Nursing Jobs in Salyersville, KY

Appalachian Regional Healthcare

Clinical Nurse Manager

Overview The Clinical Nurse Manager is responsible and accountable for the supervision of nursing services to ensure the delivery of safe, effective, and efficient patient care. As a member of the Management Team, this position is responsible for assigning, assessing, planning, implementing, and evaluating clinical care within the assigned nursing unit(s). Performance in this role is evaluated using objective and measurable criteria, including the development, competency, and performance of registered nurses, licensed practical nurses, and other personnel assigned to the unit(s) under the Clinical Nurse Manager’s supervision. The Clinical Nurse Manager reports to the Nurse Manager or designee and provides direct supervision to registered nurses, licensed practical nurses, nurse aides, nursing service clerks, monitor technicians, and other assigned personnel. This position maintains frequent interaction with employees, patients, patients' families, visitors, and members of the medical staff. Special Instructions 1 year of Med Surg experience required Responsibilities Develop, implement, and evaluate unit goals, objectives, policies, procedures, and standards of care that contribute to the achievement of departmental objectives. Oversee and coordinate the activities and job duties of assigned personnel to achieve quality outcomes, customer/patient satisfaction, cost-effectiveness, and compliance with budgetary objectives. Incorporate Total Quality Management principles into daily operations and patient care activities. Assign work to registered nurses, licensed practical nurses, nurse aides, unit clerks, monitor technicians, and other personnel as needed to meet patient care objectives. Ensure continuity of patient care through effective staffing assignments based on staff competency, education, training, and patient care needs. Develop effective communication among personnel, physicians, and other employees to promote continuity, coordination, and collaboration in healthcare delivery. Maintain proficiency in applicable technologies and make informed recommendations regarding new services, products, and equipment. Interview, select, evaluate, discipline, and terminate personnel, or recommend such actions, in accordance with hospital policies and procedures. Ensure assigned employees receive appropriate orientation and required in-service education to maintain licensure, certification, and competency. Maintain personnel records and related documentation as required. Develop and manage work schedules, including vacations, leaves of absence, call-ins, call-offs, and other staffing needs. Direct and supervise employee relations activities within the assigned unit(s). Attend management meetings and participate in the development of management and supervisory policies and procedures. Apply advanced clinical knowledge and serve as a role model and resource to nursing staff, including providing direct patient care as necessary. Direct, oversee, and assist in the delivery of patient care. Assist during emergency situations as needed. Train new and existing personnel through instruction and demonstration of safe and effective work practices. Assist assigned personnel in performing tasks and procedures when needed. Assist staff in the adjustment, operation, or testing of new equipment during installation and implementation periods. Provide support to assigned personnel to ensure patient care needs are met without interruption. Fill staffing gaps as needed to maintain safe patient care until additional personnel are available. Perform or assist with clinical treatments, procedures, and total patient care that require advanced skills and professional judgment in accordance with established standards of care. Perform patient care duties not otherwise assigned. Perform other related duties as assigned. Qualifications Required Education Graduate of an approved school of nursing and maintain a current, unrestricted nursing license in the state of employment. Preferred Education Bachelor of Science in Nursing (BSN) or Master of Science in Nursing (MSN) preferred. Required Experience Minimum of two (2) years of relevant nursing experience with demonstrated management potential and proficient clinical skills. Preferred Experience Five (5) years of relevant nursing experience preferred.
Appalachian Regional Healthcare

Registered Nurse

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education • Associate's Degree 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.
Appalachian Regional Healthcare

