LPN Other
Appalachian Regional Healthcare

Licensed Practical Nurse

Appalachian Regional Healthcare Beckley, WV
Overview The LPN is responsible for performing a wide variety of nursing care, patient activities, and accommodative services for the comfort and well-being of patients in accordance with physicians' orders and under the guidance and direction of the Registered Nurse. Responsibilities • Performs basic nursing care and patient procedures as required. • Participates in conferences and serves on Committees as requested. • Observes, reports, and documents 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 O₂ 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, assists 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. • Requests repairs and follows up with physician and other staff as appropriate regarding equipment performance. • Complies 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.
LPN Other
Appalachian Regional Healthcare

Licensed Practical Nurse

Appalachian Regional Healthcare Beckley, WV
Overview The LPN is responsible for performing a wide variety of nursing care, patient activities, and accommodative services for the comfort and well-being of patients in accordance with physicians' orders and under the guidance and direction of the Registered Nurse. Responsibilities • Performs basic nursing care and patient procedures as required. • Participates in conferences and serves on Committees as requested. • Observes, reports, and documents 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 O₂ 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, assists 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. • Requests repairs and follows up with physician and other staff as appropriate regarding equipment performance. • Complies 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.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Whitesburg, KY
Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education • Associate's Degree Required • Bachelor's Degree Preferred Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset (agility and developing yourself and others) skills. • Mastery of execution and delivery (planning, delivering, and supporting) skills. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. • Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills. Licenses & Certifications • Registered Nurse. Required • BLS upon hire Required • De-Escalation Training within 6 months of hire Required • Advanced Dysrhythmia/EKG (Med/Surg telemetry unit ONLY) Required
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Harlan, KY
Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Special Instructions 7pm- 7am 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 • Up to 1 year Preferred Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset (agility and developing yourself and others) skills. • Mastery of execution and delivery (planning, delivering, and supporting) skills. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. • Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills. Licenses & Certifications • Registered Nurse Required • BLS upon hire Required • De-Escalation Training within 6 months of hire Required
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Harlan, KY
Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Special Instructions 7pm - 7am 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 • Up to 1 year Preferred Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset (agility and developing yourself and others) skills. • Mastery of execution and delivery (planning, delivering, and supporting) skills. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. • Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills. Licenses & Certifications • Registered Nurse Required • BLS upon hire Required • De-Escalation Training within 6 months of hire Required
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Harlan, 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. Emergency Room Training Requirements • State and federal regulations related to emergency services. • Nursing management of trauma. • Nursing management of cardiac related disorders. • Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention. • Pharmacological intervention (IV therapy). • Patient assessment (triage). • Nursing management of pediatric emergencies. • Medicolegal aspects, particularly related to proper documentation. • Nursing management of obstetrical emergencies. • Patient/family emotional response. • Cardiopulmonary resuscitation and airway management. Qualifications Education • Associate's Degree; Graduation from an accredited school of nursing. Required • Bachelor's Degree Preferred Experience • Up to 1 year Preferred • Minimum of one (1) year acute care nursing experience. • One (1) year of experience should be relevant to specific department in which they will be working. • Refer to addendums for additional requirements. • Experience with Electronic Health Record Preferred. Required Skills, Knowledge & Abilities • Excellent interpersonal skills and ability to work with providers at all levels essential. • Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes. • Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system. • Exhibit Critical Thinking Skills. • Must possess basic computer skills. • Ability to pass Medication Exam. • Completion of hospital approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services. • Moderate Sedation. • Completion of Stroke Modules. • Restraints. • The nurse shall be adequately oriented to the unit policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices and performance improvement monitoring. Licenses & Certifications • Registered Nurse in State Required • BLS Required • De-Escalation Training within 6 months of hire Required • ACLS Required • Trauma Nurse Core Curriculum Certification Required • Pediatric Advanced Life Support Certification Required • NIH Stroke Certification Required • Advanced Dysrhythmia/EKG Required • Rural Trauma Team Development Course Preferred • Emergency Nurse Pediatric Course Preferred
CNA Other
Appalachian Regional Healthcare

