience.
Req Must have 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, and apheresis procedures, in accordance with administrative and clinical policies, regulations and procedures.
Req Committed to excellence in patient care and customer service.
Req Demonstrates ability to work independently with minimal direction and supervision.

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 maintained by renewal before expiration date. (Required within LA City only)
Req 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 will be required to obtain ACLS within 180 days or by the end of orientation, whichever is sooner.
Pref Specialty Certification Specialty certification preferred

Keck Hospital of USC, a 343-bed acute care hospital, provides exceptional and innovative care for complex medical and surgical conditions across a wide range of specialties. The hospital’s world-renowned physicians deliver compassionate, customized, patient-centered care and treat the most acutely ill patients with highly innovative techniques and treatment plans. As a leading academic medical center, hundreds of clinical trials are currently taking place at Keck Hospital and its affiliated research institutions, giving patients access to novel and promising therapies that are generally not available elsewhere. Every day at Keck Hospital, physicians, nurses and staff go beyond the science of exceptional medicine to bring patients breakthroughs in the art of caring. Join this world-class team providing highly specialized care, up-to-the-minute research, and innovative clinical trials.

The hourly rate range for this position is $45.76 - $98.80.
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

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 theBackground Screening Policy Appendix Dfor 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 (213) 821-8100, or by email at [email protected]. Inquiries will be treated as confidential to the extent permitted by law.

If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser:

https://wd5.myworkday.com/usc/d/inst/1$9925/9925$155895.htmld

About the Company

University of Southern California

Research university in Los Angeles, CA

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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