RN Other
Appalachian Regional Healthcare

Registered Nurse

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.
RN Other
Appalachian Regional Healthcare

Registered Nurse

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.
RN Other
Appalachian Regional Healthcare

Registered Nurse

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.
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
RN Manager/Supervisor Other
Appalachian Regional Healthcare

Clinical Nurse Manager

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

Registered Nurse

Appalachian Regional Healthcare Prestonsburg, KY
Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Special Instructions The Behavioral Nurse in the Emergency Department will focus on the behavioral health section of the ER. We treat a wide variety of patients that come through the ER for behavioral health services. Some are involuntary and some are voluntary. The behavioral health nurse would be responsible for the assessment, sitting, medication administration and all other duties as assigned in our locked behavioral health unit. They would talk with providers and deal directly with our inpatient behavioral health unit. When there are no patients in the behavioral health are this nurse will step out and help ER staff. These duties may include patient assessments, admission assessments, discharges, medication administration, transporting patients to other units and all other duties as assigned. They will have the same certification requirements as emergency room staff nurses and behavioral health experience is preferred. If there is no behavioral health experience they will orient on the inpatient behavioral health unit for 30 days before coming to the emergency department. Responsibilities Core Nursing Responsibilities • Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluates and adjusts plan of care utilizing critical thinking skills. • Performs other nursing acts which are authorized or limited by the Board and which are consistent either with American Nurses Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. • Provides care, counsel, health teaching and promotion, utilizing Teach Back methodology as affirmation of comprehension. • Administers medication, intravenous therapy and treatment as prescribed by a LIP. • Provides supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. • Mentors and precepts students and orients new staff as assigned. • Reports pertinent information up the chain of command to the Clinical Nurse Manager, Nurse Manager, or House Nurse Coordinator. • Participates on various teams, committees, and performance improvement initiatives. • Ensures a safe and secure environment for patients, coworkers, and self. • Participates in Discharge Planning and Transition of Care and is able to define patient needs. • Serves as a patient advocate and escalates patient-related concerns in a timely manner. • Timely documents pertinent findings in the medical record. • Assists patients in performing activities of daily living and functions as an active team member. • Assumes responsibility for personal professional development. • Utilizes effective communication skills and active listening and exhibits a compassionate and empathetic attitude. • Practices Hands Off communication utilizing SBAR. • Performs Bedside Shift Reporting utilizing SBAR unless contraindicated. • Functions as a positive influence, role model, and adheres to the professional code of conduct. • Respects dignity and confidentiality of all matters relating to patients. • Performs other job duties as assigned. Emergency Department Training Requirements • State and federal regulations related to emergency services. • Nursing management of trauma. • Nursing management of cardiac related disorders. • Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention. • Pharmacological intervention (IV therapy). • Patient assessment (triage). • Nursing management of pediatric emergencies. • Medicolegal aspects, particularly related to proper documentation. • Nursing management of obstetrical emergencies. • Patient/family emotional response. • Cardiopulmonary resuscitation and airway management. Behavioral Health Emergency Department Responsibilities • Focuses on the behavioral health section of the Emergency Department. • Provides care to both voluntary and involuntary behavioral health patients. • Performs behavioral health patient assessments. • Provides patient observation and monitoring. • Administers medications as prescribed. • Performs all nursing duties required within the locked behavioral health unit. • Communicates directly with providers regarding patient care needs. • Collaborates with the inpatient behavioral health unit regarding patient placement, treatment, and continuity of care. • Assists Emergency Department staff when there are no patients in the behavioral health area. • Performs patient assessments, admission assessments, and discharge procedures as needed. • Administers medications and treatments as assigned. • Assists with transporting patients to other units. • Performs all other duties as assigned within the Emergency Department. • Maintains the same certification requirements as Emergency Room Staff Nurses. • If behavioral health experience is not present, completes a thirty (30) day orientation on the inpatient behavioral health unit prior to assignment in the Emergency Department. Qualifications Education • Associate's Degree; Graduation from an accredited School of Nursing. Required • Bachelor's Degree Preferred Experience • Up to 1 year Preferred • Minimum of one (1) year acute care nursing experience. • One (1) year of experience should be relevant to the specific department in which they will be working. • Refer to addendums for additional requirements. • Experience with Electronic Health Record Preferred. Required Skills, Knowledge & Abilities • Excellent interpersonal skills and ability to work with providers at all levels essential. • Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes. • Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system. • Exhibit Critical Thinking Skills. • Must possess basic computer skills. • Ability to pass Medication Exam. • Completion of hospital approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services. • Moderate Sedation. • Completion of Stroke Modules. • Restraints. • The nurse shall be adequately oriented to the unit policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement monitoring. Licenses & Certifications • Registered Nurse in State Required. • BLS Required. • De-Escalation Training within 6 months of hire Required. • ACLS Required. • Trauma Nurse Core Curriculum Certification Required. • Pediatric Advanced Life Support Certification Required. • NIH Stroke Certification Required. • Advanced Dysrhythmia/EKG Required. • Rural Trauma Team Development Course Preferred. • Emergency Nurse Pediatric Course Preferred.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Paintsville, 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: 1.State and federal regulations related to emergency services. 2.Nursing management of trauma. 3.Nursing management of cardiac related disorders. 4.Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention. 5.Pharmacological intervention (IV therapy). 6.Patient assessment (triage). 7.Nursing management of pediatric emergencies. 8.Medicolegal aspects, particularly related to proper documentation. 9.Nursing management of obstetrical emergencies. 10.Patient/family emotional response. 11.Cardiopulmonary resuscitation and airway management. Qualifications 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 Manager/Supervisor Other
Appalachian Regional Healthcare

