RN Clinical - 6S Organ Transplant Telemetry - Fulll Time 12 Hour Nights
Apply Keck Medicine of USC Hospital Los Angeles, California
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
Follows policies and procedures; demonstrates ability to access online
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
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
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
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
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
Performs other related duties as assigned.
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 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
Pref Specialty Certification
Req Registered Nurse - RN (CA Board of Registered Nursing)
Req Basic Life Support (BLS) Healthcare Provider from American Heart
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 $41.00 - $88.00. 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.
REQ20139057 Posted Date: 08/23/2023 Apply