Clinical Nurse Manager

Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities Ensures clinical assignments are based on patient care needs and demonstrated staff competencies. Assists with admission and discharge processes to promote efficient patient throughput and high-quality, patient-centered care. Participates in the ongoing evaluation of patient care quality in collaboration with members of the management team. Collaborates with subject matter experts and other managers to foster teamwork and support improved patient outcomes and service excellence. Supports a patient-first philosophy and participates in service recovery efforts when necessary. Supports organizational engagement initiatives by implementing nursing strategies, including nurse leader rounding, employee rounding, hourly rounding, bedside shift reporting, and other related initiatives. Provides recommendations regarding the interviewing, selection, orientation, and training of new employees. Recommends and implements appropriate actions related to staff development, conflict resolution, compliance with personnel policies, performance evaluations, and disciplinary measures. Assists with staff scheduling and manages staffing resources in accordance with patient care needs and established productivity standards. Supports inventory control processes and assists with the management of supplies and equipment. Collaborates with the medical staff to coordinate and optimize patient care delivery. Demonstrates leadership and initiative in situations where direct supervision is not present or required. Identifies and escalates issues related to policies, procedures, rules, and regulations in a timely and effective manner. Performs other related duties as assigned. Qualifications Required Education Associate Degree in Nursing required. Preferred Education Bachelor of Science in Nursing (BSN) preferred. Required Experience Minimum of one (1) year of clinical nursing experience required. Two (2) years of clinical nursing experience preferred. Required Skills, Knowledge, and Abilities Demonstrated leadership abilities. Knowledge of general nursing principles and clinical practice. Knowledge of organizational functions, policies, and regulations. Applicable technical knowledge and skills related to the assigned clinical area. Required Licenses and Certifications Current licensure to practice nursing in Kentucky or West Virginia, based on the employee's legal state of residence. Basic Life Support (BLS) certification required. Advanced Cardiovascular Life Support (ACLS) certification within six (6) months of hire for Emergency Department, Critical Care, Operating Room, and Specialty Areas/Units. Pediatric Advanced Life Support (PALS) certification within six (6) months of hire for Emergency Department, Operating Room, and Pediatric Medical-Surgical units. Neonatal Resuscitation Program (NRP) and AWHONN Fetal Monitoring certification within six (6) months of hire for Maternal/Child units. Trauma Nursing Core Course (TNCC) certification within six (6) months of hire for Emergency Department personnel. De-Escalation Training within six (6) months of hire for all units. Preferred Licenses and Certifications Professional Nursing Certification preferred.
Appalachian Regional Healthcare

Clinical Nurse Manager-Highlands

Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies.Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care.Participates in the ongoing assessment of the quality of patient care services provided on the unit, in collaboration with other members of the management team.Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service.Supports a patient-first philosophy and engages in service recovery when necessary.Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift report and other initiatives.Provides recommendations related to interviewing, selecting, and training new staff.Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization.Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines.Supports proper inventory control and assists with managing supplies and equipment.Works with medical staff to coordinate management of patient care.Shows leadership and initiative in situations where supervision is not present or required.Appropriately escalates problems relating to rules and regulations in a timely and effective manner. Qualifications Education (experience can be substituted for education) Associate's Degree in Nursing RequiredBachelor's Degree in Nursing Preferred Work Experience (education can be substituted for experience) 1-3 years Minimum of 1 year clinical experience required – 2 years, preferred. Required Knowledge, Skills and Abilities Evidence of leadership experience abilities required.Knowledge of general nursing principles and practice skills;Knowledge of organizational functions, policies and regulations;Applicable knowledge of technical skills related to worked clinical area. Licenses and Certifications Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence. RequiredBLS RequiredACLS within six (6) months of hire (ED, Critical Care, OR and Specialty Areas/Units Only) RequiredPALS within six (6) months of hire (ED, OR, Med/Surg Peds) RequiredNRP and AWHONN fetal monitoring w/in six (6) months (Maternal/Child Only) RequiredTNCC within six (6) months of hire (ED Only) RequiredDe-Escalation Training within six (6) months of hire (all units) RequiredProfessional Nursing Certification Preferred
Appalachian Regional Healthcare

