RN Staff - 6E/W Medical Surgical Stepdown – Full Time 12 Hour Nights (Non-Exempt) (Union)

University of Southern California • Los Angeles, CA

5d • Onsite

About The Position

As an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. The Registered Nurse is accountable for the coordination of patient care and education to the patient and family in accordance with the standards, policies, and practices in a compassionate, supportive, and therapeutic environment.

Keck Hospital of USC, a 343-bed acute care hospital, provides exceptional and innovative care for complex medical and surgical conditions across a wide range of specialties. The hospital’s world-renowned physicians deliver compassionate, customized, patient-centered care and treat the most acutely ill patients with highly innovative techniques and treatment plans. As a leading academic medical center, hundreds of clinical trials are currently taking place at Keck Hospital and its affiliated research institutions, giving patients access to novel and promising therapies that are generally not available elsewhere. Every day at Keck Hospital, physicians, nurses and staff go beyond the science of exceptional medicine to bring patients breakthroughs in the art of caring. Join this world-class team providing highly specialized care, up-to-the-minute research, and innovative clinical trials.

Requirements

• Bachelor's degree Nursing Degree in Nursing (BSN)
• 0-1 year Must have less than 1 year of acute care experience as a Registered Nurse.
• Current knowledge of treatment practices.
• Knowledge of medical procedures and conditions and 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.
• Registered Nurse - RN (CA Board of Registered Nursing)
• Basic Life Support (BLS) Healthcare Provider from American Heart Association
• Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
• Advanced Cardiovascular Life Support (ACLS) Healthcare Provider from American Heart Association Required for Departments: Intensive Care, Step-down, Telemetry. RNs without prior telemetry or critical care experience will be required to obtain ACLS within 180 days or by the end of orientation, whichever is sooner.

Nice To Haves

• Specialty Certification

Responsibilities

• Follows policies and procedures; demonstrates ability to access online manuals.
• Transfers learned scientific knowledge into practical application in applying the Nursing Process.
• Appropriately completes Nursing Assessment upon patient admission, at each shift and with change of condition.
• Completes patient acuity by 0200/1400 daily.
• Interprets assessment information and formulates Nursing Diagnoses.
• Develops Plans of Care with individualized interventions.
• Documents expected/projected patient outcomes.
• Reviews/Revises/Updates Plans of Care daily based on evaluation and interpretation of patient outcomes.
• Administers medication and IV therapy appropriately at prescribed intervals.
• Completes patient care procedures correctly per policy at prescribed intervals.
• Delegates tasks based on others’ scope of practice and competency.
• Acts as patient advocate.
• Manages restraint use per policy Attempts alternative non-restraint measures first.
• Assures complete MD order per policy.
• Ensures MD assessment per policy.
• Assures patient monitoring per policy.
• Ensures Restraint Audit Form is completed each shift.
• Documentation is complete and correct on all flow sheets and chart forms: Admission Assessment Pain scale assessment and reassessment before and after intervention Daily flow sheet Restraint flow sheet Diabetes flow sheet Room/unit orientation Plan of Care Identifies knowledge deficits related to diagnoses and care Uses and provides MICROMEDEX information to patients and families. Educational flow sheet Kardex Care Plan Risk Assessment & Reassessment upon Fall MAR Equipment & Supplies Intra and Inter Facility Transfer Forms Belonging Tracking Form
• Ensures orders are transcribed and signed off prior to the end of the shift.
• Completes 12h/24h chart checks
• Provides patient/family education as needed
• Collaborates with Case Manager and/or physician regarding discharge planning.
• Ensures all transfer paperwork is completed.
• Ensures belongings are sent with patient.
• Utilizes patient care equipment appropriately and safely according to manufacture guidelines
• Communicates effectively with all members of the healthcare team including patient and family:
• Manages time effectively. Able to organize and prioritize responsibilities.
• Takes meal breaks without incurring overtime.
• Completes shift on time.
• Observes regulatory agency requirements:
• Maintains safe practice in the work environment
• Demonstrates the ability to manage patients with THA.
• Demonstrates the ability to manage patients with TKA.
• Demonstrates the ability to manage patients with spinal surgery
• Demonstrates the ability to maintain isolation precautions, respiratory and nutrition care specific to cystic fibrosis patients.
• Demonstrates the ability to manage medications and maintain protective isolation precautions for patients with abdominal organ transplants.
• Institutes safety precautions and skin care for patients with hepatic encephalopathy.
• Demonstrates the ability to manage complex critically ill patients. Neurosurgery, thoracic-forgut, gastric bypass, orthopedic. Liver/kidney/pancreas transplants, hepatobiliary. Open heart, heart and lung transplants.
• Demonstrates the ability to manage advanced therapeutic modalities. Hemodynamic monitoring. Continuous renal replacement therapy (CRRT, CVVHD). Ventriculostomy, intracranial pressure monitoring. Ventricular assist devices, balloon pumps.
• Demonstrates the ability to manage high acuity patients requiring specialized monitoring and care. Status post open heart, heart transplant, lung transplant. Status post liver/kidney transplants, orthopedics, hepatobiliary, general surgeries. Status post thoracic-forgut, gastric bypass, neurology, neurosurgery.
• Demonstrates the ability to manage advanced therapeutic modalities. Ventilator care. Arterial/CVP lines. Ventricular assist devices. Lumbar drains.
• Accurately identifies patient that fit Core Measure criteria
• Completes Core Measure Documentation
• Identifies and participates in data collection and process improvements related to Nurse Sensitive Quality Indicators
• Participates in professional hospital/nursing activities
• Performs other duties as assigned.

Benefits

• The hourly rate range for this position is $44.00 - $95.00.
• When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
• USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy.
• USC observes affirmative action obligations consistent with state and federal law.
• USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety.
• We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at [phone], or by email at [email protected] . Inquiries will be treated as confidential to the extent permitted by law.

What This Job Offers

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