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

University of Southern California•Los Angeles, CA

9d•Onsite

About The Position

The Registered Nurse is an integral member of the interdisciplinary team and uses the nursing process to provide therapeutic, compassionate, supportive, and patient-centered care. The RN coordinates patient care and education for patients and families in accordance with applicable standards, policies, and practices. The role includes assessing patients, developing and revising individualized plans of care, administering medications and IV therapy, performing procedures, delegating appropriately, advocating for patients, documenting care, educating patients and families, and coordinating transfers and discharge planning. The RN communicates with patients, families, physicians, and other members of the healthcare team; organizes and prioritizes work; and maintains regulatory, safety, infection-control, and documentation requirements. Depending on the assigned area, responsibilities may include caring for critically ill ICU patients and managing advanced therapeutic modalities, providing specialized stepdown/telemetry care, conducting dialysis treatments, or supporting psychiatric patients and behavioral restraint procedures. The position also contributes to 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, with access to clinical trials and innovative treatments. The hourly rate range for this position is $45.76–$98.80.

Requirements

Bachelor's degree in Nursing (BSN); nurses hired before December 2019 are grandfathered from the BSN requirement.
At least 1 year of acute inpatient hospital experience as a registered nurse 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 perform duties in accordance with administrative and clinical policies, regulations, and procedures, including whole blood collection and apheresis procedures.
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.
Fire Life Safety Training (LA City); if not held at hire, it must be obtained within 30 days of hire and maintained through renewal, where required for LA City.
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 comes sooner.

Nice To Haves

Specialty certification.

Responsibilities

Complete nursing assessments upon admission, each shift, and when a patient's condition changes; complete patient acuity by 0200/1400 daily.
Interpret assessment information, formulate nursing diagnoses, and develop individualized plans of care with expected patient outcomes.
Evaluate and update plans of care daily based on patient outcomes.
Administer medications and IV therapy and perform patient care procedures according to orders, policies, and prescribed intervals.
Delegate tasks according to others' scope of practice and competency, advocate for patients, and manage restraint use according to policy.
Maintain complete and accurate documentation, including assessments, flow sheets, care plans, risk assessments, medication records, transfer forms, and chart checks; ensure orders are transcribed and signed off before the end of the shift.
Educate patients and families, orient them to the room or unit, explain plans of care, identify knowledge gaps, and provide MICROMEDEX information.
Collaborate with case managers and physicians regarding discharge planning and complete transfer paperwork while ensuring patient belongings accompany the patient.
Use patient-care equipment safely and appropriately, including IV, feeding, PCA, and epidural pumps; sequential compression devices; wound VACs; and heating pads or pumps.
Communicate effectively with the healthcare team, patients, and families, including through shift reports, rounds, hand-offs, and facility email.
Organize and prioritize responsibilities, manage time effectively, take meal breaks without incurring overtime, and complete shifts on time.
Observe regulatory and safety requirements, including patient identification, medication reconciliation, hand-offs, infection control, hazardous-waste handling, HIPAA, OSHA, and continuous survey readiness.
Manage complex critically ill ICU patients and advanced modalities such as hemodynamic monitoring, CRRT/CVVHD, ventriculostomy and intracranial pressure monitoring, ventricular assist devices, and balloon pumps.
Provide specialized care to high-acuity stepdown and telemetry patients and manage modalities such as ventilators, 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, document treatments, perform safety checks, and maintain dialysis equipment.
Engage psychiatric patients therapeutically, maintain a therapeutic milieu, monitor patient safety and legal status, support treatment planning, and administer psychotropic medications only with proper consent and documentation.
Use de-escalation techniques and, when appropriate, apply behavioral restraint or seclusion; monitor patients, obtain physician orders and assessments, notify the manager, and complete debriefing.
Identify patients who meet Core Measure criteria, complete associated documentation, and participate in data collection and process improvements related to Nurse Sensitive Quality Indicators.
Participate in professional hospital and nursing activities, which may include charge relief, committees, hospital teams, unit projects, research, and peer-reviewed publication.