Clinical Nurse Manager

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

Surgical Technologist

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

Nurse Extern Tier II

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

Registered Nurse Tier 2 (Union)

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

Registered Nurse Tier 2 (Union)

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

Registered Nurse

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

Medical Assistant

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

Director of Nursing Services

Appalachian Regional Healthcare Barbourville, KY
Overview The Director, Nursing Services is accountable for the overall administration of the department in order to meet the objectives of the hospital through planning, organizing, executing and evaluating the nursing care provided for patients in the hospital. Responsibilities • Manages the department in an efficient manner through planning, organizing, and controlling all departmental activities. • Formulates and implements departmental objectives in accordance with hospital goals. • Develops, evaluates, implements, interprets, and maintains hospital plans, standards, and procedures for the clinical practice of nursing in compliance with hospital policies, governmental regulations, and regulatory agency requirements. • Serves as a role model for nursing staff by adhering to established policies and procedures. • Supervises the implementation of Total Quality Management concepts used to evaluate the effectiveness of nursing care delivery systems throughout the hospital. • Participates as a member of the hospital leadership team and contributes to strategic planning activities. • Interprets and supports the role of nursing in achieving the hospital's strategic plans. • Manages personnel functions including interviewing, hiring, evaluating, disciplining, terminating, or recommending personnel actions as necessary. • Ensures employees receive orientation and required in-service education. • Ensures staff maintain required licensure and certifications. • Promotes clinical competency and professional development through nursing education programs. • Determines staffing needs and patterns and recommends appropriate staffing levels and classifications consistent with approved position authorizations. • Administers Bargaining Agreements at the local level as they relate to Nursing Service personnel. • Coordinates the activities of nursing units and establishes productive working relationships with medical staff and support services. • Maintains current knowledge of nursing practices, services, products, and equipment and recommends improvements as appropriate. • Participates in professional development and leadership education programs. • May provide direct patient care when advanced skills and clinical judgment are required. • Demonstrates the knowledge and skills necessary to provide age-appropriate patient care. • Adheres to hospital infection control policies and procedures. • Formulates and prepares departmental budgets. • Prepares routine and special reports, forms, and required documentation. • Takes administrative call responsibilities when delegated by the Administrator. • Serves on hospital committees and attends meetings as required. • May work off shifts, weekends, holidays, on-call assignments, and extended hours as needed. • Performs other related duties as assigned. Qualifications Education • Graduation from an approved School of Nursing required. • Current non-limited nursing licensure in the state required. • Bachelor's Degree preferred. Experience • Minimum of five (5) years of experience in nursing supervision and/or administration required. • Formalized training and/or experience in effective management techniques required. Required Skills, Knowledge & Abilities • Demonstrated leadership ability. • Ability to motivate individuals and teams. • Ability to work cooperatively with individuals and groups. • Knowledge of nursing administration and management principles. • Ability to establish and achieve departmental goals and objectives. • Ability to promote professional growth and staff development through orientation, evaluation, in-service education, and continuing education programs. • Ability to supervise the implementation of Total Quality Management concepts. • Ability to develop and administer departmental budgets. • Ability to function as a liaison between Nursing Services and other hospital departments. Licenses & Certifications • Current non-limited nursing licensure in the state required. Physical Requirements • Must possess the physical ability to endure prolonged sitting and moderate walking. • Must be able to lift and carry objects as required. • Ability to exert up to twenty (20) pounds of force occasionally. • Ability to exert up to ten (10) pounds of force frequently. • Ability to exert a negligible amount of force constantly to move objects. • Physical demand requirements are in excess of those for sedentary work.
