U

University of Southern California

Research university in Los Angeles, CA

Registered Nurse - 7 E ICU

Full-Time
$45.76 - $98.80/hr
Mid
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 an exception for employees grandfathered from the BSN requirement if hired before December 2019.
  • At least one year of acute inpatient hospital experience as a registered nurse in the United States is required.
  • Excellent communication skills, including the ability to speak, read, and write English proficiently, are required.
  • 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, are required.
  • Commitment to excellence in patient care and customer service is required.
  • Ability to work independently with minimal direction and supervision is required.
  • A California Board of Registered Nursing Registered Nurse license is required.
  • Basic Life Support Healthcare Provider certification from the American Heart Association is required.
  • Los Angeles City Fire Life Safety Training is required; if the applicant does not have the card upon hire, it must be obtained within 30 days of hire and maintained by renewal before expiration, where required in Los Angeles City.
  • Advanced Cardiovascular Life Support Healthcare Provider 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 is sooner.
Responsibilities
  • Use the nursing process to provide therapeutic care to patients 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 practical nursing-process application.
  • Complete nursing assessments upon admission, each shift, and when a patient’s condition changes; complete daily patient acuity by 0200 or 1400.
  • 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 outcomes.
  • Administer medications and intravenous therapy appropriately at prescribed intervals and complete patient-care procedures correctly 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, including trying alternatives first and ensuring required orders, assessments, monitoring, and audit forms are completed.
  • Complete and maintain required documentation, including admission and pain assessments, reassessments, daily and restraint flowsheets, diabetes and educational flowsheets, Kardex, care plans, fall-risk assessments and reassessments, medication administration records, equipment and supply records, transfer forms, and belongings tracking; ensure orders are transcribed and signed off before shift end and complete 12- or 24-hour chart checks.
  • Educate patients and families as needed, provide room and unit orientation and plan-of-care information, identify knowledge deficits related to diagnoses and care, and use and provide Micromedex information.
  • Collaborate with case managers and physicians 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 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 and multidisciplinary rounds, handoffs, patient and family interactions, facility email, and interactions with students and new or contract employees.
  • Organize and prioritize responsibilities, manage time effectively, take meal breaks without incurring overtime, and complete shifts on time.
  • Follow regulatory and safety requirements, including National Patient Safety Goals, patient identification, approved abbreviations, Universal Protocol and procedural time-outs, handoffs, medication reconciliation, clinical alarms, hazardous-waste and biohazard procedures, medication and sharps safety, HIPAA and OSHA requirements, continuous survey readiness, critical-value read-back and follow-up, telephone-order documentation, safe body mechanics, electrical safety, infection-control procedures, and handwashing.
  • Manage medical-surgical patients, including patients with total hip arthroplasty, total knee arthroplasty, spinal surgery, cystic fibrosis, abdominal organ transplants, and hepatic encephalopathy, as assigned to the relevant units.
  • Manage complex critically ill intensive-care patients and advanced therapeutic 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 step-down and telemetry patients requiring specialized monitoring and care, including post-operative and post-transplant patients, and 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 treatment orders are missing, 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, participate in treatment planning, monitor locked unit doors, log visitors and assess for contraband, follow patients’ legal status and communicate with the Department of Mental Health and other agencies as required, administer psychotropic medications only with proper consent and documentation, and submit firearm reporting forms.
  • Use de-escalation to prevent behavioral restraints or seclusion; apply them when appropriate; continuously monitor patients or delegate monitoring; ensure physician assessment within one hour and at least every eight hours thereafter; obtain orders according to policy; notify the manager of incidents; contact significant others as permitted; and complete debriefing with the patient when appropriate.
  • Accurately identify patients meeting 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 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
  • Surgical-unit applicants are preferred to have intensive-care-unit and telemetry experience.
  • Infusion-unit applicants are preferred to have intensive-care-unit experience.
  • 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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