About The Position

As an integral member of the interdisciplinary team, the Registered Nurse uses the nursing process to provide therapeutic patient care and is accountable for coordinating care and educating patients and families in a compassionate, supportive, and therapeutic environment. The role follows organizational policies and clinical standards and applies scientific knowledge in practice. Responsibilities span patient assessment, diagnosis, individualized care planning, interventions, documentation, education, transfer and discharge coordination, equipment use, communication, and organization of care. The RN also observes regulatory and safety requirements and may perform other related duties as assigned. The position includes responsibilities associated with managing medical-surgical, intensive care, stepdown/telemetry, dialysis, and psychiatric patients. These may include caring for complex or critically ill patients; using advanced monitoring and therapeutic modalities; carrying out dialysis treatments and related safety, order-review, and documentation procedures; and supporting patient safety, therapeutic interactions, and behavioral restraint protocols where applicable. The RN also participates in quality measures and professional development activities. Keck Hospital of USC is a 343-bed acute care hospital providing specialized care for complex medical and surgical conditions. It is an academic medical center with clinical trials conducted at the hospital and affiliated research institutions. The stated hourly rate range is $45.76–$98.80. This is a part-time, 12-hour day-shift, non-exempt, union position.

Requirements

  • Bachelor’s degree in nursing (BSN); candidates hired before December 2019 are grandfathered from the BSN requirement.
  • At least 1 year of acute inpatient hospital experience as an RN.
  • At least 2 years of experience in Interventional Pulmonary.
  • Excellent English communication skills, including speaking, reading, and writing proficiently.
  • Knowledge of medical procedures and conditions and the ability to understand, follow, and perform duties, including whole blood collection and apheresis procedures, according to 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.
  • Current 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.

Nice To Haves

  • Preceptor experience.
  • Professional certification.
  • More than 8 non-mandatory continuing education hours.
  • USC Keck Hospital Nurse Week recognition.
  • Monthly hospital or unit Spirit Award recognition.
  • Public nursing recognition.

Responsibilities

  • Complete nursing assessments on admission, each shift, and when a patient’s condition changes; complete daily patient acuity assessments by 0200/1400.
  • Interpret assessment findings 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 alternative measures first, ensure physician orders and assessments, monitor patients, and complete required restraint documentation.
  • Maintain complete and accurate documentation on required flow sheets and chart forms, transcribe and sign off orders before the end of the shift, and complete 12-hour/24-hour chart checks.
  • Educate patients and families, orient them to the room and unit, identify knowledge deficits, and provide MICROMEDEX information.
  • Collaborate with case managers and/or physicians on discharge planning, 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, physician rounds, handoffs, and other interactions.
  • Organize and prioritize work, manage time effectively, take meal breaks without incurring overtime, and complete shifts on time.
  • Observe regulatory, patient-safety, infection-control, workplace-safety, and hazardous-waste requirements.
  • Manage medical-surgical patients, including patients undergoing joint replacement, spinal surgery, cystic fibrosis care, abdominal-organ transplants, or care for hepatic encephalopathy, as applicable to the unit.
  • Manage complex critically ill patients and advanced modalities in intensive care, including hemodynamic monitoring, CRRT/CVVHD, ventriculostomy and intracranial pressure monitoring, ventricular assist devices, and balloon pumps.
  • Manage high-acuity stepdown/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; review orders and labs, inform patients of treatment plans, complete treatment records, perform pre-treatment safety checks and machine maintenance, and obtain or clarify orders as needed.
  • Provide psychiatric patient care, including therapeutic interactions, safety monitoring, treatment planning, visitor and contraband procedures, monitoring legal status, and administering psychotropic medications only with proper consent and documentation.
  • Use de-escalation techniques and apply behavioral restraint/seclusion when appropriate; continuously monitor patient safety, obtain physician assessment and orders as required, notify the manager, contact significant others as permitted, and complete debriefing.
  • Identify patients who meet Core Measure criteria, complete related documentation, and participate in data collection and process improvement 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.
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