Nursing Jobs in Pikeville, KY

NP Wound Care Per Diem
CareMed

Part Time / PRN Wound Care Nurse Practitioner

CareMed Williamson, WV
CareMed Company Description CareMed Health Solutions is a facility-based team of medical providers who provide medical services to patients living in long-term care facilities. We strive to give quality care to residents while working together with the facility to carry out the best care possible. While an interdisciplinary care team provides medical care to patients in long-term care facilities, you will have the opportunity to impact in a positive way the life and wellbeing of the elderly population. We are currently seeking Wound Care Nurse Practitioners to provide wound services to patients living in long-term care facilities. WOUND NP ROLE AND RESPONSIBILITIES: Provide wound care services for long-term care patients residing in skilled nursing facilities. Prescribe appropriate medications, including controlled substances in accordance with WV Law. Order, review, and/or follow-up with treatments and diagnostic testing. Communicate with the nursing home staff on a regular and as needed to discuss changes in condition. and/or the care plan. Collaborate with the primary care physician. WOUND NP QUALIFICATIONS AND EDUCATION REQUIREMENTS: Current, unrestricted NP license in the state of West Virginia. Board Certification. DEA licensure (Optional) Clinical background in adult, family, or geriatric specialties. Clinical background of wound care; including but not limited to chronic, debilitating, stalled, or infected wounds Must be comfortable with diagnosing and treating diabetic, arterial, venous, and mixed etiology wounds or Kennedy Ulcers. Must be comfortable staging pressure injuries according to the NPIAP Must be familiar with wound care best practice and advanced wound care products; collagens, alginates, foams, silvers, etc. Must have experience with wound vacs and other DME, such as pressure relieving/ reducing devices Strong preference to having wound certification or be open to getting certified Experience working in a long-term care setting. Ability to work with an EMR. Ability to work within an interdisciplinary care team to coordinate patient care NP BENEFITS Continuing education credits Recertification Reimbursement Malpractice insurance Coverage
RN Director of Nursing Full-time
Emerald Healthcare

Interim Director of Nursing

Emerald Healthcare Pikeville, KY
Interim DON (Director of Nursing) We are searching for Temporary Director of Nursing to build bench strength in the event that a position becomes temporarily opened or we simply need additional assistance. If so, we encourage you to apply. As the Director of Nursing, you will lead a team of experienced nurse leaders in the clinical operations of the facility. Reliability and willingness to lead by example is a must. Willing to train the right candidate- strong, experienced corporate team already in place. The candidate MUST have: Active Registered Nursing License with 2-5 years of nursing leadership experience Knowledge of long-term care and the regulations associated with the healthcare industry Interpersonal skills, attention to detail and the ability to problem solve and identify clinical solutions in the best interest of our residents Positive attitude and strong leadership skills PHYSICAL REQUIREMENTS: · Must be able to move intermittently throughout the day, proper body mechanics required—bending, stooping, turning, stretching, reaching above the shoulders are involved · Must be able to cope with the mental, emotional, and physical stress of the position. · Must be able to observe, listen and communicate effectively · Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, support agencies, and outside agencies · Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times hostile people within the facility
RN Full-time
Hill Valley Healthcare

Regional Director of Clinical Operations

Hill Valley Healthcare Elkhorn City, KY
Join our dynamic team, a leading player in healthcare. We are dedicated to delivering excellence and committed to innovation and growth. With a strong presence, we are now expanding our recruitment efforts and seeking a talented Regional Director of Clinical Operations to join us in driving our success to new heights. Company Overview: We are a leading provider of skilled nursing services committed to delivering exceptional care to our residents. We are passionate about attracting top talent who share our values and are committed to making a positive impact in the lives of others. If you have a knack for talent acquisition and a passion for helping others succeed, we want you to join us as our Skilled Nursing Regional Director of Clinical Operations. Position Overview: As the Regional Director of Clinical Operations, you will provide strategic leadership and oversight to our clinical teams across multiple communities. You will be responsible for driving clinical excellence, ensuring regulatory compliance, and promoting a culture of continuous improvement. Working closely with facility administrators and healthcare providers, you will play a key role in enhancing the quality of care and the overall resident experience. Key Responsibilities: · Provide leadership and direction to facility Directors of Nursing and clinical staff, promoting a culture of excellence, collaboration, and continuous learning. · Oversee the implementation of clinical policies, procedures, and best practices to ensure compliance with regulatory requirements and industry standards. · Collaborate with facility leadership to develop and implement clinical programs and initiatives aimed at improving resident outcomes, satisfaction, and quality indicators. · Conduct regular audits and assessments of clinical processes, systems, and documentation to identify areas for improvement and ensure adherence to best practices. · Provide guidance and support to facility teams in managing complex clinical cases, implementing care plans, and addressing resident and family concerns. · Serve as a liaison between facility clinical staff and corporate stakeholders, facilitating communication, sharing best practices, and driving alignment with organizational goals. · Stay abreast of emerging trends, research, and regulations in healthcare and skilled nursing, and provide education and training to facility staff to ensure compliance and readiness. Qualifications: · Registered Nurse (RN) with a current license in good standing; advanced degree in nursing or healthcare administration preferred. · Minimum of two years of progressive clinical leadership experience in healthcare, with a focus on skilled nursing or long-term care settings. · Strong understanding of regulatory requirements, quality measures, and best practices in clinical care and patient safety. · Demonstrated leadership skills with the ability to inspire and motivate teams to achieve clinical excellence and quality outcomes. · Excellent communication and interpersonal skills, with the ability to build relationships and collaborate effectively with diverse stakeholders. · Strategic thinker with the ability to analyze complex issues, develop actionable plans, and drive implementation. · Commitment to continuous learning and professional development. Salary/ Wage Range Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. Exciting Benefits Await You: Attractive Compensation: Enjoy competitive pay that truly values your contributions. Generous Paid Time Off: Recharge and prioritize your well-being with ample PTO. 401(k) Plan: Secure your financial future with our strong retirement plan. Flexible Daily Pay: Access your earnings whenever you need them. Comprehensive Benefits Package: Benefit from a wide range of options, including dental, health, vision, and disability insurance. Wellness Program Access: Prioritize your health with resources designed to support your well-being. Inclusive Workplace Culture: Thrive in a supportive environment that champions diversity and collaboration. Career and Educational Development: Unlock your potential with numerous opportunities for growth and advancement. Comprehensive Onboarding and Professional Development Programs: Expertly crafted to cultivate growth and significantly enhance essential skills, paving the way for sustained success and excellence. We are committed to maintaining a diverse and inclusive workplace. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for our job opportunities.
Student Nurse Other
Appalachian Regional Healthcare

