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 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 Bachelor’s Degree Nursing Degree in Nursing (BSN) *Grandfathered from BSN if hired prior to 12/2019 Req Specialized/technical training Graduate from an accredited school of Nursing. 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 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 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. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. 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. Notice of Non-discrimination Employment Equity Read USC’s Clery Act Annual Security Report USC is a smoke-free environment Digital Accessibility If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: https://wd5.myworkday.com/usc/d/inst/1$9925/9925$143362.htmld
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 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 Bachelor’s Degree Nursing Degree in Nursing (BSN) *Grandfathered from BSN if hired prior to 12/2019 Req Specialized/technical training Graduate from an accredited school of Nursing. 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: 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 Pref Specialty Certification 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. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. 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. Notice of Non-discrimination Employment Equity Read USC’s Clery Act Annual Security Report USC is a smoke-free environment Digital Accessibility If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: https://wd5.myworkday.com/usc/d/inst/1$9925/9925$143369.htmld
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 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 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 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 $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. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. 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. Notice of Non-discrimination Employment Equity Read USC’s Clery Act Annual Security Report USC is a smoke-free environment Digital Accessibility If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: https://wd5.myworkday.com/usc/d/inst/1$9925/9925$143335.htmld
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 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 Bachelor’s Degree Nursing Degree in Nursing (BSN) *Grandfathered from BSN if hired prior to 12/2019 Req Specialized/technical training Graduate from an accredited school of Nursing. 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: 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 Pref Specialty Certification 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. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. 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. Notice of Non-discrimination Employment Equity Read USC’s Clery Act Annual Security Report USC is a smoke-free environment Digital Accessibility If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: https://wd5.myworkday.com/usc/d/inst/1$9925/9925$143383.htmld
Provides department support for the Continuum of Care Team to facilitate discharge planning and ensure appropriate throughput of patients. Works with Case Managers, Transitional Care Coordinator, and Social Workers to ensure discharge plans are communicated to patients and families during hospitalization and post discharge to ensure continuity and identify clinical barriers. Enables a positive patient experience through the discharge process and connection to resources as needed. Essential Duties Partners with members of the Continuum of Care team both case managers and social workers (RN Case Manager, SW Case Manager) in an effort to provide patients and family members a smooth, coordinated patient transition from hospital to home and/or the next level of care. Partners with members of the Care Coordination team to ensure appropriate communication occurs at the point of discharge so that the patients’ transition is smooth. Provides timely post-acute contact and reinforces post discharge instructions as needed under the direction of the Transitional Care Coordinator. Under the direction and supervision of Transitional Care Coordinator, utilizes multiple referral platforms such as Enso care, e-fax and phone calls etc. to review post-acute referrals. Also reviews discharge instructions and discharge summary to understand patients’ post-acute plan of care and barriers to follow-up. Provides timely follow-up on all referrals. Under the direction and supervision of the Transitional Care Coordinator, participates in post discharge phone calls to patients. Uses scripts and follows the Cipher Health algorithm for communication with discharged patients. Under the direction and supervision of the Transitional Care Coordinator, communicates frequently and directly with clinic physician staff and other post-acute providers as needed for discharged patients with identified needs. Follows established policies and procedures and workflows regarding post discharge phone calls. Communicates the discharge plan, status of plan to members of the Continuum of Careteam, including allied health care team members. Participates in triad huddles and in the provisioning of assignments of the triad team. Contacts post-acute care facilities as directed by the Continuum of Careteam to assess bed availability, submission of referrals, bed-hold days. Utilizes multiple referral platforms such as faxing, Enso care etc. to facilitate referrals. Coordinates all non-clinical aspects of the discharge planning process as assigned (i.e. durable medical equipment, homeless shelters, non-clinical letters, transportation) reporting any psychosocial needs, barriers or challenges to the appropriate Continuum of Careteam member. Communicates frequently and directly with Continuum of Care team members regarding discharge process needs and priorities. Communicates orders received to the appropriate case manager, works with the Triad team for daily assignments and tasks needing to be completed. Hands off tasks and duties not performed. Participates in departmental meetings, including but not limited to staff meetings, daily huddles, triad huddles, and Continuum of Care team meetings, etc. Utilizes tools (i.e. Medicare.gov website, tablets for patient choice, etc.) as needed to provide patients with skilled nursing facilities and/or information on discharge planning resources within 10 miles or as close to the patient’s home as possible. Documents appropriately following departmental standards in the electronic Medical Record. Assists with transfer of patients for lateral and/or acute services. Supports the Continuum of Careteam with arranging transportation using Taxi, Ride Share, ambulance etc. Assists with maintaining and updating current resources (i.e. pamphlets and brochures) for services as needed for post acute care for use by care coordination team. Participates and engages in continuous improvement activities, including huddles and process improvement projects. Follow all departmental standard work and guidelines including the Triad Model of Discharge Planning. Support transitions of care. Develops and maintains positive working relationships with outside post-acute facilities and vendors to promote timely discharge/transfer. Thrives in a fast-paced, multi-faceted team environment, working well with the key stakeholders, meeting tight deadlines, and multitasking a variety of assignments. Strives to support and contribute to the success of the Continuum of Care team’s outcome metrics, key performance indicators and /or departmental goals and objectives. Represents the department in a positive and professional manner. Floating between assignments and between Keck and Norris hospitals is required for management of department needs. On-call, weekend coverage and rotation to manage the discharge needs of the patients within the organization is expected. Supports the clinical process for transfer from one level of care to another as medically indicated by the patient’s needs. Able to apply clinical knowledge to reference InterQual Discharge Screens and clinical stability for discharge/transition to the next appropriate level of care. Completes clinical authorization process for the discharge medications. Performs other duties as requested/assigned by Director. Required Qualifications: Req High school or equivalent Req Specialized/technical training Nursing Completion of an accredited vocational nursing program. Req 2 years 2-3 years’ clinical experience. Req Typing 40-55 WPM. Experience with computer data entry. Req Proficient in Microsoft Office Suite. Req Good organizational skills. Req Strong command of the English language. Req Good customer service skills. Req Ability to multitask and work effectively in a team environment. Preferred Qualifications: Required Licenses/Certifications: Req Licensed Vocational Nurse - LVN (CA DCA) 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) The hourly rate range for this position is $28.00 – $47.75. 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. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. 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. Notice of Non-discrimination Employment Equity Read USC’s Clery Act Annual Security Report USC is a smoke-free environment Digital Accessibility If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: https://wd5.myworkday.com/usc/d/inst/1$9925/9925$143292.htmld
