Registered Nurse

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 plans of care, oversees implementation of plans of care, and evaluates and adjusts plans of care utilizing critical thinking skills. • Performs nursing acts authorized or limited by the Board and consistent with the American Nurses Association Standards of Practice or Standards of Practice established by nationally accepted organizations of registered nurses. • Provides care, counseling, health teaching, and health promotion utilizing Teach Back methodology as affirmation of comprehension. • Administers medications, intravenous therapy, and treatments as prescribed by a Licensed Independent Practitioner (LIP). • Supervises, delegates, and follows through with other personnel in the performance of activities relating to nursing care. • Mentors and precepts students and orients new staff as assigned. • Reports pertinent information through the chain of command to the Clinical Nurse Manager, Nurse Manager, or House Nurse Coordinator. • Participates on various teams, committees, and performance improvement initiatives. • Ensures a safe and secure environment for patients, coworkers, and self. • Participates in Discharge Planning and Transition of Care activities and is able to define patient needs. • Serves as a patient advocate and escalates patient-related concerns in a timely manner. • Documents pertinent findings in the medical record in a timely manner. • Assists patients in performing activities of daily living and functions as an active team member. • Assumes responsibility for personal professional development. • Utilizes effective communication skills and active listening and exhibits a compassionate and empathetic attitude. • Practices Hands Off communication utilizing SBAR and performs Bedside Shift Reporting utilizing SBAR unless contraindicated. • Functions as a positive influence and role model and adheres to the professional code of conduct. • Respects the dignity and confidentiality of all matters relating to patients. • Refers to Special Addendum and Staff Nurse Position Description. • Performs other job duties as assigned. Labor & Delivery Training Requirements • Admission of labor patients. • Care of labor patients. • Delivery of labor patients. • Recognition and nursing care of abnormal conditions. • Fetal monitoring and nursing interventions. • Appropriate nursing interventions. • Management of obstetrical emergencies. • The nurse shall be adequately oriented to unit policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement activities. Qualifications Education • Associate's Degree in Nursing required. • Bachelor's Degree in Nursing preferred. Experience • One (1) to three (3) years of experience preferred. Required Skills, Knowledge & Abilities • Performs initial assessment to include physical examination of OB patients, recognizes abnormal signs and symptoms, and takes action as indicated. • Performs special OB procedures as required. • Sets up, operates, and cleans OB equipment. • Provides routine post-partum care including ongoing assessment. Licenses & Certifications • Registered Nurse required. • BLS certification required. • Completion of Intermediate Fetal Monitoring Course (AWHONN) within six (6) months of hire required. • Neonatal Resuscitation Program (NRP) certification required. • De-Escalation Training required within six (6) months of hire.

Home Health

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. • Bachelor's Degree preferred. Licenses & Certifications • Registered Nurse required. • BLS certification required upon hire. • De-Escalation Training required within six (6) months of hire. • Driver's License required. Required Skills, Knowledge & Abilities • Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments. • Responsible for performing nursing treatments, procedures, and total client care in accordance with established agency and nursing care standards. • Responsible for communicating pertinent client assessment and reassessment findings to physicians. • Responsible for initiating referrals to other healthcare organizations and community services based on identified client needs and physician orders. • Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations. • Strong clinical assessment, care planning, and critical thinking skills. • Ability to work independently in a home health environment while collaborating with interdisciplinary team members. • Effective verbal and written communication skills. • Ability to prioritize patient care needs and manage multiple responsibilities. • Ability to maintain accurate and timely clinical documentation. • Ability to establish effective working relationships with patients, families, physicians, and community resources.

