Clinical Nurse (RN), Cardiac/Telemetry Med Surg - Night Shift

Howard University Hospital • Washington, DC

1d • Onsite

About The Position

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.

Requirements

• Nursing degree from an accredited school of nursing required
• Two (2) or more years of clinical nursing experience upon hire, OR completion of HUH’s Professional Nurses Clinical Advancement Program (PNCAP) and eighteen (18) months of employment at HUH
• Current, active RN license in the District of Columbia
• Current Basic Life Support (BLS) certification through the American Heart Association (AHA) required
• Knowledge of professional nursing theory and practice to evaluate patient care; knowledge of medical equipment and instruments to administer patient care
• Demonstrated competency in basic dysrhythmia interpretation
• Able to work in a stressful environment with multiple demands; resolve conflicts effectively, prioritize tasks, respond to emergencies, and react calmly
• Awareness of common safety hazards and precautions; able to respond to alarms, codes, telephones, and overhead pages
• Able to read charts, labels, documentation, policies, and procedures; able to communicate with staff, visitors, patients, and physicians in clear and concise English

Nice To Haves

• Bachelor of Science in Nursing (BSN)
• Prior bedside experience in a cardiac, telemetry, progressive care, or medical-surgical setting
• National specialty certification — Progressive Care Certified Nurse (PCCN) or Certified Medical-Surgical Registered Nurse (CMSRN)
• Completion of a basic dysrhythmia or telemetry course
• Experience with Epic or comparable electronic health record

Responsibilities

• 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 maintenance requirements, following manufacturer’s instructions, troubleshooting malfunctions, calling for repairs, maintaining inventories, and evaluating new equipment and techniques
• Promote adherence to the Health Sciences Compliance Program, the Howard University Code of Ethics, the Health Sciences Standards of Conduct, and HIPAA Privacy policies; attend mandatory compliance and HIPAA training; maintain strict confidentiality of patients, families, and staff
• Maintain professional and technical knowledge through educational workshops, professional publications, professional networks, and professional societies
• Perform other duties as assigned consistent with the scope of this role

Benefits

• Competitive, comprehensive benefit plans including health, disability, vacation, sick leave, and 403(b) retirement plan
• Tuition remission at Howard University for you and/or eligible dependent children — up to two (2) courses per semester

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree