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

Keck Medicine of USC•Los Angeles, CA

1d•$46 - $99•Onsite

About The Position

As an integral member of the interdisciplinary team, the Registered Nurse uses the nursing process to provide therapeutic care to patients and coordinates patient care and education for patients and families. Care is delivered in accordance with applicable standards, policies, and practices in a compassionate, supportive, and therapeutic environment. The role includes assessment, nursing diagnosis, care planning, interventions, documentation, education, transfer and discharge coordination, equipment use, communication, organization, and adherence to regulatory and safety requirements. The nurse manages complex critically ill patients and advanced therapeutic modalities in intensive care, including hemodynamic monitoring, continuous renal replacement therapy, ventriculostomy and intracranial pressure monitoring, ventricular assist devices, and balloon pumps. Duties also cover care of patients in stepdown and telemetry, dialysis treatment, medical-surgical and psychiatric care, behavioral restraints, quality measures, and professional development. Other related duties may be assigned.

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.
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 applicable 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.
American Heart Association Healthcare Provider Basic Life Support (BLS) certification.
LA City Fire Life Safety Training; if not held at hire, it must be obtained within 30 days and maintained by renewal before expiration. Required within LA City only.
American Heart Association Healthcare Provider Advanced Cardiovascular Life Support (ACLS) certification for intensive care, stepdown, and telemetry departments. Nurses 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

Follow policies and procedures and demonstrate the ability to access online manuals.
Apply scientific knowledge through the nursing process.
Complete nursing assessments on admission, each shift, and when a patient's condition changes; complete patient acuity by 0200/1400 daily.
Interpret assessment information and formulate nursing diagnoses.
Develop individualized plans of care, document expected outcomes, and review and update plans daily based on patient outcomes.
Administer medications and IV therapy at prescribed intervals and perform patient-care procedures according to policy.
Delegate tasks according to others' scope of practice and competency and act as a patient advocate.
Manage restraint use according to policy, attempt alternatives first, ensure required physician orders and assessments, monitor patients, and complete restraint audit forms each shift.
Maintain complete and accurate documentation, including assessments, flow sheets, care plans, risk assessments, medication records, transfer forms, and chart checks; ensure orders are transcribed and signed off before the end of the shift.
Educate patients and families, orient them to the room and unit, explain the plan of care, identify knowledge deficits, and provide MICROMEDEX information.
Coordinate discharge planning with the case manager and/or physician, complete transfer paperwork, and ensure patient belongings accompany the patient.
Use patient-care equipment safely and appropriately according to manufacturer guidelines.
Communicate effectively with patients, families, and healthcare team members, including during shift reports, rounds, handoffs, and patient interactions.
Organize and prioritize responsibilities, manage time effectively, take meal breaks without incurring overtime, and complete the shift on time.
Follow regulatory, patient-safety, hazardous-waste, privacy, occupational-safety, infection-control, and documentation requirements.
Manage complex critically ill ICU patients and advanced modalities, including hemodynamic monitoring, CRRT/CVVHD, ventriculostomy and intracranial pressure monitoring, ventricular assist devices, and balloon pumps.
Manage high-acuity stepdown and telemetry patients requiring specialized monitoring and care, including patients receiving ventilator care, arterial/CVP line monitoring, ventricular assist devices, or lumbar drains.
Initiate, perform, and terminate dialysis treatments according to policy and standards; review orders and labs, inform patients of treatment plans, complete documentation and safety checks, maintain equipment, and coordinate missing orders with physicians.
Engage psychiatric patients therapeutically, maintain a therapeutic milieu, monitor safety and contraband, participate in treatment planning, follow legal-status requirements, administer psychotropic medication only with appropriate consent and documentation, and complete required reporting.
Use de-escalation to prevent behavioral restraint or seclusion when possible; apply restraint or seclusion when appropriate, monitor safety, obtain physician orders and assessments, 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 for nurse-sensitive quality indicators.
Participate in professional hospital and nursing activities, committees, teams, unit projects, and research.
Perform other related duties as assigned.