Registered Nurse

Registered Nurse

Registered Nurse

Overview The Cath Lab 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, evaluates and adjusts 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 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 patient needs). Serves as a patient advocate and escalates patient-related concerns timely. Timely documents pertinent findings in medical record. Assumes responsibility for personal 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. Qualifications Education Associate's Degree Nursing Required Bachelor's Degree Nursing Preferred Minimum Work Experience Up to 1 Year work experience Required Skills, Knowledge, and Abilities Assures all members of the cath lab team have been instructed in the procedures performed and periodically updates personnel on new techniques, instrumentation, and procedures. Prepares for each assigned case by ensuring the room is properly prepared and equipped, the required documentation is present on the medical record, and the patient is properly identified. Prepares the patient for procedure by positioning and grounding the patient as required, securing the patient on the table, assisting with intubation, providing moderate sedation, preparing the procedural site, and demonstrating proficiency in continuous hemodynamic monitoring and successful completion of EKG testing. Accompanies the patient to the recovery room and may be required to provide nursing care in the recovery room or post-procedural recovery in the Cath Lab suite. Monitors operative procedures by documenting proper patient positioning, breaks in sterile procedure, instrument, needle and sponge counts, preservation and labeling of all specimens, drugs and blood administration, and critical incidents during the procedure. Functions as a team member within the Cath Lab department by assisting with gowning and gloving; procuring required medication, blood, and supplies; coordinating involvement of other departments with the procedure; and properly processing specimens if needed. Maintains a safe and productive work environment by assisting with cleaning, maintenance, and re-supply. Successful completion of a training program and demonstrated competence in monitoring and circulating nurse duties as determined by the Director, Clinical Nurse Manager, or equivalent leader. The nurse shall be adequately oriented to unit policies, procedures, and equipment. Orientation shall include safety procedures, infection control practices, and performance improvement activities. Training for Cath Lab staff shall consist of completion of competencies in various areas or roles the nurse will function.

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. Special Instructions Night Shift 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; 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. • Experience with Electronic Health Record Preferred. Required Skills, Knowledge & Abilities • Operates critical care equipment such as respirators, temporary pacemakers, defibrillators, and other emergency equipment. • Set-up, maintains, interprets results of cardiac and hemodynamic monitor required and takes action as indicated by nursing practice and hospital procedures. • Perform special procedures such as endotracheal and tracheostomy suctioning; tracheostomy care; extubation; cardio-pulmonary resuscitation; arterial punctures; care of chest tubes and pleurevac; set up and assistance with peritoneal dialysis, paracentesis, thoracentesis. • Able to manage specialty drips using approved protocols. • Prior to assignment to unit as sole RN provider, the nurse must successfully complete critical care course acceptable to the Community Chief Nursing Officer and demonstrate mastery of equipment, diagnostic responsibilities, and procedures required of the critical care nurse. • Such course work 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 unit policies, procedures and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement activities. • Completion of the following Competencies: • Moderate Sedation • Completion of Stroke Modules • Restraints Licenses & Certifications • Registered Nurse Required • Advanced Dysrhythmia/EKG Required • NIH Stroke Certification Required • BLS Required • Advanced Life Support Certification Required • De-Escalation Training within 6 months of hire Required • Pediatric Advanced Life Support Certification (recommended) Preferred

Manager/Supervisor

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 patient admission and discharge processes to promote efficient patient throughput and high-quality, patient-centered care. Participates in the ongoing assessment and evaluation of patient care services provided on the unit in collaboration with members of the management team. Collaborates with subject matter experts and departmental leaders to foster a teamwork-oriented environment that supports quality outcomes and exceptional service. Supports a patient-first philosophy and participates in service recovery efforts when needed. Supports organizational initiatives designed to improve employee and patient engagement, including nurse leader rounding, employee rounding, hourly rounding, bedside shift reporting, and other nursing strategies. Assists in interviewing, selecting, onboarding, and training new staff members. Recommends and implements appropriate actions related to staff development, conflict resolution, policy compliance, performance evaluations, and disciplinary processes to support organizational goals. Assists with staff scheduling and management of labor resources in accordance with patient care needs and established productivity standards. Supports inventory control processes and assists with the management of departmental supplies and equipment. Collaborates with physicians and other members of the healthcare team to coordinate patient care activities. Demonstrates leadership, initiative, and sound judgment in situations requiring independent decision-making. Recognizes and appropriately escalates issues related to regulatory requirements, policies, and procedures 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. Work Experience: Minimum of one (1) year of clinical nursing experience required. Two (2) years of clinical nursing experience preferred. Knowledge, Skills, and Abilities: Demonstrated leadership abilities required. Knowledge of general nursing principles, practices, and patient care skills. Knowledge of organizational functions, policies, procedures, and regulations. Applicable technical knowledge and clinical skills related to the assigned area of practice. Ability to effectively communicate and collaborate with patients, families, physicians, and healthcare team members. Strong critical thinking, problem-solving, and decision-making skills. Licensure/Certification: Current licensure to practice as a Registered Nurse in Kentucky or West Virginia, based on legal state of residence, required. Basic Life Support (BLS) certification required. Advanced Cardiac Life Support (ACLS) certification required within six (6) months of hire for Emergency Department, Critical Care, Operating Room, and Specialty Areas/Units. Pediatric Advanced Life Support (PALS) certification required 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 required within six (6) months of hire for Maternal/Child units. Trauma Nursing Core Course (TNCC) certification required within six (6) months of hire for Emergency Department staff. De-Escalation Training required within six (6) months of hire for all units. Professional Nursing Certification preferred.

Registered Nurse