staff - Registered Nurse (RN) - CVICU - $44-95 per hour
Company: Keck Medicine of USC
Location: Los Angeles
Posted on: March 9, 2025
Job Description:
Keck Medicine of USC is seeking a Registered Nurse (RN) CVICU
for a nursing job in Los Angeles, California.Job Description &
Requirements
- Specialty: CVICU
- Discipline: RN
- Start Date: ASAP
- Duration: Ongoing
- 36 hours per week
- Shift: 12 hours, nights
- Employment Type: StaffAs 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 manufacture guidelines IV pump Feeding pump PCA
pump Epidural pump Sequential compression device Wound VAC Heating
pad/pump
- COMMUNCATION 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
Write Down Read Back Follow up Telephone order Appropriate
Documented Signed, Timed and Dated Stamped Entered into unit log
Maintains safe practice in the work environment Correct body
mechanics Electrical safety Infection Control Procedures Hand
Washing
- MANAGEMENT OF THE CARE OF MEDICAL SURGICAL PATIENTS (6N)
Demonstrates the ability to manage patients with THA. (6N)
Demonstrates the ability to manage patients with TKA. (6N)
Demonstrates the ability to manage patients with spinal surgery
(6S) Demonstrates the ability to maintain isolation precautions,
respiratory and nutrition care specific to cystic fibrosis
patients. (6S) Demonstrates the ability to manage medications and
maintain protective isolation precautions for patients with
abdominal organ transplants (6S) Institutes safety precautions and
skin care for patients with hepatic encephalopathy.
- MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S
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.
- MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY
UNITS 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.
- MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS
TREATMENT Initiates, performs and terminates all dialysis
treatments according to policy and dialysis standards of care.
Reviews all orders and labs prior to initiating treatments. Informs
patient of treatment plan. Completes all documentation completely
and according to policy on the dialysis treatment record. Performs
all pre-treatment safety checks. Performs appropriate machine
maintenance according to dialysis policies and procedures. Checks
charts for dialysis orders prior to arriving on the unit with the
dialysis equipment. Calls physicians for orders early in the shift
when orders for dialysis have been placed, but no treatment orders
are written. Completes med/surg dialysis treatments on 3S whenever
there are more than 2 med/surg patients scheduled.
- MANAGEMENT OF THE CARE OF THE PSYCHIATRIC PATIENT Engages
patients in therapeutic interactions Maintains therapeutic milieu
Assesses and monitors for patient safety including: Contraband
assessment upon admission, change of shift and prn. Initiates and
participates in treatment planning. Monitors locked doors into and
out of the unit. Logs in Visitors and assesses for contraband.
Follows patients legal status q shift and communicates with
Department of Mental Health and other agencies as required
Administers psychotropic medications only after proper consent and
documentation Initiates and participates in treatment planning.
Submit Fire Arms Reporting Form
- BEHAVIORAL RESTRAINTS Demonstrates de-escalation techniques as
an effort to prevent the need for behavioral restraint/seclusion.
Applies behavioral restraint/seclusion when appropriate.
Continuously monitors patients for safety (or delegates as
appropriate). Ensures physician assessment of patient within 1 hour
of application of restraint/seclusion and then at least every 8
hours. Obtains physician orders per policy. Notifies Manager of all
behavioral restraint incidences. Contacts significant other as
allowed by patient. Completes debriefing, with patient if
appropriate, after the incident.
- QUALITY MEASURES 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
- PROFESSIONAL DEVELOPMENT Participates in professional
hospital/nursing activities Relief Charge Nurse Nursing
committees/councils Hospital Teams Unit Based Projects Research
Published peer review article
- BONUS POINTS Preceptor (5) Professional Certification (5) More
than 8 Non-mandatory CEH (3) USCUH Nurse Week Recognition (5)
Monthly Hospital or Unit Spirit Award Winner (1) Public nursing
recognition (3)
- Performs other related duties as assigned.Required
Qualifications:
- Req Bachelors Degree Nursing Degree in Nursing (BSN)
*Grandfathered from BSN if hired prior to 12/2019
- Req 1 year Acute inpatient hospital experience as RN in the
United States
- 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 CertificationRequired 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 $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 candidates 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. Please
refer to theBackground Screening Policy Appendix Dfor specific
employment screen implications for the position for which you are
applying.We provide reasonable accommodations to applicants and
employees with disabilities. Applicants wUSC Keck Job ID
#REQ20160261. Posted job title: RN - 5 S Cardiopulmonary ICU - Full
Time 12 Hour Nights (Non-Exempt) (Union)About Keck Medicine of
USCKeck Medicine of USC combinesacademic excellence, world-class
research and state-of-the-artfacilities to provide highly
specialized carefor some of the most acute patients in the
country.We provide care at Keck Hospital of USC, USC Norris Cancer
Hospital, USC Verdugo Hills Hospital, USC Arcadia Hospital and 100+
clinics in Los Angeles and surrounding counties.Required
Keywords: Keck Medicine of USC, Los Angeles , staff - Registered Nurse (RN) - CVICU - $44-95 per hour, Healthcare , Los Angeles, California
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