Nursing Jobs in McDowell, KY

Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Responsibilities • Provides personal care including bathing, shampooing, shaving, back rubs, positioning patients, making beds, preparing patients for meals, feeding patients, and providing ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens including stool, urine, sputum, and other required samples. • Collects intake and output information and records appropriately. • Collects and records vital signs and obtains pertinent patient information according to hospital policy. • Assists and/or feeds patients, provides between-meal nourishments, provides fresh drinking water, and encourages fluids when indicated. • Assists in progressive ambulation of patients by wheelchair, stretcher, and bed. • Administers enemas, douches, and inserts rectal tubes and documents appropriately. • Applies ace bandages and elastic stockings and prepares hot water bottles, ice bags, pads, and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by nursing personnel. • Applies condom drains, scrotal suspensories, non-sterile compresses, and binders. • Provides postmortem care and transports bodies to the morgue. • Applies restraints and side rails to ensure patient safety. • Observes isolation techniques and provides direct patient care to patients in isolation. • Assists with colostomy care. • Sets up orthopedic appliances. • Runs errands, delivers messages, and answers telephones. • Maintains a safe environment for patients, visitors, and staff. • Observes and reports safety hazards and prepares incident reports as required. • Prepares patients for surgery, x-ray procedures, and other therapeutic and diagnostic procedures. • Prepares patients for examinations and treatments by: • Remaining with patients unless relieved. • Providing appropriate equipment and supplies. • Adjusting lights as needed. • Cleaning and restocking treatment areas, supplies, and equipment. • Assists in orienting new patients to their surroundings. • Assists in maintaining a sanitary and safe environment in service and nursing areas. • Participates in team conferences, in-service education programs, and staff meetings. • Assists other hospital employees as needed, including returning patients from Recovery Room, Surgery, X-ray, and other departments when indicated. • Assists with patient admissions, transfers, and discharges. • Performs other related duties as assigned. Qualifications Education • Successful completion of a hospital-approved Nursing Aide Training Program required. Experience • Three (3) months of on-the-job training required to attain proficiency in the performance of assigned duties and responsibilities. Required Skills, Knowledge & Abilities • Ability to provide basic patient care and assist with activities of daily living. • Ability to communicate effectively with patients, families, and healthcare team members. • Ability to follow verbal and written instructions. • Ability to maintain a safe, sanitary, and organized patient care environment. • Ability to observe, report, and document patient information accurately. • Additional training may be required and provided for work in specialized areas. Licenses & Certifications • Completion of a hospital-approved Nursing Aide Training Program required. • May require competency listing with the State of Kentucky to work in a Skilled Nursing Facility (SNF).

Appalachian Regional Healthcare Whitesburg, KY

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. • Advanced Dysrhythmia/EKG certification required for Medical/Surgical Telemetry Unit positions. Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset skills, including agility and developing yourself and others. • Mastery of execution and delivery skills, including planning, delivering, and supporting initiatives. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate course of action. • Ability to function effectively in a clinical setting with diverse cultural dynamics among clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills.

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. • Valid 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. • Ability to travel to client residences in inclement weather and provide nursing care in varying environmental situations. • Strong clinical assessment, critical thinking, and patient care skills. • Ability to work independently while coordinating care with multidisciplinary healthcare teams. • Effective communication and documentation skills. • Ability to prioritize workload and manage multiple patient needs in a home health environment.

