Overview The Supplemental Staffing Team (SST) Registered Nurse (RN) assesses, analyzes, plans, implements andevaluates patient care following established patient care standards for Appalachian Regional Healthcare includingthose established by the Nurse Practice Act. The primary function of this role, based upon hired tier and floatoption, is to be available and flexible to float to various departments and/or hospital sites throughout ARHhealthcare locations within Kentucky and/or West Virginia. The SST RN is to provide patient care, which couldinclude but not limited to same day staffing assignments, more than one assignment location within a singleshift, travel assignments, seasonal staffing patterns or natural disaster/emergency response. Participates as amember of the Supplemental Staffing Team in cooperation with and under the direction of Director and/orClinical Nurse Manager or designee.Essential Job Functions:Supplemental Staffing Team RNs are hired with the understanding they must float based on at least one of theoptions below:•Local: Float expectation within a single site based on competency•Regional: Float expectation within multiple sites within a single region based on competency•Enterprise: Float expectation within multiple sites across one or more regions that are >75 miles from RN'shome address and accepts assignments that range 2-13 weeks based on competency Special Instructions Regional: Float expectation within multiple sites within a single region based on competency. Responsibilities In collaboration with providers, clinical care team members, patients and families (as defined by the patient) the Registered Nurse is responsible for evaluating, planning, directing and administering care to the patient. Implements a plan of care based upon established standards of care/practice, policies, and procedures, incorporating cultural, religious, psychosocial, physical, and age-related issues. Completes all required documentation accurately and within the required timeframe, as well as communicate clinical information with members of the multidisciplinary team. Possesses knowledge of medications and administers them safely and accurately. Appropriately delegates and supervises routine technical functions to non-licensed and licensed personnel. Embraces concepts and behaviors that enhance customer satisfaction and employee morale and improvement in the profession of nursing. In collaboration with the patient/family the RN evaluates patient outcomes and revises the patient’s plan of care. Negotiates with the patient/family and health care team members to come to an acceptable resolution of conflicts resulting from patient care or organizational issues. Demonstrates an appreciation of the hospital mission by acting as a resource for employees, students, and residents. Is supportive of patient and family centered care, promoting that environment within the care provided. Includes family and patient in plan of care, providing teaching and support where needed. Incorporates the professional practice model into care delivery. Acts as a patient safety advocate by participating in ongoing quality improvement in the department. Performs other duties assigned by authorized personnel or as required to meet the needs of the facility and internal and external customers. Qualifications Education • Graduate from an accredited school of nursing.• Associates Degree in Nursing Required• Bachelors of Science in Nursing Preferred Minimum Work Experience • Two (2) years of clinical experience required• Three (3) years of clinical experience preferred Licenses, Certifications, Registrations Required • Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence or compact nurse licensure• BLS upon hire• ACLS required within 6 months of hire: ICU, Tele, PCU, ENDO, PACU, OR, Cath Lab, ED• PALS required within 6 months: OR, PACU & ED• TNCC certification within 6 months: ED Nurses• De-escalation training certification within 6 months: All clinical locations Preferred • Professional Nursing Certification
Overview The Supplemental Staffing Team (SST) Registered Nurse (RN) assesses, analyzes, plans, implements andevaluates patient care following established patient care standards for Appalachian Regional Healthcare includingthose established by the Nurse Practice Act. The primary function of this role, based upon hired tier and floatoption, is to be available and flexible to float to various departments and/or hospital sites throughout ARHhealthcare locations within Kentucky and/or West Virginia. The SST RN is to provide patient care, which couldinclude but not limited to same day staffing assignments, more than one assignment location within a singleshift, travel assignments, seasonal staffing patterns or natural disaster/emergency response. Participates as amember of the Supplemental Staffing Team in cooperation with and under the direction of Director and/orClinical Nurse Manager or designee.Essential Job Functions:Supplemental Staffing Team RNs are hired with the understanding they must float based on at least one of theoptions below:•Local: Float expectation within a single site based on competency•Regional: Float expectation within multiple sites within a single region based on competency•Enterprise: Float expectation within multiple sites across one or more regions that are >75 miles from RN'shome address and accepts assignments that range 2-13 weeks based on competency Special Instructions Enterprise: Float expectation within multiple sites across one or more regions that are >75 miles from RN's. Responsibilities In collaboration with providers, clinical care team members, patients and families (as defined by the patient) the Registered Nurse is responsible for evaluating, planning, directing and administering care to the patient. Implements a plan of care based upon established standards of care/practice, policies, and procedures, incorporating cultural, religious, psychosocial, physical, and age-related issues. Completes all required documentation accurately and within the required timeframe, as well as communicate clinical information with members of the multidisciplinary team. Possesses knowledge of medications and administers them safely and accurately. Appropriately delegates and supervises routine technical functions to non-licensed and licensed personnel. Embraces concepts and behaviors that enhance customer satisfaction and employee morale and improvement in the profession of nursing. In collaboration with the patient/family the RN evaluates patient outcomes and revises the patient’s plan of care. Negotiates with the patient/family and health care team members to come to an acceptable resolution of conflicts resulting from patient care or organizational issues. Demonstrates an appreciation of the hospital mission by acting as a resource for employees, students, and residents. Is supportive of patient and family centered care, promoting that environment within the care provided. Includes family and patient in plan of care, providing teaching and support where needed. Incorporates the professional practice model into care delivery. Acts as a patient safety advocate by participating in ongoing quality improvement in the department. Performs other duties assigned by authorized personnel or as required to meet the needs of the facility and internal and external customers. Qualifications Education • Graduate from an accredited school of nursing.• Associates Degree in Nursing Required• Bachelors of Science in Nursing Preferred Minimum Work Experience • Two (2) years of clinical experience required.• Three (3) years of clinical experience preferred Licenses, Certifications, Registrations Required • Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence or compact nurse licensure• BLS upon hire• ACLS required within 6 months of hire: ICU, Tele, PCU, ENDO, PACU, OR, Cath Lab, ED• PALS required within 6 months: OR, PACU & ED• TNCC certification within 6 months: ED Nurses• De-escalation training certification within 6 months: All clinical locations Preferred • Professional Nursing Certification
Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies.Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care.Participates in the ongoing assessment of the quality of patient care services provided on the unit, in collaboration with other members of the management team.Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service.Supports a patient-first philosophy and engages in service recovery when necessary.Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift report and other initiatives.Provides recommendations related to interviewing, selecting, and training new staff.Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization.Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines.Supports proper inventory control and assists with managing supplies and equipment.Works with medical staff to coordinate management of patient care.Shows leadership and initiative in situations where supervision is not present or required.Appropriately escalates problems relating to rules and regulations in a timely and effective manner. Qualifications Education (experience can be substituted for education) Associate's Degree in Nursing RequiredBachelor's Degree in Nursing Preferred Work Experience (education can be substituted for experience) 1-3 years Minimum of 1 year clinical experience required – 2 years, preferred. Required Knowledge, Skills and Abilities Evidence of leadership experience abilities required.Knowledge of general nursing principles and practice skills;Knowledge of organizational functions, policies and regulations;Applicable knowledge of technical skills related to worked clinical area. Licenses and Certifications Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence. RequiredBLS RequiredACLS within six (6) months of hire (ED, Critical Care, OR and Specialty Areas/Units Only) RequiredPALS within six (6) months of hire (ED, OR, Med/Surg Peds) RequiredNRP and AWHONN fetal monitoring w/in six (6) months (Maternal/Child Only) RequiredTNCC within six (6) months of hire (ED Only) RequiredDe-Escalation Training within six (6) months of hire (all units) RequiredProfessional Nursing Certification Preferred
Overview The Medical Assistant is responsible for efficient and courteous registration, transfer and discharge of patients within established policies and procedures; thoroughly compiles and types medical information for patients' records and statistical reports and maintains current and accurate patient account receivables. The Medical Assistant is responsible for performing a wide variety of patient care activities and accommodative services for the comfort and well-being of patients in accordance with physicians' orders. Responsibilities Performs basis patient care procedures as required. Participates in conferences and serves on committees as requested. Participates in patient and family education as necessary. Prepares for and assists with diagnostic and therapeutic treatments. Takes and records vital signs, height and weight. Performs catheterizations and provides catheter care. Administers oral and intra-muscular medications. Cares for patient receiving oxygen therapy. Applies sterile and non-sterile compresses and bandages. Tests urine for sugar, acetone, and Ph. Assists with physical examinations. Applies ace bandages, hot and/or cold compresses. Collects specimens, blood, urine, stool, and sputum. May do vein punctures and EKGs as needed. Maintains cleanliness, safety and efficiency in the clinic. Alert to and able to respond appropriately in an emergency situation. Prepares used equipment for re-sterilization. Knows legal requirements for reporting to police, health department, and other agencies and follows requirements. Accompanies or transfers patients to other departments such as lab or x-ray. Cleans and stocks examination rooms. Manages time in order to expedite patient flow. Assists with minor out-patient surgery. Greets patients courteously, determines their needs, and offers assistance. Registers patients by performing necessary procedures, such as preparation of records, reports, notices, service charge slips, and payer information. Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusual cases to immediate supervisor. May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or third-party payments. Answers inquires to patient accounts and advises patient on insurance benefits. Receives all payments and deposits, issues receipts for all monies received and otherwise makes proper accounting for all funds received. Posts charges daily to proper patient account. Posts payments to accounts daily. Determines billing method for third party payer. Contacts insurance carriers/agencies to obtain pre-certification of ancillary, admission and surgical procedures. Operates various office equipment to include copiers, fax machines and other equipment as assigned. Operates communication systems, placing and answering telephone calls, paging or contacting staff . May make and maintain appointment schedules for clinic physicians. May secure required signatures on reports and records relative to release of information, according to policies and procedures. Contacts patients, physicians, or others for information necessary to properly complete insurance or other type billings. Types memos, correspondence, etc., as needed. Compiles periodic and statistical reports and other data as directed. Qualifications High School Diploma and Graduate of Medical Assistant Training Program. Ability to type a minimum of 30 words per minute accurately. Three (3) to six (6) months on-the-job training as required to attain proficiency of assigned duties and responsibilities.
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 Associate's Degree Nursing Required Bachelor's Degree Preferred Up to 1 year Preferred Assures all members of the surgical team have been instructed in the surgical 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 operative procedure by positioning and grounding the patient as required, securing the patient on the table, assisting with intubation, and preparing operative site. Accompanies the patient to recovery room and may be required to provide nursing care in the recovery room. 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 operative procedure. Functions as a team member within the surgical department by assisting with gowning and gloving; procuring required medication, blood and supplies; coordinating involvement of other departments with the procedure; properly processing operative specimens. 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 circulating nurse duties as determined by the Director of Surgical Services. 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 OR shall consist of completion of competencies in various areas or roles the nurse will function. RN Required Basic Life Support Certification Required ACLS Required PALS Required De-Escalation Training within 6 months of hire Required
