Nursing Jobs in Hyden, KY

Student Nurse Other
Appalachian Regional Healthcare

Nurse Extern Tier II

apartment Appalachian Regional Healthcare location_onHazard, KY
Overview The Nurse Extern is accountable for providing nursing assistance and performing basic nursing procedures to groups of patients within an assigned nursing department, under the supervision, guidance and direction of a Registered Nurse. In addition, the Nurse Extern can gain additional clinical practice to enhance their preparation as future licensed nurses. Responsibilities Under the continuous direct on-site supervision of a Registered Nurse (for nursing care beyond that performed by nursing assistants once deemed competent for nursing assistant related tasks): Interprets plan of medical care and provides input on nursing care plan and assist in the following provided they have been deemed clinically competent by their nursing instructor. Completes the nursing assessment form with oversight and approval of RN. Provides personal care including bath, shampoo, shave, back rub, positions changes, makes beds, prepares patients for meals, feeds patients and passes ice water. Answers call lights and bells promptly to determine and meet patient needs. Collects specimens, stool, urine, sputum, etc. Collects input and output and records appropriately. Collects and records vital signs on patient. Obtains and records pertinent patient information per hospital policy. Assist and/or feeds patients. (enteral feedings included), provides between meal nourishments, provides fresh drinking water and encourages fluids when indicated. Assists in progressive ambulation of patients by wheelchair, stretcher and bed. Administers enemas, douches and inserts rectal tubes and documents appropriately. Applies ace bandages and elastic stockings and sequential compression devices. Inserts catheters and feeding tubes. Applies restraints and side rails to ensure safety of patients. Observes isolation technique and give direct care to patients in isolation. Assists in ostomy care and education. Set up orthopedic appliances. Performs nursing functions requiring skill and judgement (supervised by RN). Maintains records and reports necessary information in regard to patient care. Confers periodically with the RN on activities of the nursing staff and matters related to nursing care. Assists in patient and family education as directed by the RN. Serves as a liaison between the patient and other members of the health team. Prepares patients for surgery and other therapeutic and diagnostic procedures. Maintains a safe environment for patient care. Place IV infusion devices under the direct supervision/immediate presence at the bedside of the supervising nurse. Performs other duties as assigned. Qualifications High school diploma or GED equivalent. Enrollment in Board of Nursing approved School of Nursing Registered Nurse Program Completion of Nursing Fundamentals and/or basic Med/Surg clinical rotation. (Will vary per school) Program Duration: 6-12 Months Program Candidates: Enrolled in an Accredited Registered Nurse Program Minimum Requirements: Education: Successful completion of one Med/Surg clinical rotation in an acute care setting Current Transcripts and Copy of Skills Evaluation on basic procedures, such as: Taking vital signs, giving bed baths, feeding, positioning and turning patients, etc. Recommendation letter from 2 instructors Pass Background Check (Note: Candidate will be scheduled for interview when requirements #1 to #5 are complete) After acceptance into the program, candidates have to pass post off screenings/physical screening and other organization requirements for new hires.
Student Nurse Other
Appalachian Regional Healthcare

Nurse Extern Tier II

apartment Appalachian Regional Healthcare location_onHazard, KY
Overview The Nurse Extern is accountable for providing nursing assistance and performing basic nursing procedures to groups of patients within an assigned nursing department, under the supervision, guidance and direction of a Registered Nurse. In addition, the Nurse Extern can gain additional clinical practice to enhance their preparation as future licensed nurses. Responsibilities Under the continuous direct on-site supervision of a Registered Nurse (for nursing care beyond that performed by nursing assistants once deemed competent for nursing assistant related tasks): Interprets plan of medical care and provides input on nursing care plan and assist in the following provided they have been deemed clinically competent by their nursing instructor. Completes the nursing assessment form with oversight and approval of RN. Provides personal care including bath, shampoo, shave, back rub, positions changes, makes beds, prepares patients for meals, feeds patients and passes ice water. Answers call lights and bells promptly to determine and meet patient needs. Collects specimens, stool, urine, sputum, etc. Collects input and output and records appropriately. Collects and records vital signs on patient. Obtains and records pertinent patient information per hospital policy. Assist and/or feeds patients. (enteral feedings included), provides between meal nourishments, provides fresh drinking water and encourages fluids when indicated. Assists in progressive ambulation of patients by wheelchair, stretcher and bed. Administers enemas, douches and inserts rectal tubes and documents appropriately. Applies ace bandages and elastic stockings and sequential compression devices. Inserts catheters and feeding tubes. Applies restraints and side rails to ensure safety of patients. Observes isolation technique and give direct care to patients in isolation. Assists in ostomy care and education. Set up orthopedic appliances. Performs nursing functions requiring skill and judgement (supervised by RN). Maintains records and reports necessary information in regard to patient care. Confers periodically with the RN on activities of the nursing staff and matters related to nursing care. Assists in patient and family education as directed by the RN. Serves as a liaison between the patient and other members of the health team. Prepares patients for surgery and other therapeutic and diagnostic procedures. Maintains a safe environment for patient care. Place IV infusion devices under the direct supervision/immediate presence at the bedside of the supervising nurse. Performs other duties as assigned. Qualifications High school diploma or GED equivalent. Enrollment in Board of Nursing approved School of Nursing Registered Nurse Program Completion of Nursing Fundamentals and/or basic Med/Surg clinical rotation. (Will vary per school) Program Duration: 6-12 Months Program Candidates: Enrolled in an Accredited Registered Nurse Program Minimum Requirements: Education: Successful completion of one Med/Surg clinical rotation in an acute care setting Current Transcripts and Copy of Skills Evaluation on basic procedures, such as: Taking vital signs, giving bed baths, feeding, positioning and turning patients, etc. Recommendation letter from 2 instructors Pass Background Check (Note: Candidate will be scheduled for interview when requirements #1 to #5 are complete) After acceptance into the program, candidates have to pass post off screenings/physical screening and other organization requirements for new hires.
Student Nurse Other
Appalachian Regional Healthcare