Nurse Extern Tier II

Appalachian Regional Healthcare Prestonsburg, KY
Overview The Nurse Extern Tier II is accountable for providing nursing assistance and performing basic nursing procedures to groups of patients within an assigned nursing department, under the supervision, guidance, and direction of a Registered Nurse who may delegate subversion to other Team Member such as; Licensed Practical Nurse and/or State Registered Nursing Assistant. In addition, the Nurse Extern can gain additional clinical practice to enhance their preparation as future licensed nurses Responsibilities Under the continuous direct on-site supervision of a Certified Nursing Assistant:• Interprets plan of medical care and provides input on nursing care plan and assist in the following provided they have been deemed clinically competent by their nursing instructor.• Completes the nursing assessment form with oversight and approval of RN.• Provides personal care including bath, shampoo, shave, back rub, positions changes, makes beds, prepares patients for meals, feeds patients and passes ice water.• Answers call lights and bells promptly to determine and meet patient needs.• Collects specimens, stool, urine, sputum, etc.• Collects input and output and records appropriately.• Collects and records vital signs on patient. Obtains and records pertinent patient information per hospital policy.• Assist and/or feeds patients. (enteral feedings included), 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 sequential compression devices.• Inserts catheters and feeding tubes.• Applies restraints and side rails to ensure safety of patients.• Observes isolation technique and give direct care to patients in isolation.• Assists in ostomy care and education.• Set up orthopedic appliances.• Maintains records and reports necessary information in regard to patient care.• Prepares patients for surgery and other therapeutic and diagnostic procedures.• Maintains a safe environment for patient care.• Performs other duties as assigned. Qualifications Education • High school diploma or GED equivalent.• Enrollment in Board of Nursing approved School of Nursing Registered Nurse Program• Completion of basic Nursing Fundamentals and/or Certified Nursing Assistant Course• Current Transcripts and Copy of Skills Evaluation on basic procedures• Recommendation Letter from 2 Instructors Minimum Work Experience • N/A Required Skills, Knowledge, and Abilities • Ability to function in and adapt appropriately to a fast-moving, cross-unit team environment.• Strong problem-solving skills.• Prior experience handling confidential matters with appropriate discretion.• To handle multiple, simultaneous tasks in a timely manner.• Collaborative attitude with the many different departments.• Must maintain positive, professional communications skills when working with co-workers • Detail oriented
CNA Other
Appalachian Regional Healthcare

Nursing Assistant

Appalachian Regional Healthcare KY
Overview Provides patient care applying specialized knowledge and demonstrated clinical nursing skills. Maintains all required Nursing certifications and licenses. Performs nursing duties applying trained expertise, as well as ensuring patients receive the level of care and attention representative of the company's high-level mission and commitments to the healthcare community. Responsibilities • Provides personal care including bath, shampoo, shave, back rub, positions patients, makes beds, prepares patients for meals, feeds patients, and passes ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, stool, urine, sputum, etc. • Collects input and output and records appropriately. • Collects and records vital signs on patient. Obtain and records pertinent patient information per hospital policy. • Assists and/or feeds patients, provides between meal nourishment’s, 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, fills hot water bottles, ice bags, pads and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by nurse. • Applies condom drains and scrotal suspensatories, unsterile compresses, and binders. • Gives postmortem care and transports body to morgue. • Applies restraints and siderails to assure safety of patients. • Observes isolation technique and gives direct patient care to patients on isolation. • Assists in colostomy care. • Sets up Orthopedic appliances. • Runs errands, delivers messages, and answers telephone. • Maintains a safe environment. • Observes for and reports safety hazards, and prepares incident reports. • Prepares patients for surgery, x-ray and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment: • Remains with patients unless relieved.• Performs such duties as providing proper equipment, supplies, and adjusting lights.• Cleaning up and restocking of area, including supplies and equipment. • Assists in the orientation of the new patient 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. • Assists with admissions, transfers, and discharges of patients. • Performs other related duties as assigned. Qualifications Education • High School diploma or GED equivalent. • Successful completion of a hospital-approved Nursing Aide Training Program. Required Skills, Knowledge, & Abilities • Three (3) months on-the-job training is required to attain proficiency of performance of assigned duties and responsibilities. • Additional training may be required and given to work in the long-term acute care hospital venue.
LPN Other
Appalachian Regional Healthcare

