*Registered Nurse (RN) - Telemetry

$41.57 - $57.07 / hour

Overview At Montclair Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of the Prime Healthcare Foundation, Montclair Hospital Medical Center is actively seeking new members to join its award-winning team! Founded in 1973, Montclair Hospital, a 106-bed acute care, not-for-profit community hospital, received the “100 Top Hospital” in the nation award from IBM Watson Health, the Patient Safety Excellence award from Healthgrades®, and the Women's Choice Award® for America's Best Emergency Care. For more information visit Montclair-hospital.org Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in Telemetry Unit. The Registered Nurse is directly responsible and accountable for the care given to their assigned patients. They communicate with the physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License. 2. Current BLS certificate upon hire and maintain current. 3. Basic Arrythmia Interpretation within 30 days of hire. 4. Current ACLS certificate 30 days upon hire and maintain current. 5. Previous Acute Care hospital experience preferred. 6. Ventilator Management experience preferred. 7. Medical-Surgical Nurse-Board Certified (RN-BC) or similar certification; preferred. 8. Bachelor of Science in Nursing (BSN) preferred. #LI-DNI Pay Transparency Montclair Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $41.57 to $57.07. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

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

Keck Medicine of USC Northeast Los Angeles, CA

$45.76 - $98.80 / hour

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. 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 in 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. 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) Pref Specialty Certification Keck Hospital of USC, a 343-bed acute care hospital, provides exceptional and innovative care for complex medical and surgical conditions across a wide range of specialties. The hospital’s world-renowned physicians deliver compassionate, customized, patient-centered care and treat the most acutely ill patients with highly innovative techniques and treatment plans. As a leading academic medical center, hundreds of clinical trials are currently taking place at Keck Hospital and its affiliated research institutions, giving patients access to novel and promising therapies that are generally not available elsewhere. Every day at Keck Hospital, physicians, nurses and staff go beyond the science of exceptional medicine to bring patients breakthroughs in the art of caring. Join this world-class team providing highly specialized care, up-to-the-minute research, and innovative clinical trials. The hourly rate range for this position is $45.76 - $98.80. 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$155808.htmld

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

Keck Medicine of USC Northeast Los Angeles, CA

$45.76 - $98.80 / hour

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. 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 in 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. 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) Pref Specialty Certification Keck Hospital of USC, a 343-bed acute care hospital, provides exceptional and innovative care for complex medical and surgical conditions across a wide range of specialties. The hospital’s world-renowned physicians deliver compassionate, customized, patient-centered care and treat the most acutely ill patients with highly innovative techniques and treatment plans. As a leading academic medical center, hundreds of clinical trials are currently taking place at Keck Hospital and its affiliated research institutions, giving patients access to novel and promising therapies that are generally not available elsewhere. Every day at Keck Hospital, physicians, nurses and staff go beyond the science of exceptional medicine to bring patients breakthroughs in the art of caring. Join this world-class team providing highly specialized care, up-to-the-minute research, and innovative clinical trials. The hourly rate range for this position is $45.76 - $98.80. 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$155811.htmld

Registered Nurse –7N Telemetry – Full Time 12 Hour Night - (Non-Exempt) (Union)

Keck Medicine of USC Northeast Los Angeles, CA

$45.76 - $98.80 / hour

Job Summary 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. Departmental Specific Summary 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. 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. 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. Pref Specialty Certification Keck Hospital of USC Keck Hospital of USC, a 343-bed acute care hospital, provides exceptional and innovative care for complex medical and surgical conditions across a wide range of specialties. The hospital’s world-renowned physicians deliver compassionate, customized, patient-centered care and treat the most acutely ill patients with highly innovative techniques and treatment plans. As a leading academic medical center, hundreds of clinical trials are currently taking place at Keck Hospital and its affiliated research institutions, giving patients access to novel and promising therapies that are generally not available elsewhere. Every day at Keck Hospital, physicians, nurses and staff go beyond the science of exceptional medicine to bring patients breakthroughs in the art of caring. Join this world-class team providing highly specialized care, up-to-the-minute research, and innovative clinical trials. The hourly rate range for this position is $45.76 - $98.80 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$155719.htmld

RN Clinical, Lead - 6 S Tele - Part Time 12 Hour Days (Non-Exempt) (Union)

