RN Clinical - Day Hospital - Per Diem 10 Hour Days (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.As an integral part of the multidisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients and their families in the outpatient setting with an emphasis on administering chemotherapy, biotherapy, and blood products. The RN is also responsible for managing those patients who require acute care either prior to or instead of admitting the patient.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 the 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 (i.e., no food or drink in clinical areas), JCAHO continuous survey readiness, Critical Values.MANAGEMENT OF THE CARE OF MEDICAL SURGICAL PATIENTS: Demonstrates the ability to manage patients with THA, TKA, spinal surgery, isolation precautions for cystic fibrosis patients, and medications for patients with abdominal organ transplants.MANAGEMENT OF THE CARE OF PATIENTS IN THE INTENSIVE CARE UNIT: Demonstrates the ability to manage complex critically ill patients, including those undergoing neurosurgery, thoracic-forgut, gastric bypass, orthopedic surgeries, and transplants.MANAGEMENT OF THE CARE OF PATIENTS IN THE STEPDOWN/TELEMETRY UNITS: Demonstrates the ability to manage high acuity patients requiring specialized monitoring and care.MANAGEMENT OF THE CARE OF PATIENTS UNDERGOING DIALYSIS TREATMENT: Initiates, performs and terminates all dialysis treatments according to policy and dialysis standards of care.MANAGEMENT OF THE CARE OF THE PSYCHIATRIC PATIENT: Engages patients in therapeutic interactions and maintains therapeutic milieu.BEHAVIORAL RESTRAINTS: Demonstrates de-escalation techniques and applies behavioral restraint/seclusion when appropriate.QUALITY MEASURES: Accurately identifies patients that fit Core Measure criteria and participates in data collection.PROFESSIONAL DEVELOPMENT: Participates in professional hospital/nursing activities.Bonus Points: Preceptor, Professional Certification, More than 8 Non-mandatory CEH, USCUH Nurse Week Recognition, Monthly Hospital or Unit Spirit Award Winner, Public nursing recognition.Performs other related duties as assigned.Required Qualifications:Bachelor's degree in Nursing (BSN) *Grandfathered from BSN if hired prior to 12/2019.One year experience in an outpatient infusion setting required.Must have excellent communication skills, including the ability to speak, read, and write English proficiently.Knowledge of medical procedures and conditions.Committed to excellence in patient care and customer service.Demonstrates ability to work independently with minimal direction and supervision.Preferred Qualifications:Oncology focus is strongly preferred.Specialty certification in oncology is preferred.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) must be obtained within 30 days of hire and maintained by renewal before expiration date.ONS Chemotherapy & Biotherapy Required when eligibility criteria have been met.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.

#J-18808-Ljbffr