Licensed Practical Nurse

Appalachian Regional Healthcare KY
Overview The LPN is responsible for performing a wide variety of nursing care, patient activities, and accommodative services for the comfort and well-being of patients in accordance with physicians' orders and under the guidance and direction of the Registered Nurse. Responsibilities • Performs basic nursing care and patient procedures as required. • Participates in conferences and serves on committees as requested. • Observes, reports, and documents changes in patient condition, observations made, complaints voiced, and nursing care performed. • Participates in patient and family health education as necessary. • Provides a safe and secure environment for patients. • Prepares for and assists with diagnostic and therapeutic treatments. • May administer I.V.F. in accordance with the State Nurse Practice Act. • Checks, irrigates, and maintains drainage tubes as needed. • May insert N/G tubes after training (KY & VA). • May administer tube feedings. • Suctions patients according to hospital policy and procedure. • Functions in emergencies and on the code team as designated. • Performs catheterizations and provides catheter care. • Administers oral, intramuscular, intradermal, subcutaneous, I.V., P.B., and approved medications. • Administers I.V.P. medications as approved (Virginia only). • Cares for patients receiving oxygen therapy and analyzes oxygen concentration of O2 tents, isolettes, and croupettes. • Administers respiratory treatments (I.P.P.B.). • Applies sterile and unsterile compresses and bandages of all types and styles. • Answers call lights and assists patients with personal hygiene and activities of daily living. • Tests urine for sugar, acetone, and pH, weighs patients, and obtains vital signs. • Cares for patients in isolation. • Assists with physical and vaginal examinations and obtaining Pap smears. • Administers post-operative care, including coughing, deep breathing, turning patients, and obtaining vital signs. • Prepares patients for surgery, including completion of pre-operative checklists. • Applies ace bandages, all types of traction, hot water bottles, and ice caps. • Measures and records intake and output. • Collects specimens, including blood, urine, stool, and sputum. • Administers post-mortem care and transportation. • Administers enemas, including retention, cleansing, therapeutic, and colonic irrigation. • Maintains cleanliness, safety, and efficiency in nursing care. • Responds appropriately in emergency situations, providing patient care, initiating CPR, and performing duties designated by the RN or physician. • Assists with the care and security of patient valuables. • Checks narcotics and barbiturates, reports discrepancies, completes incident reports, and submits documentation to appropriate management. • Cares for patients with radium and assists physicians with removal of radium. • Prepares used equipment for re-sterilization. • Cleans and maintains storage of equipment and requests repairs as appropriate. • Follows up with physicians and staff regarding equipment performance. • Complies with hospital policies for obtaining, documenting, and following through on telephone and verbal orders. • Monitors glucose using a glucose monitoring device. • Collects Quality Improvement data as requested. • Uses universal precautions. • Performs other related duties as assigned. Qualifications Education • Graduate of an accredited school of practical nursing. Licenses & Certifications • Must maintain current licensure in the state of practice. • Must successfully complete the I.V. Therapy Course. Experience • Six (6) months to one (1) year of on-the-job training is required to attain proficiency in the performance of assigned duties. Required Skills, Knowledge & Abilities • Technical skills in special nursing fields preferred. • Ability to provide safe and effective patient care in accordance with nursing standards and scope of practice. • Ability to perform nursing procedures and treatments accurately. • Strong communication and documentation skills. • Ability to work effectively as part of a multidisciplinary healthcare team. • Ability to function effectively in a fast-paced clinical environment.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Prestonsburg, 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 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 postpartum 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.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Prestonsburg, 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 Core Nursing 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. Labor and Delivery Training Requirements • Admission of labor patient. • Care of the labor patient. • Delivery of labor patient. • Recognition and nursing care of abnormal conditions. • Fetal monitors and nursing intervention. • Appropriate nursing intervention. • 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 Nursing Required • Bachelor's Degree Nursing Preferred Experience • 1-3 years Preferred Required Skills, Knowledge & Abilities • Performs initial assessment to include physical exam of OB patient, 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 Required • Completion of Intermediate Fetal Monitoring Course (AWHONN) within 6 months of hire. Required • Neonatal Resuscitation Program (NRP) Required • De-Escalation Training within 6 months of hire Required
RN Home Health Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Prestonsburg, 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 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/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, care planning, and critical thinking skills. • Ability to work independently while coordinating care with physicians, patients, families, and interdisciplinary healthcare teams. • Effective verbal and written communication skills. • Ability to prioritize patient care needs and manage multiple responsibilities in a home health environment. • Ability to maintain accurate and timely clinical documentation. • Ability to establish effective working relationships with patients, families, physicians, and community resources.
Surgical Tech Other
Appalachian Regional Healthcare

Surgical Technologist

Appalachian Regional Healthcare Prestonsburg, KY
Overview Owns specific responsibilities for maintenance and policies for various responsibilities within the Operating Room. Takes direction from management of specific tasks to support operating rooms that are of the highest level of quality and safety, in meeting the needs of key doctors, surgeons, and other critical Operating Room. Responsibilities Sets up tables, instruments and supplies required for specific operation. Carries out surgical asepsis. Assists surgical team during operative procedure. Assists in the preparation for surgical procedures. Assists in the preoperative preparation of patients. Assists with table equipment, positioning of patients, application of plaster casts and dressings. Prepares operative specimens, places in preservative solution and delivers to Laboratory for analysis. Assists in transporting patients to and from the Operating Room, Recovery Room, and patient area. Assists in cleaning operating room, equipment and instruments following surgery. Cleans and stocks storage room. Prepares Operating Room for the next case or next day. Records data on patients' record data sheets and O.R. logs. Must rotate on call as required. Performs duties of Nursing Aide as requested, when O.R. is not busy. Performs other related duties as required. Performs other duties as assigned. Complies with all policies and standards. Qualifications Education High School Diploma required. Experience One (1) to three (3) years of experience preferred. Knowledge, Skills & Abilities Working knowledge of problem solving and decision making skills. Working knowledge of digital literacy skills. Licenses & Certifications Grade 10: Two years' experience as an O.R.T. including successful completion of hospital sponsored self-instructional program in operating room technology as well as documented clinical hours; OR A Certified Operating Room Technician with six (6) months experience in operating room technology. Successful completion of a hospital-approved Nursing Aide Training Program. Successful completion of on-the-job training program in O.R. technique.
Surgical Tech Other
Appalachian Regional Healthcare

