Appalachian Regional Healthcare

Registered Nurse

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

Licensed Practical Nurse

Overview The LPN is responsible for performing a wide variety of nursing care, patient activities, and accommodative services for the comfort and well-being of patients in accordance with physicians' orders and under the guidance and direction of the Registered Nurse. Responsibilities • Performs basic nursing care and patient procedures as required. • Participates in conferences and serves on Committees as requested. • Observes, reports, and documents in the patient chart changes in patient's condition, observations made, and complaints voiced and nursing care performed. • Participates in patient and family health education as necessary. • Provides a safe and secure environment for the patient. • Prepares for and assists with diagnostic and therapeutic treatments. • May administer I.V.F. in accordance with state Nurse Practice Act. • Checks, irrigates and maintains drainage tubes as needed. • May insert N/G tubes after training. (KY & VA). • May administer tube feedings. • Suctions patients according to hospital policy and procedure. • Functions in emergencies and on the code team as designated. • Performs catheterizations and provides catheter care. • Administers oral and intra-muscular, intradermal, subcu, I.V., PB, and medications as approved. • Administers I.V.P. medications as approved. (In Virginia only). • Cares for patients receiving oxygen therapy and analyses oxygen concentration of O₂ tents, isolette and croupettes. • Administers respiratory treatments (I.P.P.B.). • Applies sterile and unsterile compresses and bandages of all types and styles. • Answers call lights, assists patients with personal hygiene and other activities of daily living. • Tests urine for sugar, acetone, and ph., weighs patients, and takes vital signs. • Cares for patients in isolation. • Assists with physical and vaginal examinations and obtaining pap smears. • Administers post-operative regime: cough, deep breathing, turn patients, and takes vital signs. • Prepares patients for surgery, including pre-op check lists. • Applies ace bandages, all types of traction, hot water bottle and ice cap. • Measures and records intake and output. • Collects specimens; blood, urine, stool and sputum. • Administers post-mortuum care and transportation. • Administers enemas: retention, cleansing, therapeutic, colonic, irrigation. • Maintains cleanliness, safety and efficiency in nursing. • Alert to and able to respond appropriately in an emergency situation, providing patient care, initiating CPR and any other tasks designated by the RN or MD. • Assists with the care and security of the patients' valuables. • Checks narcotics and barbiturates, reports discrepancies, completes incident report appropriately and submits to appropriate management. • Cares for patients with radium and assists physician with removal of radium. • Prepares used equipment for re-sterilization. • Cleans and maintains storage of equipment. • Requests repairs and follows up with physician and other staff as appropriate regarding equipment performance. • Complies with hospital policies for obtaining, documenting and follow through on telephone and verbal orders. • Monitors glucose via glucose monitor machine. • Collects Quality Improvement data as requested. • Uses universal precautions. • Performs other related duties as assigned. Qualifications Education • Graduate of an accredited school of practical nursing. Licenses & Certifications • Must maintain current licensure in state of practice. • Must successfully complete the I.V. Therapy Course. Required Skills, Knowledge & Abilities • Technical skills in special nursing fields preferred. Experience • Six (6) months to one (1) year on-the-job training is required to attain proficiency of performance of assigned duties.
Appalachian Regional Healthcare

Licensed Practical Nurse

Overview The LPN is responsible for performing a wide variety of nursing care, patient activities, and accommodative services for the comfort and well-being of patients in accordance with physicians' orders and under the guidance and direction of the Registered Nurse. Responsibilities • Performs basic nursing care and patient procedures as required. • Participates in conferences and serves on Committees as requested. • Observes, reports, and documents in the patient chart changes in patient's condition, observations made, and complaints voiced and nursing care performed. • Participates in patient and family health education as necessary. • Provides a safe and secure environment for the patient. • Prepares for and assists with diagnostic and therapeutic treatments. • May administer I.V.F. in accordance with state Nurse Practice Act. • Checks, irrigates and maintains drainage tubes as needed. • May insert N/G tubes after training. (KY & VA). • May administer tube feedings. • Suctions patients according to hospital policy and procedure. • Functions in emergencies and on the code team as designated. • Performs catheterizations and provides catheter care. • Administers oral and intra-muscular, intradermal, subcu, I.V., PB, and medications as approved. • Administers I.V.P. medications as approved. (In Virginia only). • Cares for patients receiving oxygen therapy and analyses oxygen concentration of O₂ tents, isolette and croupettes. • Administers respiratory treatments (I.P.P.B.). • Applies sterile and unsterile compresses and bandages of all types and styles. • Answers call lights, assists patients with personal hygiene and other activities of daily living. • Tests urine for sugar, acetone, and ph., weighs patients, and takes vital signs. • Cares for patients in isolation. • Assists with physical and vaginal examinations and obtaining pap smears. • Administers post-operative regime: cough, deep breathing, turn patients, and takes vital signs. • Prepares patients for surgery, including pre-op check lists. • Applies ace bandages, all types of traction, hot water bottle and ice cap. • Measures and records intake and output. • Collects specimens; blood, urine, stool and sputum. • Administers post-mortuum care and transportation. • Administers enemas: retention, cleansing, therapeutic, colonic, irrigation. • Maintains cleanliness, safety and efficiency in nursing. • Alert to and able to respond appropriately in an emergency situation, providing patient care, initiating CPR and any other tasks designated by the RN or MD. • Assists with the care and security of the patients' valuables. • Checks narcotics and barbiturates, reports discrepancies, completes incident report appropriately and submits to appropriate management. • Cares for patients with radium and assists physician with removal of radium. • Prepares used equipment for re-sterilization. • Cleans and maintains storage of equipment. • Requests repairs and follows up with physician and other staff as appropriate regarding equipment performance. • Complies with hospital policies for obtaining, documenting and follow through on telephone and verbal orders. • Monitors glucose via glucose monitor machine. • Collects Quality Improvement data as requested. • Uses universal precautions. • Performs other related duties as assigned. Qualifications Education • Graduate of an accredited school of practical nursing. Licenses & Certifications • Must maintain current licensure in state of practice. • Must successfully complete the I.V. Therapy Course. Required Skills, Knowledge & Abilities • Technical skills in special nursing fields preferred. Experience • Six (6) months to one (1) year on-the-job training is required to attain proficiency of performance of assigned duties.
Appalachian Regional Healthcare