Nurse Extern Tier II

apartment Appalachian Regional Healthcare location_onHazard, KY
Overview The Nurse Extern is accountable for providing nursing assistance and performing basic nursing procedures to groups of patients within an assigned nursing department, under the supervision, guidance and direction of a Registered Nurse. In addition, the Nurse Extern can gain additional clinical practice to enhance their preparation as future licensed nurses. Responsibilities Under the continuous direct on-site supervision of a Registered Nurse (for nursing care beyond that performed by nursing assistants once deemed competent for nursing assistant related tasks): Interprets plan of medical care and provides input on nursing care plan and assist in the following provided they have been deemed clinically competent by their nursing instructor. Completes the nursing assessment form with oversight and approval of RN. Provides personal care including bath, shampoo, shave, back rub, positions changes, makes beds, prepares patients for meals, feeds patients and passes ice water. Answers call lights and bells promptly to determine and meet patient needs. Collects specimens, stool, urine, sputum, etc. Collects input and output and records appropriately. Collects and records vital signs on patient. Obtains and records pertinent patient information per hospital policy. Assist and/or feeds patients. (enteral feedings included), provides between meal nourishments, provides fresh drinking water and encourages fluids when indicated. Assists in progressive ambulation of patients by wheelchair, stretcher and bed. Administers enemas, douches and inserts rectal tubes and documents appropriately. Applies ace bandages and elastic stockings and sequential compression devices. Inserts catheters and feeding tubes. Applies restraints and side rails to ensure safety of patients. Observes isolation technique and give direct care to patients in isolation. Assists in ostomy care and education. Set up orthopedic appliances. Performs nursing functions requiring skill and judgement (supervised by RN). Maintains records and reports necessary information in regard to patient care. Confers periodically with the RN on activities of the nursing staff and matters related to nursing care. Assists in patient and family education as directed by the RN. Serves as a liaison between the patient and other members of the health team. Prepares patients for surgery and other therapeutic and diagnostic procedures. Maintains a safe environment for patient care. Place IV infusion devices under the direct supervision/immediate presence at the bedside of the supervising nurse. Performs other duties as assigned. Qualifications High school diploma or GED equivalent. Enrollment in Board of Nursing approved School of Nursing Registered Nurse Program Completion of Nursing Fundamentals and/or basic Med/Surg clinical rotation. (Will vary per school) Program Duration: 6-12 Months Program Candidates: Enrolled in an Accredited Registered Nurse Program Minimum Requirements: Education: Successful completion of one Med/Surg clinical rotation in an acute care setting Current Transcripts and Copy of Skills Evaluation on basic procedures, such as: Taking vital signs, giving bed baths, feeding, positioning and turning patients, etc. Recommendation letter from 2 instructors Pass Background Check (Note: Candidate will be scheduled for interview when requirements #1 to #5 are complete) After acceptance into the program, candidates have to pass post off screenings/physical screening and other organization requirements for new hires.
Student Nurse Other
Appalachian Regional Healthcare

Nurse Extern Tier II

apartment Appalachian Regional Healthcare location_onHazard, KY
Overview The Nurse Extern is accountable for providing nursing assistance and performing basic nursing procedures to groups of patients within an assigned nursing department, under the supervision, guidance and direction of a Registered Nurse. In addition, the Nurse Extern can gain additional clinical practice to enhance their preparation as future licensed nurses. Responsibilities Under the continuous direct on-site supervision of a Registered Nurse (for nursing care beyond that performed by nursing assistants once deemed competent for nursing assistant related tasks): Interprets plan of medical care and provides input on nursing care plan and assist in the following provided they have been deemed clinically competent by their nursing instructor. Completes the nursing assessment form with oversight and approval of RN. Provides personal care including bath, shampoo, shave, back rub, positions changes, makes beds, prepares patients for meals, feeds patients and passes ice water. Answers call lights and bells promptly to determine and meet patient needs. Collects specimens, stool, urine, sputum, etc. Collects input and output and records appropriately. Collects and records vital signs on patient. Obtains and records pertinent patient information per hospital policy. Assist and/or feeds patients. (enteral feedings included), provides between meal nourishments, provides fresh drinking water and encourages fluids when indicated. Assists in progressive ambulation of patients by wheelchair, stretcher and bed. Administers enemas, douches and inserts rectal tubes and documents appropriately. Applies ace bandages and elastic stockings and sequential compression devices. Inserts catheters and feeding tubes. Applies restraints and side rails to ensure safety of patients. Observes isolation technique and give direct care to patients in isolation. Assists in ostomy care and education. Set up orthopedic appliances. Performs nursing functions requiring skill and judgement (supervised by RN). Maintains records and reports necessary information in regard to patient care. Confers periodically with the RN on activities of the nursing staff and matters related to nursing care. Assists in patient and family education as directed by the RN. Serves as a liaison between the patient and other members of the health team. Prepares patients for surgery and other therapeutic and diagnostic procedures. Maintains a safe environment for patient care. Place IV infusion devices under the direct supervision/immediate presence at the bedside of the supervising nurse. Performs other duties as assigned. Qualifications High school diploma or GED equivalent. Enrollment in Board of Nursing approved School of Nursing Registered Nurse Program Completion of Nursing Fundamentals and/or basic Med/Surg clinical rotation. (Will vary per school) Program Duration: 6-12 Months Program Candidates: Enrolled in an Accredited Registered Nurse Program Minimum Requirements: Education: Successful completion of one Med/Surg clinical rotation in an acute care setting Current Transcripts and Copy of Skills Evaluation on basic procedures, such as: Taking vital signs, giving bed baths, feeding, positioning and turning patients, etc. Recommendation letter from 2 instructors Pass Background Check (Note: Candidate will be scheduled for interview when requirements #1 to #5 are complete) After acceptance into the program, candidates have to pass post off screenings/physical screening and other organization requirements for new hires.
Student Nurse Other
Appalachian Regional Healthcare

