RN Clinical - 4 FL ICU - Full Time 12 Hour Nights

RN Clinical - 4 FL ICU - Full Time 12 Hour Nights (Non-Exempt) (Union)

Los Angeles, CA

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.
• 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 Email, Student/New employee/Contract employee.
• ORGANIZATION: Manages time effectively, organizes and prioritizes 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.
• Followup tasks: 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, TKA, spinal surgery, isolation precautions, respiratory and nutrition care for cystic fibrosis patients, medications and protective isolation precautions for abdominal organ transplant patients, skin care for hepatic encephalopathy.
• MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S: Demonstrates 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 ability to manage advanced therapeutic modalities (hemodynamic monitoring, continuous renal replacement therapy, etc.).
• MANAGEMENT OF THE CARE OF PATIENTS IN THE STEP‑DOWN/TELEMETRY UNITS: Demonstrates ability to manage high acuity patients requiring specialized monitoring and care. Status post heart, lung, liver/kidney transplants, orthopedics, hepatobiliary, general surgeries, thoracic‑forgut, gastric bypass, neurology, neurosurgery. Demonstrates 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 in accordance with policy on the dialysis treatment record. Performs all pre‑treatment safety checks. Performs appropriate machine maintenance according to dialysis policies and procedures.
• MANAGEMENT OF THE PSYCHIATRIC PATIENT: Engages patients in therapeutic interactions, maintains therapeutic milieu, assesses and monitors for patient safety, initiates and participates in treatment planning, monitors locked doors, logs visitors, compliance with Department of Mental Health regulations.
• BEHAVIORAL RESTRAINTS: Demonstrates de‑escalation techniques, applies restraints when appropriate, continuously monitors patient safety, ensures physician assessment within 1 hour, contacts manager, completes debriefing with patient if appropriate.
• QUALITY MEASURES: Accurately identify patients that fit core measure criteria, complete core measure documentation, participate in data collection and process improvements related to nurse sensitive quality indicators.
• PROFESSIONAL DEVELOPMENT: Participate in professional hospital/nursing activities, relief charge nurse, nursing committees/councils, hospital teams, unit based projects, research, published peer review article.
• Bonus points: Preceptor, Professional Certification, Non‑mandatory CEH, USCUH Nurse Week Recognition, Monthly Hospital or Unit Spirit Award, Public nursing recognition.
• Perform other related duties as assigned.

Required Qualifications

• Bachelor’s Degree in Nursing (BSN). Grandfathered from BSN if hired prior to 12/2019.
• 1 year acute inpatient hospital experience in the United States.
• Excellent communication skills, ability to speak, read and write English proficiently.
• Knowledge of medical procedures and conditions, ability to understand, follow, and perform duties such as whole blood collection and apheresis procedures.
• Committed to excellence in patient care and customer service.
• Demonstrates ability to work independently with minimal direction and supervision.

Preferred Qualifications

• Oncology Certified Nurse – OCN (ONCC).
• Specialty certification (details not specified).

Required Licenses & Certifications

• Registered Nurse – RN (CA Board of Registered Nursing).
• Basic Life Support (BLS) Healthcare Provider from American Heart Association.
• Fire Life Safety Training (LA City). If no card upon hire, obtain within 30 days and maintain renewal.
• Advanced Cardiovascular Life Support (ACLS) Healthcare Provider from American Heart Association.
• Oncology unit certification (ONS Chemotherapy & Biotherapy) required within six months of hire.

The hourly rate range for this position is $44.00 – $95.00.