Job Locations US-CA-Oceanside Overview 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 Clinical Nurse II (CN II) is responsible for providing direct patient care before, during, and after procedures. This role requires a strong clinical background in critical care. The Clinical Nurse II collaborates with physicians, technologists, and other healthcare professionals to ensure safe and efficient procedural workflows while prioritizing patient safety and comfort. The Clinical Nurse II is responsible for monitoring patients’ vital signs, administering moderate sedation, assisting with vascular and cardiac procedures, and responding to emergent situations as needed. This position requires a deep understanding of hemodynamic monitoring, sterile techniques, and contrast media administration, as well as proficiency in post-procedure recovery and patient education. Compliance with regulatory guidelines, infection control practices, and hospital policies is essential to maintaining high-quality patient care. This role requires strong critical thinking skills, adaptability in high-stress situations, and the ability to provide compassionate, evidence-based care in a fast-paced interventional setting. 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: Coordinate the interprofessional health care team to deliver safe, efficient, patient- centered, timely and equitable care to procedural patients. Conduct comprehensive preoperative assessments to identify patient-specific needs. Monitor and evaluate patient responses intraprocedural, ensuring swift intervention as needed. Act as patient advocate and protect patient dignity and confidentiality. Administer moderate sedation for patients undergoing procedures. Educate patients and families on post-procedure care, including activity restrictions and medication instructions. Manage post-procedural complications, such as bleeding, hypotension, or adverse reactions. Advocate for evidence-based practices in procedural care. Procedural Support: Ensure proper handling of all instruments, equipment, and sterile supplies. Handles and documents specimens according to facility policy and physician orders. Anticipate the needs of the procedural team and maintain a seamless workflow. Able to circulate, scrub, monitor and provide procedural sedation. Assist physicians with interventional radiology and cardiac catheterization procedures, ensuring adherence to sterile technique. Safety and Compliance: Maintain strict adherence to aseptic techniques, infection control protocols and radiation safety. Comply with hospital and regulatory standards, including The Joint Commission, OSHA, and AORN guidelines (during implant procedurals). Adhere to facility policies to ensure safe procedural care, including, but not limited to, patient identification, pre-procedure verification, Universal Protocol, and prevention of unintended retained items. Identify and report safety concerns; demonstrate willingness to address pervasive systemic issues. Monitor supply levels and assist in ordering necessary procedural materials. Safely handle and dispose of biohazardous materials and radiation protection gear. 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, fostering their professional development. Participate in professional development activities, including continuing education, certifications, workshops and quality improvement initiatives. Serve as a resource and advocate for best practices within the procedural department. Function in the charge nurse role as needed. Emergency Preparedness: Recognize and respond to hemodynamic instability, arrhythmias, or respiratory distress. Initiate emergency interventions, including Advanced Cardiac Life Support (ACLS) measures when necessary. Participate in rapid response and code situations. Act decisively in critical situations, such as cardiac arrest and/or stroke, demonstrating advanced clinical skills and composure under pressure. Qualifications: Qualifications RN Experience/Transitional RN Program: Experience Requirement Experienced IR/Cath Lab RN: Two (2) years of experience as a Registered Nurse in Interventional Radiology (IR) or Cardiac Cath Lab, required. Transitional RN Program : Five (5) years of experience as a Registered Nurse in an ED or ICU, or similar critical care department, required. Must be able to scrub and circulate in IR and/or Cath Lab procedure area. Must be able to take call and be onsite within 30 minutes and able to do heavy lifting and pushing. Must be able to wear protective lead apron and thyroid shield. Provide nursing support for non-invasive cardiology and radiology services. Education: Bachelor of Science in Nursing (BSN) or may consider Associate Degree, Nursing (ADN) with five (5) years of experience as a Registered Nurse in Interventional Radiology (IR) or Cardiac Cath Lab (CCL) in lieu of BSN required. Completion of a Critical Care or Interventional Radiology/Cath Lab Training Program, preferred. Licenses: Current California RN License, required Certifications: Current BLS; American Heart Association Healthcare Provider, required. Current ACLS; American Heart Association Healthcare Provider, required. Critical Care Registered Nurse (CCRN) certification, preferred. RCIS (Registered Cardiovascular Invasive Specialist) or CRN (Certified Radiology Nurse), 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.
Job Locations US-CA-Oceanside Overview 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 : An Advanced Care Technician, or ACT-Float work under the direction of a Registered Nurse, provides basic patient care and comfort measures for assigned patients. These duties are not to exclude other duties that may be assigned. Provides care for infant (0-1 year of age), emergency pediatric (1-13 years of age), and adult (14 years of age and older) populations. 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. Maintains a safe, clean working environment, including unit based safety and infection control requirements. Provides comfort measures to patients. Provides assistance with patient’s daily needs. Assists patients with meals as needed. Records and reports observations to immediate supervisor, including temperature, pulse, weight, and daily input and output. Cleans and prepares medical equipment. Reports condition of equipment. Assists in transporting patients, as necessary. Formula preparation (NICU Department) Qualifications: ACT : 3-6 months previous experience in an acute care facility, preferred. ACT-Float : 1-Year previous experience in an acute care facility, preferred. NICU Department : Minimum 2 years CNA experience, required. Pediatric experience strongly preferred. Basic computer skills, required. Must be able to speak, read and follow instructions in English, required. Knowledge of electronic charting, preferred. Education: One or more of the following is required upon hire: Current California Certified Nurse Assistant Certification, or Current California Licensed Vocational Nurse, or Corpsman (military), or Nursing student that has completed the fundamentals of nursing including initial assessment and taking vitals. Certification: Current BLS certification, required upon hire; American Heart Association Healthcare Provider. NVCI within 90 days of hire or transfer, required (ED, BHU IP & OP only) Maintain a minimum of 10 related to work CE from TCMC, or other source annually in lieu of maintaining licensure. 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.
Job Locations US-CA-Oceanside Overview 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.
