RN Clinical - 7 W ICU - 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 in a compassionate, supportive, and therapeutic environment. The RN follows policies and procedures, applies scientific knowledge in practice, and completes assessments, nursing diagnoses, individualized plans of care, interventions, and documentation. The role includes medication and IV therapy administration, delegation, patient advocacy, restraint management, patient and family education, transfer and discharge coordination, safe use of patient-care equipment, and effective communication with the healthcare team. The position involves care across intensive care, stepdown/telemetry, medical-surgical, dialysis, and psychiatric settings. ICU-related responsibilities include managing complex critically ill patients and advanced modalities such as hemodynamic monitoring, continuous renal replacement therapy, intracranial pressure monitoring, ventricular assist devices, and balloon pumps. The RN also observes regulatory and patient-safety requirements, contributes to quality measures and process improvement, and participates in professional development activities. Other related duties may be assigned. Keck Hospital of USC is a 343-bed acute care hospital providing specialized care for complex medical and surgical conditions. The hourly rate range for this position is $45.76–$98.80.

Requirements

Bachelor’s degree in Nursing (BSN); applicants hired before December 2019 are grandfathered from the BSN requirement.
At least 1 year of acute inpatient hospital experience in the United States as a licensed RN.
Excellent communication skills, including proficient spoken, written, and reading English.
Knowledge of medical procedures and conditions and 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.
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.
Advanced Cardiovascular Life Support (ACLS) Healthcare Provider certification from the American Heart Association.
Fire Life Safety Training (LA City); if not held upon hire, it must be obtained within 30 days and renewed before expiration, where required within LA City.

Nice To Haves

Specialty certification.

Responsibilities

Use the nursing process to provide therapeutic care and coordinate patient care and education for patients and families.
Follow policies and procedures and apply scientific knowledge in clinical practice.
Complete nursing assessments on admission, each shift, and when a patient's condition changes; complete patient acuity assessments by 0200/1400 daily.
Interpret assessment information, formulate nursing diagnoses, develop individualized plans of care, document expected outcomes, and review and update plans daily.
Administer medications and IV therapy and perform patient-care procedures according to policy and prescribed intervals.
Delegate tasks according to others’ scope of practice and competency, and act as a patient advocate.
Manage restraint use according to policy, including attempting alternatives first and ensuring orders, assessments, monitoring, and required audits are completed.
Complete required patient documentation, chart checks, and order transcription and sign-off before the end of the shift.
Provide patient and family education, orient them to the room or unit and plan of care, identify knowledge deficits, and use MICROMEDEX information as appropriate.
Collaborate with case managers and physicians on discharge planning and complete transfer paperwork and belongings tracking.
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 healthcare team members, including through shift reports, rounds, handoffs, and facility email.
Organize and prioritize work, manage time effectively, take meal breaks without incurring overtime, and complete shifts on time.
Observe regulatory, patient-safety, hazardous-waste, privacy, infection-control, and workplace-safety requirements.
Manage patients with the specified medical-surgical conditions, including joint replacement, spinal surgery, cystic fibrosis, abdominal organ transplants, and hepatic encephalopathy, as applicable to the unit.
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.
Manage high-acuity stepdown and telemetry patients and advanced modalities, including ventilator care, arterial/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, document treatment, complete safety checks, maintain equipment, and follow up on missing orders.
Engage psychiatric patients therapeutically, maintain a therapeutic milieu, monitor patient safety and legal status, participate in treatment planning, administer psychotropic medications only with proper consent and documentation, and complete required reporting.
Use de-escalation techniques and safely apply behavioral restraint or seclusion when appropriate; monitor patients, obtain required physician assessments and orders, notify the manager, contact significant others as allowed, and complete debriefing.
Identify patients meeting Core Measure criteria, complete related documentation, and participate in data collection and process improvements related to Nurse Sensitive Quality Indicators.
Participate in professional hospital and nursing activities, committees, teams, unit projects, and research.
Perform other related duties as assigned.