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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

Registered Nurse

Appalachian Regional Healthcare Beckley, WV

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 Mon-Fri Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education • Associate's Degree Required • Bachelor's Degree Preferred Licenses & Certifications • Registered Nurse Required • BLS upon hire Required • De-Escalation Training within 6 months of hire Required • Driver's License Required Required Skills, Knowledge & Abilities • Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments. • Responsible for performing nursing treatments, procedures and total client care in accordance with established agency and nursing care standards. • Responsible for communicating pertinent client assessments/reassessments findings to physician. • Responsible for initiating referrals to other health care organizations and community services based on identified client needs and physician orders. • Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations.

RN

Other

1 year ago

Registered Nurse

Appalachian Regional Healthcare Hazard, KY

Clinical Nurse Manager

Appalachian Regional Healthcare Hazard, KY

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. 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.

Clinical Nurse Manager

Appalachian Regional Healthcare Hazard, KY

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. 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.

Clinical Nurse Manager

Appalachian Regional Healthcare Prestonsburg, KY

Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities • Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies. • Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care. • Participates in the ongoing assessment of the quality of patient care services provided on the unit, in collaboration with other members of the management team. • Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service. • Supports a patient-first philosophy and engages in service recovery when necessary. • Supports 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 • Associate's Degree in Nursing Required • Bachelor's Degree in Nursing Preferred Experience • 1-3 years • Minimum of 1 year clinical experience required. • 2 years preferred. Required Required Skills, Knowledge & 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 & Certifications • Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence. Required • BLS Required • ACLS within six (6) months of hire (ED, Critical Care, OR and Specialty Areas/Units Only) Required • PALS within six (6) months of hire (ED, OR, Med/Surg Peds) Required • NRP and AWHONN fetal monitoring w/in six (6) months (Maternal/Child Only) Required • TNCC within six (6) months of hire (ED Only) Required • De-Escalation Training within six (6) months of hire (all units) Required • Professional Nursing Certification Preferred

CNA

Other

1 year ago

Nursing Assistant

Appalachian Regional Healthcare Harlan, 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. Special Instructions 7p-7a 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 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, 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 his 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, i.e. OR Aide returning patients from the Recovery Room, x-ray, etc. (when indicated). • Assists with admissions, transfers, and discharges of patients. Qualifications Education • High School GED equivalent Preferred • Nurse Aide training program Required Experience • Three (3) months on-the-job training is required to attain proficiency of performance of assigned duties and responsibilities. Required Skills, Knowledge & Abilities • Additional training may be required and given to work in some areas. Licenses & Certifications • Competency listing with the State of Kentucky may be required to work in SNF.

LPN

Other

1 year ago

Licensed Practical Nurse

Appalachian Regional Healthcare Hyden, 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. Participate in conferences and serves on Committees as requested. Observes, reports, and documents in the patient chart changes in patient's condition, observations made, and complaints voiced and nursing care performed. Participates in patient and family health education as necessary. Provides a safe and secure environment for the patient. Prepares for and assists with diagnostic and therapeutic treatments. May administer I.V.F. in accordance with 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 and intra-muscular, intradermal, subcu, I.V., PB, and medications as approved. Administers I.V.P. medications as approved. (In Virginia only). Cares for patients receiving oxygen therapy and analyses oxygen concentration of 02 tents, isolette and croupettes. Administers respiratory treatments (I.P.P.B.). Applies sterile and unsterile compresses and bandages of all types and styles. Answers call lights, assist patients with personal hygiene and other activities of daily living. Tests urine for sugar, acetone, and ph., weighs patients, and takes vital signs. Cares for patients in isolation. Assists with physical and vaginal examinations and obtaining pap smears. Administers post-operative regime: cough, deep breathing, turn patients, and takes vital signs. Prepares patients for surgery, including pre-op check lists. Applies ace bandages, all types of traction, hot water bottle and ice cap. Measures and records intake and output. Collects specimens; blood, urine, stool and sputum. Administers post-mortuum care and transportation. Administers enemas: retention, cleansing, therapeutic, colonic, irrigation. Maintains cleanliness, safety and efficiency in nursing. Alert to and able to respond appropriately in an emergency situation, providing patient care, initiating CPR and any other tasks designated by the RN or MD. Assists with the care and security of the patients' valuables. Checks narcotics and barbiturates reports discrepancies, completes incident report appropriately and submits to appropriate management. Cares for patients with radium and assists physician with removal of radium. Prepares used equipment for re-sterilization. Cleans and maintains storage of equipment. Request repairs, follow-up with physician and other staff as appropriate regarding equipment performance. Comply with hospital policies for obtaining, documenting and follow through on telephone and verbal orders. Monitors glucose via glucose monitor machine 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 state of practice. • Must successfully complete the I.V. Therapy Course. Required Skills, Knowledge & Abilities • Technical skills in special nursing fields preferred. Experience • Six (6) months to one (1) year on-the-job training is required to attain proficiency of performance of assigned duties.