Registered Nurse –7N Telemetry – Full Time 12 Hour Night - (Non-Exempt) (Union)

University of Southern California • Los Angeles, CA

4d • Onsite

About The Position

The Registered Nurse is an integral member of the interdisciplinary team and uses the nursing process to provide therapeutic patient care. The RN coordinates care and provides education to patients and families in accordance with established standards, policies, and practices in a compassionate, supportive, and therapeutic environment. The role includes assessment, nursing diagnosis, care planning, intervention, documentation, patient and family education, transfer and discharge coordination, safe equipment use, effective communication, and adherence to regulatory and safety requirements. This position is in the Telemetry unit and involves managing high-acuity patients requiring specialized monitoring and care.

Requirements

• Bachelor's degree in Nursing (BSN); employees 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 communication skills, including the ability to speak, read, and write English proficiently.
• 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 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 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), required within LA City only; if not held upon hire, it must be obtained within 30 days of hire and maintained through renewal before expiration.
• 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

• Specialty certification.

Responsibilities

• Follow policies and procedures, access online manuals, and apply scientific knowledge through the nursing process.
• Complete nursing assessments upon 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, revise, and update plans daily based on patient outcomes.
• Administer medications and IV therapy, perform patient care procedures, and delegate tasks according to others' scope of practice and competency.
• Act as a patient advocate and manage restraint use according to policy, including attempting alternatives, verifying physician orders and assessments, monitoring patients, and completing restraint audits.
• Maintain complete and accurate documentation, including assessments, flow sheets, care plans, risk assessments, medication records, transfer forms, and other required records; transcribe and sign off orders before the end of the shift and complete chart checks.
• Educate patients and families, orient them to the room and unit, explain plans of care, identify knowledge deficits, and provide MICROMEDEX information.
• 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 healthcare team members through shift reports, rounds, hand-offs, and other interactions.
• Manage time, organize and prioritize responsibilities, take meal breaks without incurring overtime, and complete shifts on time.
• Comply with patient safety, documentation, medication reconciliation, hand-off, hazardous waste, HIPAA, OSHA, infection control, electrical safety, and other regulatory requirements.
• Manage high-acuity telemetry patients requiring specialized monitoring and care, including patients following cardiac, transplant, orthopedic, hepatobiliary, general surgical, thoracic, gastric bypass, neurology, or neurosurgery procedures.
• Manage advanced therapeutic modalities in stepdown and telemetry settings, including ventilator care, arterial and CVP lines, ventricular assist devices, and lumbar drains.
• Participate in professional hospital and nursing activities, such as serving as a relief charge nurse or preceptor, participating in committees, teams, projects, research, or professional development activities.
• Accurately identify patients meeting Core Measure criteria, complete Core Measure documentation, and participate in data collection and process improvement related to nurse-sensitive quality indicators.
• Perform other related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level