Nursing Jobs in Inez, KY

Registered Nurse Tier 1

apartment Appalachian Regional Healthcare location_onPrestonsburg, 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 Registered Nurse. Required BLS upon hire Required De-Escalation Training within 6 months of hire Required Driver's License required Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments. Responsible for performing nursing treatments, procedures and total client care in accordance with established agency andnursing care standards. Responsible for communicating pertinent client assessments/reassessments finding to physician. Responsible for initiating referrals to other health care organizations and community services based on identified client needs andphysician orders. Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations.

RN

Other

Registered Nurse Tier 1

apartment Appalachian Regional Healthcare location_onPrestonsburg, 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 Registered Nurse. Required BLS upon hire Required De-Escalation Training within 6 months of hire Required Driver's License required Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments. Responsible for performing nursing treatments, procedures and total client care in accordance with established agency andnursing care standards. Responsible for communicating pertinent client assessments/reassessments finding to physician. Responsible for initiating referrals to other health care organizations and community services based on identified client needs andphysician orders. Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations.

RN

Other

Registered Nurse Tier 1

apartment Appalachian Regional Healthcare location_onPrestonsburg, 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 Registered Nurse. Required BLS upon hire Required De-Escalation Training within 6 months of hire Required Driver's License required Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments. Responsible for performing nursing treatments, procedures and total client care in accordance with established agency andnursing care standards. Responsible for communicating pertinent client assessments/reassessments finding to physician. Responsible for initiating referrals to other health care organizations and community services based on identified client needs andphysician orders. Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations.

RN

Other

Registered Nurse Tier 1

apartment Appalachian Regional Healthcare location_onPrestonsburg, 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 Registered Nurse. Required BLS upon hire Required De-Escalation Training within 6 months of hire Required Driver's License required Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments. Responsible for performing nursing treatments, procedures and total client care in accordance with established agency andnursing care standards. Responsible for communicating pertinent client assessments/reassessments finding to physician. Responsible for initiating referrals to other health care organizations and community services based on identified client needs andphysician orders. Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations.

RN

Manager/Supervisor

Other

Clinical Nurse Manager-Highlands

apartment Appalachian Regional Healthcare location_onPrestonsburg, 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

Registered Nurse Tier 1 ER / Behavioral Health

apartment Appalachian Regional Healthcare location_onPrestonsburg, KY

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Special Instructions The Behavioral Nurse in the Emergency Department will focus on the behavioral health section of the ER. We treat a wide variety of patients that come through the ER for behavioral health services. Some are involuntary and some are voluntary. The behavioral health nurse would be responsible for the assessment, sitting, medication administration and all other duties as assigned in our locked behavioral health unit. They would talk with providers and deal directly with our inpatient behavioral health unit. When there are no patients in the behavioral health are this nurse will step out and help ER staff. These duties may include patient assessments, admission assessments, discharges, medication administration, transporting patients to other units and all other duties as assigned. They will have the same certification requirements as emergency room staff nurses and behavioral health experience is preferred. If there is no behavioral health experience they will orient on the inpatient behavioral health unit for 30 days before coming to the emergency department. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orients new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Performs other job duties as assigned. Training for all personnel assigned to the Emergency Room shall consist of the following: 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. The Behavioral Nurse in the Emergency Department will focus on the behavioral health section of the ER. We treat a wide variety of patients that come through the ER for behavioral health services. Some are involuntary and some are voluntary. The behavioral health nurse would be responsible for the assessment, sitting, medication administration and all other duties as assigned in our locked behavioral health unit. They would talk with providers and deal directly with our inpatient behavioral health unit. When there are no patients in the behavioral health are this nurse will step out and help ER staff. These duties may include patient assessments, admission assessments, discharges, medication administration, transporting patients to other units and all other duties as assigned. They will have the same certification requirements as emergency room staff nurses and behavioral health experience is preferred. If there is no behavioral health experience they will orient on the inpatient behavioral health unit for 30 days before coming to the emergency department. 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