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. Special Instructions RN provide clinical decision making regarding nursing care in a safe and competent manner and reports to the Nurse Supervisor Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education • Associate's Degree required. • Bachelor's Degree preferred. Licenses & Certifications • Registered Nurse required. • BLS certification required upon hire. • De-Escalation Training required within six (6) months of hire. • Advanced Dysrhythmia/EKG certification required for Medical/Surgical Telemetry Unit positions. Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset skills, including agility and developing yourself and others. • Mastery of execution and delivery skills, including planning, delivering, and supporting initiatives. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate course of action. • Ability to function effectively in a clinical setting with diverse cultural dynamics among clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills.
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. Special Instructions RN provide clinical decision making regarding nursing care in a safe and competent manner and reports to the Nurse Supervisor Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education • Associate's Degree required. • Bachelor's Degree preferred. Licenses & Certifications • Registered Nurse required. • BLS certification required upon hire. • De-Escalation Training required within six (6) months of hire. • Advanced Dysrhythmia/EKG certification required for Medical/Surgical Telemetry Unit positions. Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset skills, including agility and developing yourself and others. • Mastery of execution and delivery skills, including planning, delivering, and supporting initiatives. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate course of action. • Ability to function effectively in a clinical setting with diverse cultural dynamics among clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills.
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. Special Instructions RN provide clinical decision making regarding nursing care in a safe and competent manner and reports to the Nurse Supervisor Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education • Associate's Degree required. • Bachelor's Degree preferred. Licenses & Certifications • Registered Nurse required. • BLS certification required upon hire. • De-Escalation Training required within six (6) months of hire. • Advanced Dysrhythmia/EKG certification required for Medical/Surgical Telemetry Unit positions. Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset skills, including agility and developing yourself and others. • Mastery of execution and delivery skills, including planning, delivering, and supporting initiatives. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate course of action. • Ability to function effectively in a clinical setting with diverse cultural dynamics among clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills.
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. Special Instructions RN provide clinical decision making regarding nursing care in a safe and competent manner and reports to the Nurse Supervisor Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education • Associate's Degree required. • Bachelor's Degree preferred. Licenses & Certifications • Registered Nurse required. • BLS certification required upon hire. • De-Escalation Training required within six (6) months of hire. • Advanced Dysrhythmia/EKG certification required for Medical/Surgical Telemetry Unit positions. Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset skills, including agility and developing yourself and others. • Mastery of execution and delivery skills, including planning, delivering, and supporting initiatives. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate course of action. • Ability to function effectively in a clinical setting with diverse cultural dynamics among clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Barbourville, 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. • Graduation from an accredited School of Nursing required. • Bachelor's Degree preferred. Experience • Up to one (1) year of experience preferred. • Minimum of one (1) year acute care nursing experience preferred. • One (1) year of experience should be relevant to the specific department in which the nurse will be working. • Refer to addendums for additional department-specific requirements. • Experience with Electronic Health Records (EHR) preferred. Required Skills, Knowledge & Abilities • Excellent interpersonal skills and ability to work with providers at all levels essential. • Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes. • Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system. • Exhibit Critical Thinking Skills. • Must possess basic computer skills. • Ability to pass Medication Exam. • Completion of hospital-approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services. • Moderate Sedation competency required. • Completion of Stroke Modules required. • Restraints competency required. • The nurse shall be adequately oriented to unit policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement monitoring. Licenses & Certifications • Registered Nurse in State required. • BLS certification required. • De-Escalation Training required within six (6) months of hire. • ACLS certification required. • Trauma Nurse Core Curriculum (TNCC) Certification required. • Pediatric Advanced Life Support (PALS) Certification required. • NIH Stroke Certification required. • Advanced Dysrhythmia/EKG certification required. • Rural Trauma Team Development Course (RTTDC) preferred. • Emergency Nurse Pediatric Course (ENPC) preferred.
CMA Outpatient Other
Appalachian Regional Healthcare