Surgical Technologist

Appalachian Regional Healthcare Prestonsburg, KY
Overview Performs technical skills and assists the surgeons, anesthesia personnel, registered nurses, central sterile and other professionals in the operating room. May Perform similar duties in other areas of the hospital as assigned. Responsibilities Sets up tables, instruments and supplies required for specific operation. Carries out surgical asepsis. Assists surgical team during operative procedure. Assists in the preparation for surgical procedures. Assists in the preoperative preparation of patients. Assists with table equipment, positioning of patients, application of plaster casts and dressings. Prepares operative specimens, places in preservative solution and delivers to Laboratory for analysis. Assists in transporting patients to and from the Operating Room, Recovery Room, and patient area. Assists in cleaning operating room, equipment and instruments following surgery. Cleans and stocks storage room. Prepares Operating Room for the next case or next day. Records data on patients' record data sheets and O.R. logs. Must rotate on call as required. Performs duties of Nursing Aide as requested, when O.R. is not busy. Performs other related duties as required. Performs other duties as assigned. Complies with all policies and standards. Qualifications Education High School Diploma required. Experience One (1) to three (3) years of experience preferred. Knowledge, Skills & Abilities Working knowledge of problem solving and decision making skills. Working knowledge of digital literacy skills. Licenses & Certifications Grade 10: Two years' experience as an O.R.T. including successful completion of hospital sponsored self-instructional program in operating room technology as well as documented clinical hours; OR A Certified Operating Room Technician with six (6) months experience in operating room technology. Successful completion of a hospital-approved Nursing Aide Training Program. Successful completion of on-the-job training program in O.R. technique.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Prestonsburg, 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. Special Instructions The Behavioral Nurse in the Emergency Department will focus on the behavioral health section of the ER. We treat a wide variety of patients that come through the ER for behavioral health services. Some are involuntary and some are voluntary. The behavioral health nurse would be responsible for the assessment, sitting, medication administration and all other duties as assigned in our locked behavioral health unit. They would talk with providers and deal directly with our inpatient behavioral health unit. When there are no patients in the behavioral health are this nurse will step out and help ER staff. These duties may include patient assessments, admission assessments, discharges, medication administration, transporting patients to other units and all other duties as assigned. They will have the same certification requirements as emergency room staff nurses and behavioral health experience is preferred. If there is no behavioral health experience they will orient on the inpatient behavioral health unit for 30 days before coming to the emergency department. Responsibilities Core Nursing Responsibilities • Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluates and adjusts plan of care utilizing critical thinking skills. • Performs other nursing acts which are authorized or limited by the Board and which are consistent either with American Nurses Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. • Provides care, counsel, health teaching and promotion, utilizing Teach Back methodology as affirmation of comprehension. • Administers medication, intravenous therapy and treatment as prescribed by a LIP. • Provides 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 pertinent information up 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 and is able to define patient needs. • Serves as a patient advocate and escalates patient-related concerns in a timely manner. • Timely documents pertinent findings in the medical record. • 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. • Performs Bedside Shift Reporting utilizing SBAR unless contraindicated. • Functions as a positive influence, role model, and adheres to the professional code of conduct. • Respects dignity and confidentiality of all matters relating to patients. • Performs other job duties as assigned. Emergency Department 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. Behavioral Health Emergency Department Responsibilities • Focuses on the behavioral health section of the Emergency Department. • Provides care to both voluntary and involuntary behavioral health patients. • Performs behavioral health patient assessments. • Provides patient observation and monitoring. • Administers medications as prescribed. • Performs all nursing duties required within the locked behavioral health unit. • Communicates directly with providers regarding patient care needs. • Collaborates with the inpatient behavioral health unit regarding patient placement, treatment, and continuity of care. • Assists Emergency Department staff when there are no patients in the behavioral health area. • Performs patient assessments, admission assessments, and discharge procedures as needed. • Administers medications and treatments as assigned. • Assists with transporting patients to other units. • Performs all other duties as assigned within the Emergency Department. • Maintains the same certification requirements as Emergency Room Staff Nurses. • If behavioral health experience is not present, completes a thirty (30) day orientation on the inpatient behavioral health unit prior to assignment in the Emergency Department. 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 the 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.
LPN Other
Appalachian Regional Healthcare

