RN Clinical - 7S Neurosciences ICU - Full Time 12 Hour Days (Non-Exempt) (Union)
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.
Essential Duties:
- Follows policies and procedures; demonstrates ability to access online manuals.
- Transfers learned scientific knowledge into practical application in applying the Nursing Process.
- ASSESSMENT: Appropriately completes Nursing Assessment upon patient admission, at each shift and with change of condition. Completes patient acuity by 0200/1400 daily.
- DIAGNOSIS: Interprets assessment information and formulates Nursing Diagnoses.
- PLAN: 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.
- INTERVENTION: 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: 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, 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.
- EDUCATION: Provides patient/family education as needed Room/unit orientation, Plan of Care, Identifies knowledge deficits related to diagnoses and care, Uses and provides MICROMEDEX information to patients and families.
- TRANSFER & DISCHARGE: Collaborates with Case Manager and/or physician regarding discharge planning. Ensures all transfer paperwork is completed. Ensures belongings are sent with patient.
- EQUIPMENT: Utilizes patient care equipment appropriately and safely according to manufacturer guidelines: IV pump, Feeding pump, PCA pump, Epidural pump, Sequential compression device, Wound VAC, Heating pad/pump.
- COMMUNICATION: Communicates effectively with all members of the healthcare team including patient and family: Shift to shift report, Physician Rounds, Patient/family interactions, MDP Rounds, Hand-Off reports, Facility E-mail, Student/New employee/Contract employee.
- ORGANIZATION: Manages time effectively. Able to organize and prioritize responsibilities. Takes meal breaks without incurring overtime. Completes shift on time.
- OBSERVES REGULATORY AGENCY REQUIREMENTS: National Patient Safety Goals, Patient identifiers, Unapproved abbreviations, Universal Protocol (Procedural Time Out), Hand-Off, Medication Reconciliation, Clinical Alarms, Other Hazardous waste management, Biohazard, Medication, Sharps, HIPAA, OSHA requirements (i.e. no food or drink in clinical areas), JCAHO – continuous survey readiness, Critical Values.
- MANAGEMENT OF THE CARE OF MEDICAL SURGICAL PATIENTS: Demonstrates the ability to manage patients with THA, TKA, spinal surgery, isolation precautions, respiratory and nutrition care specific to cystic fibrosis patients, medications and protective isolation precautions for patients with abdominal organ transplants, safety precautions and skin care for patients with hepatic encephalopathy.
- MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT: Demonstrates the ability to manage complex critically ill patients including neurosurgery, thoracic-forgut, gastric bypass, orthopedic, liver/kidney/pancreas transplants, hepatobiliary, open heart, heart and lung transplants, and advanced therapeutic modalities.
- MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS: Demonstrates the ability to manage high acuity patients requiring specialized monitoring and care.
- MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS TREATMENT: Initiates, performs and terminates all dialysis treatments according to policy and dialysis standards of care.
- MANAGEMENT OF THE CARE OF THE PSYCHIATRIC PATIENT: Engages patients in therapeutic interactions and maintains therapeutic milieu.
- BEHAVIORAL RESTRAINTS: Demonstrates de-escalation techniques as an effort to prevent the need for behavioral restraint/seclusion.
- QUALITY MEASURES: Accurately identifies patients that fit Core Measure criteria and participates in data collection and process improvements related to Nurse Sensitive Quality Indicators.
- PROFESSIONAL DEVELOPMENT: Participates in professional hospital/nursing activities.
- Performs other related duties as assigned.
Required Qualifications:
- Req Bachelor's degree Nursing Degree in Nursing (BSN) *Grandfathered from BSN if hired prior to 12/2019
- Req 1 year Acute inpatient hospital experience as RN
- Req Must have excellent communication skills, including the ability to speak, read and write English proficiently.
- Req 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.
- Req Committed to excellence in patient care and customer service.
- Req Demonstrates ability to work independently with minimal direction and supervision.
Preferred Qualifications:
- Pref Specialty Certification Specialty Certification preferred
Required Licenses/Certifications:
- Req Registered Nurse - RN (CA Board of Registered Nursing)
- Req Basic Life Support (BLS) Healthcare Provider from American Heart Association
- Req 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)
- Req 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.
The hourly rate range for this position is $52.24 - $85.69. 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 a smoke-free environment.
USC is an equal opportunity, affirmative action 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.
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 (213) 821-8100, or by email at uschr@usc.edu. Inquiries will be treated as confidential to the extent permitted by law.
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