Nursing Assistant

Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Responsibilities Provides personal care services including bathing, shampooing, shaving, back care, positioning patients, making beds, preparing patients for meals, feeding patients, and distributing ice water. Responds promptly to patient call lights and signal systems to determine and meet patient needs. Collects specimens including urine, stool, sputum, and other specimens as directed. Measures, records, and reports patient intake and output accurately. Obtains, records, and reports vital signs and other pertinent patient information in accordance with hospital policy. Assists with feeding patients, provides nutritional supplements between meals, supplies fresh drinking water, and encourages fluid intake as indicated. Assists patients with ambulation and transportation utilizing wheelchairs, stretchers, and beds. Administers enemas, douches, and inserts rectal tubes as directed and documents procedures appropriately. Applies ace bandages, elastic stockings, hot water bottles, ice bags, heating pads, and humidifiers as directed. Provides care for Foley catheters and nasogastric (Levine) tubes under the direction of nursing staff. Applies condom catheters, scrotal supports, non-sterile compresses, and binders as directed. Provides post-mortem care and assists with transportation of deceased patients to the morgue. Applies restraints and side rails in accordance with policy to promote patient safety. Observes isolation precautions and provides direct patient care to patients requiring isolation. Assists with colostomy care. Sets up orthopedic appliances and equipment as directed. Delivers messages, runs errands, and answers telephones as needed. Maintains a safe environment for patients, visitors, and staff. Identifies and reports safety hazards and completes incident reports when required. Prepares patients for surgery, radiology procedures, and other diagnostic and therapeutic treatments. Assists with patient examinations and treatments by providing equipment and supplies, adjusting lighting, and preparing treatment areas. Cleans, organizes, and restocks patient care areas, supplies, and equipment. Assists with orienting new patients to their surroundings and hospital environment. Assists in maintaining a clean, sanitary, and safe environment throughout nursing and service areas. Participates in team conferences, staff meetings, and in-service education programs. Assists other hospital personnel as needed in the transport and care of patients. 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 required. Work Experience: Three (3) months of on-the-job training required to attain proficiency in the performance of assigned duties and responsibilities. Licensure/Certification: Additional training and certification may be required for specific patient care areas. State-approved competency listing may be required for employment in Skilled Nursing Facility (SNF) settings, as applicable. Knowledge, Skills, and Abilities: Knowledge of basic patient care procedures and nursing aide responsibilities. Ability to provide quality patient care under the direction of licensed nursing personnel. Ability to communicate effectively with patients, families, and healthcare team members. Ability to follow written and verbal instructions accurately. Ability to recognize and report changes in patient condition. Knowledge of infection prevention, patient safety, and confidentiality standards. Ability to perform assigned duties with compassion, professionalism, and attention to detail.
Appalachian Regional Healthcare

Licensed Practical Nurse

Overview The LPN is responsible for performing a wide variety of nursing care, patient activities, and accommodative services for the comfort and well-being of patients in accordance with physicians' orders and under the guidance and direction of the Registered Nurse. Responsibilities • Performs basic nursing care and patient procedures as required. • Participate in conferences and serves on Committees as requested. • Observes, reports, and documents in the patient chart changes in patient's condition, observations made, and complaints voiced and nursing care performed. • Participates in patient and family health education as necessary. • Provides a safe and secure environment for the patient. • Prepares for and assists with diagnostic and therapeutic treatments. • May administer I.V.F. in accordance with state Nurse Practice Act. • Checks, irrigates and maintains drainage tubes as needed. • May insert N/G tubes after training. (KY & VA). • May administer tube feedings. • Suctions patients according to hospital policy and procedure. • Functions in emergencies and on the code team as designated. • Performs catheterizations and provides catheter care. • Administers oral and intra-muscular, intradermal, subcu, I.V., PB, and medications as approved. • Administers I.V.P. medications as approved. (In Virginia only). • Cares for patients receiving oxygen therapy and analyses oxygen concentration of O2 tents, isolette and croupettes. • Administers respiratory treatments (I.P.P.B.). • Applies sterile and unsterile compresses and bandages of all types and styles. • Answers call lights, assist patients with personal hygiene and other activities of daily living. • Tests urine for sugar, acetone, and ph., weighs patients, and takes vital signs. • Cares for patients in isolation. • Assists with physical and vaginal examinations and obtaining pap smears. • Administers post-operative regime: cough, deep breathing, turn patients, and takes vital signs. • Prepares patients for surgery, including pre-op check lists. • Applies ace bandages, all types of traction, hot water bottle and ice cap. • Measures and records intake and output. • Collects specimens; blood, urine, stool and sputum. • Administers post-mortuum care and transportation. • Administers enemas: retention, cleansing, therapeutic, colonic, irrigation. • Maintains cleanliness, safety and efficiency in nursing. • Alert to and able to respond appropriately in an emergency situation, providing patient care, initiating CPR and any other tasks designated by the RN or MD. • Assists with the care and security of the patients' valuables. • Checks narcotics and barbiturates reports discrepancies, completes incident report appropriately and submits to appropriate management. • Cares for patients with radium and assists physician with removal of radium. • Prepares used equipment for re-sterilization. • Cleans and maintains storage of equipment. Request repairs, follow-up with physician and other staff as appropriate regarding equipment performance. • Comply with hospital policies for obtaining, documenting and follow through on telephone and verbal orders. • Monitors glucose via glucose monitor machine. • Collects Quality Improvement data as requested. • Uses universal precautions. • Performs other related duties as assigned. Qualifications Education • Graduate of an accredited school of practical nursing. Licenses & Certifications • Must maintain current licensure in state of practice. • Must successfully complete the I.V. Therapy Course. Required Skills, Knowledge & Abilities • Technical skills in special nursing fields preferred. Experience • Six (6) months to one (1) year on-the-job training is required to attain proficiency of performance of assigned duties.
Appalachian Regional Healthcare