Licensed Practical Nurse

Appalachian Regional Healthcare KY
Overview The LPN is responsible for performing a wide variety of nursing care, patient activities, and accommodative services for the comfort and well-being of patients in accordance with physicians' orders and under the guidance and direction of the Registered Nurse. Responsibilities • Performs basic nursing care and patient procedures as required. • Participates in conferences and serves on committees as requested. • Observes, reports, and documents changes in patient condition, observations made, complaints voiced, and nursing care performed. • Participates in patient and family health education as necessary. • Provides a safe and secure environment for patients. • Prepares for and assists with diagnostic and therapeutic treatments. • May administer I.V.F. in accordance with the State Nurse Practice Act. • Checks, irrigates, and maintains drainage tubes as needed. • May insert N/G tubes after training (KY & VA). • May administer tube feedings. • Suctions patients according to hospital policy and procedure. • Functions in emergencies and on the code team as designated. • Performs catheterizations and provides catheter care. • Administers oral, intramuscular, intradermal, subcutaneous, I.V., P.B., and approved medications. • Administers I.V.P. medications as approved (Virginia only). • Cares for patients receiving oxygen therapy and analyzes oxygen concentration of O2 tents, isolettes, and croupettes. • Administers respiratory treatments (I.P.P.B.). • Applies sterile and unsterile compresses and bandages of all types and styles. • Answers call lights and assists patients with personal hygiene and activities of daily living. • Tests urine for sugar, acetone, and pH, weighs patients, and obtains vital signs. • Cares for patients in isolation. • Assists with physical and vaginal examinations and obtaining Pap smears. • Administers post-operative care, including coughing, deep breathing, turning patients, and obtaining vital signs. • Prepares patients for surgery, including completion of pre-operative checklists. • Applies ace bandages, all types of traction, hot water bottles, and ice caps. • Measures and records intake and output. • Collects specimens, including blood, urine, stool, and sputum. • Administers post-mortem care and transportation. • Administers enemas, including retention, cleansing, therapeutic, and colonic irrigation. • Maintains cleanliness, safety, and efficiency in nursing care. • Responds appropriately in emergency situations, providing patient care, initiating CPR, and performing duties designated by the RN or physician. • Assists with the care and security of patient valuables. • Checks narcotics and barbiturates, reports discrepancies, completes incident reports, and submits documentation to appropriate management. • Cares for patients with radium and assists physicians with removal of radium. • Prepares used equipment for re-sterilization. • Cleans and maintains storage of equipment and requests repairs as appropriate. • Follows up with physicians and staff regarding equipment performance. • Complies with hospital policies for obtaining, documenting, and following through on telephone and verbal orders. • Monitors glucose using a glucose monitoring device. • Collects Quality Improvement data as requested. • Uses universal precautions. • Performs other related duties as assigned. Qualifications Education • Graduate of an accredited school of practical nursing. Licenses & Certifications • Must maintain current licensure in the state of practice. • Must successfully complete the I.V. Therapy Course. Experience • Six (6) months to one (1) year of on-the-job training is required to attain proficiency in the performance of assigned duties. Required Skills, Knowledge & Abilities • Technical skills in special nursing fields preferred. • Ability to provide safe and effective patient care in accordance with nursing standards and scope of practice. • Ability to perform nursing procedures and treatments accurately. • Strong communication and documentation skills. • Ability to work effectively as part of a multidisciplinary healthcare team. • Ability to function effectively in a fast-paced clinical environment.
Student Nurse Other
Appalachian Regional Healthcare

Nurse Extern Tier II

Appalachian Regional Healthcare Prestonsburg, KY
Overview The Nurse Extern Tier II is accountable for providing nursing assistance and performing basic nursing procedures to groups of patients within an assigned nursing department, under the supervision, guidance, and direction of a Registered Nurse who may delegate subversion to other Team Member such as; Licensed Practical Nurse and/or State Registered Nursing Assistant. In addition, the Nurse Extern can gain additional clinical practice to enhance their preparation as future licensed nurses Responsibilities Under the continuous direct on-site supervision of a Certified Nursing Assistant:• Interprets plan of medical care and provides input on nursing care plan and assist in the following provided they have been deemed clinically competent by their nursing instructor.• Completes the nursing assessment form with oversight and approval of RN.• Provides personal care including bath, shampoo, shave, back rub, positions changes, makes beds, prepares patients for meals, feeds patients and passes ice water.• Answers call lights and bells promptly to determine and meet patient needs.• Collects specimens, stool, urine, sputum, etc.• Collects input and output and records appropriately.• Collects and records vital signs on patient. Obtains and records pertinent patient information per hospital policy.• Assist and/or feeds patients. (enteral feedings included), 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 sequential compression devices.• Inserts catheters and feeding tubes.• Applies restraints and side rails to ensure safety of patients.• Observes isolation technique and give direct care to patients in isolation.• Assists in ostomy care and education.• Set up orthopedic appliances.• Maintains records and reports necessary information in regard to patient care.• Prepares patients for surgery and other therapeutic and diagnostic procedures.• Maintains a safe environment for patient care.• Performs other duties as assigned. Qualifications Education • High school diploma or GED equivalent.• Enrollment in Board of Nursing approved School of Nursing Registered Nurse Program• Completion of basic Nursing Fundamentals and/or Certified Nursing Assistant Course• Current Transcripts and Copy of Skills Evaluation on basic procedures• Recommendation Letter from 2 Instructors Minimum Work Experience • N/A Required Skills, Knowledge, and Abilities • Ability to function in and adapt appropriately to a fast-moving, cross-unit team environment.• Strong problem-solving skills.• Prior experience handling confidential matters with appropriate discretion.• To handle multiple, simultaneous tasks in a timely manner.• Collaborative attitude with the many different departments.• Must maintain positive, professional communications skills when working with co-workers • Detail oriented
CMA Outpatient Other
Appalachian Regional Healthcare

