RN Clinical - 5 W ICU - Full Time 12 Hour Night Shift (Non-Exempt) (Union)

University of Southern California•Los Angeles, CA

12d

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 in a compassionate, supportive, and therapeutic environment. The role follows applicable standards, policies, and practices and includes responsibilities across assessment, diagnosis, planning, intervention, documentation, education, transfer and discharge, equipment use, communication, organization, and regulatory compliance. The nurse provides care to patients in intensive care and other specialized settings, including complex critically ill patients who may require advanced therapeutic modalities such as hemodynamic monitoring, continuous renal replacement therapy, intracranial pressure monitoring, ventricular assist devices, or balloon pumps. The posting also describes duties involving stepdown/telemetry, dialysis, medical-surgical, and psychiatric patient care, as well as behavioral restraint procedures and quality measures. The position is full-time on a 12-hour night shift and is non-exempt and union-represented. The listed hourly rate range is $45.76–$98.80. Keck Hospital of USC is a 343-bed acute care hospital providing specialized care for complex medical and surgical conditions and is an academic medical center with clinical trials and affiliated research institutions.

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 as a registered nurse.
Excellent English communication skills, including speaking, reading, and writing proficiency.
Knowledge of medical procedures and conditions and the ability to understand, follow, and perform duties, including whole blood collection and apheresis procedures, in accordance with policies and regulations.
Commitment to excellence in patient care and customer service.
Ability to work independently with minimal direction and supervision.
Registered Nurse (RN) license 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); if not held at hire, it must be obtained within 30 days of hire and maintained through renewal before expiration. This requirement applies within LA City only.
Advanced Cardiovascular Life Support (ACLS) Healthcare Provider certification from the American Heart Association for Intensive Care, Step-down, and Telemetry departments. RNs without prior telemetry or critical-care experience must obtain ACLS within 180 days or by the end of orientation, whichever is sooner.

Nice To Haves

ICU and telemetry experience for surgical units.
Specialty certification.

Responsibilities

Complete nursing assessments on admission, each shift, and when a patient’s condition changes; complete patient acuity documentation by 0200/1400 daily.
Interpret assessment information, formulate nursing diagnoses, and develop, document, review, and update individualized plans of care based on patient outcomes.
Administer medications and IV therapy, perform patient-care procedures, delegate tasks within others’ scope and competency, advocate for patients, and follow restraint policies.
Complete required patient documentation and chart checks, transcribe and sign off orders before the end of the shift, and ensure required physician orders and documentation are complete.
Educate patients and families, orient them to the room and unit, identify knowledge deficits, and provide MICROMEDEX information as appropriate.
Coordinate transfer and discharge planning with case managers and physicians; 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, physician rounds, handoffs, and other interactions.
Organize and prioritize work, manage time effectively, take meal breaks without incurring overtime, and complete the shift on time.
Follow regulatory, safety, infection-control, documentation, and workplace requirements, including patient-safety goals, HIPAA, OSHA, hazardous-waste procedures, and continuous survey readiness.
Manage complex critically ill ICU patients and advanced therapeutic modalities, including hemodynamic monitoring, CRRT/CVVHD, ventriculostomy and intracranial pressure monitoring, ventricular assist devices, and balloon pumps.
Provide specialized care to high-acuity stepdown and telemetry patients, including care involving ventilators, arterial/CVP lines, ventricular assist devices, and lumbar drains.
Initiate, perform, and terminate dialysis treatments according to policy; review orders and labs, inform patients of treatment plans, complete treatment records, perform safety checks and machine maintenance, and obtain missing orders as needed.
Provide psychiatric patient care through therapeutic interactions, safety monitoring, treatment planning, visitor and contraband procedures, legal-status checks, and administration of psychotropic medications with appropriate consent and documentation.
Use de-escalation techniques and follow behavioral restraint or seclusion requirements, including monitoring, physician assessment and orders, manager notification, contact with significant others when allowed, and 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 relief charge duties, committees, hospital teams, unit projects, research, or peer-reviewed publications.
Perform other related duties as assigned.