Registered Nurse

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

Registered Nurse

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

Registered Nurse

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

Nursing Assistant

Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Responsibilities • Provides personal care including bath, shampoo, shave, back rub, positions patients, makes beds, prepares patients for meals, feeds patients, and passes ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, stool, urine, sputum, etc. • Collects input and output and records appropriately. • Collects and records vital signs on patient. Obtain and records pertinent patient information per hospital policy. • Assists and/or feeds patients, provides between meal nourishment’s, provides fresh drinking water and encourages fluids when indicated. • Assists in progressive ambulation of patients by wheelchair, stretcher, and bed. • Administers enemas, douches and inserts rectal tubes and documents appropriately. • Applies ace bandages and elastic stockings, fills hot water bottles, ice bags, pads and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by nurse. • Applies condom drains and scrotal suspensatories, unsterile compresses, and binders. • Gives postmortem care and transports body to morgue. • Applies restraints and siderails to assure safety of patients. • Observes isolation technique and gives direct patient care to patients on isolation. • Assists in colostomy care. • Sets up Orthopedic appliances. • Runs errands, delivers messages, and answers telephone. • Maintains a safe environment. • Observes for and reports safety hazards, and prepares incident reports. • Prepares patients for surgery, x-ray and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment: • Remains with patients unless relieved. • Performs such duties as providing proper equipment, supplies, and adjusting lights. • Cleaning up and restocking of area, including supplies and equipment. • Assists in the orientation of the new patient to his surroundings. • Assists in maintaining a sanitary and safe environment in service and nursing areas. • Participates in team conferences, in-service education programs and staff meetings. • Assists other hospital employees as needed, i.e. OR Aide returning patients from the Recovery Room, x-ray, etc. (when indicated). • Assists with admissions, transfers, and discharges of patients. • Performs other related duties as assigned. Qualifications Education • Successful completion of hospital approved Nursing Aide Training Program. Experience • Three (3) months on-the-job training is required to attain proficiency of performance of assigned duties and responsibilities. Required Skills, Knowledge & Abilities • Additional training may be required and given, to work in some areas; i.e. competency listing with the State of Kentucky to work in SNF.
Appalachian Regional Healthcare

Nursing Assistant

Overview The Nursing Aide assists in patient care throughout nursing areas, and is responsible for the safe transport of patients via wheelchair or stretcher, dispatch services and appropriate documentation of services. Provides the services of an Observer for any patient on a patient care unit who has been assessed to require constant observation in order to maximize his/her safety. Performs general receptionist and clerical duties in order to facilitate efficient functioning of the nursing unit. Responsibilities • Provides personal care including bath, shampoo, shave, back rub, positions patients, makes beds, prepares patients for meals, feeds patients, and passes ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, stool, urine, sputum, etc. • Collects input and output and records appropriately. • Collects and records vital signs on patient. Obtain and records pertinent patient information per hospital policy. • Assists and/or feeds patients, provides between meal nourishment’s, provides fresh drinking water and encourages fluids when indicated. • Assists in progressive ambulation of patients by wheelchair, stretcher, and bed. • Administers enemas, douches and inserts rectal tubes and documents appropriately. • Applies ace bandages and elastic stockings, fills hot water bottles, ice bags, pads and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by nurse. • Applies condom drains and scrotal suspensatories, unsterile compresses, and binders. • Gives postmortem care and transports body to morgue. • Applies restraints and siderails to assure safety of patients. • Observes isolation technique and gives direct patient care to patients on isolation. • Assists in colostomy care. • Sets up Orthopedic appliances. • Runs errands, delivers messages, and answers telephone. • Maintains a safe environment. • Observes for and reports safety hazards, and prepares incident reports. • Prepares patients for surgery, x-ray and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment: • Remains with patients unless relieved. • Performs such duties as providing proper equipment, supplies, and adjusting lights. • Cleaning up and restocking of area, including supplies and equipment. • Assists in the orientation of the new patient to his surroundings. • Assists in maintaining a sanitary and safe environment in service and nursing areas. • Participates in team conferences, in-service education programs and staff meetings. • Assists other hospital employees as needed, i.e. OR Aide returning patients from the Recovery Room, x-ray, etc. (when indicated). • Assists with admissions, transfers, and discharges of patients. • Performs other related duties as assigned. Qualifications Minimum Education: High school graduate or equivalent preferred Basic Life Support preferred Minimum Work Experience: Previous hospital experience preferred Required Licenses/Certifications: Certified Nurse Aide in Kentucky Required Skills, Knowledge and Abilities: Ability to communicate effectively and document information accurately Ability to deal efficiently and effectively with a wide variety of individuals Knowledge of basic medical terminology preferred Basic computer knowledge is preferred Ability to move or lift patients and equipment Ability to work independently within general guidelines Ability to communicate in English, both orally and written
Appalachian Regional Healthcare

