RN Clinical - 6S Tele - Full Time 12 Hour Nights (Non-Exempt) (Union)

University of Southern California•Los Angeles, CA

3d•Onsite

About The Position

As an integral member of the interdisciplinary team, the Registered Nurse uses the nursing process to provide therapeutic care, coordinate patient care, and educate patients and families in a compassionate, supportive, and therapeutic environment consistent with applicable standards, policies, and practices. The role involves assessment, nursing diagnosis, individualized care planning, interventions, documentation, patient and family education, communication, and coordination of transfers and discharge planning. Nurses are expected to maintain safe practices and comply with regulatory requirements, including patient safety, infection control, privacy, and documentation standards. The position serves a telemetry population and requires the ability to care for high-acuity patients requiring specialized monitoring and care. Depending on unit and patient needs, responsibilities described include care for patients with complex medical and surgical conditions, transplant patients, and patients requiring advanced therapeutic modalities. The posting also describes dialysis, intensive care, stepdown, psychiatric care, and behavioral restraint duties applicable to relevant care areas. The role includes maintaining and safely using patient-care equipment, completing required records and chart checks, managing time and workload, and participating in professional development and quality improvement. The position is full-time, with 12-hour night shifts. The hourly rate range is $45.76–$98.80.

Requirements

Bachelor’s degree in nursing (BSN); nurses hired before December 2019 may be grandfathered from the BSN requirement.
At least 1 year of acute inpatient hospital experience in the United States.
Excellent communication skills, including proficiency in speaking, reading, and writing English.
Knowledge of medical procedures and conditions and the 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 (RN) 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 and maintained through renewal, as required within LA City.
Advanced Cardiovascular Life Support (ACLS) Healthcare Provider certification from the American Heart Association; required for intensive care, stepdown, and telemetry.

Nice To Haves

Specialty certification.

Responsibilities

Complete nursing assessments on admission, each shift, and when a patient's condition changes; complete patient acuity documentation by 0200/1400 daily.
Interpret assessment information and formulate nursing diagnoses.
Develop, document, review, and update individualized plans of care based on patient outcomes.
Administer medications and IV therapy at prescribed intervals and perform procedures according to policy.
Delegate tasks according to others’ scope of practice and competency, and advocate for patients.
Manage restraint use according to policy, including attempting alternatives, ensuring orders and physician assessments, monitoring patients, and completing restraint documentation.
Complete required patient-care documentation, flow sheets, chart forms, and 12-hour/24-hour chart checks; ensure orders are transcribed and signed before the shift ends.
Educate patients and families, orient them to the room or unit and plan of care, identify knowledge deficits, and provide MICROMEDEX information.
Coordinate discharge planning with case managers and physicians; 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, physicians, and other healthcare team members, including through shift reports, rounds, handoffs, and facility email.
Organize and prioritize responsibilities, manage time effectively, take meal breaks without incurring overtime, and complete the shift on time.
Follow regulatory requirements and maintain safe practices, including patient identification, handoffs, medication reconciliation, infection control, hand washing, body mechanics, electrical safety, and hazardous-waste management.
Provide care for telemetry patients requiring specialized monitoring, including patients following cardiac, transplant, orthopedic, hepatobiliary, general surgery, thoracic, gastric bypass, neurology, or neurosurgery procedures, as applicable.
Manage advanced therapeutic modalities relevant to the unit, including ventilator care, arterial/CVP lines, ventricular assist devices, and lumbar drains, as applicable.
For dialysis patients, initiate, perform, and terminate treatments according to policy; review orders and labs; explain treatment plans; complete treatment records; perform safety checks and machine maintenance; and coordinate required orders and treatments.
For psychiatric patients, engage in therapeutic interactions, maintain a therapeutic milieu, assess and monitor safety, participate in treatment planning, follow legal status requirements, administer psychotropic medication only with proper consent and documentation, and complete required reporting.
Use de-escalation techniques and apply behavioral restraint or seclusion when appropriate; monitor patient safety, obtain required physician orders and assessments, notify the manager, contact significant others as permitted, and complete debriefing.
Accurately identify patients meeting Core Measure criteria, complete associated documentation, and participate in data collection and improvement related to Nurse Sensitive Quality Indicators.
Participate in professional hospital and nursing activities, committees, teams, unit projects, or research.
Perform other related duties as assigned.