Full-Time
Registered Nurse Clinical
University of Southern California
Research university in Los Angeles, CA
Compensation Overview
$44 - $95/hr
Los Angeles, CA, USA
In Person
Bachelor's
Category
 Medical, Clinical & Veterinary (1) |
|---|
Required Skills
Infection Control
Medication Administration
Patient Care
OSHA
ACLS
HIPAA
Basic Life Support (BLS)
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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.
- Have 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.
- Hold a Registered Nurse license from the California Board of Registered Nursing.
- Hold Basic Life Support certification from the American Heart Association.
- Obtain Fire Life Safety Training from the City of Los Angeles within 30 days of hire if no card is held upon hire, and maintain it through renewal before expiration.
- Hold Advanced Cardiovascular Life Support certification from the American Heart Association.
- Work independently with minimal direction and supervision.
Responsibilities
- Provide therapeutic care to patients as an integral part of the interdisciplinary team using the nursing process.
- Coordinate patient care and provide education to patients and families in accordance with standards, policies, and practices.
- Follow policies and procedures and access online manuals.
- Transfer scientific knowledge into practical application when applying the nursing process.
- Complete nursing assessments upon admission, during each shift, and when the patient's condition changes; complete patient acuity by 0200 or 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 of care daily based on evaluation and interpretation of outcomes.
- Administer medications and intravenous therapy at prescribed intervals and complete patient care procedures correctly 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 alternative non-restraint measures first, ensure physician orders and assessments, monitor patients, and complete restraint audit forms each shift.
- Complete documentation on flow sheets and chart forms, including admission assessments, pain assessments, daily flow sheets, restraint flow sheets, diabetes flow sheets, educational flow sheets, Kardex records, care plans, risk assessments and reassessments, fall records, medication administration records, equipment and supplies records, transfer forms, and belonging tracking forms.
- Transcribe and sign off orders before the end of the shift and complete 12-hour and 24-hour chart checks.
- Provide patient and family education, including room or unit orientation and plan-of-care education; identify knowledge deficits and use Micromedex information.
- Collaborate with the case manager and physician regarding 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 equipment; and heating pads or pumps.
- Communicate effectively with healthcare team members, patients, and families through shift reports, physician rounds, patient and family interactions, multidisciplinary rounds, hand-off reports, facility email, and communications with students and 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, universal protocol, hand-off procedures, medication reconciliation, clinical alarms, hazardous waste management, biohazard and sharps procedures, HIPAA, OSHA, Joint Commission continuous survey readiness, and critical-value documentation.
- Maintain safe work practices, including correct body mechanics, electrical safety, infection-control procedures, and hand washing.
- Manage medical-surgical patients with total hip arthroplasty, total knee arthroplasty, spinal surgery, cystic fibrosis, abdominal organ transplants, and hepatic encephalopathy as applicable to assigned units.
- Manage complex critically ill intensive care patients, including neurosurgery, thoracic foregut, gastric bypass, orthopedic, liver, kidney, pancreas, hepatobiliary, open-heart, and heart and lung transplant patients.
- Manage advanced intensive-care modalities, including hemodynamic monitoring, continuous renal replacement therapy, continuous venovenous hemodialysis, ventriculostomy, intracranial pressure monitoring, ventricular assist devices, and balloon pumps.
- Manage high-acuity stepdown and telemetry patients requiring specialized monitoring and care, including cardiac, lung, liver, kidney, orthopedic, hepatobiliary, general surgery, thoracic foregut, gastric bypass, neurology, and neurosurgery patients.
- Manage stepdown and telemetry modalities, including 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; educate patients; complete treatment documentation; perform safety checks and machine maintenance; verify dialysis orders; obtain missing physician orders; and complete medical-surgical dialysis treatments when required.
- Engage psychiatric patients in therapeutic interactions and maintain a therapeutic milieu.
- Assess and monitor psychiatric patient safety, including contraband assessments, locked-door monitoring, visitor logging, and contraband assessment.
- Initiate and participate in psychiatric treatment planning, communicate legal status with the Department of Mental Health and other agencies, administer psychotropic medications after proper consent and documentation, and submit firearm reporting forms.
- Use de-escalation techniques to prevent behavioral restraint or seclusion; apply restraint or seclusion when appropriate; continuously monitor patients; obtain physician orders and assessments; notify the manager; contact significant others when permitted; and complete post-incident debriefing.
- Accurately identify patients meeting Core Measure criteria, complete Core Measure documentation, and participate in data collection and process improvement related to nurse-sensitive quality indicators.
- Participate in professional hospital and nursing activities, including relief charge nurse duties, nursing committees or councils, hospital teams, unit-based projects, and research.
- Perform other related duties as assigned.
Desired Qualifications
- Specialty certification.
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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