Nursing Assistant

Appalachian Regional Healthcare Harlan, KY
Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Special Instructions Night shift Responsibilities • Provides personal care including bath, shampoo, shave, back rub, positions patients, makes beds, prepares patients for meals, feeds patients, and passes ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, stool, urine, sputum, etc. • Collects input and output and records appropriately. • Collects and records vital signs on patient. Obtain and records pertinent patient information per hospital policy. • Assists and/or feeds patients, provides between meal nourishment’s, provides fresh drinking water and encourages fluids when indicated. • Assists in progressive ambulation of patients by wheelchair, stretcher, and bed. • Administers enemas, douches and inserts rectal tubes and documents appropriately. • Applies ace bandages and elastic stockings, fills hot water bottles, ice bags, pads and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by nurse. • Applies condom drains and scrotal suspensatories, unsterile compresses, and binders. • Gives postmortem care and transports body to morgue. • Applies restraints and siderails to assure safety of patients. • Observes isolation technique and gives direct patient care to patients on isolation. • Assists in colostomy care. • Sets up Orthopedic appliances. • Runs errands, delivers messages, and answers telephone. • Maintains a safe environment. • Observes for and reports safety hazards, and prepares incident reports. • Prepares patients for surgery, x-ray and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment: • Remains with patients unless relieved. • Performs such duties as providing proper equipment, supplies, and adjusting lights. • Cleaning up and restocking of area, including supplies and equipment. • Assists in the orientation of the new patient to 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. • Performs other related duties as assigned. Qualifications Education • Successful completion of hospital approved Nursing Aide Training Program. 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 to work in SNF may be required.
CNA Other
Appalachian Regional Healthcare

Nursing Assistant

Appalachian Regional Healthcare Harlan, KY
Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Responsibilities • Provides personal care including bath, shampoo, shave, back rub, positions patients, makes beds, prepares patients for meals, feeds patients, and passes ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, stool, urine, sputum, etc. • Collects input and output and records appropriately. • Collects and records vital signs on patient. Obtain and records pertinent patient information per hospital policy. • Assists and/or feeds patients, provides between meal nourishment’s, provides fresh drinking water and encourages fluids when indicated. • Assists in progressive ambulation of patients by wheelchair, stretcher, and bed. • Administers enemas, douches and inserts rectal tubes and documents appropriately. • Applies ace bandages and elastic stockings, fills hot water bottles, ice bags, pads and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by nurse. • Applies condom drains and scrotal suspensatories, unsterile compresses, and binders. • Gives postmortem care and transports body to morgue. • Applies restraints and siderails to assure safety of patients. • Observes isolation technique and gives direct patient care to patients on isolation. • Assists in colostomy care. • Sets up Orthopedic appliances. • Runs errands, delivers messages, and answers telephone. • Maintains a safe environment. • Observes for and reports safety hazards, and prepares incident reports. • Prepares patients for surgery, x-ray and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment: • Remains with patients unless relieved. • Performs such duties as providing proper equipment, supplies, and adjusting lights. • Cleaning up and restocking of area, including supplies and equipment. • Assists in the orientation of the new patient to 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. • Performs other related duties as assigned. Qualifications Education • Successful completion of hospital approved Nursing Aide Training Program. 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 to work in SNF may be required.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Harlan, KY
Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education • Associate's Degree in Nursing Required • Bachelor's Degree in Nursing Preferred Experience • Up to 1 year Preferred Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset (agility and developing yourself and others) skills. • Mastery of execution and delivery (planning, delivering, and supporting) skills. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. • Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills. Licenses & Certifications • Registered Nurse Required • BLS upon hire Required • De-Escalation Training within 6 months of hire Required
RN Other
Appalachian Regional Healthcare

