RN Clinical - 8 E Pulmonary Medicine Telemetry - Full Time 12 Hour Days (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 care to patients. The RN coordinates patient care and education for patients and families in accordance with standards, policies, and practices, maintaining a compassionate, supportive, and therapeutic environment. The role encompasses patient assessment, nursing diagnosis, individualized care planning, implementation and evaluation of interventions, accurate documentation, patient and family education, and coordination of transfers and discharge planning. The RN administers medications and IV therapy, performs procedures, delegates within scope and competency, advocates for patients, and manages restraint use according to policy. The position also requires safe use of patient care equipment, effective communication with the healthcare team, organization and time management, and adherence to regulatory and safety requirements. The RN provides care across relevant clinical settings and patient populations, including stepdown and telemetry patients requiring specialized monitoring and care. Duties may also include care involving advanced therapeutic modalities, dialysis, psychiatric patients, behavioral restraints, and quality-measure documentation and improvement activities. The nurse participates in professional development and hospital or nursing activities, and performs other related duties as assigned.

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 an RN in the United States.
Excellent communication skills, including proficiency in speaking, reading, and writing English.
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.
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 upon hire, it must be obtained within 30 days of hire and maintained through renewal before expiration. Required within LA City only.

Nice To Haves

Specialty certification.
Preceptor experience or recognition, professional certification, more than 8 non-mandatory CEH, USCUH Nurse Week recognition, monthly hospital or unit spirit award, or public nursing recognition are listed as bonus-point items.

Responsibilities

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, revise, and update plans daily based on evaluation of patient outcomes.
Administer medications and IV therapy at prescribed intervals and perform patient care procedures correctly according to policy.
Delegate tasks based on others’ scope of practice and competency, and act as a patient advocate.
Manage restraint use according to policy, including trying alternative measures first, verifying required orders and physician assessments, monitoring patients, and completing restraint audit forms each shift.
Maintain complete and accurate documentation on required flow sheets and chart forms; transcribe and sign off orders before the end of the shift; complete 12-hour/24-hour chart checks.
Educate patients and families, provide room and unit orientation, identify knowledge deficits, and use and provide MICROMEDEX information as appropriate.
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 shift reports, physician rounds, hand-offs, and facility communications.
Manage time, organize and prioritize responsibilities, take meal breaks without incurring overtime, and complete the shift on time.
Observe regulatory agency requirements and maintain safe practices, including patient identification, hand hygiene, infection control, electrical safety, body mechanics, and hazardous-waste procedures.
Manage care for patients in stepdown/telemetry units who require specialized monitoring and care, and manage advanced therapeutic modalities as applicable.
Initiate, perform, and terminate dialysis treatments according to policy and standards of care; review orders and labs, inform patients of treatment plans, document treatment, complete safety checks, maintain equipment, and coordinate dialysis orders and treatments.
Provide psychiatric patient care as applicable, including therapeutic interactions, safety monitoring, treatment planning, visitor and contraband procedures, legal-status follow-up, and psychotropic medication administration with proper consent and documentation.
Use de-escalation techniques and apply behavioral restraint or seclusion when appropriate; monitor patient safety, obtain physician orders and assessments, notify the manager, contact significant others as permitted, and complete debriefing.
Identify patients who meet Core Measure criteria, complete Core Measure 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, research, and professional development.
Perform other related duties as assigned.