Nurse Extern Tier II

apartment Appalachian Regional Healthcare location_onHazard, KY
Overview The Nurse Extern is accountable for providing nursing assistance and performing basic nursing procedures to groups of patients within an assigned nursing department, under the supervision, guidance and direction of a Registered Nurse. In addition, the Nurse Extern can gain additional clinical practice to enhance their preparation as future licensed nurses. Responsibilities Under the continuous direct on-site supervision of a Registered Nurse (for nursing care beyond that performed by nursing assistants once deemed competent for nursing assistant related tasks): Interprets plan of medical care and provides input on nursing care plan and assist in the following provided they have been deemed clinically competent by their nursing instructor. Completes the nursing assessment form with oversight and approval of RN. Provides personal care including bath, shampoo, shave, back rub, positions changes, makes beds, prepares patients for meals, feeds patients and passes ice water. Answers call lights and bells promptly to determine and meet patient needs. Collects specimens, stool, urine, sputum, etc. Collects input and output and records appropriately. Collects and records vital signs on patient. Obtains and records pertinent patient information per hospital policy. Assist and/or feeds patients. (enteral feedings included), provides between meal nourishments, provides fresh drinking water and encourages fluids when indicated. Assists in progressive ambulation of patients by wheelchair, stretcher and bed. Administers enemas, douches and inserts rectal tubes and documents appropriately. Applies ace bandages and elastic stockings and sequential compression devices. Inserts catheters and feeding tubes. Applies restraints and side rails to ensure safety of patients. Observes isolation technique and give direct care to patients in isolation. Assists in ostomy care and education. Set up orthopedic appliances. Performs nursing functions requiring skill and judgement (supervised by RN). Maintains records and reports necessary information in regard to patient care. Confers periodically with the RN on activities of the nursing staff and matters related to nursing care. Assists in patient and family education as directed by the RN. Serves as a liaison between the patient and other members of the health team. Prepares patients for surgery and other therapeutic and diagnostic procedures. Maintains a safe environment for patient care. Place IV infusion devices under the direct supervision/immediate presence at the bedside of the supervising nurse. Performs other duties as assigned. Qualifications High school diploma or GED equivalent. Enrollment in Board of Nursing approved School of Nursing Registered Nurse Program Completion of Nursing Fundamentals and/or basic Med/Surg clinical rotation. (Will vary per school) Program Duration: 6-12 Months Program Candidates: Enrolled in an Accredited Registered Nurse Program Minimum Requirements: Education: Successful completion of one Med/Surg clinical rotation in an acute care setting Current Transcripts and Copy of Skills Evaluation on basic procedures, such as: Taking vital signs, giving bed baths, feeding, positioning and turning patients, etc. Recommendation letter from 2 instructors Pass Background Check (Note: Candidate will be scheduled for interview when requirements #1 to #5 are complete) After acceptance into the program, candidates have to pass post off screenings/physical screening and other organization requirements for new hires.
RN Manager/Supervisor Other
Appalachian Regional Healthcare

Clinical Nurse Manager (Tier 1

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

Registered Nurse Tier 2

apartment Appalachian Regional Healthcare location_onHyden, KY
Overview The Staff Nurse is accountable for interpreting the plan of Medical care, assessment of patients clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. Responsibilities Takes report from prior shift and gives report to oncoming shift which includes condition of patients, diagnosis, treatments, procedures given and required and other aspects of the plan of care. Performs assessments and reassessments of patients. Reviews ancillary service reports, communicates abnormal results to physicians, and notifies supervisor and physician when ancillary services are not completed. Interprets plan of medical care, evaluates patients, and devises patient plan of care. Maintains proper control of medicine, equipment and supplies specific to the assigned unit. Plans for discharge of patient considering all available resources and continuum of care needs. Refers patients to chaplain, social worker, and agencies as required. Provides a safe and secure environment for the patient. Implements the patient plan of care by assigning tasks to nursing and non-nursing personnel, and continuously assessing and evaluating patient care and patient's responses to nursing care. Performs nursing treatments and procedures and total patient care which may require expert skill and judgment in accordance with established nursing standards. May accompany physicians when possible on rounds, communicates pertinent information about patient to the physician, and assists the physician with treatments and procedures or delegate if not possible. Performs certain special procedures for which specialized training and supervised experience has been received. Plans for and provides effective patient and family education. Documents pertinent findings, plan of care and evaluation of care in the medical record. Assists patients in performing activities of daily living to meet the basic human needs. Prepares and maintains reports, charts, records, and forms as required by hospital, state, and federal regulations. May accompany patients who are transferred to another medical facility. Notifies supervisor, doctor, and/or family/guardian as appropriate when patient's condition changes. Observes and evaluates work performed by LPNs, Nursing Aides, ORT's and Clerks to validate that treatments and procedures are being performed in compliance with the plan of care and established hospital guidelines. Participates in teaching activities for other hospital personnel and nursing students. Participates in the orientation of new employees. Participates in committee meetings as requested. Attends inservice programs per contract. Assumes responsibility for personal professional development. Assists in the development of review and revision of Nursing policies and procedures. Respects the dignity and confidentiality of all matters relating to the patients. Performs other related duties as required within the scope of the job classification. Qualifications EDUCATION, TRAINING, AND EXPERIENCE REQUIREMENTS: Graduation from a State accredited or approved school of nursing. Licensed in State of employment. POSITION PHYSICAL REQUIREMENTS: Must possess physical abilities to endure prolonged standing and walking and ability to lift, carry, push and pull; exerting 50 to 100 pounds of force occasionally, and/or 25 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Heavy Work.
RN Other
Appalachian Regional Healthcare