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 Night Shift Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education • Associate's Degree; Graduation from an accredited school of nursing. Required • Bachelor's Degree Preferred Experience • Up to 1 year Preferred • Minimum of one (1) year acute care nursing experience. • One (1) year of experience should be relevant to specific department in which they will be working. • Experience with Electronic Health Record Preferred. Required Skills, Knowledge & Abilities • Operates critical care equipment such as respirators, temporary pacemakers, defibrillators, and other emergency equipment. • Set-up, maintains, interprets results of cardiac and hemodynamic monitor required and takes action as indicated by nursing practice and hospital procedures. • Perform special procedures such as endotracheal and tracheostomy suctioning; tracheostomy care; extubation; cardio-pulmonary resuscitation; arterial punctures; care of chest tubes and pleurevac; set up and assistance with peritoneal dialysis, paracentesis, thoracentesis. • Able to manage specialty drips using approved protocols. • Prior to assignment to unit as sole RN provider, the nurse must successfully complete critical care course acceptable to the Community Chief Nursing Officer and demonstrate mastery of equipment, diagnostic responsibilities, and procedures required of the critical care nurse. • Such course work shall include: • Cardiopulmonary resuscitation and management of an obstructed airway. • EKG interpretation. • Drug therapy, including emergency drug therapy via the I.V. route, or routes normally left to the physician. • Hemodynamic monitoring. • Critical care procedures. • The nurse shall be adequately oriented to unit policies, procedures and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement activities. • Completion of the following Competencies: • Moderate Sedation • Completion of Stroke Modules • Restraints Licenses & Certifications • Registered Nurse Required • Advanced Dysrhythmia/EKG Required • NIH Stroke Certification Required • BLS Required • Advanced Life Support Certification Required • De-Escalation Training within 6 months of hire Required • Pediatric Advanced Life Support Certification (recommended) Preferred
RN Other
Appalachian Regional Healthcare

Registered Nurse Tier 1

Appalachian Regional Healthcare Hazard, KY
Overview The Staff Nurse is accountable for interpreting the plan of medical care, assessment of patients clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. The Staff Nurse provides clinical supervision to LPNs, Nursing Aides, and Nursing Service Clerks where applicable. Responsibilities Major Activities • Takes report from prior shift and gives report to oncoming shift which includes condition of patients, diagnosis, treatments, procedures given and required and other aspects of the plan of care. • Performs assessments and reassessments of patients. • Reviews ancillary service reports, communicates abnormal results to physicians, and notifies supervisor and physician when ancillary services are not completed. • Interprets plan of medical care, evaluates patients, and devises patient plan of care. • Maintains proper control of medicine, equipment and supplies specific to the assigned unit. • Plans for discharge of patient considering all available resources and continuum of care needs. • Refers patients to chaplain, social worker, and agencies as required. • Provides a safe and secure environment for the patient. • Implements the patient plan of care by assigning tasks to nursing and non-nursing personnel, and continuously assessing and evaluating patient care and patient's responses to nursing care. • Performs nursing treatments and procedures and total patient care which may require expert skill and judgment in accordance with established nursing standards. • May accompany physicians when possible on rounds, communicates pertinent information about patient to the physician, and assists the physician with treatments and procedures or delegate if not possible. • Performs certain special procedures for which specialized training and supervised experience has been received. • Plans for and provides effective patient and family education. • Documents pertinent findings, plan of care and evaluation of care in the medical record. • Assists patients in performing activities of daily living to meet the basic human needs. • Prepares and maintains reports, charts, records, and forms as required by hospital, state, and federal regulations. • May accompany patients who are transferred to another medical facility. • Notifies supervisor, doctor, and/or family/guardian as appropriate when patient's condition changes. • Observes and evaluates work performed by LPNs, Nursing Aides, and Clerks to validate that treatments and procedures are being performed in compliance with the plan of care and established hospital guidelines. • Participates in teaching activities for other hospital personnel and nursing students. • Participates in the orientation of new employees. • Participates in interdisciplinary team meetings. • Participates in committee meetings as requested. • Attends in-service programs per contract. • Assumes responsibility for personal professional development. • Assists in the development of review and revision of Nursing policies and procedures. • Respects the dignity and confidentiality of all matters relating to the patients. • Operates critical care equipment such as respirators, temporary pacemakers, defibrillators, and other emergency equipment. • Sets up, maintains, interprets results of cardiac and hemodynamic monitoring equipment and takes action as indicated by nursing practice and hospital procedure. • Performs special procedures such as endotracheal and tracheostomy suctioning; tracheostomy care; extubation; cardiopulmonary resuscitation; arterial punctures; care of chest tubes and pleurevac; setup and assistance with peritoneal dialysis, paracentesis, and thoracentesis. • Performs other related duties as required within the scope of the job classification. Specific Accountabilities • Responsible for assessment/reassessment of patients and documentation of nursing intervention. • Responsible for implementing the patient plan of care. • Responsible for determining which nursing acts can be delegated and to whom. • Responsible for providing direction and assistance to those supervised, observing and monitoring the activities of those supervised, and evaluating the effectiveness of acts performed under supervision. • Responsible for assuring that the individual performing delegated nursing acts has the necessary educational preparation and validation of competence in order to perform the act in a safe manner. • Responsible for preparing reports, charts, records, and forms required by hospital, state, and federal agencies. • Responsible for participating in educational programs to further professional growth and development and assisting in conducting in-service programs. • Performs other duties as assigned. Supervision • Provides guidance for the accomplishment of nursing tasks with periodic observation and evaluation of performance, including validation that nursing tasks have been performed according to established standards of practice. (201 KAR 20:400 Section 1(7)). Qualifications Education • Graduation from a State accredited or approved school of nursing. • Must maintain current licensure in state of practice. Required Skills, Knowledge & Abilities • Prior to assignment as sole RN provider, the nurse must successfully complete critical care course acceptable to the Director of Nursing 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 policies, procedures and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement activities. Licenses & Certifications • Must maintain current licensure in state of practice.
LPN Other
Appalachian Regional Healthcare

