RN-House Supervisor, PRN, Nights

Clinical Nurse Manager

Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities Ensures clinical assignments are based on patient care needs and demonstrated staff competencies. Assists with admission and discharge processes to promote efficient patient throughput and high-quality, patient-centered care. Participates in the ongoing evaluation of patient care quality in collaboration with members of the management team. Collaborates with subject matter experts and other managers to foster teamwork and support improved patient outcomes and service excellence. Supports a patient-first philosophy and participates in service recovery efforts when necessary. Supports organizational engagement initiatives by implementing nursing strategies, including nurse leader rounding, employee rounding, hourly rounding, bedside shift reporting, and other related initiatives. Provides recommendations regarding the interviewing, selection, orientation, and training of new employees. Recommends and implements appropriate actions related to staff development, conflict resolution, compliance with personnel policies, performance evaluations, and disciplinary measures. Assists with staff scheduling and manages staffing resources in accordance with patient care needs and established productivity standards. Supports inventory control processes and assists with the management of supplies and equipment. Collaborates with the medical staff to coordinate and optimize patient care delivery. Demonstrates leadership and initiative in situations where direct supervision is not present or required. Identifies and escalates issues related to policies, procedures, rules, and regulations in a timely and effective manner. Performs other related duties as assigned. Qualifications Required Education Associate Degree in Nursing required. Preferred Education Bachelor of Science in Nursing (BSN) preferred. Required Experience Minimum of one (1) year of clinical nursing experience required. Two (2) years of clinical nursing experience preferred. Required Skills, Knowledge, and Abilities Demonstrated leadership abilities. Knowledge of general nursing principles and clinical practice. Knowledge of organizational functions, policies, and regulations. Applicable technical knowledge and skills related to the assigned clinical area. Required Licenses and Certifications Current licensure to practice nursing in Kentucky or West Virginia, based on the employee's legal state of residence. Basic Life Support (BLS) certification required. Advanced Cardiovascular Life Support (ACLS) certification within six (6) months of hire for Emergency Department, Critical Care, Operating Room, and Specialty Areas/Units. Pediatric Advanced Life Support (PALS) certification within six (6) months of hire for Emergency Department, Operating Room, and Pediatric Medical-Surgical units. Neonatal Resuscitation Program (NRP) and AWHONN Fetal Monitoring certification within six (6) months of hire for Maternal/Child units. Trauma Nursing Core Course (TNCC) certification within six (6) months of hire for Emergency Department personnel. De-Escalation Training within six (6) months of hire for all units. Preferred Licenses and Certifications Professional Nursing Certification preferred.

