RN Clinical - Eval and Trmt Ctr - Full Time 12 Hour Nights (Non-Exempt) (Union)

University of Southern California•Los Angeles, CA

About The Position

As an integral member of the interdisciplinary team, the Registered Nurse uses the nursing process to provide therapeutic care and coordinates patient care and education for patients and families. Care is provided in accordance with established standards, policies, and practices in a compassionate, supportive, and therapeutic environment. The role includes nursing assessment, diagnosis, care planning, intervention, documentation, patient education, transfer and discharge coordination, safe equipment use, and communication with the healthcare team. The position requires competent care across medical-surgical, intensive care, stepdown/telemetry, dialysis, and psychiatric settings. Duties include managing patients with complex conditions and advanced therapeutic modalities; carrying out dialysis treatments in accordance with policy; supporting patient safety and behavioral restraint procedures; and meeting applicable quality, regulatory, and safety requirements. The RN also participates in professional development and other related duties as assigned. Keck Hospital of USC is a 343-bed acute care hospital providing specialized care for complex medical and surgical conditions. The hourly pay range for this position is $45.76–$98.80.

Requirements

Bachelor’s degree in Nursing (BSN); nurses hired before December 2019 may be grandfathered from the BSN requirement.
At least 1 year of acute inpatient hospital experience in the United States.
Excellent communication skills, including proficient spoken, written, and reading English.
Knowledge of medical procedures and conditions and the ability to understand, follow, and perform duties in accordance with administrative and clinical policies, regulations, and procedures, including whole blood collection and apheresis procedures.
Commitment to excellence in patient care and customer service.
Ability to work independently with minimal direction and supervision.
Registered Nurse (RN) licensure from the California Board of Registered Nursing.
Basic Life Support (BLS) Healthcare Provider certification from the American Heart Association.
Fire Life Safety Training (LA City), required within LA City; if not held upon hire, it must be obtained within 30 days and maintained through renewal before expiration.
Advanced Cardiovascular Life Support (ACLS) Healthcare Provider certification from the American Heart Association.

Nice To Haves

Two years of ICU/critical care experience, emergency room experience, or equivalent.
Specialty certification.
Preceptor experience.
More than 8 non-mandatory continuing education hours.
USC University Hospital Nurse Week recognition.
Monthly hospital or unit Spirit Award recognition.
Public nursing recognition.

Responsibilities

Use the nursing process to assess patients, formulate nursing diagnoses, develop and update individualized plans of care, and evaluate patient outcomes.
Coordinate patient care and provide education to patients and families, including room and unit orientation, care-plan education, and information about diagnoses and care.
Administer medications and IV therapy and perform patient care procedures in accordance with orders, policies, and prescribed intervals.
Delegate tasks according to the scope of practice and competency of others, and advocate for patients.
Manage restraint use according to policy, including attempting alternatives, ensuring orders and assessments, monitoring patients, and completing required audits and documentation.
Complete and maintain required assessments, flow sheets, charts, care plans, risk assessments, medication records, transfer forms, and other documentation; transcribe and sign off orders before the end of the shift and complete chart checks.
Collaborate with case managers and physicians on discharge planning, complete transfer paperwork, and ensure patient belongings accompany the patient.
Use patient-care equipment safely and appropriately, including IV, feeding, PCA, and epidural pumps; sequential compression devices; wound VACs; and heating pads or pumps.
Communicate effectively with patients, families, and the healthcare team through shift reports, rounds, hand-offs, and other interactions.
Organize and prioritize work, manage time effectively, take meal breaks without incurring overtime, and complete the shift on time.
Follow regulatory, patient-safety, infection-control, hazardous-waste, privacy, and workplace-safety requirements.
Manage medical-surgical patients, including patients with joint replacement, spinal surgery, cystic fibrosis, abdominal organ transplants, and hepatic encephalopathy, as applicable to the unit.
Manage complex critically ill patients and advanced modalities in intensive care, including hemodynamic monitoring, continuous renal replacement therapy, ventriculostomy and intracranial pressure monitoring, ventricular assist devices, and balloon pumps.
Manage high-acuity stepdown and telemetry patients and advanced modalities such as ventilator care, arterial and CVP lines, ventricular assist devices, and lumbar drains.
Initiate, perform, and terminate dialysis treatments according to policy and standards of care; review orders and labs, inform patients of treatment plans, complete treatment records, perform safety checks and machine maintenance, and obtain missing treatment orders as needed.
Provide psychiatric patient care, including therapeutic interactions, maintaining a therapeutic milieu, safety and contraband monitoring, treatment planning, legal-status follow-up, and administration of psychotropic medication with proper consent and documentation.
Use de-escalation techniques and follow behavioral restraint and seclusion procedures, including monitoring, physician notification and orders, manager notification, permitted contact with significant others, and post-incident debriefing.
Identify patients meeting Core Measure criteria, complete required documentation, and participate in data collection and process improvements related to Nurse Sensitive Quality Indicators.
Participate in professional hospital and nursing activities, such as committees, councils, teams, unit projects, research, and relief charge nurse duties.
Perform other related duties as assigned.