Medical Assistant Non Union

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 Float Clinic Medical Assistant Non-Union Position 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 followsrequirements.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.Greets patients courteously, determines their needs, and offers assistance.Registers patients by performing necessary procedures, such as preparation of records, reports, notices, servicecharge slips, and payor information.Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusualcases to immediate supervisor.May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or thirdparty payments.Answers inquires to patient accounts and advises patient on insurance benefits.Receives all payments and deposits, issues receipts for all monies received and otherwise makes properaccounting for all funds received.Posts charges daily to proper patient account.Posts payments to accounts daily.Determines billing method for third party payor.Contacts insurance carriers/agencies to obtain precertification of ancillary, admission and surgical procedures.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 policiesand procedures.Contacts patients, physicians, or others for information necessary to properly complete insurance or other typebillings.Types memos, correspondence, etc., as needed.Compiles periodic and statistical reports and other data as directed. Qualifications Education (experience can be substituted for education)High School Diploma RequiredGraduate of Medical Assistant Training Program Preferred Work Experience (education can be substituted for experience)Up to 1 year Three (3) to six (6) months on-the-job training as required to attain proficiency of assignedduties and responsibilities if not certified. Required Knowledge, Skills and AbilitiesObtain 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 and CertificationsMedical Assistant certification from an accredited program. Preferred
Appalachian Regional Healthcare

Medical Assistant-Non Union Highlands

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. 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 followsrequirements.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.Greets patients courteously, determines their needs, and offers assistance.Registers patients by performing necessary procedures, such as preparation of records, reports, notices, servicecharge slips, and payor information.Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusualcases to immediate supervisor.May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or thirdparty payments.Answers inquires to patient accounts and advises patient on insurance benefits.Receives all payments and deposits, issues receipts for all monies received and otherwise makes properaccounting for all funds received.Posts charges daily to proper patient account.Posts payments to accounts daily.Determines billing method for third party payor.Contacts insurance carriers/agencies to obtain precertification of ancillary, admission and surgical procedures.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 policiesand procedures.Contacts patients, physicians, or others for information necessary to properly complete insurance or other typebillings.Types memos, correspondence, etc., as needed.Compiles periodic and statistical reports and other data as directed. Qualifications Education (experience can be substituted for education)High School Diploma RequiredGraduate of Medical Assistant Training Program Preferred Work Experience (education can be substituted for experience)Up to 1 year Three (3) to six (6) months on-the-job training as required to attain proficiency of assignedduties and responsibilities if not certified. Required Knowledge, Skills and AbilitiesObtain 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 and CertificationsMedical Assistant certification from an accredited program. Preferred
Appalachian Regional Healthcare

Registered Nurse Tier 1 Obstetrics

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orients new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Performs other job duties as assigned. Training for Labor and Delivery shall consist of the following topics related to both normal and abnormal deliveries: *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 Associate's Degree Nursing Required Bachelor's Degree Nursing Preferred 1-3 years Preferred 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. 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
Appalachian Regional Healthcare

Registered Nurse Tier 1 ER

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orients new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Performs other job duties as assigned. Training for all personnel assigned to the Emergency Room shall consist of the following: 1.State and federal regulations related to emergency services. 2.Nursing management of trauma. 3.Nursing management of cardiac related disorders. 4.Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention. 5.Pharmacological intervention (IV therapy). 6.Patient assessment (triage). 7.Nursing management of pediatric emergencies. 8.Medicolegal aspects, particularly related to proper documentation. 9.Nursing management of obstetrical emergencies. 10.Patient/family emotional response. 11.Cardiopulmonary resuscitation and airway management. 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 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. 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
Appalachian Regional Healthcare

Registered Nurse Tier 1 ER

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orients new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Performs other job duties as assigned. Training for all personnel assigned to the Emergency Room shall consist of the following: 1.State and federal regulations related to emergency services. 2.Nursing management of trauma. 3.Nursing management of cardiac related disorders. 4.Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention. 5.Pharmacological intervention (IV therapy). 6.Patient assessment (triage). 7.Nursing management of pediatric emergencies. 8.Medicolegal aspects, particularly related to proper documentation. 9.Nursing management of obstetrical emergencies. 10.Patient/family emotional response. 11.Cardiopulmonary resuscitation and airway management. 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 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. 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
Appalachian Regional Healthcare

