RN Clinical - Float Pool - Part Time 12 Hour Days (Non-Exempt) (Union)

Keck Medicine of USC•Los Angeles, CA

1d•Onsite

About The Position

This position is for a Registered Nurse in the Float Pool, providing therapeutic care to patients across various units as an integral part of the interdisciplinary team. The RN is responsible for coordinating patient care and education for patients and families, adhering to established standards, policies, and practices within a compassionate, supportive, and therapeutic environment. The role involves applying the nursing process from assessment and diagnosis to planning and intervention, ensuring comprehensive and individualized patient care.

Requirements

Bachelor's degree in Nursing
1 year Acute inpatient hospital experience in the United States.
Excellent communication skills, including the ability to speak, read and write English proficiently.
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.
Registered Nurse - RN (CA Board of Registered Nursing)
Basic Life Support (BLS) Healthcare Provider from American Heart Association
Fire Life Safety Training (LA City) (If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only))
Advanced Cardiovascular Life Support (ACLS) Healthcare Provider from American Heart Association (Required for Departments/Units: Intensive Care, Step-down, & Telemetry. RNs without prior telemetry or critical care experience will be required to obtain ACLS within 180 days or by the end of orientation, whichever is sooner.)

Nice To Haves

Specialty certification.

Responsibilities

Follows policies and procedures; demonstrates ability to access online manuals.
Transfers learned scientific knowledge into practical application in applying the Nursing Process.
Appropriately completes Nursing Assessment upon patient admission, at each shift and with change of condition.
Completes patient acuity by 0200/1400 daily.
Interprets assessment information and formulates Nursing Diagnoses.
Develops Plans of Care with individualized interventions.
Documents expected/projected patient outcomes.
Reviews/Revises/Updates Plans of Care daily based on evaluation and interpretation of patient outcomes.
Administers medication and IV therapy appropriately at prescribed intervals.
Completes patient care procedures correctly per policy at prescribed intervals.
Delegates tasks based on others’ scope of practice and competency.
Acts as patient advocate.
Manages restraint use per policy, including attempting alternative non-restraint measures first, assuring complete MD order, ensuring MD assessment, assuring patient monitoring, and ensuring Restraint Audit Form is completed each shift.
Completes and corrects documentation on all flow sheets and chart forms: Admission Assessment, Pain scale assessment and reassessment before and after intervention, Daily flow sheet, Restraint flow sheet, Diabetes flow sheet, Educational flow sheet, Kardex, Care Plan, Risk Assessment & Reassessment upon Fall, MAR, Equipment & Supplies, Intra and Inter Facility Transfer Forms, Belonging Tracking Form.
Ensures orders are transcribed and signed off prior to the end of the shift.
Completes 12h/24h chart checks.
Provides patient/family education as needed, including room/unit orientation, Plan of Care, identifying knowledge deficits related to diagnoses and care, and using/providing MICROMEDEX information.
Collaborates with Case Manager and/or physician regarding discharge planning.
Ensures all transfer paperwork is completed.
Ensures belongings are sent with patient.
Utilizes patient care equipment appropriately and safely according to manufacture guidelines (IV pump, Feeding pump, PCA pump, Epidural pump, Sequential compression device, Wound VAC, Heating pad/pump).
Communicates effectively with all members of the healthcare team including patient and family (Shift to shift report, Physician Rounds, Patient/family interactions, MDP Rounds, Hand-Off reports, Facility E-mail, Student/New employee/Contract employee).
Manages time effectively, organizes and prioritizes responsibilities.
Takes meal breaks without incurring overtime.
Completes shift on time.
Observes Regulatory Agency Requirements: National Patient Safety Goals (Patient identifiers, Unapproved abbreviations, Universal Protocol, Hand-Off, Medication Reconciliation, Clinical Alarms), Hazardous waste management (Biohazard, Medication, Sharps), HIPAA, OSHA requirements, JCAHO – continuous survey readiness (Critical Values, Telephone order).
Maintains safe practice in the work environment (Correct body mechanics, Electrical safety, Infection Control Procedures, Hand Washing).
Demonstrates the ability to manage patients with THA, TKA, and spinal surgery (6N).
Demonstrates the ability to maintain isolation precautions, respiratory and nutrition care specific to cystic fibrosis patients (6S).
Demonstrates the ability to manage medications and maintain protective isolation precautions for patients with abdominal organ transplants (6S).
Institutes safety precautions and skin care for patients with hepatic encephalopathy (6S).
Demonstrates the ability to manage complex critically ill patients (Neurosurgery, thoracic-forgut, gastric bypass, orthopedic, Liver/kidney/pancreas transplants, hepatobiliary, Open heart, heart and lung transplants).
Demonstrates the ability to manage advanced therapeutic modalities (Hemodynamic monitoring, Continuous renal replacement therapy (CRRT, CVVHD), Ventriculostomy, intracranial pressure monitoring, Ventricular assist devices, balloon pumps).
Demonstrates the ability to manage high acuity patients requiring specialized monitoring and care (Status post open heart, heart transplant, lung transplant, Status post liver/kidney transplants, orthopedics, hepatobiliary, general surgeries, Status post thoracic-forgut, gastric bypass, neurology, neurosurgery).
Demonstrates the ability to manage advanced therapeutic modalities (Ventilator care, Arterial/CVP lines, Ventricular assist devices, Lumbar drains).
Initiates, performs and terminates all dialysis treatments according to policy and dialysis standards of care.
Reviews all orders and labs prior to initiating treatments.
Informs patient of treatment plan.
Completes all documentation completely and according to policy on the dialysis treatment record.
Performs all pre-treatment safety checks.
Performs appropriate machine maintenance according to dialysis policies and procedures.
Checks charts for dialysis orders prior to arriving on the unit with the dialysis equipment.
Calls physicians for orders early in the shift when orders for dialysis have been placed, but no treatment orders are written.
Completes med/surg dialysis treatments on 3S whenever there are more than 2 med/surg patients scheduled.
Engages patients in therapeutic interactions.
Maintains therapeutic milieu.
Assesses and monitors for patient safety including: Contraband assessment upon admission, change of shift and prn.
Initiates and participates in treatment planning.
Monitors locked doors into and out of the unit.
Logs in Visitors and assesses for contraband.
Follows patients’ legal status q shift and communicates with Department of Mental Health and other agencies as required.
Administers psychotropic medications only after proper consent and documentation.
Submit Fire Arms Reporting Form.
Demonstrates de-escalation techniques as an effort to prevent the need for behavioral restraint/seclusion.
Applies behavioral restraint/seclusion when appropriate.
Continuously monitors patients for safety (or delegates as appropriate).
Ensures physician assessment of patient within 1 hour of application of restraint/seclusion and then at least every 8 hours.
Obtains physician orders per policy.
Notifies Manager of all behavioral restraint incidences.
Contacts significant other as allowed by patient.
Completes debriefing, with patient if appropriate, after the incident.
Accurately identifies patient that fit Core Measure criteria.
Completes Core Measure Documentation.
Identifies and participates in data collection and process improvements related to Nurse Sensitive Quality Indicators.
Participates in professional hospital/nursing activities (Relief Charge Nurse, Nursing committees/councils, Hospital Teams, Unit Based Projects, Research, Published peer review article).