U

University of Southern California

Research university in Los Angeles, CA

Registered Nurse - 5 W 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 is required, with a grandfathering exception for employees hired before December 2019.
  • At least one year of acute inpatient hospital experience as a registered nurse 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.
  • The candidate must be committed to excellence in patient care and customer service.
  • The candidate must be able to work independently with minimal direction and supervision.
  • An active Registered Nurse license from the California Board of Registered Nursing is required.
  • Basic Life Support Healthcare Provider certification from the American Heart Association is required.
  • Fire Life Safety Training for Los Angeles City is required; if the candidate does not have a card upon hire, it must be obtained within 30 days and maintained through renewal before expiration.
  • 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 patient care and coordinate 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 assessments by 0200/1400 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 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 scope of practice and competency, and act as a patient advocate.
  • Manage restraint use according to policy, attempt alternative non-restraint measures first, ensure required physician orders and assessments, ensure patient monitoring, and complete restraint audit forms each shift.
  • Complete and maintain required documentation, including admission assessments, pain assessments and reassessments, daily and restraint flow sheets, diabetes and education flow sheets, Kardex, care plans, risk assessments and reassessments, medication administration records, equipment and supply records, transfer forms, and belongings 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, including room/unit orientation and plan-of-care information; 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 intravenous, feeding, patient-controlled analgesia, and epidural pumps; sequential compression devices; wound vacuum systems; and heating pads/pumps.
  • Communicate with the healthcare team, patients, and families during shift reports, physician rounds, patient/family interactions, multidisciplinary rounds, handoffs, facility email communications, and interactions with students and new or contract employees.
  • Organize and prioritize responsibilities, manage time, take meal breaks without incurring overtime, and complete shifts on time.
  • Meet regulatory and safety requirements, including National Patient Safety Goals, patient identification, approved abbreviations, Universal Protocol time-outs, handoffs, medication reconciliation, clinical alarms, hazardous-waste, biohazard, medication and sharps handling, HIPAA and OSHA requirements, continuous survey readiness, and safe practices in body mechanics, electrical safety, infection control, and hand hygiene.
  • Manage medical-surgical patients, including patients with total hip or knee arthroplasty, spinal surgery, cystic fibrosis, abdominal organ transplants, and hepatic encephalopathy, applying relevant isolation, respiratory, nutrition, medication, safety, and skin-care measures.
  • Manage complex critically ill patients in intensive care, including patients with neurosurgical, thoracic, gastric bypass, orthopedic, transplant, hepatobiliary, and open-heart conditions, and use advanced 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 and advanced 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; inform patients of treatment plans; complete treatment records; perform pre-treatment safety checks and machine maintenance; check charts for dialysis 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 in therapeutic interactions and maintain a therapeutic milieu; assess and monitor safety, including contraband checks; initiate and participate in treatment planning; monitor locked doors; log visitors and assess for contraband; monitor legal status and communicate with the Department of Mental Health and other agencies; administer psychotropic medications only with proper consent and documentation; and submit Fire Arms Reporting Forms.
  • Use de-escalation techniques to prevent behavioral restraint or seclusion where possible; apply restraint/seclusion when appropriate; monitor patient safety; ensure physician assessments and orders according to policy; notify the manager of behavioral restraint incidents; contact significant others as permitted; and conduct post-incident debriefings when appropriate.
  • Identify patients who meet 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/councils, hospital teams, unit-based projects, and research or publication of peer-reviewed articles.
  • Perform other related duties as assigned.
Desired Qualifications
  • ICU and Telemetry experience in surgical units is preferred.
  • 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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