RN Clinical - 8 E Pulmonary Medicine Telemetry - Full Time 12 Hour Nights (Non-Exempt) (Union)

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 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, Other Hazardous waste management, Biohazard, Medication Sharps, HIPAA, OSHA requirements (e.g., 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, TKA, spinal surgery, cystic fibrosis patients, abdominal organ transplants, 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, 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, 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 according to policy on the dialysis treatment record. Performs all pre‑treatment safety checks, machine maintenance per dialysis policies and procedures. Checks charts for dialysis orders before arriving on the unit with the dialysis equipment. Calls physicians for orders early in the shift. 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, initiates treatment planning, monitors locked doors, logs vehicle, assesses contraband, administers psychotropic medications after consent, etc.
• BEHAVIORAL RESTRAINTS Demonstrates de‑escalation techniques to prevent restraint/seclusion. Applies restraint/seclusion when appropriate. Continuously monitors patients for safety or delegates. Ensures physician assessment within 1 hour of application and at least every 8 hours. Obtains physician orders per policy. Notifies manager and contacts significant other as allowed. Completes debriefing post‑incident.
• QUALITY MEASURES Accurately identifies patient that fits Core Measure criteria, completes Core Measure Documentation, participates in data collection and process improvements.
• PROFESSIONAL DEVELOPMENT Participates in professional hospital/nursing activities, relief charge nurse, committees, hospital teams, unit based projects, research, publishes peer review articles.
• 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

• Bachelor's Degree in Nursing (BSN). Grandfathered from BSN if hired prior to 12/2019.
• 1 year Acute inpatient hospital experience as RN in the United States.
• Excellent communication skills, including speaking, reading and writing English proficiently.
• Knowledge of medical procedures and conditions; ability to perform whole blood collection, apheresis and other procedures as per policies.
• Commitment to excellence in patient care and customer service.
• Ability to work independently with minimal direction and supervision.

Preferred Qualifications

• Specialty Certification.

Required Licenses/Certifications

• Registered Nurse – RN (CA Board of Registered Nursing)
• Basic Life Support (BLS) – American Heart Association
• Fire Life Safety Training (LA City) – must be obtained within 30 days of hire and renewed before expiration.

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

Job ID: REQ | Posted Date: 05/22/2026