Licensed Practical Nurse

Appalachian Regional Healthcare Middlesboro, 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 O2 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.
RN Home Health Other
Appalachian Regional Healthcare

Registered Nurse

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

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. 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 finding 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 Home Health Other
Appalachian Regional Healthcare

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. 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 finding 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.
CNA Other
Appalachian Regional Healthcare

Nursing Assistant

Appalachian Regional Healthcare Beckley, WV
Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Responsibilities • Provides personal care including bath, shampoo, shave, back rub, positions patients, makes beds, prepares patients for meals, feeds patients, and passes ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, stool, urine, sputum, etc. • Collects input and output and records appropriately. • Collects and records vital signs on patient. Obtain and records pertinent patient information per hospital policy. • Assists and/or feeds patients, provides between meal nourishment’s, provides fresh drinking water and encourages fluids when indicated. • Assists in progressive ambulation of patients by wheelchair, stretcher, and bed. • Administers enemas, douches and inserts rectal tubes and documents appropriately. • Applies ace bandages and elastic stockings, fills hot water bottles, ice bags, pads and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by nurse. • Applies condom drains and scrotal suspensatories, unsterile compresses, and binders. • Gives postmortem care and transports body to morgue. • Applies restraints and siderails to assure safety of patients. • Observes isolation technique and gives direct patient care to patients on isolation. • Assists in colostomy care. • Sets up Orthopedic appliances. • Runs errands, delivers messages, and answers telephone. • Maintains a safe environment. • Observes for and reports safety hazards, and prepares incident reports. • Prepares patients for surgery, x-ray and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment: • Remains with patients unless relieved. • Performs such duties as providing proper equipment, supplies, and adjusting lights. • Cleaning up and restocking of area, including supplies and equipment. • Assists in the orientation of the new patient to 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. • Performs other related duties as assigned. Qualifications Education • Successful completion of hospital approved Nursing Aide Training Program. 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; i.e. competency listing with the State of Kentucky to work in SNF.
RN Manager/Supervisor Other
Appalachian Regional Healthcare