Registered Nurse Tier 1(Union)

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

Registered Nurse Tier 1(Union) OR

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

Registered Nurse Tier 2

apartment Appalachian Regional Healthcare location_onHyden, KY
Overview The Staff Nurse is accountable for interpreting the plan of Medical care, assessment of patients clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. Responsibilities Takes report from prior shift and gives report to oncoming shift which includes condition of patients, diagnosis, treatments, procedures given and required and other aspects of the plan of care. Performs assessments and reassessments of patients. Reviews ancillary service reports, communicates abnormal results to physicians, and notifies supervisor and physician when ancillary services are not completed. Interprets plan of medical care, evaluates patients, and devises patient plan of care. Maintains proper control of medicine, equipment and supplies specific to the assigned unit. Plans for discharge of patient considering all available resources and continuum of care needs. Refers patients to chaplain, social worker, and agencies as required. Provides a safe and secure environment for the patient. Implements the patient plan of care by assigning tasks to nursing and non-nursing personnel, and continuously assessing and evaluating patient care and patient's responses to nursing care. Performs nursing treatments and procedures and total patient care which may require expert skill and judgment in accordance with established nursing standards. May accompany physicians when possible on rounds, communicates pertinent information about patient to the physician, and assists the physician with treatments and procedures or delegate if not possible. Performs certain special procedures for which specialized training and supervised experience has been received. Plans for and provides effective patient and family education. Documents pertinent findings, plan of care and evaluation of care in the medical record. Assists patients in performing activities of daily living to meet the basic human needs. Prepares and maintains reports, charts, records, and forms as required by hospital, state, and federal regulations. May accompany patients who are transferred to another medical facility. Notifies supervisor, doctor, and/or family/guardian as appropriate when patient's condition changes. Observes and evaluates work performed by LPNs, Nursing Aides, ORT's and Clerks to validate that treatments and procedures are being performed in compliance with the plan of care and established hospital guidelines. Participates in teaching activities for other hospital personnel and nursing students. Participates in the orientation of new employees. Participates in committee meetings as requested. Attends inservice programs per contract. Assumes responsibility for personal professional development. Assists in the development of review and revision of Nursing policies and procedures. Respects the dignity and confidentiality of all matters relating to the patients. Performs other related duties as required within the scope of the job classification. Qualifications EDUCATION, TRAINING, AND EXPERIENCE REQUIREMENTS: Graduation from a State accredited or approved school of nursing. Licensed in State of employment. POSITION PHYSICAL REQUIREMENTS: Must possess physical abilities to endure prolonged standing and walking and ability to lift, carry, push and pull; exerting 50 to 100 pounds of force occasionally, and/or 25 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Heavy Work.
RN Infusion Oncology Educator Other
Appalachian Regional Healthcare