Registered Nurse Tier 1 Obstetrics

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 Associate's Degree Nursing Required Bachelor's Degree Nursing Preferred 1-3 years Preferred 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. 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
Appalachian Regional Healthcare

Registered Nurse Tier 1 ICU

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 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
Appalachian Regional Healthcare

Registered Nurse Tier 1 ICU

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
Appalachian Regional Healthcare

Registered Nurse Tier 1 ICU

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
Appalachian Regional Healthcare

Registered Nurse Tier 1 ICU

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
Appalachian Regional Healthcare

Medical Assistant-Non Union

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. 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 followsrequirements.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.Greets patients courteously, determines their needs, and offers assistance.Registers patients by performing necessary procedures, such as preparation of records, reports, notices, servicecharge slips, and payor information.Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusualcases to immediate supervisor.May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or thirdparty payments.Answers inquires to patient accounts and advises patient on insurance benefits.Receives all payments and deposits, issues receipts for all monies received and otherwise makes properaccounting for all funds received.Posts charges daily to proper patient account.Posts payments to accounts daily.Determines billing method for third party payor.Contacts insurance carriers/agencies to obtain precertification of ancillary, admission and surgical procedures.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 policiesand procedures.Contacts patients, physicians, or others for information necessary to properly complete insurance or other typebillings.Types memos, correspondence, etc., as needed.Compiles periodic and statistical reports and other data as directed. Qualifications Education (experience can be substituted for education)High School Diploma RequiredGraduate of Medical Assistant Training Program Preferred Work Experience (education can be substituted for experience)Up to 1 year Three (3) to six (6) months on-the-job training as required to attain proficiency of assignedduties and responsibilities if not certified. Required Knowledge, Skills and AbilitiesObtain 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 and CertificationsMedical Assistant certification from an accredited program. Preferred
Appalachian Regional Healthcare

Registered Nurse Tier 1

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 Registered Nurse. Required BLS upon hire Required De-Escalation Training within 6 months of hire Required Driver's License required 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 andnursing care standards. Responsible for communicating pertinent client assessments/reassessments finding to physician. Responsible for initiating referrals to other health care organizations and community services based on identified client needs andphysician orders. Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations.
Appalachian Regional Healthcare

Registered Nurse Tier 1 OR

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 Nursing Required Bachelor's Degree Preferred Up to 1 year Preferred Assures all members of the surgical team have been instructed in the surgical procedures performed and periodically updates personnel on new techniques, instrumentation and procedures. Prepares for each assigned case by ensuring the room is properly prepared and equipped, the required documentation is present on the medical record, and the patient is properly identified. Prepares the patient for operative procedure by positioning and grounding the patient as required, securing the patient on the table, assisting with intubation, and preparing operative site. Accompanies the patient to recovery room and may be required to provide nursing care in the recovery room. Monitors operative procedures by documenting proper patient positioning, breaks in sterile procedure, instrument, needle and sponge counts, preservation and labeling of all specimens, drugs and blood administration, and critical incidents during the operative procedure. Functions as a team member within the surgical department by assisting with gowning and gloving; procuring required medication, blood and supplies; coordinating involvement of other departments with the procedure; properly processing operative specimens. Maintains a safe and productive work environment by assisting with cleaning, maintenance, and re-supply. Successful completion of a training program and demonstrated competence in circulating nurse duties as determined by the Director of Surgical Services. The nurse shall be adequately oriented to unit policies, procedures and equipment. Orientation shall include safety procedures, infection control practices, and performance improvement activities. Training for OR shall consist of completion of competencies in various areas or roles the nurse will function. RN Required Basic Life Support Certification Required ACLS Required PALS Required De-Escalation Training within 6 months of hire Required