RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Paintsville, KY, US

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 orients 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
  • Performs other job duties as assigned.
  • Training for all personnel assigned to the Emergency Room shall consist of the following:
  • State and federal regulations related to emergency services.
  • Nursing management of trauma.
  • Nursing management of cardiac related disorders.
  • Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention.
  • Pharmacological intervention (IV therapy).
  • Patient assessment (triage).
  • Nursing management of pediatric emergencies.
  • Medicolegal aspects, particularly related to proper documentation.
  • Nursing management of obstetrical emergencies.
  • Patient/family emotional response.
  • Cardiopulmonary resuscitation and airway management.

Qualifications

Education

  • Graduate of an accredited school of nursing with an Associate's Degree required.
  • Bachelor's Degree preferred.

Licensure and Certifications

  • Current Registered Nurse (RN) license in the state of practice required.
  • Basic Life Support (BLS) certification required.
  • Advanced Cardiovascular Life Support (ACLS) certification required.
  • Pediatric Advanced Life Support (PALS) certification required.
  • Trauma Nurse Core Course (TNCC) certification required.
  • NIH Stroke Certification required.
  • Advanced Dysrhythmia/EKG certification required.
  • De-Escalation Training required within six (6) months of hire.
  • Rural Trauma Team Development Course (RTTDC) certification preferred.
  • Emergency Nurse Pediatric Course (ENPC) certification preferred.

Experience

  • Minimum of one (1) year of acute care nursing experience preferred.
  • Relevant clinical experience in the specific department of assignment preferred.
  • Experience with Electronic Health Records (EHR) preferred.

Knowledge, Skills, and Abilities

  • Excellent interpersonal skills with the ability to work effectively with providers and multidisciplinary teams at all levels.
  • Strong written and verbal communication skills with the ability to influence and achieve desired outcomes.
  • Demonstrated ability to follow direction and adapt to organizational change in a complex healthcare environment.
  • Strong critical thinking and clinical decision-making abilities.
  • Basic computer proficiency required.
  • Ability to successfully pass a medication examination.
  • Ability to function effectively in a fast-paced emergency and patient care environment.

Additional Requirements

  • Completion of hospital-approved emergency care training programs and demonstrated competency in emergency care procedures as determined by Nursing Leadership.
  • Completion of required training and competency validation in:
    • Moderate Sedation
    • Stroke Care Modules
    • Restraint Management
  • Must successfully complete unit orientation, including instruction on:
    • Department policies and procedures
    • Equipment operation
    • Patient safety practices
    • Infection prevention and control
    • Performance improvement and quality monitoring activities.

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