Registered Nurse Tier 1 ER / Behavioral Health

apartment Appalachian Regional Healthcare location_onPrestonsburg, KY

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Special Instructions The Behavioral Nurse in the Emergency Department will focus on the behavioral health section of the ER. We treat a wide variety of patients that come through the ER for behavioral health services. Some are involuntary and some are voluntary. The behavioral health nurse would be responsible for the assessment, sitting, medication administration and all other duties as assigned in our locked behavioral health unit. They would talk with providers and deal directly with our inpatient behavioral health unit. When there are no patients in the behavioral health are this nurse will step out and help ER staff. These duties may include patient assessments, admission assessments, discharges, medication administration, transporting patients to other units and all other duties as assigned. They will have the same certification requirements as emergency room staff nurses and behavioral health experience is preferred. If there is no behavioral health experience they will orient on the inpatient behavioral health unit for 30 days before coming to the emergency department. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orients new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Performs other job duties as assigned. Training for all personnel assigned to the Emergency Room shall consist of the following: 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. The Behavioral Nurse in the Emergency Department will focus on the behavioral health section of the ER. We treat a wide variety of patients that come through the ER for behavioral health services. Some are involuntary and some are voluntary. The behavioral health nurse would be responsible for the assessment, sitting, medication administration and all other duties as assigned in our locked behavioral health unit. They would talk with providers and deal directly with our inpatient behavioral health unit. When there are no patients in the behavioral health are this nurse will step out and help ER staff. These duties may include patient assessments, admission assessments, discharges, medication administration, transporting patients to other units and all other duties as assigned. They will have the same certification requirements as emergency room staff nurses and behavioral health experience is preferred. If there is no behavioral health experience they will orient on the inpatient behavioral health unit for 30 days before coming to the emergency department. 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

Registered Nurse Tier 1 ER / Behavioral Health

apartment Appalachian Regional Healthcare location_onPrestonsburg, KY

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Special Instructions The Behavioral Nurse in the Emergency Department will focus on the behavioral health section of the ER. We treat a wide variety of patients that come through the ER for behavioral health services. Some are involuntary and some are voluntary. The behavioral health nurse would be responsible for the assessment, sitting, medication administration and all other duties as assigned in our locked behavioral health unit. They would talk with providers and deal directly with our inpatient behavioral health unit. When there are no patients in the behavioral health are this nurse will step out and help ER staff. These duties may include patient assessments, admission assessments, discharges, medication administration, transporting patients to other units and all other duties as assigned. They will have the same certification requirements as emergency room staff nurses and behavioral health experience is preferred. If there is no behavioral health experience they will orient on the inpatient behavioral health unit for 30 days before coming to the emergency department. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orients new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Performs other job duties as assigned. Training for all personnel assigned to the Emergency Room shall consist of the following: 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. The Behavioral Nurse in the Emergency Department will focus on the behavioral health section of the ER. We treat a wide variety of patients that come through the ER for behavioral health services. Some are involuntary and some are voluntary. The behavioral health nurse would be responsible for the assessment, sitting, medication administration and all other duties as assigned in our locked behavioral health unit. They would talk with providers and deal directly with our inpatient behavioral health unit. When there are no patients in the behavioral health are this nurse will step out and help ER staff. These duties may include patient assessments, admission assessments, discharges, medication administration, transporting patients to other units and all other duties as assigned. They will have the same certification requirements as emergency room staff nurses and behavioral health experience is preferred. If there is no behavioral health experience they will orient on the inpatient behavioral health unit for 30 days before coming to the emergency department. 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

Other

Registered Nurse Tier 1 OR

apartment Appalachian Regional Healthcare location_onPrestonsburg, KY

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

CMA

Other

Medical Assistant-Non Union Highlands

apartment Appalachian Regional Healthcare location_onPrestonsburg, KY

Overview Manages individualized, goal-directed nursing care through use of the nursing process and the principles of primary nursing in accordance with physician office and hospital policies and procedures. Qualifications Minimum Education -RMA preferred but not required -Minimum- Certified Medical Assistant certificate Minimum Work Experience -3+ year of Experience in a clinic setting preferred Required Licenses/Certifications -RMA or CMA Certified Required Skills, Knowledge, and Abilities -Thorough knowledge of office equipment and computer related programs including physician EMR programs, spreadsheets, and word documents. -Lab/Phlebotomy training and competency obtained. -Required to comply with OSHA regulations for the N95 respirator training and fit testing.

