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 Medical-Surgical Registered Nurse (RN) at the Clinical Nurse II (CN II) level is a vital part of the Medical-Surgical 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:

• Conduct comprehensive assessments to identify patient needs and develop individualized care plans.
• Administer medications, perform treatments, and monitor patient responses, intervening as needed.
• Coordinate with the healthcare team to deliver safe, efficient, and timely care.
• Act as a patient advocate, ensuring dignity and confidentiality.
• Demonstrate empathy and compassion for patient experience.
• Provide education to patients and families about medical conditions, medications, and lifestyle modifications.
• Advocate for evidence-based practices in Medical-Surgical patient 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).
• Identify and report safety concerns proactively. 

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, supporting their professional development.
• Participate in continuing education and quality improvement initiatives.
• Serve as a resource for best practices within the Medical-Surgical unit.
• Act as Relief Charge Nurse as needed.

Emergency Preparedness:

• Respond promptly to patient emergencies (e.g., Rapid Response Team (RRT) situations) with composure and clinical skill.

Qualifications:

Qualifications RN Experience:

• Two (2) years of experience as a Registered Nurse in a Medical-Surgical Unit or equivalent setting.
• Demonstrated ability to manage a diverse patient caseload with common medical and surgical conditions.
• Ability to work in a fast-paced, high-acuity environment requiring quick decision making and strong teamwork.
• Oncology Department: Chemotherapy experience required

Competencies:

• Technical Skills:
  • Proficient in basic medical equipment (e.g., IV Pumps, monitors) and medication administration.
• 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 Medical-Surgical or equivalent setting in lieu of BSN, required

Licenses:

• Current California RN License, required

Certifications:

• Current BLS; American Heart Association Healthcare Provider,
• Current ONS Chemotherapy Immunotherapy Certificate, required (Oncology only)
• Orthopedic Unit: Orthopedic Nurses Certification (ONC) or equivalent certification, preferred
• Medical-Surgical Unit: Medical-Surgical Nursing Certification (CMSRN) or equivalent certification, 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.