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Advanced Telemetry RN | Clinical Nurse II

Escondido, CA
$65,399 - $85,799 a year

Start date:

01 Feb 2026

Job Type:

Full Time

Job Details

Position Overview

This role is essential for delivering expert, patient-focused care within a telemetry unit in a regional healthcare setting in the Pacific Northwest. The Advanced Telemetry RN at the Clinical Nurse II level combines specialized skills and certifications to provide autonomous, high-quality care while collaborating closely with interdisciplinary teams to ensure patient safety and optimal outcomes.

Key Responsibilities

  • Patient Care:
    • Monitor patients requiring continuous cardiac observation.
    • Conduct thorough assessments and respond promptly to acute changes in cardiac rhythms, neurological status, and overall condition.
    • Administer medications, including non-titratable drips, and monitor therapeutic effects.
    • Develop and implement personalized care plans for cardiac, neurological, and related conditions.
    • Advocate for patients by ensuring dignity, empathy, and compassionate care.
    • Educate patients and families on medical conditions, medications, and lifestyle adjustments.
    • Promote evidence-based telemetry care practices.
  • Safety and Compliance:
    • Maintain a safe, clean environment adhering to infection control and regulatory standards such as The Joint Commission and OSHA.
    • Identify and report safety hazards and participate in quality improvement initiatives.
  • Documentation:
    • Accurately document patient care, interventions, and responses in the Electronic Health Record (EHR) following established standards.
  • Professional Development and Leadership:
    • Provide mentorship and preceptorship to new graduate nurses, new hires, and students.
    • Engage in continuing education and unit-based learning.
    • Serve as a resource for best practices within telemetry care.
    • Act as Relief Charge Nurse when needed.
  • Emergency Preparedness:
    • Respond swiftly and effectively to cardiac emergencies such as arrhythmias and chest pain using advanced clinical skills.

Qualifications

  • Experience:
    • Minimum two years as a Registered Nurse in telemetry or equivalent intermediate care settings.
    • Experience providing post-procedure care including post-cardiac catheterization, pacemaker insertion, and post-CABG care.
    • Proficiency in ECG/EKG interpretation and arrhythmia management.
    • Ability to thrive in a fast-paced, high-acuity environment requiring quick decision-making and teamwork.
  • Education:
    • Bachelor of Science in Nursing (BSN) preferred; Associate Degree in Nursing (ADN) with five years telemetry experience considered.
  • Licenses and Certifications:
    • Current RN license valid in the region.
    • Current BLS and ACLS certifications from the American Heart Association.
    • NIH Stroke Scale (NIHSS) certification.
    • ONS Chemotherapy Immunotherapy Certificate (for Progressive Care Unit roles), with transitional program candidates required to obtain within six months.
    • Preferred: Progressive Care Certified Nurse (PCCN) or Certified Critical Care Nurse (CCRN Adult) or equivalent.

Additional Information

Successful candidates must pass physical evaluation, drug screening, and background checks prior to employment. This position offers a supportive environment fostering professional growth and compassionate patient care in a vibrant regional healthcare community.

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