RN Clinical - 7 W ICU - Full Time 12 Hour Days (Non-Exempt) (Union)

Keck Medicine of USC•Los Angeles, CA

6d•$46 - $99•Onsite

About The Position

As an integral part of the interdisciplinary team, the Registered Nurse uses the nursing process to provide therapeutic care to patients and is accountable for coordinating patient care and education for patients and families. Care is provided in accordance with standards, policies, and practices in a compassionate, supportive, and therapeutic environment. The position serves in a 7 West ICU setting and involves full-time, 12-hour day shifts. The nurse assesses patients, formulates nursing diagnoses, develops and updates individualized plans of care, administers medications and IV therapy, performs procedures, delegates appropriately, advocates for patients, and maintains complete clinical documentation. The role includes patient and family education; coordination of transfers and discharge planning; safe use of patient-care equipment; and communication with the healthcare team. The role requires compliance with regulatory and safety requirements, including patient identification, medication reconciliation, infection control, HIPAA, OSHA, and continuous survey readiness. ICU responsibilities include managing complex critically ill patients and advanced therapeutic modalities such as hemodynamic monitoring, continuous renal replacement therapy, ventriculostomy and intracranial pressure monitoring, ventricular assist devices, and balloon pumps. Other duties may include care in medical-surgical, stepdown/telemetry, dialysis, and psychiatric settings, as well as behavioral restraint practices, quality improvement, and professional development. 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. It is an academic medical center with clinical trials and affiliated research institutions. The hourly rate range for this position is $45.76–$98.80.

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 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 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 (RN) 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 at hire, it must be obtained within 30 days of hire and maintained through renewal before expiration.

Nice To Haves

Specialty certification.
Preceptor experience, professional certification, more than 8 non-mandatory continuing education hours, USC Nurse Week recognition, a monthly hospital or unit Spirit Award, or public nursing recognition are listed as bonus-point items.

Responsibilities

Use the nursing process to provide therapeutic patient care and coordinate patient and family education.
Complete nursing assessments on admission, each shift, and when a patient's condition changes; complete daily patient acuity assessments.
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 perform 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 restraint use according to policy, including attempting alternatives, ensuring required orders and physician assessments, monitoring patients, and completing restraint documentation.
Maintain complete and accurate patient documentation, transcribe and sign off orders before the end of the shift, and complete chart checks.
Provide patient and family education, including orientation, plan-of-care information, and education about diagnoses and care.
Collaborate with case managers and 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 handoffs, rounds, and shift reports.
Organize and prioritize work, manage time, take meal breaks without incurring overtime, and complete the shift on time.
Follow regulatory, safety, infection-control, documentation, and workplace requirements.
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 care across applicable medical-surgical, stepdown/telemetry, dialysis, and psychiatric settings, including specialized patient populations and treatments described in the posting.
Initiate, perform, and terminate dialysis treatments according to policy and standards of care; review orders and labs, complete safety checks and documentation, maintain equipment, and contact physicians when required orders are missing.
Use de-escalation techniques and, when appropriate, apply behavioral restraints or seclusion; monitor patient safety, obtain required physician orders and assessments, notify the manager, and complete debriefing.
Identify patients who meet 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, research, and other professional development.
Perform other related duties as assigned.