Licensed Practical Nurse

Overview The LPN is responsible for performing a wide variety of nursing care, patient activities, and accommodative services for the comfort and well-being of patients in accordance with physicians' orders and under the guidance and direction of the Registered Nurse. Responsibilities • Performs basic nursing care and patient procedures as required. • Participates in conferences and serves on Committees as requested. • Observes, reports, and documents in the patient chart changes in patient's condition, observations made, and complaints voiced and nursing care performed. • Participates in patient and family health education as necessary. • Provides a safe and secure environment for the patient. • Prepares for and assists with diagnostic and therapeutic treatments. • May administer I.V.F. in accordance with state Nurse Practice Act. • Checks, irrigates and maintains drainage tubes as needed. • May insert N/G tubes after training. (KY & VA). • May administer tube feedings. • Suctions patients according to hospital policy and procedure. • Functions in emergencies and on the code team as designated. • Performs catheterizations and provides catheter care. • Administers oral and intra-muscular, intradermal, subcu, I.V., PB, and medications as approved. • Administers I.V.P. medications as approved. (In Virginia only). • Cares for patients receiving oxygen therapy and analyzes oxygen concentration of O₂ tents, isolette and croupettes. • Administers respiratory treatments (I.P.P.B.). • Applies sterile and unsterile compresses and bandages of all types and styles. • Answers call lights, assists patients with personal hygiene and other activities of daily living. • Tests urine for sugar, acetone, and pH, weighs patients, and takes vital signs. • Cares for patients in isolation. • Assists with physical and vaginal examinations and obtaining pap smears. • Administers post-operative regime: cough, deep breathing, turns patients, and takes vital signs. • Prepares patients for surgery, including pre-op check lists. • Applies ace bandages, all types of traction, hot water bottle and ice cap. • Measures and records intake and output. • Collects specimens; blood, urine, stool and sputum. • Administers post-mortem care and transportation. • Administers enemas: retention, cleansing, therapeutic, colonic, irrigation. • Maintains cleanliness, safety and efficiency in nursing. • Remains alert and responds appropriately in emergency situations, providing patient care, initiating CPR, and performing other tasks designated by the RN or MD. • Assists with the care and security of patients' valuables. • Checks narcotics and barbiturates, reports discrepancies, completes incident reports appropriately, and submits them to appropriate management. • Cares for patients with radium and assists physician with removal of radium. • Prepares used equipment for re-sterilization. • Cleans and maintains storage of equipment. • Requests repairs and follows up with physician and other staff as appropriate regarding equipment performance. • Complies with hospital policies for obtaining, documenting, and following through on telephone and verbal orders. • Monitors glucose via glucose monitor machine. • Collects Quality Improvement data as requested. • Uses universal precautions. • Performs other related duties as assigned. Qualifications Education • Graduate of an accredited school of practical nursing. Licenses & Certifications • Must maintain current licensure in state of practice. • Must successfully complete the I.V. Therapy Course. Required Skills, Knowledge & Abilities • Technical skills in special nursing fields preferred. Experience • Six (6) months to one (1) year on-the-job training is required to attain proficiency of performance of assigned duties.
Appalachian Regional Healthcare

Licensed Practical Nurse

Overview The LPN is responsible for performing a wide variety of nursing care, patient activities, and accommodative services for the comfort and well-being of patients in accordance with physicians' orders and under the guidance and direction of the Registered Nurse. Responsibilities • Performs basic nursing care and patient procedures as required. • Participate in conferences and serves on Committees as requested. • Observes, reports, and documents in the patient chart changes in patient's condition, observations made, and complaints voiced and nursing care performed. • Participates in patient and family health education as necessary. • Provides a safe and secure environment for the patient. • Prepares for and assists with diagnostic and therapeutic treatments. • May administer I.V.F. in accordance with state Nurse Practice Act. • Checks, irrigates and maintains drainage tubes as needed. • May insert N/G tubes after training. (KY & VA). • May administer tube feedings. • Suctions patients according to hospital policy and procedure. • Functions in emergencies and on the code team as designated. • Performs catheterizations and provides catheter care. • Administers oral and intra-muscular, intradermal, subcu, I.V., PB, and medications as approved. • Administers I.V.P. medications as approved. (In Virginia only). • Cares for patients receiving oxygen therapy and analyses oxygen concentration of O2 tents, isolette and croupettes. • Administers respiratory treatments (I.P.P.B.). • Applies sterile and unsterile compresses and bandages of all types and styles. • Answers call lights, assist patients with personal hygiene and other activities of daily living. • Tests urine for sugar, acetone, and ph., weighs patients, and takes vital signs. • Cares for patients in isolation. • Assists with physical and vaginal examinations and obtaining pap smears. • Administers post-operative regime: cough, deep breathing, turn patients, and takes vital signs. • Prepares patients for surgery, including pre-op check lists. • Applies ace bandages, all types of traction, hot water bottle and ice cap. • Measures and records intake and output. • Collects specimens; blood, urine, stool and sputum. • Administers post-mortuum care and transportation. • Administers enemas: retention, cleansing, therapeutic, colonic, irrigation. • Maintains cleanliness, safety and efficiency in nursing. • Alert to and able to respond appropriately in an emergency situation, providing patient care, initiating CPR and any other tasks designated by the RN or MD. • Assists with the care and security of the patients' valuables. • Checks narcotics and barbiturates reports discrepancies, completes incident report appropriately and submits to appropriate management. • Cares for patients with radium and assists physician with removal of radium. • Prepares used equipment for re-sterilization. • Cleans and maintains storage of equipment. Request repairs, follow-up with physician and other staff as appropriate regarding equipment performance. • Comply with hospital policies for obtaining, documenting and follow through on telephone and verbal orders. • Monitors glucose via glucose monitor machine. • Collects Quality Improvement data as requested. • Uses universal precautions. • Performs other related duties as assigned. Qualifications Education • Graduate of an accredited school of practical nursing. Licenses & Certifications • Must maintain current licensure in state of practice. • Must successfully complete the I.V. Therapy Course. Required Skills, Knowledge & Abilities • Technical skills in special nursing fields preferred. Experience • Six (6) months to one (1) year on-the-job training is required to attain proficiency of performance of assigned duties.
Appalachian Regional Healthcare