Medical Assistant

Appalachian Regional Healthcare Prestonsburg, KY
Overview The Medical Assistant is responsible for efficient and courteous registration, transfer and discharge of patients within established policies and procedures; thoroughly compiles and types of medical information for patients' records and statistical reports and maintains current and accurate patient account receivables. The Medical Assistant is responsible for performing a wide variety of patient care activities and accommodative services for the comfort and well-being of patients in accordance with physicians' orders. Responsibilities Clinical Responsibilities • Performs basic patient care procedures as required. • Participates in conferences and serves on committees as requested. • Participates in patient and family education as necessary. • Prepares for and assists with diagnostic and therapeutic treatments. • Takes and records vital signs, height and weight. • Performs catheterizations and provides catheter care. • Administers oral and intra-muscular medications. • Cares for patients receiving oxygen therapy. • Applies sterile and non-sterile compresses and bandages. • Tests urine for sugar, acetone, and pH. • Assists with physical examinations. • Applies ace bandages, hot and/or cold compresses. • Collects specimens, blood, urine, stool, and sputum. • May perform venipunctures and EKGs as needed. • Maintains cleanliness, safety and efficiency in the clinic. • Remains alert and able to respond appropriately in emergency situations. • Prepares used equipment for re-sterilization. • Knows legal requirements for reporting to police, health department, and other agencies and follows requirements. • Accompanies or transfers patients to other departments such as laboratory or x-ray. • Cleans and stocks examination rooms. • Manages time to expedite patient flow. • Assists with minor outpatient surgery. Patient Registration & Financial Responsibilities • Greets patients courteously, determines their needs, and offers assistance. • Registers patients by performing necessary procedures, such as preparation of records, reports, notices, service charge slips, and payor information. • Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusual cases to the immediate supervisor. • May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or third-party payments. • Answers inquiries related to patient accounts and advises patients on insurance benefits. • Receives all payments and deposits, issues receipts for all monies received, and properly accounts for all funds received. • Posts charges daily to proper patient accounts. • Posts payments to accounts daily. • Determines billing method for third-party payors. • Contacts insurance carriers/agencies to obtain precertification of ancillary, admission, and surgical procedures. Administrative Responsibilities • Operates various office equipment including copiers, fax machines, and other assigned equipment. • Operates communication systems, placing and answering telephone calls, paging, or contacting staff. • May make and maintain appointment schedules for clinic physicians. • May secure required signatures on reports and records relative to release of information according to policies and procedures. • Contacts patients, physicians, or others for information necessary to properly complete insurance or other billings. • Types memos, correspondence, and other documents as needed. • Compiles periodic and statistical reports and other data as directed. Qualifications Education • High School Diploma Required • Graduate of Medical Assistant Training Program Preferred Experience • Up to 1 year • Three (3) to six (6) months on-the-job training as required to attain proficiency of assigned duties and responsibilities if not certified. Required Required Skills, Knowledge & Abilities • Obtain patient history and take vital signs to assist physician with examination and treatment. • Prepare and maintain examination and treatment area. • Perform selected tests that assist with diagnosis and treatment. • Screen and follow-up patient test results. • Prepare and administer medications as directed by physician and maintain medication records. Licenses & Certifications • Medical Assistant certification from an accredited program. Preferred.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Prestonsburg, 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 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. Qualifications Associate's Degree Graduation from an accredited school of nursing. Required Bachelor's Degree Preferred Up to 1 year Preferred Minimum of one (1) year acute care nursing experience (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. Preferred 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 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
RN Other
Appalachian Regional Healthcare

Registered Nurse Tier 2 (Union)

Appalachian Regional Healthcare McDowell, 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 Bachelor's Degree Preferred Associate's Degree Required 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. 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
CNA Other
Appalachian Regional Healthcare

Nursing Assistant

Appalachian Regional Healthcare KY
Overview Provides patient care applying specialized knowledge and demonstrated clinical nursing skills. Maintains all required Nursing certifications and licenses. Performs nursing duties applying trained expertise, as well as ensuring patients receive the level of care and attention representative of the company's high-level mission and commitments to the healthcare community. Responsibilities • Provides personal care including bath, shampoo, shave, back rub, positions patients, makes beds, prepares patients for meals, feeds patients, and passes ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, stool, urine, sputum, etc. • Collects input and output and records appropriately. • Collects and records vital signs on patient. Obtain and records pertinent patient information per hospital policy. • Assists and/or feeds patients, provides between meal nourishment’s, 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, fills hot water bottles, ice bags, pads and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by nurse. • Applies condom drains and scrotal suspensatories, unsterile compresses, and binders. • Gives postmortem care and transports body to morgue. • Applies restraints and siderails to assure safety of patients. • Observes isolation technique and gives direct patient care to patients on isolation. • Assists in colostomy care. • Sets up Orthopedic appliances. • Runs errands, delivers messages, and answers telephone. • Maintains a safe environment. • Observes for and reports safety hazards, and prepares incident reports. • Prepares patients for surgery, x-ray and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment: • Remains with patients unless relieved.• Performs such duties as providing proper equipment, supplies, and adjusting lights.• Cleaning up and restocking of area, including supplies and equipment. • Assists in the orientation of the new patient 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. • Assists with admissions, transfers, and discharges of patients. • Performs other related duties as assigned. Qualifications Education • High School diploma or GED equivalent. • Successful completion of a hospital-approved Nursing Aide Training Program. Required Skills, Knowledge, & Abilities • Three (3) months on-the-job training is required to attain proficiency of performance of assigned duties and responsibilities. • Additional training may be required and given to work in the long-term acute care hospital venue.
CMA Outpatient Other
Appalachian Regional Healthcare

