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

University of Southern California • Los Angeles, CA

4d • 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. The nurse coordinates patient care and education for patients and families according to applicable standards, policies, and practices in a compassionate, supportive, and therapeutic environment. The role includes caring for complex critically ill patients in the intensive care unit and managing advanced therapeutic modalities, while also meeting the detailed clinical, documentation, safety, communication, and regulatory requirements described in the posting. The position may also involve responsibilities for medical-surgical, stepdown/telemetry, dialysis, and psychiatric patient care, as applicable to the assigned setting. Other related duties may be assigned.

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 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 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.
• Advanced Cardiovascular Life Support (ACLS) 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 of hire and maintained through renewal before expiration (required within LA City only).

Nice To Haves

• Specialty certification.

Responsibilities

• Complete nursing assessments on admission, each shift, and when a patient's condition changes; complete daily patient acuity by 0200/1400.
• Interpret assessment information and formulate nursing diagnoses.
• Develop individualized plans of care, document expected outcomes, and review, revise, and update plans daily based on patient outcomes.
• Administer medications and IV therapy, complete patient-care procedures, and delegate tasks according to others’ scope of practice and competency.
• Act as a patient advocate and manage restraint use according to policy, including attempting alternatives first and completing required orders, assessments, monitoring, and audits.
• Maintain complete and accurate clinical documentation, including assessments, flow sheets, care plans, risk reassessments, medication records, transfer forms, and chart checks; ensure orders are transcribed and signed off before the end of the shift.
• Educate patients and families, provide room and unit orientation, identify knowledge deficits, and use and provide MICROMEDEX information.
• Coordinate discharge planning with the case manager and/or physician; 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 the healthcare team through shift reports, rounds, handoffs, and other communications.
• Manage time, organize and prioritize responsibilities, take meal breaks without incurring overtime, and complete the shift on time.
• Follow regulatory and safety requirements, including patient identification, handoffs, medication reconciliation, critical-value procedures, hazardous-waste management, HIPAA, OSHA, infection control, handwashing, body mechanics, and electrical safety.
• Manage complex critically ill patients and advanced ICU therapies, including hemodynamic monitoring, continuous renal replacement therapy, ventriculostomy and intracranial pressure monitoring, ventricular assist devices, and balloon pumps.
• Manage high-acuity stepdown/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 and standards; review orders and labs, inform patients of treatment plans, document treatment, complete safety checks, maintain equipment, and coordinate missing orders with physicians.
• Provide therapeutic care to psychiatric patients, support a therapeutic milieu, monitor safety and contraband, participate in treatment planning, monitor legal status, administer psychotropic medication only with proper consent and documentation, and complete required reporting and visitor procedures.
• Use de-escalation techniques and apply behavioral restraint or seclusion when appropriate; monitor patient safety, obtain required physician assessments and orders, notify the manager, contact significant others as permitted, and complete debriefing.
• Identify patients meeting Core Measure criteria, complete related documentation, and participate in data collection and process improvement related to Nurse Sensitive Quality Indicators.
• Participate in professional hospital and nursing activities, such as relief charge nurse duties, committees, teams, unit projects, research, and peer-reviewed publication.
• Perform other related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level