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. Tri-City is administered by the Tri-City Healthcare District, a California Hospital District. As a full-service acute care public hospital with over 500 physicians practicing in over 60 specialties, Tri-City is vital to the well-being of our 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 Medical Center prides itself on being the home to leading orthopedic, spine and cardiovascular health services while also specializing in world-class robotic surgery, cancer and emergency care. Tri-City’s Emergency Department is there for your loved ones in their time of need and is highly regarded for our heart attack and stroke treatment programs. When minutes matter Tri-City is your source for quality compassionate care close to home. Tri-City partners with over 90 local non-profit and community organizations as part of our COASTAL Commitment initiative. Together we are helping tackle some of our communities’ pressing health and social needs.

Position Summary:

The Telemetry Registered Nurse (RN) at the Clinical Nurse II (CN II) level is a vital part of the telemetry 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 patient outcomes.

Major Position Responsibilities:

The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.

• Patient Care:
  • Responsible for monitoring and caring for patients who require continuous cardiac monitoring.
  • Performing detailed assessments, respond to acute changes in patient’s cardiac rhythms, neurological status and overall condition.
  • Administer medications, including non-titratable drips, and monitor for therapeutic effects.
  • Develop and implement individualized care plans for patients with cardiac, neurological and related conditions.
  • Act as a patient advocate, ensuring dignity and
  • Demonstrate empathy and compassion for patient
  • Provide education to patients and families about medical conditions, medications, and lifestyle modifications.
  • Advocate for evidence-based practices in telemetry care
• Safety and Compliance:
  • Maintain a safe, clean working environment, adhering to infection control and hospital policies.
  • Comply with regulatory standards (e.g., The Joint Commission, OSHA).
  • Report safety hazards and participate in quality improvement efforts
• Documentation:
  • Accurately document patient care, interventions and responses in the Electronic Health Record (EHR) according to Patient Standards of
• Professional Development and Leadership:
  • Provide preceptorship and mentorship to New Graduate Nurses, New Hires, and students, supporting their professional development.
  • Engage in continuing education and unit-based
  • Serve as a resource for best practices within the Telemetry
  • Act as Relief Charge Nurse as needed
• Emergency Preparedness:
  • Respond promptly to cardiac emergencies (e.g., arrhythmias, chest pain) with advanced clinical skills.

Qualifications:

Qualifications RN Experience/Transitional RN Program:

• Experience Requirement
  • Experienced Telemetry RN: Two (2) years of experience as a Registered Nurse in a telemetry or equivalent intermediate care setting, required.
  • Transitional RN Program: Two (2) years of experience as a Registered Nurse in an acute care, or equivalent setting, required.
• Provide post-procedure care (post-cardiac catheterization, pacemaker insertion, 24-hour post CABG, and Watchmen procedures).
• Proficiency in Electrocardiogram (ECG/EKG) interpretation, and arrhythmia recognition and management.
• Ability to work in a fast-paced, high-acuity environment requiring quick decision making and strong teamwork.

Competencies:

• Technical Skills:
  • Proficient in working with centralized cardiac monitoring systems
• Critical Thinking:
  • Strong clinical judgment, critical thinking and problem-solving skills to respond to acute changes in patient conditions.
• Communication:
  • Strong patient care and communication skills with patients, families, and healthcare team members.

Education: 

• Bachelor of Science in Nursing (BSN) or may consider Associate Degree, Nursing (ADN) with five (5) years’ experience as a Registered Nurse in a telemetry or equivalent intermediate care unit in lieu of BSN, required

Licenses:

• Current California RN License, Required

Certifications:

• Current BLS; American Heart Association Healthcare Provider,
• Current ACLS; American Heart Association Healthcare Provider certification,
• Current NIH Stroke Scale (NIHSS) certification,
• Current ONS Chemotherapy Immunotherapy Certificate, required (Progressive Care Unit Only)
  • Transitional RN Program: Must obtain certificate within 6 months of hire or transfer.
• Progressive Care Certified Nurse (PCCN) or Certified Critical Care Nurse (CCRN Adult), or equivalent certificate, preferred.

Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work. 

*Salary/Hourly wage range for this position is posted.  Actual pay will be determined based on verified experience as well as 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, among other things, or status as a qualified individual with a disability.