RN Clinical - 5 South ICU - Part Time 12 Hour Nights (Non-Exempt) (Union)

Keck Medicine of USC•Los Angeles, CA

10d•$46 - $99•Onsite

About The Position

As an integral member of the interdisciplinary team, the Registered Nurse uses the nursing process to provide therapeutic care to patients and coordinates patient care and education for patients and families in a compassionate, supportive, and therapeutic environment. The role includes assessing patients, developing and revising individualized plans of care, administering medications and IV therapy, completing procedures and documentation, educating patients and families, coordinating transfers and discharge planning, and communicating with the healthcare team. The RN must manage time and priorities effectively and follow clinical, regulatory, safety, infection-control, and documentation requirements. The position is in an intensive care unit and requires care of complex critically ill patients and the use of advanced therapeutic modalities, including hemodynamic monitoring, continuous renal replacement therapy, ventriculostomy and intracranial pressure monitoring, ventricular assist devices, and balloon pumps. The posting also describes responsibilities and competencies across medical-surgical, stepdown/telemetry, dialysis, and psychiatric care, including behavioral restraint practices and quality improvement activities. Other related duties may be assigned.

Requirements

Bachelor’s degree in Nursing (BSN); the posting notes grandfathering from the BSN requirement for employees hired prior to 12/2019.
At least 1 year of acute inpatient hospital experience as an RN in the United States.
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 successfully perform duties, including whole blood collection and apheresis procedures, in accordance with 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 at hire, it must be obtained within 30 days of hire and maintained through renewal before expiration. Required within LA City only.
Advanced Cardiovascular Life Support (ACLS) Healthcare Provider certification from the American Heart Association for Intensive Care, Step-down, and Telemetry departments. RNs without prior telemetry or critical care experience must obtain ACLS within 180 days or by the end of orientation, whichever is sooner.

Nice To Haves

Specialty certification.

Responsibilities

Use the nursing process to provide therapeutic patient care and coordinate patient care and education.
Follow policies and procedures and apply scientific knowledge in clinical practice.
Complete nursing assessments on admission, each shift, and when a patient’s condition changes; complete patient acuity assessments by 0200/1400 daily.
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, attempt alternatives first, and ensure required orders, physician assessments, monitoring, and restraint audit documentation.
Complete required patient documentation, including assessments, flow sheets, care plans, risk assessments, medication records, transfer forms, and chart checks; ensure orders are transcribed and signed before the end of the shift.
Educate patients and families, orient them to the room or unit and plan of care, identify knowledge deficits, and use or provide MICROMEDEX information.
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 according to manufacturer guidelines.
Communicate effectively with patients, families, and healthcare team members, including during shift reports, rounds, handoffs, and other interactions.
Manage time, organize and prioritize responsibilities, take meal breaks without incurring overtime, and complete shifts on time.
Observe regulatory, patient-safety, privacy, hazardous-waste, infection-control, and workplace-safety 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.
Manage high-acuity stepdown and telemetry patients and specialized monitoring and care, including ventilator care, arterial/CVP lines, ventricular assist devices, and lumbar drains.
Initiate, perform, and terminate dialysis treatments according to policy; review orders and labs, inform patients of treatment plans, complete documentation and safety checks, maintain equipment, and coordinate orders with physicians.
Provide psychiatric patient care, including therapeutic interactions, milieu maintenance, safety monitoring, treatment planning, visitor and contraband procedures, legal-status communication, and appropriate administration of psychotropic medications.
Use de-escalation techniques and, when appropriate, apply behavioral restraint or seclusion; monitor patient safety, obtain orders and physician assessments, notify the manager, contact significant others as allowed, and complete debriefing.
Identify patients who meet Core Measure criteria, complete related documentation, and participate in data collection and process improvements for nurse-sensitive quality indicators.
Participate in professional hospital and nursing activities, committees, teams, unit projects, and research.
Perform other related duties as assigned.