Medical Assistant

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

Nurse Extern Tier II

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

Registered Nurse

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

Registered Nurse

Appalachian Regional Healthcare Hyden, 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 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 • Graduation from a State accredited or approved School of Nursing. Licenses & Certifications • Licensed in the state of employment. Required Skills, Knowledge & Abilities • Ability to provide safe and effective nursing care in accordance with established standards of practice. • Strong clinical assessment and patient care skills. • Ability to communicate effectively with patients, families, physicians, and healthcare team members. • Ability to prioritize patient care activities and respond appropriately in emergency situations. • Ability to maintain accurate patient documentation and records. Physical Requirements • Must possess physical abilities to endure prolonged standing and walking. • Must be able to lift, carry, push, and pull objects. • Ability to exert 50 to 100 pounds of force occasionally. • Ability to exert 25 pounds of force frequently. • Ability to exert 10 to 20 pounds of force constantly to move objects. • Physical demand requirements are in excess of those for Heavy Work.
RN Other
Appalachian Regional Healthcare

Regional Registered Nurse Supplemental Staffing Team

Appalachian Regional Healthcare Lexington, KY
Overview The Supplemental Staffing Team (SST) Registered Nurse (RN) assesses, analyzes, plans, implements and evaluates patient care following established patient care standards for Appalachian Regional Healthcare including those established by the Nurse Practice Act. The primary function of this role, based upon hired tier and float option, is to be available and flexible to float to various departments and/or hospital sites throughout ARH healthcare locations within Kentucky and/or West Virginia. The SST RN is to provide patient care, which could include but not limited to same day staffing assignments, more than one assignment location within a singleshift, travel assignments, seasonal staffing patterns or natural disaster/emergency response. Participates as amember of the Supplemental Staffing Team in cooperation with and under the direction of Director and/or Clinical Nurse Manager or designee. Essential Job Functions: Supplemental Staffing Team RNs are hired with the understanding they must float based on at least one of the options below:• Local: Float expectation within a single site based on competency• Regional: Float expectation within multiple sites within a single region based on competency• Enterprise: Float expectation within multiple sites across one or more regions that are >75 miles from RN'shome address and accepts assignments that range 2-13 weeks based on competency Special Instructions Regional: Float expectation within multiple sites within a single region based on competency. Responsibilities In collaboration with providers, clinical care team members, patients and families (as defined by the patient) the Registered Nurse is responsible for evaluating, planning, directing and administering care to the patient. Implements a plan of care based upon established standards of care/practice, policies, and procedures, incorporating cultural, religious, psychosocial, physical, and age-related issues. Completes all required documentation accurately and within the required timeframe, as well as communicate clinical information with members of the multidisciplinary team. Possesses knowledge of medications and administers them safely and accurately. Appropriately delegates and supervises routine technical functions to non-licensed and licensed personnel. Embraces concepts and behaviors that enhance customer satisfaction and employee morale and improvement in the profession of nursing. In collaboration with the patient/family the RN evaluates patient outcomes and revises the patient’s plan of care. Negotiates with the patient/family and health care team members to come to an acceptable resolution of conflicts resulting from patient care or organizational issues. Demonstrates an appreciation of the hospital mission by acting as a resource for employees, students, and residents. Is supportive of patient and family centered care, promoting that environment within the care provided. Includes family and patient in plan of care, providing teaching and support where needed. Incorporates the professional practice model into care delivery. Acts as a patient safety advocate by participating in ongoing quality improvement in the department. Performs other duties assigned by authorized personnel or as required to meet the needs of the facility and internal and external customers. Qualifications Education • Graduate from an accredited school of nursing.• Associates Degree in Nursing Required• Bachelors of Science in Nursing Preferred Minimum Work Experience • Two (2) years of clinical experience required• Three (3) years of clinical experience preferred Licenses, Certifications, Registrations Required • Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence or compact nurse licensure• BLS upon hire• ACLS required within 6 months of hire: ICU, Tele, PCU, ENDO, PACU, OR, Cath Lab, ED• PALS required within 6 months: OR, PACU & ED• TNCC certification within 6 months: ED Nurses• De-escalation training certification within 6 months: All clinical locations Preferred • Professional Nursing Certification