RN Clinical - 7 W ICU - Part Time 12 Hour Nights (Non-Exempt) (Union)

Keck Medicine of USC•Los Angeles, CA

6d•$46 - $99•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, in a compassionate, supportive, and therapeutic environment. This role is part time and scheduled for 12-hour night shifts in the 7 West ICU. The RN assesses patients, formulates nursing diagnoses, develops and revises individualized plans of care, administers medications and IV therapy, performs procedures, delegates appropriately, advocates for patients, and completes required clinical documentation. The role includes patient and family education, discharge and transfer coordination, safe use of patient-care equipment, communication with healthcare team members, and compliance with regulatory and safety requirements. The position involves care of complex critically ill ICU patients and management of advanced therapeutic modalities, including hemodynamic monitoring, continuous renal replacement therapy, ventriculostomy and intracranial pressure monitoring, ventricular assist devices, and balloon pumps. Other duties may include care responsibilities for stepdown/telemetry, dialysis, medical-surgical, and psychiatric patients, as described in the department’s duties. The RN participates in quality measures and professional development and performs other related duties as assigned. Keck Hospital of USC is a 343-bed acute care hospital providing specialized care for complex medical and surgical conditions. Its clinicians deliver patient-centered care and participate in clinical trials and innovative treatment. The hourly rate range for this position is $45.76–$98.80.

Requirements

Bachelor’s degree in Nursing (BSN); grandfathered from the BSN requirement if hired before December 2019.
At least 1 year of acute inpatient hospital experience in the United States as a licensed RN.
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 policies and regulations.
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.
Advanced Cardiovascular Life Support (ACLS) Healthcare Provider certification from the American Heart Association.
Fire Life Safety Training (LA City) is required within LA City; if not held upon hire, it must be obtained within 30 days and maintained through renewal before expiration.

Nice To Haves

Specialty certification.

Responsibilities

Use the nursing process to provide therapeutic patient care and coordinate care and education for patients and families.
Follow policies and procedures and apply scientific knowledge in clinical practice.
Complete nursing assessments on admission, each shift, and upon changes in condition; complete daily patient acuity assessments by 0200/1400.
Interpret assessment information 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 and complete patient-care procedures according to policy and prescribed intervals.
Delegate tasks according to others’ scope of practice and competency, and act as a patient advocate.
Manage restraints according to policy, attempt alternatives first, ensure required physician orders and assessments, monitor patients, and complete restraint documentation.
Maintain complete and accurate patient documentation, 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/unit and plan of care, 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 appropriately and safely, following manufacturer guidelines.
Communicate effectively with patients, families, and healthcare team members, including through handoffs, rounds, and reports.
Organize and prioritize work, manage time effectively, take meal breaks without incurring overtime, and complete the shift on time.
Comply with regulatory requirements and safety practices, including patient identification, medication reconciliation, handoff, infection control, equipment safety, and hazardous-waste handling.
Manage complex critically ill ICU patients and advanced therapeutic modalities, including hemodynamic monitoring, CRRT/CVVHD, ventriculostomy and intracranial pressure monitoring, ventricular assist devices, and balloon pumps.
Provide the described care for patients in medical-surgical, stepdown/telemetry, dialysis, and psychiatric settings as assigned, including dialysis procedures and behavioral-restraint responsibilities.
Identify patients meeting Core Measure criteria, complete related documentation, and participate in data collection and process improvements 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.