RN Other
Appalachian Regional Healthcare

Registered Nurse

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

Registered Nurse

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

Registered Nurse

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

Registered Nurse

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

Medical Assistant

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

Registered Nurse

Appalachian Regional Healthcare Whitesburg, KY
Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities • Completes patient assessments, formulates 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.
RN Home Health Other
Appalachian Regional Healthcare

Registered Nurse

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

Nurse Extern Tier II

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

Registered Nurse

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

Registered Nurse

Appalachian Regional Healthcare Hyden, KY
Overview The Staff Nurse is accountable for interpreting the plan of Medical care, assessment of patients clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education • Graduation from a State accredited or approved School of Nursing. Licenses & Certifications • Licensed in the state of employment. Required Skills, Knowledge & Abilities • Ability to provide safe and effective nursing care in accordance with established standards of practice. • Strong clinical assessment and patient care skills. • Ability to communicate effectively with patients, families, physicians, and healthcare team members. • Ability to prioritize patient care activities and respond appropriately in emergency situations. • Ability to maintain accurate patient documentation and records. Physical Requirements • Must possess physical abilities to endure prolonged standing and walking. • Must be able to lift, carry, push, and pull objects. • Ability to exert 50 to 100 pounds of force occasionally. • Ability to exert 25 pounds of force frequently. • Ability to exert 10 to 20 pounds of force constantly to move objects. • Physical demand requirements are in excess of those for Heavy Work.
RN Other
Appalachian Regional Healthcare

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. • 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.
RN Other
Appalachian Regional Healthcare

Registered Nurse

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

Regional Registered Nurse Supplemental Staffing Team

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

Registered Nurse

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

Registered Nurse

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

Registered Nurse

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

Nurse Extern Tier I

Appalachian Regional Healthcare Paintsville, KY
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
RN Other
Appalachian Regional Healthcare

Registered Nurse

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

Registered Nurse

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

Registered Nurse

Appalachian Regional Healthcare Martin, 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; develops, implements, evaluates, and revises the plan of care utilizing critical thinking skills. Performs nursing acts authorized by the Board of Nursing and consistent with the American Nurses Association Standards of Practice and nationally accepted standards for registered nurses. Provides patient care, counseling, health teaching, and health promotion utilizing the Teach Back methodology to validate patient understanding. 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 nursing care activities. Serves as a mentor and preceptor for students and newly hired staff as assigned. Reports pertinent information through the appropriate chain of command, including the Clinical Nurse Manager, Nurse Manager, and House Nurse Coordinator. Participates on committees, teams, and performance improvement initiatives. Maintains a safe and secure environment for patients, coworkers, and self. Participates in discharge planning and transition of care activities and identifies patient needs. Advocates for patients and escalates patient concerns in a timely manner. Accurately and promptly documents patient assessments, interventions, and outcomes in the medical record. Assists patients with activities of daily living and functions as an active member of the healthcare team. Assumes responsibility for ongoing professional growth and development. Demonstrates effective communication and active listening skills while maintaining a compassionate and empathetic approach to patient care. Utilizes SBAR communication techniques and performs bedside shift reporting utilizing SBAR when appropriate. Serves as a positive role model and adheres to professional standards of conduct. Maintains patient dignity, privacy, and confidentiality. Adheres to all requirements outlined in the Special Addendum and Staff Nurse Position Description. Performs other duties as assigned. EMERGENCY ROOM TRAINING REQUIREMENTS Training for personnel assigned to the Emergency Department shall include: State and federal regulations related to emergency services. Nursing management of trauma patients. Nursing management of cardiac-related disorders. Performance and interpretation of EKG procedures and appropriate nursing interventions. Pharmacological interventions, including intravenous therapy. Patient assessment and triage procedures. Nursing management of pediatric emergencies. Medicolegal aspects of emergency nursing, including proper documentation. Nursing management of obstetrical emergencies. Recognition and management of patient and family emotional responses. Cardiopulmonary resuscitation (CPR) and airway management. Qualifications Education: Associate's Degree from an accredited school of nursing required. Bachelor's Degree preferred. Work Experience: Minimum of one (1) year of acute care nursing experience preferred. One (1) year of experience should be relevant to the specific department in which the employee will be working. Refer to departmental addendums for additional requirements. Experience with Electronic Health Records (EHR) preferred. Knowledge, Skills, and Abilities: Excellent interpersonal skills and ability to work effectively with providers at all levels. Ability to communicate clearly and effectively both verbally and in writing. Demonstrated ability to influence others and achieve desired outcomes. Ability to follow direction and facilitate a work environment conducive to change in a complex healthcare system. Demonstrated critical thinking skills. Basic computer skills required. Ability to successfully pass a medication examination. Completion of a hospital-approved training program and documented competency in emergency care procedures as determined by the Director of Nursing Services. Completion of Moderate Sedation training. Completion of Stroke Modules. Completion of Restraint training. Must be adequately oriented to unit policies, procedures, equipment, safety practices, infection control standards, and performance improvement monitoring processes. Licensure/Certification: Current Registered Nurse (RN) licensure in the state of practice required. Basic Life Support (BLS) certification required. De-Escalation Training within six (6) months of hire required. Advanced Cardiac Life Support (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.
RN Manager/Supervisor Other
Appalachian Regional Healthcare