System Clinical Nurse Educator Oncology Infusion

apartment Appalachian Regional Healthcare location_onHazard, KY
Overview Under the guidance of the AVP of Nursing Education and Professional Practice and System Chief Nursing Officer, the Clinical Nurse Educator functions in the roles of Educator, Facilitator, Consultant, Change Agent, and Leader. The Clinical Nurse Educator (CNE) participates in the development of standardized educational initiatives across the Appalachian Regional Healthcare (ARH) organization and plays a vital role in leading change in pursuit of improved nursing practice and professional development. The Clinical Nurse Educator promotes a positive image and maintains positive relationships with internal and external customers. The Clinical Nurse Educator may be required to travel to other ARH facilities to provide education, under the direction of the AVP of Nursing Education and Professional Practice. Responsibilities Conducts educational needs assessments using a variety of methods/tools. Incorporates principles of adult learning in the planning, implementation, and evaluation of educational programs, creating a climate with supports learning across the organization. Coordinates and facilitates nursing orientation and competency evaluation of new staff to the organization, and well as training/education for new equipment and new/revised clinical care policies and protocols. Develops and delivers evidence-based educational programs and offerings. Utilizes best practices in educational content delivery. Collaborates with Community Chief Nursing officer, local nursing leadership and other disciplines to create a robust educational environment while fostering teambuilding and leadership development. Provides point of care assistance and support to assist nursing staff with clinical skills development and critical thinking. Evaluates effectiveness of educational programs utilizing best practices. Utilizes a variety of evidence-based instructional techniques. Adjusts educational content and teaching strategies based on appropriate learner needs, utilizing various media and formats. Collaborates with and supports all ARH facilities in developing and delivering educational programs as determined by the AVP Nursing Education and Professional Practice. Assumes ownership and responsibility in attaining, developing, and maintaining educational and instructional expertise. Facilitates centralized nursing orientation. Oversees the onboarding of student nurses and clinical faculty to assure adherence to ARH and regulatory guidelines. Oversees, in collaboration with Nursing Leadership, Human Resources, and applicable Schools of Nursing, compliance with the Nurse Extern Program. Responds to changes in nursing practice and develops programs to support these changes. Ensures that educational programs are congruent with organizational missions, values, and goals. Maintains flexibility when managing multiple roles/responsibilities. Interprets and communicates across multiple disciplines. Promotes a safe and healthy work environment. Serves as a role mode to promote education, professionalism, excellence, and safety. Role models and promotes the concept of life-long learning. Leads committees, work groups, and/or projects related to the implementation of educational activities. Performs related duties as assigned. Qualifications Education: Graduate from an accredited school of nursing BSN Required or have plan to obtain within 2 years Master’s Degree Preferred Work Experience: Three (3) years clinical nursing experience required *Five (5) years or more preferred Minimum of 1 year nursing education experience required *Three (3) or more preferred Licenses and Certifications: Current license to practice nursing in the states of KY or WV depending on state of residency. Professional Certification Required or plan to obtain within 2 years of employment. BLS required upon hire. ACLS required within 6 months of employment. PALS required within 6 months of employment. TNCC required within 1 year. De-escalation training (ARH adopted) required within 6 months. Designated Instructor Certification Requirements BLS Instructor designation with minimal requirement of teaching two courses annually. ACLS Instructor designation with minimal requirement of teaching two courses annually. PALS Instructor designation with minimal requirement of teaching two courses annually. De-Escalation Instructor designation with minimal requirement of teaching two courses annually. TNCC Instructor designation with minimal requirement of teaching two courses annually. Other Instructor designations as needed with minimal requirement of teaching two courses annually. *To facilitate the professional competence and confidence of the Clinical Nurse Educator, the AVP of Nursing Education and Professional Practice may assign mandatory professional development activities, workshops and educational offerings."
CNA Other
Appalachian Regional Healthcare

Certified Nurse Aide-Non Union

apartment Appalachian Regional Healthcare location_onHyden, KY
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 Successful completion of hospital approved Nursing Aide Training Program. Three (3) months on-the-job training is required to attain proficiency of performance of assigned duties and responsibilities. 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.
RN ER Other
Appalachian Regional Healthcare

Registered Nurse Tier 1(Union) ER

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

Director of Nursing Services I

apartment Appalachian Regional Healthcare location_onHazard, KY
Overview The Director, Nursing Services is accountable for the overall administration of the department in order to meet the objectives of the hospital through planning, organizing, executing and evaluating the nursing care provided for patients in the hospital. Responsibilities Manage the department in an efficient manner by planning, organizing and controlling all activities of the department. Formulate and implement the objectives of the department in accordance with hospital goals. Develop, evaluate, implement, interpret and maintain hospital plans and work standards and procedures for the clinical practice of nursing that are in compliance with hospital policies, governmental regulations and various regulatory agency requirements. Serve as a role model for nursing staff by complying with established policies and procedures. Supervise the implementation of total quality management concepts which are used to determine effectiveness of nursing care delivery systems throughout the hospital. Participate as a member of the key management hospital team and in hospital strategic planning activities. Interpret the role of nursing for the hospital's strategic plans. Manage the personnel function by interviewing, selecting, evaluating, disciplining and terminating personnel or recommending such action as necessary. Assure that employees receive orientation and required in-service training, that they maintain required licensure or certification and that pertinent nursing education programs are developed and presented to promote clinical competency and staff development. Determine staffing needs and patterns and recommend appropriate staffing levels and classifications consistent with unit position authorization. Administer the Bargaining Agreements at the local level as it pertains to Nursing Service personnel. Coordinate the activities of various nursing units and establish productive working relationships with the medical staff and support services. Maintain up-to-date knowledge in the field so they may recommend new services, products and equipment. Continue professional development by attending education programs designed for nursing leaders. May provide direct patient care when higher levels of skill and judgement are required. Demonstrate the skills and knowledge necessary to provide care appropriate to the age of the patient served. Adhere to the infection control policies and procedures of the hospital. Formulate and prepare the departmental budget, routine and special reports and various forms and documents as required. Take administrative calls when delegated by the Administrator. Serve on hospital committee and attend meetings, as required. May work off shifts, weekends and holidays, be on-call and work more than standard hours. Perform other related duties as assigned. Qualifications EDUCATION, TRAINING AND EXPERIENCE : Graduation from an approved school of nursing and current non-limited licensure in state. Bachelor's degree preferred. Minimum of five years experience in nursing supervision and/or administration, with formalized training and/or experience in effective management techniques. Demonstrated leadership and ability to motivate and to work cooperatively with individuals and groups. POSITION PHYSICAL REQUIREMENTS: Must possess physical ability to endure prolonged sitting; moderate walking; lifting and carrying. May require exerting up to 20 pounds of force occasionally; and/or up to 10 pounds of force frequently; and/or a negligible amount of force constantly to move objects. Physical Demand requirements are in excess of those for sedentary work. SPECIFIC ACCOUNTABILITIES : Accountable for assuring the efficient operation of all nursing units in accordance with hospital objectives. Accountable for establishing and achieving nursing department objectives and goals. Accountable for providing a climate for professional growth and development through programs of orientation, evaluation, in-service and continuing education. Accountable for safe, effective patient care in all nursing areas in hospital. Accountable for supervising the implementation of total quality management concepts in all nursing areas in the hospital. Accountable for developing and administering the Nursing Department budget. Accountable for acting as liaison between Nursing Service and other hospital departments.
RN Manager/Supervisor Other
Appalachian Regional Healthcare

