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RN Clinical - 5 W ICU - Full Time 12 Hour Night Shift (Non-Exempt) (Union)

Keck Medicine of USC · Los Angeles, CA · 1 mo ago
Healthcare$45.76–$98.8/hrFull-time
We need to output HTML fragment with sections: h3 for headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must include only sections with real content. The posting includes many duties, responsibilities, qualifications, etc. No explicit Benefits, Pay, Schedule except Pay is given: "The hourly rate range for this position is $45.76 - $98.80." That's pay info, so we can include Pay section. No explicit Benefits or Schedule. No explicit "About the role" but we could treat the introductory paragraph as About the role. The posting starts: "As an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process..." That's description of role. So we can put that under About the role (h3). Responsibilities: list of duties (the long list). We'll need to extract duties as bullet list. Qualifications: list of requirements (Req and Pref). Skills: maybe communication skills etc. But we can combine. The instruction: Prefer a few substantive sections over many thin ones. So we could have About the role, Responsibilities, Qualifications, Pay. Possibly Skills not needed if covered. We'll include Requirements as Qualifications. We'll not repeat job title. No Job ID etc. We must remove boilerplate: cookie/navigation/legal/EEO etc. Not present. We must preserve ALL substantive information; do not invent or summarize away detail. So we need to include all duties and qualifications exactly as given, but we can format as
  • . Must not lose any detail. That's a lot of text; we need to capture everything. We need to be careful to not miss any bullet points. The duties are long paragraphs with many items separated by periods. We need to split into list items logically. The instruction: Use
    • for any list of duties/requirements/benefits. So we should convert each duty statement into a
    • . Could be each sentence? Might be too many but okay. We need to preserve all info; we can break at each period that ends a statement. However some sentences have semicolons etc. Safer: treat each distinct duty as a sentence. We'll parse the text. Let's extract duties section: Starting after "Departmental Specific Summary Essential Duties". Actually the text: "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 checksEDUCATION 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/pumpCOMMUNCATION 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 employeeORGANIZATION 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 WashingMANAGEMENT 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 FormBEHAVIORAL 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 IndicatorsPROFESSIONAL DEVELOPMENT Participates in professional hospital/nursing activities Relief Charge Nurse Nursing committees/councils Hospital Teams Unit Based Projects Research Published peer review articleBONUS 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." That's massive. We need to convert to list items. Could group by headings like ASSESSMENT, DIAGNOSIS etc. But we must not invent headings unless they exist. The posting uses headings like ASSESSMENT, DIAGNOSIS, PLAN, INTERVENTION, DOCUMENTATION, EDUCATION, TRANSFER & DISCHARGE, EQUIPMENT, COMMUNCATION, ORGANIZATION, OBSERVES REGULATORY AGENCY REQUIREMENTS, MANAGEMENT OF THE CARE..., etc. Those are headings within duties. We could keep them as

      ? But instruction only says use

      for section headings (About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It didn't forbid other headings, but we should follow instruction: use

      for section headings (those listed). It didn't say we cannot use other heading levels, but to be safe we can keep the duties as a plain
      • without internal headings. However we risk losing structure but still preserving all info. The instruction: "Use

        for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It implies we should use h3 for those sections; other headings maybe not needed. We can still use

        for sub-sections but not required. Safer to just have one Responsibilities section with a big list. Thus we will output:

        About the role

        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.

        Responsibilities

        • Follows policies and procedures; demonstrates ability to access online manuals.
        • Transfers learned scientific knowledge into practical application in applying the Nursing Process.
        • Appropriately completes Nursing Assessment upon patient admission, at each shift and with change of condition.
        • Completes

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