Clinical Nurse Manager

Appalachian Regional Healthcare South Williamson, 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 facility engagement initiatives by operationalizing nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift reporting, and other patient experience initiatives. • Provides recommendations related to interviewing, selecting, and training new staff. • Recommends and implements courses of action related to training and development, conflict resolution, personnel policy compliance, performance evaluations, and disciplinary actions to support organizational goals. • Assists with staff scheduling. • Manages staff labor resources in accordance with patient care needs and established productivity guidelines. • Supports inventory control processes and assists with managing supplies and equipment. • Works collaboratively with medical staff to coordinate and optimize patient care delivery. • Demonstrates leadership and initiative in situations where supervision is not present or required. • Appropriately escalates issues related to policies, procedures, rules, and regulations in a timely and effective manner. • Performs other duties as assigned. Qualifications Education • Associate's Degree in Nursing Required • Bachelor's Degree in Nursing Preferred Experience • 1-3 years • Minimum of one (1) year clinical experience required. • Two (2) years of clinical experience preferred. Required Skills, Knowledge & Abilities • Evidence of leadership abilities required. • Knowledge of general nursing principles and practice skills. • Knowledge of organizational functions, policies, and regulations. • Applicable technical skills related to the assigned clinical area. Licenses & Certifications • Current licensure to practice nursing in the State of Kentucky or West Virginia, 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 Pediatrics) Required • NRP and AWHONN Fetal Monitoring within six (6) months of hire (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
RN Manager/Supervisor Other
Appalachian Regional Healthcare

Clinical Nurse Manager

Appalachian Regional Healthcare Middlesboro, KY
Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities • Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies. • Assists with admission and discharge processes to ensure efficient throughput and high-quality, patient-centered care. • Participates in the ongoing assessment of the quality of patient care services provided on the unit in collaboration with other members of the management team. • Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service. • Supports a patient-first philosophy and engages in service recovery when necessary. • Supports facility engagement initiatives by operationalizing nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift reporting, and other patient experience initiatives. • Provides recommendations related to interviewing, selecting, and training new staff. • Recommends and implements courses of action related to training and development, conflict resolution, personnel policy compliance, performance evaluations, and disciplinary actions to support organizational goals. • Assists with staff scheduling. • Manages staff labor resources in accordance with patient care needs and established productivity guidelines. • Supports inventory control processes and assists with the management of supplies and equipment. • Collaborates with medical staff to coordinate and optimize patient care delivery. • Demonstrates leadership and initiative in situations where supervision is not present or required. • Escalates issues related to policies, procedures, rules, and regulations in a timely and effective manner. • Performs other duties as assigned. Qualifications Education • Associate's Degree in Nursing Required • Bachelor's Degree in Nursing Preferred Experience • 1-3 years • Minimum of one (1) year clinical experience required. • Two (2) years of clinical experience preferred. Required Skills, Knowledge & Abilities • Evidence of leadership abilities required. • Knowledge of general nursing principles and practice skills. • Knowledge of organizational functions, policies, and regulations. • Applicable technical skills related to the assigned clinical area. Licenses & Certifications • Current licensure to practice nursing in the State of Kentucky or West Virginia, 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 Pediatrics) Required • NRP and AWHONN Fetal Monitoring within six (6) months of hire (Maternal/Child Only) Required • TNCC within six (6) months of hire (ED Only) Required • De-Escalation Training within six (6) months of hire (All Units) Required • Professional Nursing Certification Preferred
CNA Other
Appalachian Regional Healthcare

