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

Appalachian Regional Healthcare South Williamson, KY

Registered Nurse

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

Clinical Nurse Manager

Appalachian Regional Healthcare Middlesboro, KY

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

Appalachian Regional Healthcare Harlan, KY

Registered Nurse

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

Appalachian Regional Healthcare Hazard, KY

Registered Nurse

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

Registered Nurse

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities • Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills. • The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. • Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension. • The administration of medication, intravenous therapy and treatment as prescribed by a LIP. • Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. • Mentors and precepts students and 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. 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

Appalachian Regional Healthcare McDowell, KY

Registered Nurse

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

Registered Nurse

Appalachian Regional Healthcare Beckley, WV

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

Registered Nurse

Appalachian Regional Healthcare Beckley, WV

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

Appalachian Regional Healthcare Whitesburg, KY

Registered Nurse

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

Clinical Nurse Manager

Appalachian Regional Healthcare Beckley, WV

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

Medical Assistant

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

Medical Assistant

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

Appalachian Regional Healthcare McDowell, KY

Registered Nurse Tier 2 (Union)

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

Appalachian Regional Healthcare Whitesburg, KY

Registered Nurse

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities • Completes patient assessments, formulates plans of care, oversees implementation of plans of care, and evaluates and adjusts plans of care utilizing critical thinking skills. • Performs nursing acts authorized or limited by the Board and consistent with the American Nurses Association Standards of Practice or Standards of Practice established by nationally accepted organizations of registered nurses. • Provides care, counseling, health teaching, and health promotion utilizing Teach Back methodology as affirmation of comprehension. • Administers medications, intravenous therapy, and treatments as prescribed by a Licensed Independent Practitioner (LIP). • Supervises, delegates, and follows through with other personnel in the performance of activities relating to nursing care. • Mentors and precepts students and orients new staff as assigned. • Reports pertinent information through 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 activities and is able to define patient needs. • Serves as a patient advocate and escalates patient-related concerns in a timely manner. • Documents pertinent findings in the medical record in a timely manner. • 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 and performs Bedside Shift Reporting utilizing SBAR unless contraindicated. • Functions as a positive influence and role model and adheres to the professional code of conduct. • Respects the dignity and confidentiality of all matters relating to patients. • Refers to Special Addendum and Staff Nurse Position Description. • Performs other job duties as assigned. Labor & Delivery Training Requirements • Admission of labor patients. • Care of labor patients. • Delivery of labor patients. • Recognition and nursing care of abnormal conditions. • Fetal monitoring and nursing interventions. • Appropriate nursing interventions. • Management of obstetrical emergencies. • The nurse shall be adequately oriented to unit policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement activities. Qualifications Education • Associate's Degree in Nursing required. • Bachelor's Degree in Nursing preferred. Experience • One (1) to three (3) years of experience preferred. Required Skills, Knowledge & Abilities • Performs initial assessment to include physical examination of OB patients, recognizes abnormal signs and symptoms, and takes action as indicated. • Performs special OB procedures as required. • Sets up, operates, and cleans OB equipment. • Provides routine post-partum care including ongoing assessment. Licenses & Certifications • Registered Nurse required. • BLS certification required. • Completion of Intermediate Fetal Monitoring Course (AWHONN) within six (6) months of hire required. • Neonatal Resuscitation Program (NRP) certification required. • De-Escalation Training required within six (6) months of hire.

Registered Nurse

Appalachian Regional Healthcare Whitesburg, KY

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

Appalachian Regional Healthcare Harlan, KY

Registered Nurse

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

Registered Nurse

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

Registered Nurse

Appalachian Regional Healthcare Harlan, KY

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

Registered Nurse

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

Appalachian Regional Healthcare Hazard, KY

Registered Nurse

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

Appalachian Regional Healthcare Hinton, WV

Registered Nurse

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education: Associate's Degree required. Bachelor's Degree preferred. Work Experience: No experience requirement specified. Licensure/Certification: Current Registered Nurse (RN) licensure required. Basic Life Support (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 staff only. Knowledge, Skills, and Abilities: Demonstrated mastery of problem-solving and decision-making skills. Demonstrated mastery of collaboration and teamwork. Demonstrated mastery of growth mindset skills, including adaptability and the development of self and others. Demonstrated mastery of execution and delivery skills, including planning, implementation, and support. Ability to evaluate the relative costs and benefits of potential actions and select the most appropriate course of action. Ability to function effectively in a clinical setting with diverse cultural dynamics among patients and healthcare staff. Comprehensive knowledge of care transition processes and available patient resources. Demonstrated mastery of digital literacy and technology skills.

Student Nurse

Nurse Extern Tier I

Overview The Nurse Extern Tier I 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. 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 Registered Nurse (for nursing care beyond that performed by nursing assistants once deemed competent for nursing assistant related tasks): • 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.• Performs nursing functions requiring skill and judgement (supervised by RN).• Maintains records and reports necessary information in regard to patient care.• Confers periodically with the RN on activities of the nursing staff and matters related to nursing care.• Assists in patient and family education as directed by the RN.• Serves as a liaison between the patient and other members of the health team.• Prepares patients for surgery and other therapeutic and diagnostic procedures.• Maintains a safe environment for patient care.• Place IV infusion devices under the direct supervision/immediate presence at the bedside of the supervising nurse.• 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

Appalachian Regional Healthcare Hazard, KY

Registered Nurse

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

Registered Nurse