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 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 Clinical Nurse Manager, working with Nurse Managers, is accountable for the supervision of nursing services for certain assigned nursing units to provide safe, effective and efficient nursing care. This position is an important part of the Management Team and the responsibilities for the position include: assigning, assessing, planning, implementing, and evaluating clinical care for the assigned unit(s). This position is evaluated on the basis of objective measurable criteria, including maximizing the personal abilities and competence of staff nurses, licensed practical nurses and other personnel assigned to the unit(s) for which the Clinical Nurse Manager is responsible. Responsibilities Outlined below are the primary responsibilities for this position. This list is not intended to be an exhaustive list of all duties performed, and therefore, its content should not be read to restrict additional management and supervisory functions that a Clinical Nurse Manager may carry out in meeting the responsibilities of this position. Develop, implement and evaluate unit(s) goals, objectives, policies, procedures, and standards of care, which contribute to the achievement of unit(s) objectives. Oversee and coordinate the activities and job duties of unit assigned personnel to achieve assigned objectives for quality results, customer/patient satisfaction, cost-effectiveness and compliance with fiscal budget. Incorporate total quality management concepts into unit operations. Assign work to staff nurses, licensed practical nurses, nurse aides, nursing service clerks, monitor technicians and other necessary personnel to meet patient care objectives. Ensure continuity of patient care by planning staff assignments through evaluation of the competency, education and training of unit personnel compared to patient care needs. Develop effective communications between unit personnel, physicians and other Community employees to assure continuity, coordination and collaboration in delivering appropriate health care services. Maintain proficiency with respect to applicable technologies to permit informed recommendations regarding new services, products and equipment. Interview, select, evaluate, discipline and terminate unit personnel, or recommend such action, as necessary, consistent with Community policies and procedures. Assure that assigned employees receive proper orientation and attend in-service training that is required for such employees to maintain proper licensure or certification. Maintain personnel records and related information as required. Develop work schedules for unit(s) assigned, including vacation, leaves of absence, call-in, call-off, and other time off requirements. Responsibly direct and supervise all labor relations activities in the assigned unit(s). Assist in Preparation or area/department/unit budgets, routine and special reports and other documents as required. Attend management meetings and participate in formulating management and supervisory personnel policies and procedures. Apply advance knowledge with respect to clinical matters, serving as a role model and resource, including performing direct patient care as necessary. Direct, oversee, and assist in the delivery of patient care with respect to assigned unit(s) including, but not limited to such functions as follows: Assist in cases of emergency. Train new, inexperienced and present assigned personnel by instruction and demonstration of safe or proper working procedures. Assist assigned personnel in the performance of a task when requested by such personnel. Assist assigned personnel in correcting, adjusting or controlling new equipment during installation or testing periods. Assist assigned personnel in meeting patient care requirements where undo delay would interrupt safe patient care, until other assistance is available. Fill in for assigned personnel to avoid interruption in safe patient care until additional assigned personnel are located and available for work. Perform or assist in the performance of clinical treatments, procedures, and total patient care which may require expert skills and judgment in accordance with established standards. Perform duties related to patient care not otherwise assigned to the bargaining unit. Qualifications Graduation from an approved school of nursing and maintain current non-limited license in assigned State. BS or MSN preferred; a minimum of two (2) years of relevant experience, five (5) years preferred, with demonstrated management potential and proficient clinical skills.
Overview The Clinical Nurse Manager, working with Nurse Managers, is accountable for the supervision of nursing services for certain assigned nursing units to provide safe, effective and efficient nursing care. This position is an important part of the Management Team and the responsibilities for the position include: assigning, assessing, planning, implementing, and evaluating clinical care for the assigned unit(s). This position is evaluated on the basis of objective measurable criteria, including maximizing the personal abilities and competence of staff nurses, licensed practical nurses and other personnel assigned to the unit(s) for which the Clinical Nurse Manager is responsible. Responsibilities Outlined below are the primary responsibilities for this position. This list is not intended to be an exhaustive list of all duties performed, and therefore, its content should not be read to restrict additional management and supervisory functions that a Clinical Nurse Manager may carry out in meeting the responsibilities of this position. Develop, implement and evaluate unit(s) goals, objectives, policies, procedures, and standards of care, which contribute to the achievement of unit(s) objectives. Oversee and coordinate the activities and job duties of unit assigned personnel to achieve assigned objectives for quality results, customer/patient satisfaction, cost-effectiveness and compliance with fiscal budget. Incorporate total quality management concepts into unit operations. Assign work to staff nurses, licensed practical nurses, nurse aides, nursing service clerks, monitor technicians and other necessary personnel to meet patient care objectives. Ensure continuity of patient care by planning staff assignments through evaluation of the competency, education and training of unit personnel compared to patient care needs. Develop effective communications between unit personnel, physicians and other Community employees to assure continuity, coordination and collaboration in delivering appropriate health care services. Maintain proficiency with respect to applicable technologies to permit informed recommendations regarding new services, products and equipment. Interview, select, evaluate, discipline and terminate unit personnel, or recommend such action, as necessary, consistent with Community policies and procedures. Assure that assigned employees receive proper orientation and attend in-service training that is required for such employees to maintain proper licensure or certification. Maintain personnel records and related information as required. Develop work schedules for unit(s) assigned, including vacation, leaves of absence, call-in, call-off, and other time off requirements. Responsibly direct and supervise all labor relations activities in the assigned unit(s). Assist in Preparation or area/department/unit budgets, routine and special reports and other documents as required. Attend management meetings and participate in formulating management and supervisory personnel policies and procedures. Apply advance knowledge with respect to clinical matters, serving as a role model and resource, including performing direct patient care as necessary. Direct, oversee, and assist in the delivery of patient care with respect to assigned unit(s) including, but not limited to such functions as follows: Assist in cases of emergency. Train new, inexperienced and present assigned personnel by instruction and demonstration of safe or proper working procedures. Assist assigned personnel in the performance of a task when requested by such personnel. Assist assigned personnel in correcting, adjusting or controlling new equipment during installation or testing periods. Assist assigned personnel in meeting patient care requirements where undo delay would interrupt safe patient care, until other assistance is available. Fill in for assigned personnel to avoid interruption in safe patient care until additional assigned personnel are located and available for work. Perform or assist in the performance of clinical treatments, procedures, and total patient care which may require expert skills and judgment in accordance with established standards. Perform duties related to patient care not otherwise assigned to the bargaining unit. Qualifications Graduation from an approved school of nursing and maintain current non-limited license in assigned State. BS or MSN preferred; a minimum of two (2) years of relevant experience, five (5) years preferred, with demonstrated management potential and proficient clinical skills.
Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Training for all personnel assigned to the Emergency Room shall consist of the following: 1.State and federal regulations related to emergency services. 2.Nursing management of trauma. 3.Nursing management of cardiac related disorders. 4.Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention. 5.Pharmacological intervention (IV therapy). 6.Patient assessment (triage). 7.Nursing management of pediatric emergencies. 8.Medicolegal aspects, particularly related to proper documentation. 9.Nursing management of obstetrical emergencies. 10.Patient/family emotional response. 11.Cardiopulmonary resuscitation and airway management. Qualifications Associate's Degree Graduation from an accredited school of nursing. Required Bachelor's Degree Preferred Up to 1 year Preferred Minimum of one (1) year acute care nursing experience (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. Preferred 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. 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