Clinical Nurse Manager

Appalachian Regional Healthcare Middlesboro, 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 (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
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Beckley, WV
Overview The Cath Lab Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluates and adjusts plan of care utilizing critical thinking skills. The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension. The administration of medication, intravenous therapy and treatment as prescribed by a LIP. Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orients new staff as assigned. Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information. Participates on various teams, committees or performance improvement initiatives. Ensures a safe and secure environment for patients, coworkers and self. Participates in Discharge Planning and Transition of Care (able to define patient needs). Serves as a patient advocate and escalates patient-related concerns timely. Timely documents pertinent findings in medical record. Assumes responsibility for personal professional development. Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude. Practices Hands Off communication utilizing SBAR; Performs Bedside Shift Reporting utilizing SBAR (unless contradicted). Functions as a positive influence, role model and adheres to professional code of conduct. Respects dignity and confidentiality of all matters relating to patients. Qualifications Education Associate's Degree Nursing Required Bachelor's Degree Nursing Preferred Minimum Work Experience Up to 1 Year work experience Required Skills, Knowledge, and Abilities Assures all members of the cath lab team have been instructed in the procedures performed and periodically updates personnel on new techniques, instrumentation, and procedures. Prepares for each assigned case by ensuring the room is properly prepared and equipped, the required documentation is present on the medical record, and the patient is properly identified. Prepares the patient for procedure by positioning and grounding the patient as required, securing the patient on the table, assisting with intubation, providing moderate sedation, preparing the procedural site, and demonstrating proficiency in continuous hemodynamic monitoring and successful completion of EKG testing. Accompanies the patient to the recovery room and may be required to provide nursing care in the recovery room or post-procedural recovery in the Cath Lab suite. Monitors operative procedures by documenting proper patient positioning, breaks in sterile procedure, instrument, needle and sponge counts, preservation and labeling of all specimens, drugs and blood administration, and critical incidents during the procedure. Functions as a team member within the Cath Lab department by assisting with gowning and gloving; procuring required medication, blood, and supplies; coordinating involvement of other departments with the procedure; and properly processing specimens if needed. Maintains a safe and productive work environment by assisting with cleaning, maintenance, and re-supply. Successful completion of a training program and demonstrated competence in monitoring and circulating nurse duties as determined by the Director, Clinical Nurse Manager, or equivalent leader. The nurse shall be adequately oriented to unit policies, procedures, and equipment. Orientation shall include safety procedures, infection control practices, and performance improvement activities. Training for Cath Lab staff shall consist of completion of competencies in various areas or roles the nurse will function.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Prestonsburg, KY
Overview The Staff Nurse is accountable for interpreting the plan of Medical care, assessment of patients clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients Responsibilities • Takes report from prior shift and gives report to oncoming shift which includes condition of patients, diagnosis, treatments, procedures given and required and other aspects of the plan of care. • Performs assessments and reassessments of patients. • Reviews ancillary service reports, communicates abnormal results to physicians, and notifies supervisor and physician when ancillary services are not completed. • Interprets plan of medical care, evaluates patients, and devises patient plan of care. • Maintains proper control of medicine, equipment and supplies specific to the assigned unit. • Plans for discharge of patient considering all available resources and continuum of care needs. • Refers patients to chaplain, social worker, and agencies as required. • Provides a safe and secure environment for the patient. • Implements the patient plan of care by assigning tasks to nursing and non-nursing personnel, and continuously assessing and evaluating patient care and patient's responses to nursing care. • Performs nursing treatments and procedures and total patient care which may require expert skill and judgment in accordance with established nursing standards. • May accompany physicians when possible on rounds, communicates pertinent information about patient to the physician, and assists the physician with treatments and procedures or delegate if not possible. • Performs certain special procedures for which specialized training and supervised experience has been received. • Plans for and provides effective patient and family education. • Documents pertinent findings, plan of care and evaluation of care in the medical record. • Assists patients in performing activities of daily living to meet the basic human needs. • Prepares and maintains reports, charts, records, and forms as required by hospital, state, and federal regulations. • May accompany patients who are transferred to another medical facility. • Notifies supervisor, doctor, and/or family/guardian as appropriate when patient's condition changes. • Observes and evaluates work performed by LPNs, Nursing Aides, ORT's and Clerks to validate that treatments and procedures are being performed in compliance with the plan of care and established hospital guidelines. • Participates in teaching activities for other hospital personnel and nursing students. • Participates in the orientation of new employees. • Participates in committee meetings as requested. • Attends inservice programs per contract. • Assumes responsibility for personal professional development. • Assists in the development of review and revision of Nursing policies and procedures. • Respects the dignity and confidentiality of all matters relating to the patients. • Performs other related duties as required within the scope of the job classification. Qualifications Education • Graduation from a State accredited or approved school of nursing. Licenses & Certifications • Licensed in State of employment.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Hyden, KY
Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities • Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills. • The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. • Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension. • The administration of medication, intravenous therapy and treatment as prescribed by a LIP. • Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. • Mentors and precepts students and orients new staff as assigned. • Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information. • Participates on various teams, committees or performance improvement initiatives. • Ensures a safe and secure environment for patients, coworkers and self. • Participates in Discharge Planning and Transition of Care (able to define pt needs). • Serves as a patient advocate and escalates patient related concerns timely. • Timely documents pertinent findings in medical record. • Assist patients in performing activities of daily living and functions as an active team member. • Assumes responsibility for personnel professional development. • Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude. • Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted). • Functions as a positive influence, role model and adheres to professional code of conduct. • Respects dignity and confidentiality of all matters relating to patients. • Performs other job duties as assigned. • Training for all personnel assigned to the Emergency Room shall consist of the following: • State and federal regulations related to emergency services. • Nursing management of trauma. • Nursing management of cardiac related disorders. • Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention. • Pharmacological intervention (IV therapy). • Patient assessment (triage). • Nursing management of pediatric emergencies. • Medicolegal aspects, particularly related to proper documentation. • Nursing management of obstetrical emergencies. • Patient/family emotional response. • Cardiopulmonary resuscitation and airway management. Qualifications Education • Associate's Degree; Graduation from an accredited school of nursing. Required • Bachelor's Degree Preferred Experience • Up to 1 year Preferred • Minimum of one (1) year acute care nursing experience. • One (1) year of experience should be relevant to specific department in which they will be working. • Refer to addendums for additional requirements. • Experience with Electronic Health Record Preferred. Required Skills, Knowledge & Abilities • Excellent interpersonal skills and ability to work with providers at all levels essential. • Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes. • Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system. • Exhibit Critical Thinking Skills. • Must possess basic computer skills. • Ability to pass Medication Exam. • Completion of hospital approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services. • Moderate Sedation. • Completion of Stroke Modules. • Restraints. • The nurse shall be adequately oriented to the unit policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices and performance improvement monitoring. Licenses & Certifications • Registered Nurse in State Required • BLS Required • De-Escalation Training within 6 months of hire Required • ACLS Required • Trauma Nurse Core Curriculum Certification Required • Pediatric Advanced Life Support Certification Required • NIH Stroke Certification Required • Advanced Dysrhythmia/EKG Required • Rural Trauma Team Development Course Preferred • Emergency Nurse Pediatric Course Preferred
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Hazard, KY
Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities • Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills. • The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. • Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension. • The administration of medication, intravenous therapy and treatment as prescribed by a LIP. • Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. • Mentors and precepts students and orients new staff as assigned. • Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information. • Participates on various teams, committees or performance improvement initiatives. • Ensures a safe and secure environment for patients, coworkers and self. • Participates in Discharge Planning and Transition of Care (able to define pt needs). • Serves as a patient advocate and escalates patient related concerns timely. • Timely documents pertinent findings in medical record. • Assist patients in performing activities of daily living and functions as an active team member. • Assumes responsibility for personnel professional development. • Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude. • Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted). • Functions as a positive influence, role model and adheres to professional code of conduct. • Respects dignity and confidentiality of all matters relating to patients. • Refer to Special Addendum and Staff Nurse Position Description. • 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 Education • Associate's Degree Nursing Required • Bachelor's Degree Nursing Preferred Experience • 1-3 years Preferred Required Skills, Knowledge & Abilities • Performs initial assessment to include physical exam of OB patient, recognizes abnormal signs and symptoms, and takes action as indicated. • Performs special OB procedures as required. • Sets up, operates and cleans OB equipment. • Provides routine post-partum care including ongoing assessment. Licenses & Certifications • Registered Nurse. Required • BLS Required • Completion of Intermediate Fetal Monitoring Course (AWHONN) within 6 months of hire. Required • Neonatal Resuscitation Program (NRP) Required • De-Escalation Training within 6 months of hire Required
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Hazard, KY
Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education • Associate's Degree Required • Bachelor's Degree Preferred Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset (agility and developing yourself and others) skills. • Mastery of execution and delivery (planning, delivering, and supporting) skills. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. • Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills. Licenses & Certifications • Registered Nurse. Required • BLS upon hire Required • De-Escalation Training within 6 months of hire Required • Advanced Dysrhythmia/EKG (Med/Surg telemetry unit ONLY) Required
CMA Outpatient Other
Appalachian Regional Healthcare