Clinical Nurse Manager

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

Clinical Nurse Manager

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

Clinical Nurse Manager

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

Certified Nurse Aide Non Union - LTACH

apartment Appalachian Regional Healthcare location_onHazard, KY
Overview The Nursing Assistant 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. Qualifications Minimum Education: High school graduate or equivalent 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
RN Manager/Supervisor Other
Appalachian Regional Healthcare

Clinical Nurse Manager

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

Registered Nurse Tier 1

apartment Appalachian Regional Healthcare location_onHazard, KY
Overview The Staff Nurse is accountable for interpreting the plan of medical care, assessment of patients clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. The Staff Nurse provides clinical supervision to LPNs, Nursing Aides, and Nursing Service Clerks where applicable. Special Instructions On call responsibilities after orientation. Responsibilities MAJOR ACTIVITIES · Takes report from prior shift and gives report to oncoming shift which includes condition of patients, diagnosis, treatments, procedures given and required and other aspects of the plan of care. · Performs assessments and reassessments of patients. · Reviews ancillary service reports, communicates abnormal results to physicians, and notifies supervisor and physician when ancillary services are not completed. · Interprets plan of medical care, evaluates patients, and devises patient plan of care. · Maintains proper control of medicine, equipment and supplies specific to the assigned unit. · Plans for discharge of patient considering all available resources and continuum of care needs. · Refers patients to chaplain, social worker, and agencies as required. · Provides a safe and secure environment for the patient. · Implements the patient plan of care by assigning tasks to nursing and non-nursing personnel, and continuously assessing and evaluating patient care and patient's responses to nursing care. · Performs nursing treatments and procedures and total patient care which may require expert skill and judgment in accordance with established nursing standards · May accompany physicians when possible on rounds, communicates pertinent information about patient to the physician, and assists the physician with treatments and procedures or delegate if not possible. · Performs certain special procedures for which specialized training and supervised experience has been received. · Plans for and provides effective patient and family education. · Documents pertinent findings, plan of care and evaluation of care in the medical record. · Assists patients in performing activities of daily living to meet the basic human needs. · Prepares and maintains reports, charts, records, and forms as required by hospital, state, and federal regulations. · May accompany patients who are transferred to another medical facility. · Notifies supervisor, doctor, and/or family/guardian as appropriate when patient's condition changes. · Observes and evaluates work performed by LPNs, Nursing Aides, and Clerks to validate that treatments and procedures are being performed in compliance with the plan of care and established hospital guidelines. · Participates in teaching activities for other hospital personnel and nursing students. · Participates in the orientation of new employees. · Participates in interdisciplinary team meetings · Participates in committee meetings as requested. · Attends in-service programs per contract. · Assumes responsibility for personal professional development. · Assists in the development of review and revision of Nursing policies and procedures. · Respects the dignity and confidentiality of all matters relating to the patients. · Operates crucial 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 procedure. · Perform such special procedures as endotracheal and tracheostomy suctioning; tracheostomy care; extubation; cardio-pulmonary resuscitation; arterial punctions; care of chest tubes and plerevac; set-up and assistance with peritoneal dialysis, paracentesis, thoracentesis. · Performs other related duties as required within the scope of the job classification. SPECIFIC ACCOUNTABILITIES · Responsible for assessment/reassessment of patients and documentation of nursing intervention. · Responsible for implementing the patient plan of care. · Responsible for determining which nursing acts can be delegated and to whom. · Responsible for providing direction and assistance to those supervised, observes and monitors the activities of those supervised and evaluates the effectiveness of acts performed under supervision. · Responsible for assuring that the individual performing delegated nursing acts has the necessary educational preparation and validation of competence in order to perform the act in a safe manner. · Responsible for preparing reports, charts, records, and forms required by hospital, state and federal agencies. · Responsible for participating in educational programs to further professional growth and development, and assisting in conducting in-service programs. · Perform other duties as assigned. DEFINITION: SUPERVISION The provision of guidance by a qualified nurse for the accomplishment of a nursing task with periodic observation and evaluation of the performance of the task including validation that the nursing task has been performed according to established standards of practice [ 201 KAR 20:400 Section 1 (7)]. Qualifications Education · Graduation from a State accredited or approved school of nursing. · Must maintain current licensure in state of practice. Required Skills, Knowledge, and Abilities Prior to assignment as sole RN provider, the nurse must successfully complete critical care course acceptable to the Director of Nursing 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 policies, procedures and equipment. Orientation shall include safety procedures, infection control practices, and performance improvement activities
RN Educator Other
Appalachian Regional Healthcare

