Registered Nurse

Appalachian Regional Healthcare Martin, KY

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. Emergency Room Training Requirements • 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 • Associate's Degree; Graduation from an accredited school of nursing. Required • Bachelor's Degree Preferred Experience • Up to 1 year Preferred • Minimum of one (1) year acute care nursing experience. • One (1) year of experience should be relevant to specific department in which they will be working. • Refer to addendums for additional requirements. • Experience with Electronic Health Record 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. • Completion of Stroke Modules. • Restraints. • The nurse shall be adequately oriented to the 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 Required • De-Escalation Training within 6 months of hire Required • ACLS Required • Trauma Nurse Core Curriculum Certification Required • Pediatric Advanced Life Support Certification Required • NIH Stroke Certification Required • Advanced Dysrhythmia/EKG Required • Rural Trauma Team Development Course Preferred • Emergency Nurse Pediatric Course Preferred

RN

Other

1 year ago

Registered Nurse

Appalachian Regional Healthcare Martin, KY

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; develops, implements, evaluates, and revises the plan of care utilizing critical thinking skills. Performs nursing acts authorized by the Board of Nursing and consistent with the American Nurses Association Standards of Practice and nationally accepted standards for registered nurses. Provides patient care, counseling, health teaching, and health promotion utilizing the Teach Back methodology to validate patient understanding. 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 nursing care activities. Serves as a mentor and preceptor for students and newly hired staff as assigned. Reports pertinent information through the appropriate chain of command, including the Clinical Nurse Manager, Nurse Manager, and House Nurse Coordinator. Participates on committees, teams, and performance improvement initiatives. Maintains a safe and secure environment for patients, coworkers, and self. Participates in discharge planning and transition of care activities and identifies patient needs. Advocates for patients and escalates patient concerns in a timely manner. Accurately and promptly documents patient assessments, interventions, and outcomes in the medical record. Assists patients with activities of daily living and functions as an active member of the healthcare team. Assumes responsibility for ongoing professional growth and development. Demonstrates effective communication and active listening skills while maintaining a compassionate and empathetic approach to patient care. Utilizes SBAR communication techniques and performs bedside shift reporting utilizing SBAR when appropriate. Serves as a positive role model and adheres to professional standards of conduct. Maintains patient dignity, privacy, and confidentiality. Adheres to all requirements outlined in the Special Addendum and Staff Nurse Position Description. Performs other duties as assigned. EMERGENCY ROOM TRAINING REQUIREMENTS Training for personnel assigned to the Emergency Department shall include: State and federal regulations related to emergency services. Nursing management of trauma patients. Nursing management of cardiac-related disorders. Performance and interpretation of EKG procedures and appropriate nursing interventions. Pharmacological interventions, including intravenous therapy. Patient assessment and triage procedures. Nursing management of pediatric emergencies. Medicolegal aspects of emergency nursing, including proper documentation. Nursing management of obstetrical emergencies. Recognition and management of patient and family emotional responses. Cardiopulmonary resuscitation (CPR) and airway management. Qualifications Education: Associate's Degree from an accredited school of nursing required. Bachelor's Degree preferred. Work Experience: Minimum of one (1) year of acute care nursing experience preferred. One (1) year of experience should be relevant to the specific department in which the employee will be working. Refer to departmental addendums for additional requirements. Experience with Electronic Health Records (EHR) preferred. Knowledge, Skills, and Abilities: Excellent interpersonal skills and ability to work effectively with providers at all levels. Ability to communicate clearly and effectively both verbally and in writing. Demonstrated ability to influence others and achieve desired outcomes. Ability to follow direction and facilitate a work environment conducive to change in a complex healthcare system. Demonstrated critical thinking skills. Basic computer skills required. Ability to successfully pass a medication examination. Completion of a hospital-approved training program and documented competency in emergency care procedures as determined by the Director of Nursing Services. Completion of Moderate Sedation training. Completion of Stroke Modules. Completion of Restraint training. Must be adequately oriented to unit policies, procedures, equipment, safety practices, infection control standards, and performance improvement monitoring processes. Licensure/Certification: Current Registered Nurse (RN) licensure in the state of practice required. Basic Life Support (BLS) certification required. De-Escalation Training within six (6) months of hire required. Advanced Cardiac Life Support (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.

Clinical Nurse Manager

Appalachian Regional Healthcare South Williamson, KY

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 that clinical assignments are based on patient care needs and demonstrated staff competencies. • Assists with admission and discharge processes to ensure efficient throughput and high-quality, patient-centered care. • Participates in the ongoing assessment of the quality of patient care services provided on the unit in collaboration with other members of the management team. • Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service. • Supports a patient-first philosophy and engages in service recovery when necessary. • Supports facility engagement initiatives by operationalizing nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift reporting, and other patient experience initiatives. • Provides recommendations related to interviewing, selecting, and training new staff. • Recommends and implements courses of action related to training and development, conflict resolution, personnel policy compliance, performance evaluations, and disciplinary actions to support organizational goals. • Assists with staff scheduling. • Manages staff labor resources in accordance with patient care needs and established productivity guidelines. • Supports inventory control processes and assists with managing supplies and equipment. • Works collaboratively with medical staff to coordinate and optimize patient care delivery. • Demonstrates leadership and initiative in situations where supervision is not present or required. • Appropriately escalates issues related to policies, procedures, rules, and regulations in a timely and effective manner. • Performs other duties as assigned. Qualifications Education • Associate's Degree in Nursing Required • Bachelor's Degree in Nursing Preferred Experience • 1-3 years • Minimum of one (1) year clinical experience required. • Two (2) years of clinical experience preferred. Required Skills, Knowledge & Abilities • Evidence of leadership abilities required. • Knowledge of general nursing principles and practice skills. • Knowledge of organizational functions, policies, and regulations. • Applicable technical skills related to the assigned clinical area. Licenses & Certifications • Current licensure to practice nursing in the State of Kentucky or West Virginia, depending on legal state of residence. Required • BLS Required • ACLS within six (6) months of hire (ED, Critical Care, OR, and Specialty Areas/Units Only) Required • PALS within six (6) months of hire (ED, OR, Med/Surg Pediatrics) Required • NRP and AWHONN Fetal Monitoring within six (6) months of hire (Maternal/Child Only) Required • TNCC within six (6) months of hire (ED Only) Required • De-Escalation Training within six (6) months of hire (All Units) Required • Professional Nursing Certification Preferred

Registered Nurse

Appalachian Regional Healthcare South Williamson, KY

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 upon hire Required • De-Escalation Training within 6 months of hire Required • 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 assessments/reassessments findings to physician. • Responsible for initiating referrals to other health care 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.

RN

Other

2 years ago

Registered Nurse

Appalachian Regional Healthcare South Williamson, KY

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 Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset (agility and developing yourself and others) skills. • Mastery of execution and delivery (planning, delivering, and supporting) skills. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. • Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills. Licenses & Certifications • Registered Nurse. Required • BLS upon hire Required • De-Escalation Training within 6 months of hire Required • Advanced Dysrhythmia/EKG (Med/Surg telemetry unit ONLY) Required

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