Keck Medicine of USC Northeast Los Angeles, CA

$49.20 - $104 / hour

N7073 - RN - Clinical, Lead (Union) CM1726608300 Job Summary The Nurse Lead is a Registered Nurse who works under the direction of the manager to facilitate safe and efficient operational flow of the nursing unit. The Nurse Lead is the first line clinical support for staff, physicians and other providers. Through interprofessional collaboration, the Nurse Lead will ensure that patient and staff needs are met while coordinating the patient flow into and out of the unit. The Nurse Lead will also contribute to patient care by taking a patient assignment. This clinician will function as part of interprofessional teams by communicating, planning, and implementing care directly with other healthcare professionals, including physicians, pharmacists, social workers, clinical nurse specialists and nurse practitioners. Departmental Specific Summary Essential Duties ASSESSMENT 1. Completes an initial unit assessment at the beginning of the shift a. Makes formal rounds to include population specific patient assessment and interaction with staff regarding patient care b. Assesses staff competencies and appropriateness of staff assignments c. Provides direct patient care d. Identifies actual or potential patient or staff safety risks e. Collects information about potential admission and discharges by review of information from the admissions schedule, shift report, patient, family and/or nurse interview and collaboration with physicians and the health care team 2. Observes and ensures National Patient Safety Goals 3. Continually reassesses unit and patient needs 4. Identifies potential barriers to admission, discharges and transfers 5. Assesses unit staffing needs for the oncoming shift using patient acuity and oncoming staff competencies. 6. Ensures complete and accurate documentation of patient acuity, staffing, and breaks as required per Title 22. PLANNING 7. Ensures timely communication of projected staffing plan to Patient Flow Center each shift INTERVENTION 8. Utilizes professional, respectful, effective communication to delegate and direct unit activities and patient assignments 9. Supports the staffing and operational needs of the unit and organization by taking a patient assignment 10. Ensures completion of required unit routines including resolution of narcotic discrepancies and overrides, crash cart check, and other unit specific tasks as assigned 11. Meets with patient and family regarding feedback and follows-up with issues utilizing the KNOWN Standards 12. Ensures and facilitates staff’s prompt patient call light response and response to patient needs as appropriate 13. Ensures staff breaks and appropriate break coverage, approves overtime and missed meals as needed. 14. Requires ill/injured staff to have medical evaluation and complete required forms 15. Initiates, directs, assigns, and coordinates duties to be performed by staff responding to drills, emergencies, or disasters EVALUATION 16. Evaluates and modifies staffing plan, patient care assignments, skill mix, break assignment and coverage to ensure patient safety, avoid delays in the flow of patient admissions, discharges and transfers and to provide staff allotted time for breaks LEADING AND ROLE MODELING 17. Acts as a clinical resource and support 18. Keeps informed of clinical / unit / organizational updates / changes 19. Ensures that floats, travelers, registry staff and volunteers are oriented to the unit 20. Models compassion, understanding, problem solving and conflict resolution skills amongst the staff to assist patients and families having difficulty coping with their illness and/or hospitalization and maintains good public relations 21. Consistently keeps current on clinical, unit, department and medical center changes; shares information with staff members by facilitating shift huddles and utilizing all forms of communication as directed by Unit Manager 22. Models expertise through the application of evidenced-based practice in clinical decision making 23. Demonstrates enthusiasm and commitment to the unit, department and organization’s mission and goals 24. Participates in unit, departmental or organizational activities as assigned 25. Informs multidisciplinary team members in protocols and guidelines of care related to patients. 26. Partners with Unit Leadership in making daily staffing assignments in accordance with budgeted hours per patient day and provides rationale for any staffing variances. 27. Seeks out opportunities for professional development (e.g. certifications, nursing committees, unit based projects, research, published peer review article) 28. Effectively collaborates with other disciplines and providers to meet the needs of patients and fellow staff members DIRECT PATIENT CARE ACCOUNTABILITIES 29. Follows policies and procedures; demonstrates ability to access online manuals. 30. Transfers learned scientific knowledge into practical application in applying the Nursing Process. 31. ASSESSMENT Appropriately completes Nursing Assessment upon patient admission, at each shift and with change of condition. Completes patient acuity by 0200/1400 daily (except ETC) – Optilink 32. DIAGNOSIS Interprets assessment information and formulates Nursing Diagnoses 33. PLAN – IPOC 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 34. 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. 35. Manages restraint use per policy 36. DOCUMENTATION Documentation is complete and correct in Electronic Health Record 37. EDUCATION Provides patient/family education as needed 38. TRANSFER AND DISCHARGE Collaborates with Case Manager and/or physician regarding discharge planning. 39. EQUIPMENT Utilizes patient care equipment appropriately and safely according to manufacture guidelines (e.g.) 40. COMMUNICATION Communicates effectively with all members of the healthcare team including patient and family 41. ORGANIZATION Manages time effectively. Able to organize and prioritize responsibilities. 42. OBSERVES REGULATORY AGENCY REQUIREMENTS 43. Measure based on the appropriate level of care expected: MANAGEMENT OF THE CARE OF MEDICAL SURGICAL PATIENTS Demonstrates the ability to manage post surgical patients MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT/S Demonstrates the ability to manage complex critically ill patients MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS Demonstrates the ability to manage high acuity patients requiring specialized monitoring and care 44. QUALITY MEASURES Identifies and participates in data collection and process improvements related to Nurse Sensitive Quality Indicators 45. Performs other duties as assigned. (Examples: Enthusiastic participation in unit activities such as process improvement efforts, preceptor, peer education; changing assignment to meet patient needs, etc.) Qualifications Req Bachelor's degree Nursing Graduate from an accredited school of Nursing (BSN). Req 2 years nursing experience within an abdominal transplant inpatient setting Req 2 years Nursing in an acute care setting immediately prior to application. Req Strong critical and strategic thinking, analytical and planning skills. Req Organization/time management skills. Req Excellent communication skills. Req Registered Nurse - RN (CA DCA) 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 Keck Hospital of USC, a 343-bed acute care hospital, provides exceptional and innovative care for complex medical and surgical conditions across a wide range of specialties. The hospital’s world-renowned physicians deliver compassionate, customized, patient-centered care and treat the most acutely ill patients with highly innovative techniques and treatment plans. As a leading academic medical center, hundreds of clinical trials are currently taking place at Keck Hospital and its affiliated research institutions, giving patients access to novel and promising therapies that are generally not available elsewhere. Every day at Keck Hospital, physicians, nurses and staff go beyond the science of exceptional medicine to bring patients breakthroughs in the art of caring. Join this world-class team providing highly specialized care, up-to-the-minute research, and innovative clinical trials. The hourly rate range for this position is $49.20 - $104.00. 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$155657.htmld

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