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

Keck Medicine of USC•Los Angeles, CA

6d•$46 - $99•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 and coordinates patient care and education for patients and families in a compassionate, supportive, and therapeutic environment, consistent with applicable standards, policies, and practices. The role includes assessment, diagnosis, care planning, interventions, documentation, education, transfer and discharge coordination, safe equipment use, effective communication, and organization of work. The nurse follows regulatory and safety requirements and performs other related duties as assigned. The position includes care for patients in intensive care, stepdown/telemetry, medical-surgical, dialysis, and psychiatric settings. ICU care may involve complex critically ill patients and advanced therapies such as hemodynamic monitoring, continuous renal replacement therapy, ventriculostomy and intracranial pressure monitoring, ventricular assist devices, and balloon pumps. Duties also include managing specialized patient populations and treatments, applying behavioral restraint and de-escalation policies, supporting quality measures, and participating in professional development activities. Keck Hospital of USC is a 343-bed acute care hospital providing specialized care for complex medical and surgical conditions. It is a leading academic medical center with clinical trials conducted at the hospital and affiliated research institutions. The hourly rate range is $45.76–$98.80.

Requirements

Bachelor’s degree in nursing (BSN); employees 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 proficient spoken, written, and reading English.
Knowledge of medical procedures and conditions and the 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.
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

Use the nursing process to provide therapeutic patient care and coordinate patient care and education for patients and families.
Complete nursing assessments on admission, each shift, and when a patient's condition changes; complete daily patient acuity assessments 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 evaluation of 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; act as a patient advocate.
Manage restraint use according to policy, attempt alternative measures first, ensure required orders and assessments, monitor patients, and complete restraint documentation.
Complete and maintain required patient documentation, 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 or provide MICROMEDEX information.
Collaborate with case managers and/or physicians on discharge planning; complete transfer paperwork and ensure patient belongings accompany the patient.
Use patient-care equipment appropriately and safely according to manufacturer guidelines.
Communicate effectively with patients, families, and the healthcare team through shift reports, rounds, handoffs, and other channels.
Organize and prioritize responsibilities, manage time effectively, take meal breaks without incurring overtime, and complete the shift on time.
Observe regulatory requirements and maintain safe practices, including patient identification, medication reconciliation, infection control, hand hygiene, electrical safety, and hazardous-waste handling.
Manage complex critically ill ICU patients and advanced therapeutic modalities, including hemodynamic monitoring, CRRT/CVVHD, ventriculostomy, intracranial pressure monitoring, ventricular assist devices, and balloon pumps.
Manage high-acuity stepdown/telemetry patients and specialized modalities 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 treatments, perform safety checks and machine maintenance, and coordinate missing orders with physicians.
Provide psychiatric patient care, including therapeutic interactions, milieu maintenance, safety monitoring, treatment planning, legal-status checks, visitor and contraband procedures, and appropriate psychotropic medication administration.
Use de-escalation techniques and apply behavioral restraint/seclusion when appropriate; monitor patient safety, obtain required physician assessments and orders, notify the manager, contact significant others as allowed, and complete debriefing.
Identify patients meeting Core Measure criteria, complete related documentation, and participate in data collection and process improvement for Nurse Sensitive Quality Indicators.
Participate in professional hospital and nursing activities, committees, teams, unit projects, and research.
Perform other related duties as assigned.