Clinical Nurse; RN Cardiac​/Telemetry Med Surg

Role Summary

The Clinical Nurse II (CN II) is a Registered Nurse reporting directly to the Nurse Manager and embedded on Howard University Hospital’s 4 North Cardiac / Telemetry unit. Through collaboration with the interdisciplinary team, you will deliver safe, effective, patient-centered care to adult cardiac patients requiring continuous telemetry monitoring — including those with acute coronary syndromes, heart failure, dysrhythmias, post‑cardiac catheterization and PCI recovery, and cardiac patients with medical‑surgical comorbidities.

Whether you arrive with a cardiac background or strong medical‑surgical and telemetry experience, you’ll find a supportive practice environment with structured orientation, ongoing education, and clear pathways to build cardiac‑specialty expertise. You will exemplify HUH’s values, adhere to ANA standards of practice, and serve as a clinical resource and role model for newer nurses and orientees on the unit.

• Assess, plan, intervene, and evaluate patient care at the bedside; identify patient care requirements by establishing personal rapport with patients, families, and friends; provide a compassionate environment through emotional, psychological, and spiritual support
• Monitor continuous telemetry; recognize common cardiac rhythms and escalate dysrhythmias, ischemic changes, and signs of clinical deterioration to the medical team via SBAR and chain of command
• Provide post‑procedure care for patients recovering from cardiac catheterization, PCI, and cardiac device placement — including access site monitoring, hemostasis, distal pulse checks, and recognition of vascular complications
• Administer cardiac medications safely per protocol — including antiarrhythmics, anticoagulants, antiplatelets, beta blockers, ACE inhibitors, and diuretics — and recognize and respond to adverse effects
• Care for heart failure patients including daily weights, intake and output monitoring, fluid restriction support, and patient education on guideline‑directed medical therapy
• Administer medications and IV therapies safely and accurately across oral, intramuscular, subcutaneous, IV push, and infusion routes
• Manage IV access including peripheral lines, midlines, and central venous catheters; perform sterile dressing changes, blood draws, and infusion administration per policy
• Recognize early signs of clinical deterioration; activate Rapid Response and Code Blue teams as indicated and support resuscitation with BLS interventions pending team arrival
• Provide comprehensive patient and family education on cardiac conditions, medications, lifestyle modification, dietary sodium restriction, smoking cessation, anticoagulation safety, and follow‑up care
• Coordinate care with case management, pharmacy, nutrition, cardiac rehabilitation, and social work to support safe discharge transitions and continuity of care
• Document patient care and outcomes accurately in the electronic health record; maintain continuity among nursing teams by communicating actions, irregularities, and continuing care needs through SBAR and structured handoff
• Delegate tasks appropriately to non‑licensed personnel and assistants while retaining accountability for patient outcomes
• Adhere to infection control policies and protocols, medication administration and storage procedures, and controlled substance regulations
• Serve in the role of charge nurse with approval by the Nurse Manager; serve as a clinical resource and role model for newer nurses, orientees, and student nurses on the unit
• Participate in unit performance improvement programs targeting overtime reduction, patient safety, and HCAHPS outcomes; engage in education, engagement, and practice committees
• Ensure operation of equipment by completing preventive…