Medical Assistant

Appalachian Regional Healthcare Lexington, KY
Overview The Medical Assistant is responsible for efficient and courteous registration, transfer and discharge of patientswithin established policies and procedures; thoroughly compiles and types of medical information for patients' records and statistical reports and maintains current and accurate patient account receivables. The Medical Assistant is responsible for performing a wide variety of patient care activities and accommodative services 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 follows requirements. • Accompanies or transfers patients to other departments such as lab or x-ray. • Cleans and stocks examination rooms. • Manages time in order to expedite patient flow. • Assists with minor out-patient surgery. • Greets patients courteously, determines their needs, and offers assistance. • Registers patients by performing necessary procedures, such as preparation of records, reports, notices, service charge slips, and payor information. • Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusual cases to immediate supervisor. • May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or third-party payments. • Answers inquires to patient accounts and advises patient on insurance benefits. • Receives all payments and deposits, issues receipts for all monies received and otherwise makes proper accounting for all funds received. • Posts charges daily to proper patient 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 policies and procedures. • Contacts patients, physicians, or others for information necessary to properly complete insurance or other type billings. • Types memos, correspondence, etc., as needed. • Compiles periodic and statistical reports and other data as directed. Qualifications Education • High School Diploma Required • Graduate of Medical Assistant Training Program Preferred Experience • Up to 1 year • Three (3) to six (6) months on-the-job training as required to attain proficiency of assigned duties and responsibilities if not certified. Required Required Skills, Knowledge & Abilities • Obtain patient history and take vital signs to assist physician with examination and treatment. • Prepare and maintain examination and treatment area. • Perform selected tests that assist with diagnosis and treatment. • Screen and follow-up patient test results. • Prepare and administer medications as directed by physician and maintain medication records. Licenses & Certifications • Medical Assistant certification from an accredited program. Preferred.
LPN Other
Appalachian Regional Healthcare

Licensed Practical Nurse

Appalachian Regional Healthcare Paintsville, 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 O₂ 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.
CNA Other
Appalachian Regional Healthcare

Nursing Assistant

Appalachian Regional Healthcare Beckley, WV
Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Responsibilities • Provides personal care including bath, shampoo, shave, back rub, positions patients, makes beds, prepares patients for meals, feeds patients, and passes ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, stool, urine, sputum, etc. • Collects input and output and records appropriately. • Collects and records vital signs on patient. Obtain and records pertinent patient information per hospital policy. • Assists and/or feeds patients, provides between meal nourishment’s, provides fresh drinking water and encourages fluids when indicated. • Assists in progressive ambulation of patients by wheelchair, stretcher, and bed. • Administers enemas, douches and inserts rectal tubes and documents appropriately. • Applies ace bandages and elastic stockings, fills hot water bottles, ice bags, pads and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by nurse. • Applies condom drains and scrotal suspensatories, unsterile compresses, and binders. • Gives postmortem care and transports body to morgue. • Applies restraints and siderails to assure safety of patients. • Observes isolation technique and gives direct patient care to patients on isolation. • Assists in colostomy care. • Sets up Orthopedic appliances. • Runs errands, delivers messages, and answers telephone. • Maintains a safe environment. • Observes for and reports safety hazards, and prepares incident reports. • Prepares patients for surgery, x-ray and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment: • Remains with patients unless relieved. • Performs such duties as providing proper equipment, supplies, and adjusting lights. • Cleaning up and restocking of area, including supplies and equipment. • Assists in the orientation of the new patient to 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. • Performs other related duties as assigned. Qualifications Education • Successful completion of hospital approved Nursing Aide Training Program. 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; i.e. competency listing with the State of Kentucky to work in SNF.