Home Services Clinical Nurse Educator

apartment Appalachian Regional Healthcare location_onHazard, KY
Overview Under the guidance of the AVP of Nursing Education and Professional Practice and System Chief Nursing Officer, the Clinical Nurse Educator functions in the roles of Educator, Facilitator, Consultant, Change Agent, and Leader. The Clinical Nurse Educator (CNE) participates in the development of standardized educational initiatives across the Appalachian Regional Healthcare (ARH) organization and plays a vital role in leading change in pursuit of improved nursing practice and professional development. The Clinical Nurse Educator promotes a positive image and maintains positive relationships with internal and external customers. The Clinical Nurse Educator may be required to travel to other ARH facilities to provide education, under the direction of the AVP of Nursing Education and Professional Practice. Responsibilities Conducts educational needs assessments using a variety of methods/tools.Incorporates principles of adult learning in the planning, implementation, and evaluation of educational programs, creating a climate with supports learning across the organization.Coordinates and facilitates nursing orientation and competency evaluation of new staff to the organization, and well as training/education for new equipment and new/revised clinical care policies and protocols.Develops and delivers evidence-based educational programs and offerings.Utilizes best practices in educational content delivery.Collaborates with Community Chief Nursing officer, local nursing leadership and other disciplines to create a robust educational environment while fostering teambuilding and leadership development.Provides point of care assistance and support to assist nursing staff with clinical skills development and critical thinking.Evaluates effectiveness of educational programs utilizing best practices.Utilizes a variety of evidence-based instructional techniques.Adjusts educational content and teaching strategies based on appropriate learner needs, utilizing various media and formats.Collaborates with and supports all ARH facilities in developing and delivering educational programs as determined by the AVP Nursing Education and Professional Practice.Assumes ownership and responsibility in attaining, developing, and maintaining educational and instructional expertise.Facilitates centralized nursing orientation.Oversees the onboarding of student nurses and clinical faculty to assure adherence to ARH and regulatory guidelines.Oversees, in collaboration with Nursing Leadership, Human Resources, and applicable Schools of Nursing, compliance with the Nurse Extern Program.Responds to changes in nursing practice and develops programs to support these changes.Ensures that educational programs are congruent with organizational missions, values, and goals.Maintains flexibility when managing multiple roles/responsibilities.Interprets and communicates across multiple disciplines.Promotes a safe and healthy work environment.Serves as a role mode to promote education, professionalism, excellence, and safety.Role models and promotes the concept of life-long learning.Leads committees, work groups, and/or projects related to the implementation of educational activities.Performs related duties as assigned. Qualifications Education (experience can be substituted for education) Bachelor's Degree BSN Required or have plan to obtain within 2 years RequiredMaster's Degree Nursing or Education Preferred Work Experience (education can be substituted for experience) 1-3 years 3 years of nursing experience. Required4-6 years 5 years of nursing experience preferred. Preferred1-3 years Minimum of 1 year nursing education experience required *Three (3) or more preferred Knowledge, Skills and AbilitiesBLS Instructor designation with minimal requirement of teaching two courses annually.ACLS Instructor designation with minimal requirement of teaching two courses annually.PALS Instructor designation with minimal requirement of teaching two courses annually.De-Escalation Instructor designation with minimal requirement of teaching two courses annually.TNCC Instructor designation with minimal requirement of teaching two courses annually.Other Instructor designations as needed with minimal requirement of teaching two courses annually.*To facilitate the professional competence and confidence of the Clinical Nurse Educator, the AVP of Nursing Education and Professional Practice may assign mandatory professional development activities, workshops and educational offerings." Licenses and Certifications Current licensure to practice nursing in the state of KY or WV dependent on state of residency Required• Professional Certification Required or plan to obtain within 2 years of employment.• BLS required upon hire.• ACLS required within 6 months of employment.• PALS required within 6 months of employment.• TNCC required within 1 year.• De-escalation training (ARH adopted) required within 6 months. Required
RN ICU Other
Appalachian Regional Healthcare

Registered Nurse Tier 1 (Union) - ICU

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

Registered Nurse Tier 2

apartment Appalachian Regional Healthcare location_onHyden, KY
Overview The Staff Nurse is accountable for interpreting the plan of Medical care, assessment of patients clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. Responsibilities Takes report from prior shift and gives report to oncoming shift which includes condition of patients, diagnosis, treatments, procedures given and required and other aspects of the plan of care. Performs assessments and reassessments of patients. Reviews ancillary service reports, communicates abnormal results to physicians, and notifies supervisor and physician when ancillary services are not completed. Interprets plan of medical care, evaluates patients, and devises patient plan of care. Maintains proper control of medicine, equipment and supplies specific to the assigned unit. Plans for discharge of patient considering all available resources and continuum of care needs. Refers patients to chaplain, social worker, and agencies as required. Provides a safe and secure environment for the patient. Implements the patient plan of care by assigning tasks to nursing and non-nursing personnel, and continuously assessing and evaluating patient care and patient's responses to nursing care. Performs nursing treatments and procedures and total patient care which may require expert skill and judgment in accordance with established nursing standards. May accompany physicians when possible on rounds, communicates pertinent information about patient to the physician, and assists the physician with treatments and procedures or delegate if not possible. Performs certain special procedures for which specialized training and supervised experience has been received. Plans for and provides effective patient and family education. Documents pertinent findings, plan of care and evaluation of care in the medical record. Assists patients in performing activities of daily living to meet the basic human needs. Prepares and maintains reports, charts, records, and forms as required by hospital, state, and federal regulations. May accompany patients who are transferred to another medical facility. Notifies supervisor, doctor, and/or family/guardian as appropriate when patient's condition changes. Observes and evaluates work performed by LPNs, Nursing Aides, ORT's and Clerks to validate that treatments and procedures are being performed in compliance with the plan of care and established hospital guidelines. Participates in teaching activities for other hospital personnel and nursing students. Participates in the orientation of new employees. Participates in committee meetings as requested. Attends inservice programs per contract. Assumes responsibility for personal professional development. Assists in the development of review and revision of Nursing policies and procedures. Respects the dignity and confidentiality of all matters relating to the patients. Performs other related duties as required within the scope of the job classification. Qualifications EDUCATION, TRAINING, AND EXPERIENCE REQUIREMENTS: Graduation from a State accredited or approved school of nursing. Licensed in State of employment. POSITION PHYSICAL REQUIREMENTS: Must possess physical abilities to endure prolonged standing and walking and ability to lift, carry, push and pull; exerting 50 to 100 pounds of force occasionally, and/or 25 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Heavy Work.
RN Other
Appalachian Regional Healthcare