Manager/Supervisor

Clinical Nurse Manager

Registered Nurse

Overview The Staff Nurse is accountable for interpreting the plan of medical care, assessment of patients clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. The Staff Nurse provides clinical supervision to LPNs, Nursing Aides, and Nursing Service Clerks where applicable. Responsibilities Patient Care & Assessment • Takes report from the prior shift and gives report to the oncoming shift, including patient condition, diagnosis, treatments, procedures provided and required, and other aspects of the plan of care. • Performs patient assessments and reassessments. • Reviews ancillary service reports, communicates abnormal results to physicians, and notifies supervisors and physicians when ancillary services are not completed. • Interprets the medical plan of care, evaluates patients, and develops patient care plans. • Plans for patient discharge utilizing available resources and addressing continuum of care needs. • Refers patients to chaplains, social workers, and outside agencies as appropriate. • Provides a safe and secure environment for patients. • Implements the patient plan of care by assigning tasks to nursing and non-nursing personnel and continuously assessing and evaluating patient responses to care. • Performs nursing treatments, procedures, and total patient care requiring advanced nursing skill and judgment in accordance with established nursing standards. • Accompanies physicians on rounds when possible, communicates pertinent patient information, and assists with treatments and procedures or delegates as appropriate. • Performs specialized procedures for which specific training and supervised experience have been obtained. • Plans for and provides effective patient and family education. • Assists patients in performing activities of daily living. • Notifies supervisors, physicians, and/or family members or guardians when patient conditions change. Documentation & Reporting • Documents pertinent findings, plans of care, and evaluations of care in the medical record. • Prepares and maintains reports, charts, records, and forms as required by hospital, state, and federal regulations. • May accompany patients who are transferred to another medical facility. Leadership & Supervision • Observes and evaluates work performed by LPNs, Nursing Aides, and Clerks to ensure treatments and procedures are completed according to the plan of care and hospital guidelines. • Participates in teaching activities for hospital personnel and nursing students. • Participates in the orientation of new employees. • Participates in interdisciplinary team meetings. • Participates in committee meetings as requested. • Attends in-service programs as required. • Assumes responsibility for personal professional development. • Assists in the development, review, and revision of nursing policies and procedures. Critical Care Functions • Operates critical care equipment, including respirators, temporary pacemakers, defibrillators, and other emergency equipment. • Sets up, maintains, and interprets cardiac and hemodynamic monitoring equipment and takes appropriate nursing actions. • Performs specialized procedures including: • Endotracheal suctioning • Tracheostomy suctioning and care • Extubation • Cardiopulmonary resuscitation (CPR) • Arterial punctures • Chest tube and Pleurevac care • Setup and assistance with peritoneal dialysis • Paracentesis • Thoracentesis Professional Responsibility • Respects the dignity and confidentiality of all matters relating to patients. • Participates in educational programs to support professional growth and development. • Provides direction and assistance to assigned personnel. • Determines which nursing acts may be delegated and to whom. • Monitors delegated nursing activities and evaluates the effectiveness of care provided. • Ensures individuals performing delegated nursing acts have proper education, training, and demonstrated competency. • Performs other duties as assigned. Qualifications Education • Graduation from a State accredited or approved School of Nursing. • Must maintain current licensure in the state of practice. Required Skills, Knowledge & Abilities • Prior to assignment as the sole RN provider, the nurse must successfully complete a critical care course acceptable to the Director of Nursing and demonstrate mastery of equipment, diagnostic responsibilities, and procedures required of the critical care nurse. • Critical care coursework shall include: • Cardiopulmonary resuscitation and management of an obstructed airway. • EKG interpretation. • Drug therapy, including emergency drug therapy via the I.V. route or routes normally left to the physician. • Hemodynamic monitoring. • Critical care procedures. • The nurse shall be adequately oriented to policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement activities. Licenses & Certifications • Current nursing licensure in the state of practice required.

Registered Nurse

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education • Associate's Degree required. • Graduation from an accredited School of Nursing required. • Bachelor's Degree preferred. Experience • Up to one (1) year of experience preferred. • Minimum of one (1) year acute care nursing experience preferred. • One (1) year of experience should be relevant to the specific department in which the nurse will be working. • Refer to addendums for additional department-specific requirements. • Experience with Electronic Health Records (EHR) preferred. Required Skills, Knowledge & Abilities • Excellent interpersonal skills and ability to work with providers at all levels essential. • Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes. • Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system. • Exhibit Critical Thinking Skills. • Must possess basic computer skills. • Ability to pass Medication Exam. • Completion of hospital approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services. • Moderate Sedation competency required. • Completion of Stroke Modules required. • Restraints competency required. • The nurse shall be adequately oriented to unit policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement monitoring. Licenses & Certifications • Registered Nurse in State required. • BLS certification required. • De-Escalation Training required within six (6) months of hire. • ACLS certification required. • Trauma Nurse Core Curriculum (TNCC) Certification required. • Pediatric Advanced Life Support (PALS) Certification required. • NIH Stroke Certification required. • Advanced Dysrhythmia/EKG certification required. • Rural Trauma Team Development Course (RTTDC) preferred. • Emergency Nurse Pediatric Course (ENPC) preferred.

Registered Nurse