Nursing Assistant

Overview The Nursing Aide assists in patient care throughout nursing areas, and is responsible for the safe transport of patients via wheelchair or stretcher, dispatch services and appropriate documentation of services. Provides the services of an Observer for any patient on a patient care unit who has been assessed to require constant observation in order to maximize his/her safety. Performs general receptionist and clerical duties in order to facilitate efficient functioning of the nursing unit. Responsibilities • Provides personal care including bath, shampoo, shave, back rub, positions patients, makes beds, prepares patients for meals, feeds patients, and passes ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, stool, urine, sputum, etc. • Collects input and output and records appropriately. • Collects and records vital signs on patient. Obtain and records pertinent patient information per hospital policy. • Assists and/or feeds patients, provides between meal nourishment’s, provides fresh drinking water and encourages fluids when indicated. • Assists in progressive ambulation of patients by wheelchair, stretcher, and bed. • Administers enemas, douches and inserts rectal tubes and documents appropriately. • Applies ace bandages and elastic stockings, fills hot water bottles, ice bags, pads and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by nurse. • Applies condom drains and scrotal suspensatories, unsterile compresses, and binders. • Gives postmortem care and transports body to morgue. • Applies restraints and siderails to assure safety of patients. • Observes isolation technique and gives direct patient care to patients on isolation. • Assists in colostomy care. • Sets up Orthopedic appliances. • Runs errands, delivers messages, and answers telephone. • Maintains a safe environment. • Observes for and reports safety hazards, and prepares incident reports. • Prepares patients for surgery, x-ray and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment: • Remains with patients unless relieved. • Performs such duties as providing proper equipment, supplies, and adjusting lights. • Cleaning up and restocking of area, including supplies and equipment. • Assists in the orientation of the new patient to his surroundings. • Assists in maintaining a sanitary and safe environment in service and nursing areas. • Participates in team conferences, in-service education programs and staff meetings. • Assists other hospital employees as needed, i.e. OR Aide returning patients from the Recovery Room, x-ray, etc. (when indicated). • Assists with admissions, transfers, and discharges of patients. • Performs other related duties as assigned. Qualifications Minimum Education: High school graduate or equivalent preferred Basic Life Support preferred Minimum Work Experience: Previous hospital experience preferred Required Licenses/Certifications: Certified Nurse Aide in Kentucky Required Skills, Knowledge and Abilities: Ability to communicate effectively and document information accurately Ability to deal efficiently and effectively with a wide variety of individuals Knowledge of basic medical terminology preferred Basic computer knowledge is preferred Ability to move or lift patients and equipment Ability to work independently within general guidelines Ability to communicate in English, both orally and written
Appalachian Regional Healthcare

Nursing Assistant

Overview Provides patient care applying specialized knowledge and demonstrated clinical nursing skills. Maintains all required Nursing certifications and licenses. Performs nursing duties applying trained expertise, as well as ensuring patients receive the level of care and attention representative of the company's high-level mission and commitments to the healthcare community. Responsibilities Provides personal care including bath, shampoo, shave, back rub, positions patients, makes beds, prepares patients for meals, feeds patients, and passes ice water. Answers all signal lights and bells promptly to determine and meet patient needs. Collects specimens, stool, urine, sputum, etc. Collects input and output and records appropriately. Collects input and output and records appropriately. Collects and records vital signs on patient. Obtain and records pertinent patient information per hospital policy. Assists and/or feeds patients, provides between meal nourishment’s, provides fresh drinking water and encourages fluids when indicated. Assists in progressive ambulation of patients by wheelchair, stretcher, and bed. Administers enemas, douches and inserts rectal tubes and documents appropriately. Applies ace bandages and elastic stockings, fills hot water bottles, ice bags, pads and humidifiers. Cares for Foley catheters and Levine tubes as instructed by nurse. Applies condom drains and scrotal suspensatories, unsterile compresses, and binders. Gives postmortem care and transports body to morgue. Applies restraints and siderails to assure safety of patients. Observes isolation technique and gives direct patient care to patients on isolation. Assists in colostomy care. Sets up Orthopedic appliances. Runs errands, delivers messages, and answers telephone. Maintains a safe environment. Observes for and reports safety hazards,and prepares incident reports. Prepares patients for surgery, x-ray and other therapeutic and diagnostic procedures. Prepares patients for examination and treatment: a. Remains with patients unless relieved. b. Performs such duties as providing proper equipment, supplies, and adjusting lights. c. Cleaning up and restocking of area, including supplies and equipment. Assists in the orientation of the new patient to his surroundings. Assists in maintaining a sanitary and safe environment in service and nursing areas. Participates in team conferences, in-service education programs and staff meetings. Assists other hospital employees as needed, i.e. OR Aide returning patients from the Recovery Room, x-ray, etc. (when indicated). Assists with admissions, transfers, and discharges of patients. Qualifications Education High School Diploma or GED equivalent preferred. Successful completion of a Nurse Aide Training Program required. Training and Experience Three (3) months of on-the-job training is required to attain proficiency in assigned duties and responsibilities. Additional training may be required for specific work areas, including placement on the Kentucky Nurse Aide Registry to work in a Skilled Nursing Facility (SNF)
Appalachian Regional Healthcare