Registered Nurse Tier 1(Union)

apartment Appalachian Regional Healthcare location_onHarlan, KY
Overview The Staff Nurse is accountable for interpreting the plan of Medical care, assessment of patients clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. Responsibilities Takes report from prior shift and gives report to oncoming shift which includes condition of patients, diagnosis, treatments, procedures given and required and other aspects of the plan of care. Performs assessments and reassessments of patients. Reviews ancillary service reports, communicates abnormal results to physicians, and notifies supervisor and physician when ancillary services are not completed. Interprets plan of medical care, evaluates patients, and devises patient plan of care. Maintains proper control of medicine, equipment and supplies specific to the assigned unit. Plans for discharge of patient considering all available resources and continuum of care needs. Refers patients to chaplain, social worker, and agencies as required. Provides a safe and secure environment for the patient. Implements the patient plan of care by assigning tasks to nursing and non-nursing personnel, and continuously assessing and evaluating patient care and patient's responses to nursing care. Performs nursing treatments and procedures and total patient care which may require expert skill and judgment in accordance with established nursing standards. May accompany physicians when possible on rounds, communicates pertinent information about patient to the physician, and assists the physician with treatments and procedures or delegate if not possible. Performs certain special procedures for which specialized training and supervised experience has been received. Plans for and provides effective patient and family education. Documents pertinent findings, plan of care and evaluation of care in the medical record. Assists patients in performing activities of daily living to meet the basic human needs. Prepares and maintains reports, charts, records, and forms as required by hospital, state, and federal regulations. May accompany patients who are transferred to another medical facility. Notifies supervisor, doctor, and/or family/guardian as appropriate when patient's condition changes. Observes and evaluates work performed by LPNs, Nursing Aides, ORT's and Clerks to validate that treatments and procedures are being performed in compliance with the plan of care and established hospital guidelines. Participates in teaching activities for other hospital personnel and nursing students. Participates in the orientation of new employees. Participates in committee meetings as requested. Attends inservice programs per contract. Assumes responsibility for personal professional development. Assists in the development of review and revision of Nursing policies and procedures. Respects the dignity and confidentiality of all matters relating to the patients. Performs other related duties as required within the scope of the job classification. Qualifications EDUCATION, TRAINING, AND EXPERIENCE REQUIREMENTS: Graduation from a State accredited or approved school of nursing. Licensed in State of employment. POSITION PHYSICAL REQUIREMENTS: Must possess physical abilities to endure prolonged standing and walking and ability to lift, carry, push and pull; exerting 50 to 100 pounds of force occasionally, and/or 25 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Heavy Work.
RN Manager/Supervisor Other
Appalachian Regional Healthcare

Head Nurse Manager

apartment Appalachian Regional Healthcare location_onHazard, KY
Overview The Head Nurse Manager is accountable for the supervision of nursing services within an assigned unit in order to provide safe, effective and efficient nursing care. Responsibilities Supervises the department in an efficient manner by planning, organizing and controlling all activities of the department. Implement, interpret and enforce work standards and procedures within the unit that are in compliance with hospitals policies, governmental regulations and various regulatory agency requirements. Serve as a role model for nursing staff by complying with established policies and procedures. Incorporate total quality management concepts into unit operations. Develop, implement, monitor and enforce the principles of effective nursing care on the unit. Develop effective communications between unit personnel, physicians and other departments to assure continuity, coordination and collaboration in delivering services. Provides direct patient care when higher levels of skill and judgement are required. Demonstrate the skills and knowledge necessary to provide care appropriate to the age of the patient served. Relieve other Head nurse managers and Nurse Supervisors as required. May work different shifts and/or days for orientation, training and evaluation of personnel in the unit. Maintain up-to-date knowledge in the field so they may recommend new services, products and equipment. Continue professional development by attending education programs designed for nursing leaders. Interview, select, evaluate, discipline and terminate personnel or recommending such action as necessary. Assure that employees receive orientation and required in-service training and that they maintain required licensure or certification. Maintain personnel records as required. Develop work schedules and assign unit personnel on the basis of patient needs and appropriate nursing intervention. Head Nurse Manager Position Description Page 2 Supervise labor relations activities in the assigned area. Prepare the departmental budget, routine and special reports and various forms and documents as required. Attend or conduct meetings as necessary. Adhere to the infection control policies and procedures of the hospital. May work off shifts, weekends and holidays, be on-call and work more than standard hours. Perform other related duties as assigned. Qualifications Graduation from an approved school of nursing and current non-limited licensure in state. BS or MSN is preferred. Minimum of five (5) years experience and demonstrated management and clinical skills.