Medical Assistant

Appalachian Regional Healthcare Harold, KY
Overview The Medical Assistant is responsible for efficient and courteous registration, transfer and discharge of patients within established policies and procedures; thoroughly compiles and types of medical information for patients' records and statistical reports and maintains current and accurate patient account receivables. The Medical Assistant is responsible for performing a wide variety of patient care activities and accommodative services for the comfort and well-being of patients in accordance with physicians' orders. Responsibilities • Performs basic patient care procedures as required. • Participates in conferences and serves on committees as requested. • Participates in patient and family education as necessary. • Prepares for and assists with diagnostic and therapeutic treatments. • Takes and records vital signs, height, and weight. • Performs catheterizations and provides catheter care. • Administers oral and intra-muscular medications. • Cares for patients receiving oxygen therapy. • Applies sterile and non-sterile compresses and bandages. • Tests urine for sugar, acetone, and pH. • Assists with physical examinations. • Applies ace bandages and hot and/or cold compresses. • Collects specimens including blood, urine, stool, and sputum. • May perform venipunctures and EKGs as needed. • Maintains cleanliness, safety, and efficiency in the clinic. • Remains alert and responds appropriately in emergency situations. • Prepares used equipment for re-sterilization. • Understands legal requirements for reporting to police, health departments, and other agencies and follows all reporting requirements. • Accompanies or transfers patients to other departments such as the laboratory or x-ray department. • Cleans and stocks examination rooms. • Manages time effectively to expedite patient flow. • Assists with minor outpatient surgery procedures. • Greets patients courteously, determines their needs, and offers assistance. • Registers patients by performing necessary procedures, including preparation of records, reports, notices, service charge slips, and payor information. • Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusual cases to the immediate supervisor. • May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or third-party payments. • Answers inquiries regarding patient accounts and advises patients on insurance benefits. • Receives payments and deposits, issues receipts, and maintains proper accounting of funds received. • Posts charges daily to the proper patient account. • Posts payments to accounts daily. • Determines billing methods for third-party payors. • Contacts insurance carriers and agencies to obtain precertification of ancillary, admission, and surgical procedures. • Operates various office equipment, including copiers, fax machines, and other assigned equipment. • Operates communication systems, including placing and answering telephone calls and contacting staff as needed. • May make and maintain appointment schedules for clinic physicians. • May secure required signatures on reports and records relative to release of information in accordance with policies and procedures. • Contacts patients, physicians, or others for information necessary to properly complete insurance or other billing requirements. • Types memos, correspondence, and other documents as needed. • Compiles periodic and statistical reports and other data as directed. Qualifications Education • High School Diploma required. • Graduate of a Medical Assistant Training Program preferred. Experience • Up to one (1) year of experience required. • Three (3) to six (6) months of on-the-job training required to attain proficiency of assigned duties and responsibilities if not certified. Required Skills, Knowledge & Abilities • Obtain patient history and take vital signs to assist physician with examination and treatment. • Prepare and maintain examination and treatment areas. • Perform selected tests that assist with diagnosis and treatment. • Screen and follow up on patient test results. • Prepare and administer medications as directed by the physician. • Maintain medication records. Licenses & Certifications • Medical Assistant certification from an accredited program preferred.
RN Other
Appalachian Regional Healthcare

Registered Nurse Tier 2 (Union)

Appalachian Regional Healthcare McDowell, 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 Bachelor's Degree Preferred Associate's Degree Required 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. 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
CMA Outpatient Other
Appalachian Regional Healthcare

Medical Assistant

Appalachian Regional Healthcare Prestonsburg, KY
Overview The Medical Assistant is responsible for efficient and courteous registration, transfer and discharge of patientswithin established policies and procedures; thoroughly compiles and types of medical information for patients'records and statistical reports and maintains current and accurate patient account receivables.The Medical Assistant is responsible for performing a wide variety of patient care activities and accommodativeservices for the comfort and well-being of patients in accordance with physicians' orders. Special Instructions Busy orthopedic surgeon seeking a motivated Medical Assistant with prior medical scribe experience or a strong willingness to learn. The ideal candidate is detail-oriented, organized, and able to thrive in a fast-paced clinical environment while supporting patient care and provider documentation. Responsibilities Clinical Responsibilities • Performs basis patient care procedures as required. • Participates in conferences and serves on committees as requested. • Participates in patient and family education as necessary. • Prepares for and assists with diagnostic and therapeutic treatments. • Takes and records vital signs, height and weight. • Performs catheterizations and provides catheter care. • Administers oral and intra-muscular medications. • Cares for patient receiving oxygen therapy. • Applies sterile and non-sterile compresses and bandages. • Tests urine for sugar, acetone, and Ph. • Assists with physical examinations. • Applies ace bandages, hot and/or cold compresses. • Collects specimens, blood, urine, stool, and sputum. May do venipunctures and EKGs as needed. • Maintains cleanliness, safety and efficiency in the clinic. • Alert to and able to respond appropriately in an emergency situation. • Prepares used equipment for re-sterilization. • Knows legal requirements for reporting to police, health department, and other agencies and follows requirements. • Accompanies or transfers patients to other departments such as lab or x-ray. • Cleans and stocks examination rooms. • Manages time in order to expedite patient flow. • Assists with minor out-patient surgery. Patient Registration & Financial Responsibilities • Greets patients courteously, determines their needs, and offers assistance. • Registers patients by performing necessary procedures, such as preparation of records, reports, notices, service charge slips, and payor information. • Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusual cases to immediate supervisor. • May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or third-party payments. • Answers inquiries to patient accounts and advises patients on insurance benefits. • Receives all payments and deposits, issues receipts for all monies received and otherwise makes proper accounting for all funds received. • Posts charges daily to proper patient accounts. • Posts payments to accounts daily. • Determines billing method for third-party payors. • Contacts insurance carriers/agencies to obtain precertification of ancillary, admission and surgical procedures. Administrative Responsibilities • Operates various office equipment to include copiers, fax machines and other equipment as assigned. • Operates communication systems, placing and answering telephone calls, paging or contacting staff. • May make and maintain appointment schedules for clinic physicians. • May secure required signatures on reports and records relative to release of information, according to policies and procedures. • Contacts patients, physicians, or others for information necessary to properly complete insurance or other type billings. • Types memos, correspondence, etc., as needed. • Compiles periodic and statistical reports and other data as directed. Qualifications Education • High School Diploma Required • Graduate of Medical Assistant Training Program Preferred Experience • Up to 1 year • Three (3) to six (6) months on-the-job training as required to attain proficiency of assigned duties and responsibilities if not certified. Required Required Skills, Knowledge & Abilities • Obtain patient history and take vital signs to assist physician with examination and treatment. • Prepare and maintain examination and treatment area. • Perform selected tests that assist with diagnosis and treatment. • Screen and follow-up patient test results. • Prepare and administer medications as directed by physician and maintain medication records. Licenses & Certifications • Medical Assistant certification from an accredited program. Preferred. Medical Assistant certification from an accredited program. Preferred
Student Nurse Other
Appalachian Regional Healthcare

