RN Clinical - 7 E ICU - Part Time 12 Hour Day Shift (Non-Exempt) (Union)

University of Southern California•Los Angeles, CA

20h•Onsite

About The Position

As an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. The Registered Nurse is accountable for the coordination of patient care and education to the patient and family in accordance with the standards, policies, and practices in a compassionate, supportive, and therapeutic environment.

Requirements

Bachelor’s Degree in Nursing (BSN) (Grandfathered from BSN if hired prior to 12/2019)
1 year Acute inpatient hospital experience as RN in 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.
Committed to excellence in patient care and customer service.
Demonstrates ability to work independently with minimal direction and supervision.
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: 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.)
Crisis Prevention Institute Instructor (CPI) (Psychiatry)
LPS Certification and Credentialing within 90 days of eligibility (Psychiatry)

Nice To Haves

Surgical Units: ICU and Telemetry experience.
Infusion Units: ICU experience.
Specialty certification.

Responsibilities

Follow policies and procedures; demonstrate ability to access online manuals.
Transfer learned scientific knowledge into practical application in applying the Nursing Process.
Appropriately complete Nursing Assessment upon patient admission, at each shift and with change of condition.
Complete patient acuity by 0200/1400 daily.
Interpret assessment information and formulate Nursing Diagnoses.
Develop Plans of Care with individualized interventions.
Document expected/projected patient outcomes.
Review/Revise/Update Plans of Care daily based on evaluation and interpretation of patient outcomes.
Administer medication and IV therapy appropriately at prescribed intervals.
Complete patient care procedures correctly per policy at prescribed intervals.
Delegate tasks based on others’ scope of practice and competency.
Act as patient advocate.
Manage restraint use per policy.
Attempt alternative non-restraint measures first.
Assure complete MD order per policy.
Ensure MD assessment per policy.
Assure patient monitoring per policy.
Ensure Restraint Audit Form is completed each shift.
Complete and correct 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.
Ensure orders are transcribed and signed off prior to the end of the shift.
Complete 12h/24h chart checks.
Provide patient/family education as needed including Room/unit orientation, Plan of Care, and identification of knowledge deficits related to diagnoses and care.
Use and provide MICROMEDEX information to patients and families.
Collaborate with Case Manager and/or physician regarding discharge planning.
Ensure all transfer paperwork is completed.
Ensure belongings are sent with patient.
Utilize patient care equipment appropriately and safely according to manufacture guidelines.
Communicate 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.
Manage time effectively.
Organize and prioritize responsibilities.
Take meal breaks without incurring overtime.
Complete shift on time.
Observe regulatory agency requirements: National Patient Safety Goals, Patient identifiers, Unapproved abbreviations, Universal Protocol (Procedural Time Out), Hand-Off, Medication Reconciliation, Clinical Alarms, Other Hazardous waste management (Biohazard, Medication, Sharps), HIPAA, OSHA requirements (i.e. no food or drink in clinical areas), JCAHO – continuous survey readiness, Critical Values (Write Down, Read Back, Follow up), Telephone order (Appropriate, Documented, Signed, Timed and Dated, Stamped, Entered into unit log).
Maintain safe practice in the work environment: Correct body mechanics, Electrical safety, Infection Control Procedures, Hand Washing.
Manage the care of Medical Surgical Patients (6N) including patients with THA, TKA, spinal surgery (6S), maintaining isolation precautions, respiratory and nutrition care specific to cystic fibrosis patients (6S), managing medications and maintaining protective isolation precautions for patients with abdominal organ transplants (6S), and instituting safety precautions and skin care for patients with hepatic encephalopathy.
Manage the care of patients in the Intensive Care Unit/S including complex critically ill patients (Neurosurgery, thoracic-forgut, gastric bypass, orthopedic, Liver/kidney/pancreas transplants, hepatobiliary, Open heart, heart and lung transplants) and advanced therapeutic modalities (Hemodynamic monitoring, Continuous renal replacement therapy (CRRT, CVVHD), Ventriculostomy, intracranial pressure monitoring, Ventricular assist devices, balloon pumps).
Manage the care of patients in the Stepdown/Telemetry Units including 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) and advanced therapeutic modalities (Ventilator care, Arterial/CVP lines, Ventricular assist devices, Lumbar drains).
Manage the care of patients undergoing Dialysis Treatment: Initiate, perform and terminate all dialysis treatments according to policy and dialysis standards of care, Review all orders and labs prior to initiating treatments, Inform patient of treatment plan, Complete all documentation completely and according to policy on the dialysis treatment record, Perform all pre-treatment safety checks, Perform appropriate machine maintenance according to dialysis policies and procedures, Check charts for dialysis orders prior to arriving on the unit with the dialysis equipment, Call physicians for orders early in the shift when orders for dialysis have been placed, but no treatment orders are written, Complete med/surg dialysis treatments on 3S whenever there are more than 2 med/surg patients scheduled.
Manage the care of the Psychiatric Patient: Engage patients in therapeutic interactions, Maintain therapeutic milieu, Assess and monitor for patient safety including: Contraband assessment upon admission, change of shift and prn, Initiate and participate in treatment planning, Monitor locked doors into and out of the unit, Log in Visitors and assess for contraband, Follow patients’ legal status q shift and communicate with Department of Mental Health and other agencies as required, Administer psychotropic medications only after proper consent and documentation, Initiate and participate in treatment planning, Submit Fire Arms Reporting Form.
Manage Behavioral Restraints: Demonstrate de-escalation techniques as an effort to prevent the need for behavioral restraint/seclusion, Apply behavioral restraint/seclusion when appropriate, Continuously monitor patients for safety (or delegate as appropriate), Ensure physician assessment of patient within 1 hour of application of restraint/seclusion and then at least every 8 hours, Obtain physician orders per policy, Notify Manager of all behavioral restraint incidences, Contact significant other as allowed by patient, Complete debriefing, with patient if appropriate, after the incident.
Manage Quality Measures: Accurately identify patient that fit Core Measure criteria, Complete Core Measure Documentation, Identify and participate in data collection and process improvements related to Nurse Sensitive Quality Indicators.
Participate in professional hospital/nursing activities such as Relief Charge Nurse, Nursing committees/councils, Hospital Teams, Unit Based Projects, Research, Published peer review article.
Perform other related duties as assigned.