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, implements, evaluates, and adjusts plans of care utilizing critical thinking skills. Performs nursing functions in accordance with Board of Nursing regulations, American Nurses Association Standards of Practice, and nationally recognized nursing standards. Provides patient care, counseling, health teaching, and health promotion utilizing Teach Back methodology to ensure understanding. Administers medications, intravenous therapy, and treatments as prescribed by a Licensed Independent Practitioner (LIP). Supervises, delegates, and follows up on nursing care activities performed by other personnel. 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 in teams, committees, and performance improvement initiatives. Maintains a safe and secure environment for patients, coworkers, and self. Participates in discharge planning and transition of care activities, identifying patient needs. Serves as a patient advocate and escalates patient concerns in a timely manner. Documents pertinent patient information and findings accurately and promptly in the medical record. Assists patients with activities of daily living and functions as an active member of the healthcare team. Assumes responsibility for professional growth and development. Utilizes effective communication and active listening skills while demonstrating compassion and empathy. Practices SBAR communication and performs bedside shift reporting utilizing SBAR when appropriate. Serves as a positive influence and role model while adhering to professional standards of conduct. Maintains patient dignity and confidentiality at all times. Performs other duties as assigned. Emergency Department Training Requirements State and federal regulations related to emergency services. Nursing management of trauma patients. Nursing management of cardiac-related disorders. EKG procedures, EKG interpretation, and appropriate nursing interventions. Pharmacological interventions, including IV therapy. Patient assessment and triage. Nursing management of pediatric emergencies. Medicolegal aspects of emergency care, including proper documentation. Nursing management of obstetrical emergencies. Patient and family emotional responses to illness and injury. Cardiopulmonary resuscitation (CPR) and airway management. Qualifications Education Associate's Degree required Graduation from an accredited school of nursing required Bachelor's Degree preferred Minimum Work Experience Up to one (1) year of acute care nursing experience preferred One (1) year of experience relevant to the specific department preferred Experience with Electronic Health Records (EHR) preferred Licenses & Certifications Registered Nurse (RN) license in the state required Basic Life Support (BLS) required Advanced Cardiac Life Support (ACLS) required Trauma Nurse Core Curriculum (TNCC) certification required Pediatric Advanced Life Support (PALS) certification required NIH Stroke Certification required Advanced Dysrhythmia/EKG certification required De-Escalation Training within six (6) months of hire required Rural Trauma Team Development Course (RTTDC) preferred Emergency Nursing Pediatric Course (ENPC) preferred Required Skills, Knowledge, and Abilities Excellent interpersonal skills and ability to work effectively with providers at all levels Strong verbal and written communication skills with the ability to influence positive outcomes Ability to follow direction and support change in a complex healthcare environment Demonstrated critical thinking skills Basic computer skills Ability to pass a medication examination Completion of hospital-approved training program and demonstrated competency in emergency care procedures Competency in moderate sedation practices Completion of required stroke modules Knowledge of restraint procedures and requirements Ability to comply with unit orientation requirements, including safety procedures, infection control practices, and performance improvement monitoring activities

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. • Experience with Electronic Health Records (EHR) preferred. Required Skills, Knowledge & Abilities • Ability to operate critical care equipment such as respirators, temporary pacemakers, defibrillators, and other emergency equipment. • Ability to set up, maintain, and interpret cardiac and hemodynamic monitors and take actions as indicated by nursing practice and hospital procedures. • Ability to perform special procedures including endotracheal and tracheostomy suctioning, tracheostomy care, extubation, cardiopulmonary resuscitation, arterial punctures, chest tube and pleurevac care, setup and assistance with peritoneal dialysis, paracentesis, and thoracentesis. • Ability to manage specialty drips using approved protocols. • Prior to assignment as the sole RN provider on the unit, successful completion of a critical care course acceptable to the Community Chief Nursing Officer and demonstration of competency in critical care equipment, diagnostic responsibilities, and procedures. • Critical care education must include: • Cardiopulmonary resuscitation and management of an obstructed airway. • EKG interpretation. • Drug therapy, including emergency drug therapy via the IV route or routes normally left to the physician. • Hemodynamic monitoring. • Critical care procedures. • Completion of Moderate Sedation competency. • Completion of Stroke Modules. • Completion of Restraints competency. • Adequate orientation to unit policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement activities. Licenses & Certifications • Registered Nurse required. • Advanced Dysrhythmia/EKG certification required. • NIH Stroke Certification required. • BLS certification required. • Advanced Life Support Certification required. • De-Escalation Training required within six (6) months of hire. • Pediatric Advanced Life Support (PALS) Certification preferred.

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 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.

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. • 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.

Special Instructions Infusion Clinic RN Position