Clinical Registered Nurse II - Emergency Room RN

Clinical Registered Nurse II – Emergency Room RN

Join to apply for the
** Clinical Registered Nurse II – Emergency Room RN
** role at
** Tri‑City Medical Center**.

Tri‑City Medical Center has served San Diego County’s coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region, for more than 60 years and is one of the largest employers in North San Diego County. As a full‑service acute care public hospital with over 500 physicians across more than 60 specialties, Tri‑City is a vital resource for the community and serves as a healthcare safety net for many of our citizens.

The hospital has received a Gold Seal of Approval® from the Joint Commission, showcasing a commitment to safe and effective patient care for the residents of the community.

Tri‑City prides itself on leading orthopedic, spine and cardiovascular health services while also specializing in world‑class robotic surgery, cancer, and emergency care. The Emergency Department is known for its heart‑attack and stroke treatment programs and is highly regarded for providing quality compassionate care close to home.

The Emergency Department (ED) Registered Nurse at the Clinical Nurse II (CN II) level is a vital part of the ED team, responsible for delivering high‑quality, patient‑centered care. This role requires advanced competencies, specialized certifications, and a strong ability to function autonomously while collaborating with interdisciplinary team members to ensure patient safety and optimal outcomes.

• Patient Care
  • Coordinate the interprofessional health care team to deliver safe, efficient, patient‑centered, timely, and equitable care.
  • Conduct comprehensive assessments to identify patient‑specific needs.
  • Develop and implement individualized care plans.
  • Monitor and evaluate patient interventional responses, ensuring swift follow‑up as needed.
  • Act as patient advocate and protect patient dignity and confidentiality.
  • Evaluate effectiveness of care provided by all health care team members, including oneself, and the contribution of systems and environment in progressing patients toward desired outcomes.
  • Provide education to patients and families about medical conditions, medications, and lifestyle modifications.
  • Advocate for evidence‑based practices in ED care.
• Safety and Compliance
  • Maintain a safe, clean working environment, adhering to infection control and hospital policies.
  • Maintain strict adherence to aseptic techniques and infection control protocols.
  • Comply with hospital and regulatory standards, including The Joint Commission and OSHA guidelines.
  • Identify and report safety concerns and demonstrate willingness to address pervasive systemic issues.
• Documentation
  • Accurately document care measures, interventions, patient progress, and any incidents in the electronic medical record (EMR).
• Professional Development and Leadership
  • Provide preceptorship and mentorship to new graduate nurses, new hires, and students.
  • Participate in professional development activities, including continuing education, certifications, workshops, and quality improvement initiatives.
  • Serve as a resource and advocate for best practices within the ED department.
  • Function in the role of triage nurse.
  • Function as charge nurse & MICN as needed.
• Emergency Preparedness
  • Act decisively in critical situations, such as cardiac arrest, demonstrating advanced clinical skills and composure under pressure.

• Experience
  • Three (3) years of experience as a registered nurse in an emergency department, required.
  • Prior experience in an acute care setting or urgent care, required.
  • Proven ability to handle complex cases.
• Education
  • Bachelor of Science in Nursing (BSN) required;
    Associate Degree, Nursing (ADN) may be considered with five (5) years of experience in an emergency room.
• Licenses
  • Current California Registered Nurse (RN) license required.
• Certifications
  • BLS;
    American Heart Association healthcare provider, required.
  • ACLS;
    American Heart Association healthcare provider certification, required.
  • NIH Stroke Scale (NIHSS) certification, required.
  • PALS;
    American Heart Association healthcare provider certification, required.
  • NVCI (or…