Clinical Registered Nurse II - Telemetry RN

Clinical Registered Nurse II - Telemetry RN

Tri-City Medical Center, a leading acute care public hospital in North San Diego County, is seeking a Telemetry Registered Nurse (RN) at the Clinical Nurse II (CN II) level to provide high‑quality, patient‑centered telemetry care.

The Telemetry RN will work autonomously in a fast‑paced environment, collaborating with interdisciplinary team members to ensure patient safety and optimal outcomes while maintaining a safe and compliant care setting.

• Patient Care
  • Monitor patients on continuous cardiac telemetry and respond to acute changes in cardiac rhythms, neurological status, and overall condition.
  • Administer medications, including synchronized and non‑titrated drips, and monitor therapeutic effects.
  • Develop individualized care plans for patients with cardiac, neurological, and related conditions.
  • Advocate for patients, ensuring dignity, empathy, and compassionate care.
  • Educate patients and families about medical conditions, medications, and lifestyle modifications.
• Safety and Compliance
  • Maintain a safe, clean working environment and adhere to infection control and hospital policies.
  • Comply with regulatory standards (Joint Commission, OSHA, etc.) and report safety hazards.
  • Participate in quality improvement efforts.
• Documentation
  • Accurately document patient care, interventions, and responses in the Electronic Health Record (EHR) according to Patient Standards of Care.
• Professional Development and Leadership
  • Provide preceptorship and mentorship to New Graduate Nurses, New Hires, and students.
  • Engage in continuing education and unit‑based best practices.
  • Serve as a resource for best practices within Telemetry and act as Relief Charge Nurse as needed.
• Emergency Preparedness
  • Respond promptly to cardiac emergencies (arrhythmias, chest pain) with advanced clinical skills.

• Experience
  • Minimum 2 years’ experience as a Registered Nurse in telemetry or equivalent intermediate care (required).
  • Alternative: 2 years’ experience in an acute care or equivalent setting (required).
  • Post‑procedure care (post‑cardiac catheterization, pacemaker insertion, 24‑hour post CABG, Watchmen procedures).
  • Proficiency in ECG/EKG interpretation, arrhythmia recognition, and management.
  • Ability to work in a fast‑paced, high‑acuity environment requiring quick decision making and strong teamwork.
• Education
  • Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN) with five (5) years’ experience as a registered nurse in telemetry or equivalent (required).
• Licensure
  • Current California RN License (required).
• Certifications
  • BLS;
    American Heart Association Healthcare Provider (required).
  • ACLS;
    American Heart Association Healthcare Provider (required).
  • NIH Stroke Scale (NIHSS) (required).
  • ONS Chemotherapy Immunotherapy Certificate (required for Progressive Care Unit).
  • Progressive Care Certified Nurse (PCCN) or Certified Critical Care Nurse (CCRN Adult), or equivalent (preferred).
• Other
  • All new hires must pass a physical evaluation, urine drug screen, and pre‑employment background checks.
  • Salary will be based on experience and internal equity.

TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, or status as a qualified individual with a disability.