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

University of Southern California•Los Angeles, CA
•$46 - $99

About The Position

The Registered Nurse is an integral member of the interdisciplinary team and uses the nursing process to provide therapeutic care to patients. The nurse coordinates patient care and education for patients and families in accordance with applicable standards, policies, and practices, within a compassionate, supportive, and therapeutic environment. The role includes assessing patients, developing and updating individualized plans of care, administering medications and IV therapy, performing procedures, delegating tasks within appropriate scopes of practice, advocating for patients, and documenting care. The nurse provides patient and family education, collaborates on discharge and transfer planning, communicates with the healthcare team, and uses patient-care equipment safely and appropriately. The position also involves maintaining regulatory and safety compliance, managing patients in telemetry and other clinical settings, supporting quality measures, and participating in professional development activities.

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); if not held at hire, it must be obtained within 30 days of hire and maintained through renewal before expiration. Required 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

  • Specialty certification.

Responsibilities

  • Follow policies and procedures and demonstrate the ability to access online manuals.
  • Apply scientific knowledge in practical nursing care using 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 evaluation of 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, act as a patient advocate, and manage restraint use according to policy, including attempting alternatives and completing required monitoring and documentation.
  • Complete required clinical 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.
  • Provide patient and family education, orient patients to the room and unit, identify knowledge deficits, and use and provide MICROMEDEX information.
  • Collaborate with the Case Manager and/or physician on discharge planning, complete transfer paperwork, and ensure patient belongings are sent with the patient.
  • Use patient-care equipment safely and appropriately according to manufacturer guidelines.
  • Communicate effectively with patients, families, and healthcare team members through shift reports, rounds, hand-offs, and other communication channels.
  • Organize and prioritize work, manage time effectively, take meal breaks without incurring overtime, and complete the shift on time.
  • Observe regulatory agency requirements and maintain safe practices, including patient identification, medication safety, infection control, hand washing, and workplace safety.
  • Manage patients in medical-surgical, intensive care, stepdown, and telemetry settings as applicable, including patients requiring specialized monitoring and advanced therapeutic modalities.
  • Initiate, perform, and terminate dialysis treatments according to policy and standards of care; review orders and labs, complete safety checks and documentation, and maintain dialysis equipment according to policy.
  • Provide care for psychiatric patients, including therapeutic interactions, safety monitoring, treatment planning, visitor and contraband procedures, legal-status monitoring, and medication administration with proper consent and documentation.
  • Use de-escalation techniques and apply behavioral restraints or seclusion when appropriate; monitor patient safety, obtain required physician assessments and orders, notify the Manager, and complete debriefing.
  • Accurately identify patients who meet Core Measure criteria, complete related documentation, and participate in data collection and process improvement for Nurse Sensitive Quality Indicators.
  • Participate in professional hospital and nursing activities, including committees, teams, unit projects, research, and relief charge nurse duties.
  • Perform other related duties as assigned.
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