Nursing Assistant

Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Responsibilities • Provides personal care including bath, shampoo, shave, back rub, positions patients, makes beds, prepares patients for meals, feeds patients, and passes ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, stool, urine, sputum, etc. • Collects input and output and records appropriately. • Collects and records vital signs on patient. Obtain and records pertinent patient information per hospital policy. • Assists and/or feeds patients, provides between meal nourishment’s, provides fresh drinking water and encourages fluids when indicated. • Assists in progressive ambulation of patients by wheelchair, stretcher, and bed. • Administers enemas, douches and inserts rectal tubes and documents appropriately. • Applies ace bandages and elastic stockings, fills hot water bottles, ice bags, pads and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by nurse. • Applies condom drains and scrotal suspensatories, unsterile compresses, and binders. • Gives postmortem care and transports body to morgue. • Applies restraints and siderails to assure safety of patients. • Observes isolation technique and gives direct patient care to patients on isolation. • Assists in colostomy care. • Sets up Orthopedic appliances. • Runs errands, delivers messages, and answers telephone. • Maintains a safe environment. • Observes for and reports safety hazards, and prepares incident reports. • Prepares patients for surgery, x-ray and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment: • Remains with patients unless relieved. • Performs such duties as providing proper equipment, supplies, and adjusting lights. • Cleaning up and restocking of area, including supplies and equipment. • Assists in the orientation of the new patient to his surroundings. • Assists in maintaining a sanitary and safe environment in service and nursing areas. • Participates in team conferences, in-service education programs and staff meetings. • Assists other hospital employees as needed, i.e. OR Aide returning patients from the Recovery Room, x-ray, etc. (when indicated). • Assists with admissions, transfers, and discharges of patients. • Performs other related duties as assigned. Qualifications Education • Successful completion of hospital approved Nursing Aide Training Program. Experience • Three (3) months on-the-job training is required to attain proficiency of performance of assigned duties and responsibilities. Required Skills, Knowledge & Abilities • Additional training may be required and given, to work in some areas; i.e. competency listing with the State of Kentucky to work in SNF.
Appalachian Regional Healthcare

Licensed Practical Nurse

Overview The LPN is responsible for performing a wide variety of nursing care, patient activities, and accommodative services for the comfort and well-being of patients in accordance with physicians' orders and under the guidance and direction of the Registered Nurse. Responsibilities • Performs basic nursing care and patient procedures as required. • Participates in conferences and serves on Committees as requested. • Observes, reports, and documents in the patient chart changes in patient's condition, observations made, and complaints voiced and nursing care performed. • Participates in patient and family health education as necessary. • Provides a safe and secure environment for the patient. • Prepares for and assists with diagnostic and therapeutic treatments. • May administer I.V.F. in accordance with state Nurse Practice Act. • Checks, irrigates and maintains drainage tubes as needed. • May insert N/G tubes after training. (KY & VA). • May administer tube feedings. • Suctions patients according to hospital policy and procedure. • Functions in emergencies and on the code team as designated. • Performs catheterizations and provides catheter care. • Administers oral and intra-muscular, intradermal, subcu, I.V., PB, and medications as approved. • Administers I.V.P. medications as approved. (In Virginia only). • Cares for patients receiving oxygen therapy and analyses oxygen concentration of O₂ tents, isolette and croupettes. • Administers respiratory treatments (I.P.P.B.). • Applies sterile and unsterile compresses and bandages of all types and styles. • Answers call lights, assists patients with personal hygiene and other activities of daily living. • Tests urine for sugar, acetone, and ph., weighs patients, and takes vital signs. • Cares for patients in isolation. • Assists with physical and vaginal examinations and obtaining pap smears. • Administers post-operative regime: cough, deep breathing, turn patients, and takes vital signs. • Prepares patients for surgery, including pre-op check lists. • Applies ace bandages, all types of traction, hot water bottle and ice cap. • Measures and records intake and output. • Collects specimens; blood, urine, stool and sputum. • Administers post-mortuum care and transportation. • Administers enemas: retention, cleansing, therapeutic, colonic, irrigation. • Maintains cleanliness, safety and efficiency in nursing. • Alert to and able to respond appropriately in an emergency situation, providing patient care, initiating CPR and any other tasks designated by the RN or MD. • Assists with the care and security of the patients' valuables. • Checks narcotics and barbiturates, reports discrepancies, completes incident report appropriately and submits to appropriate management. • Cares for patients with radium and assists physician with removal of radium. • Prepares used equipment for re-sterilization. • Cleans and maintains storage of equipment. • Requests repairs and follows up with physician and other staff as appropriate regarding equipment performance. • Complies with hospital policies for obtaining, documenting and follow through on telephone and verbal orders. • Monitors glucose via glucose monitor machine. • Collects Quality Improvement data as requested. • Uses universal precautions. • Performs other related duties as assigned. Qualifications Education • Graduate of an accredited school of practical nursing. Licenses & Certifications • Must maintain current licensure in state of practice. • Must successfully complete the I.V. Therapy Course. Required Skills, Knowledge & Abilities • Technical skills in special nursing fields preferred. Experience • Six (6) months to one (1) year on-the-job training is required to attain proficiency of performance of assigned duties.
Appalachian Regional Healthcare