Nurse Extern Tier II

Appalachian Regional Healthcare Prestonsburg, KY
Overview The Nurse Extern Tier II is accountable for providing nursing assistance and performing basic nursing procedures to groups of patients within an assigned nursing department, under the supervision, guidance, and direction of a Registered Nurse who may delegate subversion to other Team Member such as; Licensed Practical Nurse and/or State Registered Nursing Assistant. In addition, the Nurse Extern can gain additional clinical practice to enhance their preparation as future licensed nurses Responsibilities Under the continuous direct on-site supervision of a Certified Nursing Assistant:• Interprets plan of medical care and provides input on nursing care plan and assist in the following provided they have been deemed clinically competent by their nursing instructor.• Completes the nursing assessment form with oversight and approval of RN.• Provides personal care including bath, shampoo, shave, back rub, positions changes, makes beds, prepares patients for meals, feeds patients and passes ice water.• Answers call lights and bells promptly to determine and meet patient needs.• Collects specimens, stool, urine, sputum, etc.• Collects input and output and records appropriately.• Collects and records vital signs on patient. Obtains and records pertinent patient information per hospital policy.• Assist and/or feeds patients. (enteral feedings included), 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 sequential compression devices.• Inserts catheters and feeding tubes.• Applies restraints and side rails to ensure safety of patients.• Observes isolation technique and give direct care to patients in isolation.• Assists in ostomy care and education.• Set up orthopedic appliances.• Maintains records and reports necessary information in regard to patient care.• Prepares patients for surgery and other therapeutic and diagnostic procedures.• Maintains a safe environment for patient care.• Performs other duties as assigned. Qualifications Education • High school diploma or GED equivalent.• Enrollment in Board of Nursing approved School of Nursing Registered Nurse Program• Completion of basic Nursing Fundamentals and/or Certified Nursing Assistant Course• Current Transcripts and Copy of Skills Evaluation on basic procedures• Recommendation Letter from 2 Instructors Minimum Work Experience • N/A Required Skills, Knowledge, and Abilities • Ability to function in and adapt appropriately to a fast-moving, cross-unit team environment.• Strong problem-solving skills.• Prior experience handling confidential matters with appropriate discretion.• To handle multiple, simultaneous tasks in a timely manner.• Collaborative attitude with the many different departments.• Must maintain positive, professional communications skills when working with co-workers • Detail oriented
RN ICU Other
Appalachian Regional Healthcare

Registered Nurse Tier 1 (Union) ICU

Appalachian Regional Healthcare 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; 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
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare 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
LPN Other
Appalachian Regional Healthcare

Licensed Practical Nurse

Appalachian Regional Healthcare KY
Overview The LPN is responsible for performing a wide variety of nursing care, patient activities, and accommodative services for the comfort and well-being of patients in accordance with physicians' orders and under the guidance and direction of the Registered Nurse. Responsibilities • Performs basic nursing care and patient procedures as required. • Participates in conferences and serves on committees as requested. • Observes, reports, and documents changes in patient condition, observations made, complaints voiced, and nursing care performed. • Participates in patient and family health education as necessary. • Provides a safe and secure environment for patients. • Prepares for and assists with diagnostic and therapeutic treatments. • May administer I.V.F. in accordance with the State Nurse Practice Act. • Checks, irrigates, and maintains drainage tubes as needed. • May insert N/G tubes after training (KY & VA). • May administer tube feedings. • Suctions patients according to hospital policy and procedure. • Functions in emergencies and on the code team as designated. • Performs catheterizations and provides catheter care. • Administers oral, intramuscular, intradermal, subcutaneous, I.V., P.B., and approved medications. • Administers I.V.P. medications as approved (Virginia only). • Cares for patients receiving oxygen therapy and analyzes oxygen concentration of O2 tents, isolettes, and croupettes. • Administers respiratory treatments (I.P.P.B.). • Applies sterile and unsterile compresses and bandages of all types and styles. • Answers call lights and assists patients with personal hygiene and activities of daily living. • Tests urine for sugar, acetone, and pH, weighs patients, and obtains vital signs. • Cares for patients in isolation. • Assists with physical and vaginal examinations and obtaining Pap smears. • Administers post-operative care, including coughing, deep breathing, turning patients, and obtaining vital signs. • Prepares patients for surgery, including completion of pre-operative checklists. • Applies ace bandages, all types of traction, hot water bottles, and ice caps. • Measures and records intake and output. • Collects specimens, including blood, urine, stool, and sputum. • Administers post-mortem care and transportation. • Administers enemas, including retention, cleansing, therapeutic, and colonic irrigation. • Maintains cleanliness, safety, and efficiency in nursing care. • Responds appropriately in emergency situations, providing patient care, initiating CPR, and performing duties designated by the RN or physician. • Assists with the care and security of patient valuables. • Checks narcotics and barbiturates, reports discrepancies, completes incident reports, and submits documentation to appropriate management. • Cares for patients with radium and assists physicians with removal of radium. • Prepares used equipment for re-sterilization. • Cleans and maintains storage of equipment and requests repairs as appropriate. • Follows up with physicians and staff regarding equipment performance. • Complies with hospital policies for obtaining, documenting, and following through on telephone and verbal orders. • Monitors glucose using a glucose monitoring device. • Collects Quality Improvement data as requested. • Uses universal precautions. • Performs other related duties as assigned. Qualifications Education • Graduate of an accredited school of practical nursing. Licenses & Certifications • Must maintain current licensure in the state of practice. • Must successfully complete the I.V. Therapy Course. Experience • Six (6) months to one (1) year of on-the-job training is required to attain proficiency in the performance of assigned duties. Required Skills, Knowledge & Abilities • Technical skills in special nursing fields preferred. • Ability to provide safe and effective patient care in accordance with nursing standards and scope of practice. • Ability to perform nursing procedures and treatments accurately. • Strong communication and documentation skills. • Ability to work effectively as part of a multidisciplinary healthcare team. • Ability to function effectively in a fast-paced clinical environment.