Nursing Assistant

Appalachian Regional Healthcare Hazard, KY
Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Responsibilities • Provides personal care including bathing, shampooing, shaving, back rubs, positioning patients, making beds, preparing patients for meals, feeding patients, and passing ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, including stool, urine, and sputum samples. • Collects and records intake and output accurately. • Collects and records vital signs and obtains pertinent patient information in accordance with hospital policy. • Assists and/or feeds patients, provides between-meal nourishment, provides fresh drinking water, and encourages fluid intake when indicated. • Assists with patient ambulation by wheelchair, stretcher, and bed. • Administers enemas, douches, and inserts rectal tubes as directed and documents appropriately. • Applies ace bandages and elastic stockings and prepares hot water bottles, ice bags, pads, and humidifiers. • Provides care for Foley catheters and Levine tubes as instructed by nursing staff. • Applies condom drains, scrotal suspensories, unsterile compresses, and binders. • Provides postmortem care and transports deceased patients to the morgue. • Applies restraints and side rails to ensure patient safety. • Observes isolation precautions and provides direct patient care to patients in isolation. • Assists with colostomy care. • Sets up orthopedic appliances. • Runs errands, delivers messages, and answers telephones. • Maintains a safe environment for patients, visitors, and staff. • Observes and reports safety hazards and prepares incident reports as required. • Prepares patients for surgery, x-ray procedures, and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment by: • Remaining with patients unless relieved. • Providing necessary equipment and supplies and adjusting lighting as needed. • Cleaning and restocking treatment areas, supplies, and equipment. • Assists in orienting new patients to their surroundings. • Assists in maintaining a sanitary and safe environment in patient care and nursing areas. • Participates in team conferences, in-service education programs, and staff meetings. • Assists other hospital employees as needed, including returning patients from the Recovery Room, x-ray, and other departments when indicated. • Assists with patient admissions, transfers, and discharges. • Performs other related duties as assigned. Qualifications Education • Successful completion of a hospital-approved Nursing Aide Training Program. Experience • Three (3) months of on-the-job training required to attain proficiency in assigned duties and responsibilities. Required Skills, Knowledge & Abilities • Ability to perform assigned patient care duties safely and effectively. • Additional training may be required for assignment to specific patient care areas. Licenses & Certifications • Competency listing with the State of Kentucky may be required for positions working in Skilled Nursing Facilities (SNF).
CNA Other
Appalachian Regional Healthcare

Nursing Assistant

Appalachian Regional Healthcare Beckley, WV
Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Responsibilities • Provides personal care including bathing, shampooing, shaving, back rubs, positioning patients, making beds, preparing patients for meals, feeding patients, and passing ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, including stool, urine, and sputum samples. • Collects and records intake and output accurately. • Collects and records vital signs and obtains pertinent patient information in accordance with hospital policy. • Assists and/or feeds patients, provides between-meal nourishment, provides fresh drinking water, and encourages fluid intake when indicated. • Assists with patient ambulation by wheelchair, stretcher, and bed. • Administers enemas, douches, and inserts rectal tubes as directed and documents appropriately. • Applies ace bandages and elastic stockings and prepares hot water bottles, ice bags, pads, and humidifiers. • Provides care for Foley catheters and Levine tubes as instructed by nursing staff. • Applies condom drains, scrotal suspensories, unsterile compresses, and binders. • Provides postmortem care and transports deceased patients to the morgue. • Applies restraints and side rails to ensure patient safety. • Observes isolation precautions and provides direct patient care to patients in isolation. • Assists with colostomy care. • Sets up orthopedic appliances. • Runs errands, delivers messages, and answers telephones. • Maintains a safe environment for patients, visitors, and staff. • Observes and reports safety hazards and prepares incident reports as required. • Prepares patients for surgery, x-ray procedures, and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment by: • Remaining with patients unless relieved. • Providing necessary equipment and supplies and adjusting lighting as needed. • Cleaning and restocking treatment areas, supplies, and equipment. • Assists in orienting new patients to their surroundings. • Assists in maintaining a sanitary and safe environment in patient care and nursing areas. • Participates in team conferences, in-service education programs, and staff meetings. • Assists other hospital employees as needed, including returning patients from the Recovery Room, x-ray, and other departments when indicated. • Assists with patient admissions, transfers, and discharges. • Performs other related duties as assigned. Qualifications Education • Successful completion of a hospital-approved Nursing Aide Training Program. Experience • Three (3) months of on-the-job training required to attain proficiency in assigned duties and responsibilities. Required Skills, Knowledge & Abilities • Ability to perform assigned patient care duties safely and effectively. • Additional training may be required for assignment to specific patient care areas. Licenses & Certifications • Competency listing with the State of Kentucky may be required for positions working in Skilled Nursing Facilities (SNF).
RN Home Health Other
Appalachian Regional Healthcare

Registered Nurse

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