RN Clinical
4 weeks ago
OverviewRN Clinical - Cardiology - Per Diem 8 Hour Rotating Shift (Non-Exempt) (Union)Keck Medicine of USC – Hospital, Los Angeles, CaliforniaAs 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 (Responsibilities)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. Ensures 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 MICROMEDEX information with 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, Hazardous waste management, Biohazard, Sharps, HIPAA, OSHA requirements, JCAHO continuous survey readiness; Critical Values procedures; Documentation standards; Unit safety measures; Infection control.CARE MANAGEMENT: MANAGE CARE OF MEDICAL SURGICAL PATIENTS (6N) and CARE OF PATIENTS IN ICU/S, STEPDOWN/TELEMETRY UNITS, DIALYSIS, PSYCHIATRIC PATIENT care and safety, including advanced therapeutic modalities, monitoring, isolation precautions, and appropriate orders.BEHAVIORAL RESTRAINTS: Demonstrates de-escalation techniques; applies restraints when appropriate; monitors safety; ensures physician assessment within required timeframes; completes debriefing after incidents.QUALITY MEASURES: Identifies Core Measure criteria, completes documentation, and participates in data collection and process improvements related to Nurse Sensitive Quality Indicators.PROFESSIONAL DEVELOPMENT: Participates in professional activities, committees, hospital teams, unit-based projects, research, and related professional development activities.BONUS POINTS: Preceptor, professional certification, CE hours, recognition awards, and related honors as applicable.Performs other related duties as assigned.Required QualificationsBachelor\'s Degree in Nursing (BSN) – may be grandfathered for hires prior to 12/2019.Excellent communication skills in English (speaking, reading, writing).Knowledge of medical procedures and conditions; ability to perform duties including whole blood collection and apheresis procedures, per policy.Committed to excellence in patient care and customer service.Ability to work independently with minimal direction and supervision.Preferred QualificationsOne year of experience in a non-invasive Cardiology setting immediately prior to application, with experience in all non-invasive modalities preferred.One year of experience in Coronary or Surgical Intensive Care setting immediately prior to application preferred.Required Licenses/CertificationsRegistered Nurse (CA Board of Registered Nursing).Basic Life Support (BLS) Healthcare Provider – American Heart Association.Advanced Cardiovascular Life Support (ACLS) Healthcare Provider – American Heart Association.Fire Life Safety Training (LA City) – required within 30 days of hire and renewed before expiration (LA City only).The hourly rate range for this position is $44.00 - $95.00. When extending an offer of employment, USC considers factors including scope and responsibilities of the position, candidate experience, education/training, skills, internal equity, laws, contractual stipulations, grants, and market considerations.REQ20164104 Posted Date: 07/01/2025Apply #J-18808-Ljbffr
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