U

University of Southern California

Research university in Los Angeles, CA

Registered Nurse Clinical - 5 S Cardiopulmonary ICU

Full-Time
$45.76 - $98.80/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, with grandfathering for hires before December 2019.
  • At least one year of acute inpatient hospital experience as a registered nurse in the United States is required.
  • Excellent English communication skills, including the ability to speak, read, and write proficiently, are required.
  • Knowledge of medical procedures and conditions and the ability to understand, follow, and perform duties—including whole blood collection and apheresis procedures—in accordance with administrative and clinical policies, regulations, and procedures are required.
  • A commitment to excellence in patient care and customer service is required.
  • The ability to work independently with minimal direction and supervision is required.
  • A California Registered Nurse license is required.
  • Basic Life Support certification from the American Heart Association is required.
  • Los Angeles City Fire Life Safety Training is required; if the applicant does not have a card upon hire, it must be obtained within 30 days of hire and maintained through renewal before expiration. This requirement applies only within Los Angeles City.
  • Advanced Cardiovascular Life Support certification from the American Heart Association is required for Intensive Care, Step-down, and Telemetry departments. Registered nurses without prior telemetry or critical care experience must obtain it within 180 days or by the end of orientation, whichever occurs sooner.
Responsibilities
  • Use the nursing process to provide therapeutic care and patient and family education 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, at 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 outcomes, and review, revise, and update plans daily based on evaluation of patient outcomes.
  • Administer medication and intravenous therapy at prescribed intervals and complete patient care procedures according to policy.
  • Delegate tasks based on others’ scope of practice and competency, and act as a patient advocate.
  • Manage restraint use according to policy, attempt alternatives first, ensure complete physician orders and assessments, ensure required monitoring, and complete restraint audit forms each shift.
  • Complete and maintain required documentation and flow sheets, including admission, pain, daily, restraint, diabetes, education, Kardex, care plan, risk assessment, medication administration record, equipment and supplies, transfer, and belongings forms; transcribe and sign off orders before the end of the shift and complete 12- or 24-hour chart checks.
  • Provide patient and family education, orient them to the room or unit and plan of care, identify knowledge deficits, and use and provide Micromedex information.
  • Coordinate discharge planning with the case manager and/or physician, complete transfer paperwork, and ensure belongings accompany the patient.
  • Use patient-care equipment safely and appropriately according to manufacturer guidelines, including intravenous, feeding, patient-controlled analgesia, and epidural pumps; sequential compression devices; wound vacuum systems; and heating pads or pumps.
  • Communicate with the healthcare team, patients, and families through shift reports, physician rounds, patient and family interactions, hand-off reports, 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 safety requirements, including National Patient Safety Goals, patient identification, approved abbreviations, universal protocol, hand-offs, medication reconciliation, clinical alarms, hazardous waste and biohazard handling, sharps safety, HIPAA, OSHA, Joint Commission survey readiness, critical value communication, safe work practices, infection control, and hand washing.
  • Manage medical-surgical patients with total hip arthroplasty, total knee arthroplasty, and spinal surgery; provide isolation precautions, respiratory and nutrition care for cystic fibrosis patients; manage medications and protective isolation for abdominal organ transplant patients; and implement safety precautions and skin care for hepatic encephalopathy.
  • Manage complex critically ill intensive care patients, including neurosurgery, thoracic foregut, gastric bypass, orthopedic, liver, kidney, pancreas, hepatobiliary, open-heart, heart-transplant, and lung-transplant patients; and manage advanced modalities including hemodynamic monitoring, continuous renal replacement therapy, ventriculostomy, intracranial pressure monitoring, ventricular assist devices, and balloon pumps.
  • Manage high-acuity step-down and telemetry patients requiring specialized monitoring and care, including post-operative and post-transplant patients, and manage ventilators, arterial and central venous pressure lines, ventricular assist devices, and lumbar drains.
  • Initiate, perform, and terminate dialysis treatments according to policy and standards; review orders and laboratory results; inform patients of treatment plans; document treatment; complete pre-treatment safety checks and machine maintenance; check charts for orders before arriving with equipment; contact physicians early when orders are incomplete; and complete medical-surgical dialysis treatments on 3S when more than two such patients are scheduled.
  • Engage psychiatric patients therapeutically, maintain a therapeutic milieu, assess and monitor safety and contraband, initiate and participate in treatment planning, monitor unit doors, log visitors and assess for contraband, track legal status and communicate with the Department of Mental Health and other agencies, administer psychotropic medications with proper consent and documentation, and submit firearms reporting forms.
  • Use de-escalation to prevent behavioral restraint or seclusion where possible; apply restraint or seclusion when appropriate; monitor patients continuously or delegate monitoring; obtain physician assessment within one hour and at least every eight hours thereafter; obtain orders, notify the manager of incidents, contact significant others as permitted, and complete debriefing when appropriate.
  • Identify patients meeting core measure criteria, complete core measure documentation, and 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 publication of peer-reviewed articles.
  • Perform other related duties as assigned.
Desired Qualifications
  • Specialty certification is preferred.

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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