RN Clinical - 8 E Pulmonary Medicine Telemetry - Full Time 12 Hour Nights (Non-Exempt) (Union)

University of Southern California•Los Angeles, CA

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 in accordance with applicable standards, policies, and practices in a compassionate, supportive, and therapeutic environment. The role includes assessing patients, formulating nursing diagnoses, developing and updating individualized plans of care, administering medication and IV therapy, performing procedures, delegating tasks appropriately, advocating for patients, and documenting care. The nurse provides patient and family education, coordinates transfers and discharge planning, and communicates with the healthcare team. The role also includes maintaining safety, infection control, regulatory compliance, and quality standards, and participating in professional development and other assigned duties. The position is for the 8 E Pulmonary Medicine Telemetry unit and is listed as full-time, 12-hour night shifts. Keck Hospital of USC is a 343-bed acute care hospital providing specialized care for complex medical and surgical conditions.

Requirements

Bachelor’s degree in nursing (BSN); candidates hired before December 2019 may be 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 the ability to speak, read, and write English proficiently.
Knowledge of medical procedures and conditions and 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.
Fire Life Safety Training (LA City); if not held upon hire, it must be obtained within 30 days and maintained through renewal. 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 patient acuity 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 medication and IV therapy at prescribed intervals and perform patient care procedures according to policy.
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, confirming orders and physician assessments, monitoring patients, and completing required audits and documentation.
Complete and maintain patient documentation, including assessments, flow sheets, care plans, risk assessments, medication records, and transfer forms; transcribe and sign off orders before the end of the shift and complete 12-hour/24-hour chart checks.
Educate patients and families, provide room and unit orientation, identify knowledge deficits, and use and 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 appropriately, including IV, feeding, PCA, and epidural pumps; sequential compression devices; wound VACs; and heating pads/pumps.
Communicate effectively with patients, families, and healthcare team members through handoffs, rounds, reports, and other interactions.
Organize and prioritize work, manage time effectively, take meal breaks without incurring overtime, and complete shifts on time.
Follow regulatory, patient safety, hazardous waste, HIPAA, OSHA, infection control, electrical safety, and safe body mechanics requirements.
Manage patients in applicable medical-surgical, intensive care, stepdown/telemetry, dialysis, and psychiatric care settings as described, including specialized monitoring and therapeutic modalities.
Initiate, perform, and terminate dialysis treatments according to policy and standards; review orders and labs, conduct safety checks, document treatment, maintain equipment, and coordinate missing orders with physicians.
Engage psychiatric patients therapeutically, maintain a therapeutic milieu, monitor safety and legal status, participate in treatment planning, and administer psychotropic medications only with proper consent and documentation.
Use de-escalation techniques and follow required procedures for behavioral restraint or seclusion, including monitoring, physician orders and assessments, notifications, and debriefing.
Identify patients meeting Core Measure criteria, complete required documentation, and participate in data collection and process improvement related to nurse-sensitive quality indicators.
Participate in professional hospital and nursing activities, committees, teams, projects, research, and professional development.
Perform other related duties as assigned.