Registered Nurse Tier 1

Overview The Graduate Nurse collaboratively assists as an active member of the interprofessional team to provide therapeutic patient and family centered care. The Graduate Nurse systematically and continuously assists in the collection and assessment of data related to patient health status to develop, execute and evaluate the plan of care or critical pathway. The Graduate Nurse assists in performing all required elements of a nursing assessment, including but not limited to physical examination, assessment of readiness to learn, psychosocial and functional assessments along with the utilization of patient/family specific assessment scales as required. The Graduate Nurse considers factors related to safety, effectiveness and cost in planning and delivering care. The Graduate Nurse assists in establishing goals and strategies for meeting the discharge or continuing care needs of the patient, family and/or other care provider. The Graduate Nurse provides care in collaboration with other nursing staff members in accordance with the Kentucky Board of Nursing or the West Virginia Board of Nursing (depending on state of residence) and ARH Nursing Practice Model. The Graduate Nurse utilizes and demonstrates knowledge of research findings, participates in continuous quality improvement initiatives, maintains knowledge of nursing practice and assumes responsibility for their professional development. The Graduate Nurse's decisions and actions with patients and families are determined in an ethical manner. As a holder of a provisional nursing license (Kentucky) or temporary permit (West Virginia), the Graduate Nurse performs direct patient care activities under the direction, supervision and delegation of a Registered Nurse or Advanced Practice Registered Nurse. The Graduate Nurse may use the title Registered Nurse Applicant (RNA) Responsibilities • Assesses and systematically collects, analyzes, and evaluates patient data related to the behavioral, physical, physiologic, and psychosocial status of the patient utilizing interview, observation, and physical examination. • Works in collaboration with the multidisciplinary team to implement nursing interventions and provide appropriate evidence-based, patient- and family-centered care. • Executes nursing interventions, develops patient plans of care, and assists with coordination of patient care across the care continuum, including inpatient, outpatient, home, skilled nursing facilities, and schools. • Collaborates with the multidisciplinary team while incorporating appropriate standards of care, practice, and patient outcomes. • Delivers care in an organized and efficient manner while providing patients and families with complete information regarding typical events, common patient responses, and education related to the plan of care. • Evaluates patient responses to the plan of care and research findings. • Incorporates care in collaboration with the multidisciplinary plan of care. • Implements safe, competent, and efficient patient care within established policies, procedures, standards, and interventions noted in the multidisciplinary plan of care. • Provides care that is ethical, patient- and family-centered, culturally congruent, and evidence-based. • Utilizes data and establishes priorities to continuously meet changing patient needs. • Executes nursing interventions in response to data indicating urgent and/or emergent patient risk and initiates actions to reduce or correct identified risks. • Assumes responsibility and accountability for effectively managing the nursing care of individual patients and families. • Documents nursing assessments and interventions in the electronic medical record in an accurate and timely manner to reflect a comprehensive and integrated approach to patient and family care and clinical research. • Assesses patient and family readiness for learning and provides education accordingly. • Identifies patient and family learning needs and adapts teaching methods to provide individualized and comprehensive education. • Utilizes available resources as appropriate to meet identified patient, family, and caregiver needs. • Incorporates standards of practice and clinical practice protocols into daily practice to maximize clinical effectiveness. • Facilitates cost control in the use of material and human resources while effectively utilizing technology to support practice and efficiencies in care delivery. • Responds to, provides support for, and appropriately assists with urgent and emergent patient care situations. • Maintains and advocates for patient, family, visitor, and personal safety. • Works within scope of practice to achieve clinical outcomes while executing delegation protocols. • Maintains professional development through continuing education, quality improvement initiatives, and obtaining and sharing department, unit, and organizational knowledge. • Supports facility engagement efforts by operationalizing current nursing strategies, including hourly rounds, bedside shift reporting, and other initiatives. • Participates in achieving Patient Satisfaction Goals and organizational strategic goals. • Performs other duties as assigned. Qualifications Education • Must have a Provisional License (Kentucky) or Temporary Permit (West Virginia) issued by the respective State Board of Nursing. • The provisional license or temporary permit must be issued by the Graduate Nurse's permanent state of residence. Licenses & Certifications • BLS Certification required. • Kentucky Provisional License required for Graduate Nurses practicing in Kentucky. • West Virginia Temporary Permit required for Graduate Nurses practicing in West Virginia. Required Skills, Knowledge & Abilities • Ability to provide nursing care under the scope and limitations established by the applicable State Board of Nursing. • Ability to communicate effectively with patients, families, physicians, and healthcare team members. • Ability to document patient care accurately and timely. • Ability to apply critical thinking and clinical judgment in patient care situations. • Ability to learn and function effectively in a fast-paced healthcare environment. Kentucky Graduate Nurse Requirements • The Graduate Nurse position is time limited. • Must successfully pass the NCLEX-RN within six (6) months, as the provisional license is valid for six (6) months only. • Must successfully pass the NCLEX-RN within two (2) attempts. • After two failed NCLEX-RN attempts, the provisional license becomes void. West Virginia Graduate Nurse Requirements • The Graduate Nurse position is time limited. • Must successfully pass the NCLEX-RN within ninety (90) days, as the temporary permit is valid for ninety (90) days only. • Must successfully pass the NCLEX-RN on the first attempt. • Upon notification of a failed NCLEX-RN examination, the temporary permit becomes void and must be returned to the West Virginia Board of Nursing.

Home Health

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. • Bachelor's Degree preferred. Licenses & Certifications • Registered Nurse required. • BLS certification required upon hire. • De-Escalation Training required within six (6) months of hire. • Driver's License required. Required Skills, Knowledge & Abilities • Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments. • Responsible for performing nursing treatments, procedures, and total client care in accordance with established agency and nursing care standards. • Responsible for communicating pertinent client assessment and reassessment findings to physicians. • Responsible for initiating referrals to other healthcare organizations and community services based on identified client needs and physician orders. • Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations. • Strong clinical assessment, care planning, and critical thinking skills. • Ability to work independently in a home health environment while collaborating with interdisciplinary team members. • Effective verbal and written communication skills. • Ability to prioritize patient care needs and manage multiple responsibilities. • Ability to maintain accurate and timely clinical documentation. • Ability to establish effective working relationships with patients, families, physicians, and community resources.

Registered Nurse