U

University of Southern California

Research university in Los Angeles, CA

Registered Nurse Clinical - 5S 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, except 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.
  • 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.
  • Los Angeles City Fire Life Safety Training is required; if the candidate 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 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
  • Provide therapeutic patient care using the nursing process as part of the interdisciplinary team, 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 patient outcomes, and review, revise, and update plans daily based on evaluation of patient outcomes.
  • Administer medications and intravenous therapy at prescribed intervals and complete patient care procedures according to policy and schedule.
  • Delegate tasks according to others’ scope of practice and competency, and act as a patient advocate.
  • Manage restraint use according to policy, attempt alternative measures first, ensure complete physician orders and required physician assessments, maintain patient monitoring, and complete restraint audit forms each shift.
  • Complete and maintain required documentation, including admission, pain, daily, restraint, diabetes, education, Kardex, care plan, risk, fall, medication administration, equipment and supplies, transfer, and belongings records; transcribe and sign off orders before the end of each shift and complete 12-hour/24-hour chart checks.
  • Provide patient and family education and room/unit orientation, explain the plan of care, identify knowledge deficits related to diagnoses and care, and use and provide Micromedex information.
  • Collaborate with case managers and/or physicians 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 pumps, feeding pumps, patient-controlled analgesia pumps, epidural pumps, sequential compression devices, wound vacuum devices, and heating pads/pumps.
  • Communicate effectively with the healthcare team, patients, and families through shift reports, physician rounds, patient/family interactions, 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.
  • Meet regulatory agency requirements, including National Patient Safety Goals, patient identifiers, approved abbreviations, Universal Protocol, hand-offs, medication reconciliation, clinical alarms, hazardous-waste management, HIPAA and OSHA requirements, continuous survey readiness, and safe practice requirements.
  • Document, communicate, and follow up on critical values and telephone orders, ensuring orders are appropriate, documented, signed, timed, dated, stamped, entered, and logged as required.
  • 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, applying the corresponding care, isolation, respiratory, nutrition, medication, safety, and skin-care requirements.
  • Manage complex critically ill intensive-care patients, including neurosurgery, thoracic foregut, gastric bypass, orthopedic cases, liver/kidney/pancreas transplants, hepatobiliary cases, open-heart surgery, and heart and lung transplants.
  • Manage advanced intensive-care therapies and modalities, including hemodynamic monitoring, continuous renal replacement therapy, continuous venovenous hemodialysis, 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 across cardiac, pulmonary, transplant, orthopedic, hepatobiliary, general surgery, thoracic foregut, gastric bypass, neurology, and neurosurgery services.
  • Manage advanced step-down 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; inform patients of treatment plans; complete treatment-record documentation; conduct pre-treatment safety checks; maintain dialysis machines; confirm orders before arriving with equipment; contact physicians early when treatment orders are missing; and complete medical-surgical dialysis treatments on 3S when more than two such patients are scheduled.
  • Provide care for psychiatric patients through therapeutic interactions, maintenance of a therapeutic milieu, patient-safety assessment and monitoring, contraband checks, treatment planning, monitoring unit doors, visitor logging and contraband assessment, legal-status checks, communication with the Department of Mental Health and other agencies, appropriate consent and documentation before psychotropic medication administration, and completion of firearm reporting forms.
  • Use de-escalation techniques to prevent behavioral restraint or seclusion where possible; apply restraint or seclusion when appropriate; continuously monitor patient safety; ensure physician assessment within one hour of application and at least every eight hours thereafter; obtain physician orders; notify the manager of incidents; contact significant others as permitted; and complete post-incident debriefings 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 work, nursing committees and councils, hospital teams, unit-based projects, research, and published peer-reviewed articles.
  • Perform other related duties as assigned.
Desired Qualifications
  • Specialty certification is preferred.

About the company

U

University of Southern California

View
Website

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.

Company Size

N/A

Company Stage

N/A

Total Funding

N/A

Headquarters

N/A

Founded

N/A

Get referred to University of Southern California

See people who can refer or advise you