Nurse Extern Tier II

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 Special Instructions NA 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
Appalachian Regional Healthcare

Registered Nurse

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

Registered Nurse

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

Nursing Assistant

Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Responsibilities • Provides personal care including bath, shampoo, shave, back rub, positions patients, makes beds, prepares patients for meals, feeds patients, and passes ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, stool, urine, sputum, etc. • Collects input and output and records appropriately. • Collects and records vital signs on patient. Obtain and records pertinent patient information per hospital policy. • Assists and/or feeds patients, provides between meal nourishment’s, provides fresh drinking water and encourages fluids when indicated. • Assists in progressive ambulation of patients by wheelchair, stretcher, and bed. • Administers enemas, douches and inserts rectal tubes and documents appropriately. • Applies ace bandages and elastic stockings, fills hot water bottles, ice bags, pads and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by nurse. • Applies condom drains and scrotal suspensatories, unsterile compresses, and binders. • Gives postmortem care and transports body to morgue. • Applies restraints and siderails to assure safety of patients. • Observes isolation technique and gives direct patient care to patients on isolation. • Assists in colostomy care. • Sets up Orthopedic appliances. • Runs errands, delivers messages, and answers telephone. • Maintains a safe environment. • Observes for and reports safety hazards, and prepares incident reports. • Prepares patients for surgery, x-ray and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment: • Remains with patients unless relieved. • Performs such duties as providing proper equipment, supplies, and adjusting lights. • Cleaning up and restocking of area, including supplies and equipment. • Assists in the orientation of the new patient to his surroundings. • Assists in maintaining a sanitary and safe environment in service and nursing areas. • Participates in team conferences, in-service education programs and staff meetings. • Assists other hospital employees as needed, i.e. OR Aide returning patients from the Recovery Room, x-ray, etc. (when indicated). • Assists with admissions, transfers, and discharges of patients. • Performs other related duties as assigned. Qualifications Education • Successful completion of hospital approved Nursing Aide Training Program. Experience • Three (3) months on-the-job training is required to attain proficiency of performance of assigned duties and responsibilities. Required Skills, Knowledge & Abilities • Additional training may be required and given, to work in some areas; i.e. competency listing with the State of Kentucky to work in SNF.
Appalachian Regional Healthcare

Enterprise Registered Nurse Supplemental Staffing Team

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 single shift, travel assignments, seasonal staffing patterns or natural disaster/emergency response. Participates as a member of the Supplemental Staffing Team in cooperation with and under the direction of Director and/or Clinical Nurse Manager or designee. • Supplemental Staffing Team RNs are hired with the understanding they must float based on one of the following staffing models: • 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 greater than 75 miles from the RN's home address and accepts assignments that range from 2 to 13 weeks based on competency. Special Instructions Enterprise: Contracts range from 2 to 26 weeks at facilities within an assigned region, with a maximum of 26 weeks allowed at any single location before reassignment within the assigned region.. Responsibilities • In collaboration with providers, clinical care team members, patients and families (as defined by the patient), evaluates, plans, directs and administers patient care. • 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. • Communicates 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, employee morale, and improvement in the profession of nursing. • In collaboration with the patient and family, evaluates patient outcomes and revises the patient's plan of care. • Negotiates with the patient, family, and healthcare team members to achieve acceptable resolution of conflicts related to patient care or organizational issues. • Demonstrates an appreciation of the hospital mission by acting as a resource for employees, students, and residents. • Supports patient and family centered care and promotes that environment within the care provided. • Includes patients and families in the plan of care and provides education and support as needed. • Incorporates the professional practice model into care delivery. • Acts as a patient safety advocate by participating in ongoing quality improvement initiatives within 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
Appalachian Regional Healthcare

Clinical Nurse Manager

Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities Ensures clinical assignments are based on patient care needs and demonstrated staff competencies. Assists with patient admission and discharge processes to promote efficient patient throughput and high-quality, patient-centered care. Participates in the ongoing assessment and evaluation of patient care services provided on the unit in collaboration with members of the management team. Collaborates with subject matter experts and departmental leaders to foster a teamwork-oriented environment that supports quality outcomes and exceptional service. Supports a patient-first philosophy and participates in service recovery efforts when needed. Supports organizational initiatives designed to improve employee and patient engagement, including nurse leader rounding, employee rounding, hourly rounding, bedside shift reporting, and other nursing strategies. Assists in interviewing, selecting, onboarding, and training new staff members. Recommends and implements appropriate actions related to staff development, conflict resolution, policy compliance, performance evaluations, and disciplinary processes to support organizational goals. Assists with staff scheduling and management of labor resources in accordance with patient care needs and established productivity standards. Supports inventory control processes and assists with the management of departmental supplies and equipment. Collaborates with physicians and other members of the healthcare team to coordinate patient care activities. Demonstrates leadership, initiative, and sound judgment in situations requiring independent decision-making. Recognizes and appropriately escalates issues related to regulatory requirements, policies, and procedures 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. Work Experience: Minimum of one (1) year of clinical nursing experience required. Two (2) years of clinical nursing experience preferred. Knowledge, Skills, and Abilities: Demonstrated leadership abilities required. Knowledge of general nursing principles, practices, and patient care skills. Knowledge of organizational functions, policies, procedures, and regulations. Applicable technical knowledge and clinical skills related to the assigned area of practice. Ability to effectively communicate and collaborate with patients, families, physicians, and healthcare team members. Strong critical thinking, problem-solving, and decision-making skills. Licensure/Certification: Current licensure to practice as a Registered Nurse in Kentucky or West Virginia, based on legal state of residence, required. Basic Life Support (BLS) certification required. Advanced Cardiac Life Support (ACLS) certification required within six (6) months of hire for Emergency Department, Critical Care, Operating Room, and Specialty Areas/Units. Pediatric Advanced Life Support (PALS) certification required within six (6) months of hire for Emergency Department, Operating Room, and Pediatric Medical-Surgical units. Neonatal Resuscitation Program (NRP) and AWHONN Fetal Monitoring certification required within six (6) months of hire for Maternal/Child units. Trauma Nursing Core Course (TNCC) certification required within six (6) months of hire for Emergency Department staff. De-Escalation Training required within six (6) months of hire for all units. Professional Nursing Certification preferred.
Appalachian Regional Healthcare

Registered Nurse

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orients new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Performs other job duties as assigned. 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. Licensure/Certification: Current Registered Nurse (RN) licensure required. Advanced Dysrhythmia/EKG certification required. NIH Stroke Certification required. Basic Life Support (BLS) certification required. Advanced Life Support Certification (ACLS) required. De-Escalation Training required within six (6) months of hire. Pediatric Advanced Life Support (PALS) certification preferred. Knowledge, Skills, and Abilities: Ability to operate critical care equipment, including ventilators, temporary pacemakers, defibrillators, and other emergency equipment. Ability to set up, maintain, and interpret cardiac and hemodynamic monitoring equipment and respond appropriately based on nursing practice standards and hospital procedures. Ability to perform specialized procedures including endotracheal and tracheostomy suctioning, tracheostomy care, extubation, cardiopulmonary resuscitation (CPR), arterial punctures, chest tube and Pleurevac management, and assistance with peritoneal dialysis, paracentesis, and thoracentesis procedures. Ability to manage specialty intravenous drips utilizing approved protocols. Successful completion of a critical care course approved by the Community Chief Nursing Officer prior to assignment as the sole RN provider in a critical care unit. Demonstrated competency in cardiopulmonary resuscitation and airway management. Demonstrated competency in EKG interpretation. Knowledge of pharmacology, including emergency intravenous drug therapy. Knowledge of hemodynamic monitoring principles and critical care procedures. Successful completion of competencies in Moderate Sedation, Stroke Modules, and Restraint Management. Adequate orientation to unit policies, procedures, equipment, safety practices, infection control standards, and performance improvement activities. Strong critical thinking, clinical judgment, communication, and patient assessment skills.
Appalachian Regional Healthcare

Registered Nurse

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

Nursing Assistant

Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Responsibilities • Provides personal care including bath, shampoo, shave, back rub, positions patients, makes beds, prepares patients for meals, feeds patients, and passes ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, stool, urine, sputum, etc. • Collects input and output and records appropriately. • Collects and records vital signs on patient. Obtain and records pertinent patient information per hospital policy. • Assists and/or feeds patients, provides between meal nourishment’s, provides fresh drinking water and encourages fluids when indicated. • Assists in progressive ambulation of patients by wheelchair, stretcher, and bed. • Administers enemas, douches and inserts rectal tubes and documents appropriately. • Applies ace bandages and elastic stockings, fills hot water bottles, ice bags, pads and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by nurse. • Applies condom drains and scrotal suspensatories, unsterile compresses, and binders. • Gives postmortem care and transports body to morgue. • Applies restraints and siderails to assure safety of patients. • Observes isolation technique and gives direct patient care to patients on isolation. • Assists in colostomy care. • Sets up Orthopedic appliances. • Runs errands, delivers messages, and answers telephone. • Maintains a safe environment. • Observes for and reports safety hazards, and prepares incident reports. • Prepares patients for surgery, x-ray and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment: • Remains with patients unless relieved. • Performs such duties as providing proper equipment, supplies, and adjusting lights. • Cleaning up and restocking of area, including supplies and equipment. • Assists in the orientation of the new patient to his surroundings. • Assists in maintaining a sanitary and safe environment in service and nursing areas. • Participates in team conferences, in-service education programs and staff meetings. • Assists other hospital employees as needed, i.e. OR Aide returning patients from the Recovery Room, x-ray, etc. (when indicated). • Assists with admissions, transfers, and discharges of patients. • Performs other related duties as assigned. Qualifications Education • Successful completion of hospital approved Nursing Aide Training Program. Experience • Three (3) months on-the-job training is required to attain proficiency of performance of assigned duties and responsibilities. Required Skills, Knowledge & Abilities • Additional training may be required and given, to work in some areas; i.e. competency listing with the State of Kentucky to work in SNF.