RN

Other

Registered Nurse Tier 1 OR

apartment Appalachian Regional Healthcare location_onPrestonsburg, KY

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

CMA

Other

MEDICAL ASSISTANT

apartment Appalachian Regional Healthcare location_onKY

Overview The Medical Assistant is responsible for efficient and courteous registration, transfer and discharge of patients within established policies and procedures; thoroughly compiles and types medical information for patients' records and statistical reports and maintains current and accurate patient account receivables. The Medical Assistant is responsible for performing a wide variety of patient care activities and accommodative services for the comfort and well-being of patients in accordance with physicians' orders. Responsibilities Performs basis patient care procedures as required. Participates in conferences and serves on committees as requested. Participates in patient and family education as necessary. Prepares for and assists with diagnostic and therapeutic treatments. Takes and records vital signs, height and weight. Performs catheterizations and provides catheter care. Administers oral and intra-muscular medications. Cares for patient receiving oxygen therapy. Applies sterile and non-sterile compresses and bandages. Tests urine for sugar, acetone, and Ph. Assists with physical examinations. Applies ace bandages, hot and/or cold compresses. Collects specimens, blood, urine, stool, and sputum. May do venipunctures and EKGs as needed. Maintains cleanliness, safety and efficiency in the clinic. Prepares used equipment for re-sterilization. Knows legal requirements for reporting to police, health department, and other agencies and follows requirements. Accompanies or transfers patients to other departments such as lab or x-ray. Cleans and stocks examination rooms. Manages time in order to expedite patient flow. Assists with minor out-patient surgery. Greets patients courteously, determines their needs, and offers assistance. Registers patients by performing necessary procedures, such as preparation of records, reports, notices, service charge slips, and payor information. Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusual cases to immediate supervisor. May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or third-party payments. Answers inquires to patient accounts and advises patient on insurance benefits. Receives all payments and deposits, issues receipts for all monies received and otherwise makes proper accounting for all funds received. Posts charges daily to proper patient account. Posts payments to accounts daily. Determines billing method for third party payor. Contacts insurance carriers/agencies to obtain pre-certification of ancillary, admission and surgical procedures. Operates various office equipment to include copiers, fax machines and other equipment as assigned. Operates communication systems, placing and answering telephone calls, paging or contacting staff . May make and maintain appointment schedules for clinic physicians. May secure required signatures on reports and records relative to release of information, according to policies and procedures. Contacts patients, physicians, or others for information necessary to properly complete insurance or other type billings. Types memos, correspondence, etc., as needed. Compiles periodic and statistical reports and other data as directed. Obtain patient history and take vital signs to assist physician with examination and treatment. Prepare and maintain examination and treatment area. Perform selected tests that assist with diagnosis and treatment. Screen and follow-up patient test results. Prepare and administer medications as directed by physician and maintain medication records. Qualifications High School Diploma and Graduate of Medical Assistant Training Program. Ability to type a minimum of 30 words per minute accurately. Three (3) to six (6) months on-the-job training as required to attain proficiency of assigned duties and responsibilities.

RN

Educator

Other

Clinical Nurse Educator LTACH

apartment Appalachian Regional Healthcare location_onKY

Overview Under the guidance of the 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 ARH Advanced Care 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. 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 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 ARH Advanced Care facilities in developing and delivering educational programs as determined by the Chief Nursing Officer. Assumes ownership and responsibility in attaining, developing, and maintaining educational and instructional expertise.Provide direct patient care when higher levels of skill and judgement are required. Demonstrate the skills andknowledge necessary to provide care appropriate to the patient served.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.May work off-shifts, weekends and holidays, be on call and work more than standard hours.Participate in hospital committee meetings as requested by leadershipMaintains 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. 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. 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."

RN

ICU

Other

RN ICU - Paintsville

apartment Appalachian Regional Healthcare location_onPaintsville, 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

House Nurse Coordinator (Tier

apartment Appalachian Regional Healthcare location_onKY

Overview The House Nurse Coordinator is accountable for the management of nursing services on a given shift under the guidance of the Director of Nursing Services in order to provide safe, effective and efficient nursing care. Responsibilities Manage nursing services on the assigned shift in an efficient manner by planning, organizing and controlling all activities of the department(s). Implement, interpret and enforce work standards and procedures on the assigned shift 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. Implement total quality management concepts into nursing service operations. Use the concepts of total quality management to evaluate the effectiveness of shift operations, make changes or recommendations for changes as indicated and assure that the appropriate staff and supplies are available to patients when needed. Determine the placement of patients according to nursing care needs and coordinate the transfer of patients or equipment in accordance with hospital policy. Coordinate the solution of interdepartmental problems with the appropriate management and administrative personnel. 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. Relieve the Director of Nursing as required. Function as house supervisor as required. May work off shifts, weekends and holidays, be on-call and work more than standard hours. 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 recommend such action as necessary. Assure that employees receive orientation and required in-service training and that they maintain required licensure or certification. Reassign nursing staff in accordance with the results of the patient classification system. Adhere to the infection control policies and procedures of the hospital. Serve on hospital and nursing committees as required. Perform other related duties as assigned. Qualifications Graduation from an approved school of nursing and current non-limited license in state. Minimum of three (3) years experience and demonstrated management and clinical skills.

RN

Manager/Supervisor

Other

Clinical Nurse Manager-Highlands

apartment Appalachian Regional Healthcare location_onPrestonsburg, 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

Med-Surg

Other

RN Med Surg - Paintsville

apartment Appalachian Regional Healthcare location_onPaintsville, 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

Manager/Supervisor

Other

Clinical Nurse Manager (Tier 1

apartment Appalachian Regional Healthcare location_onKY

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

Registered Nurse Tier 1 Dialysis

apartment Appalachian Regional Healthcare location_onPrestonsburg, 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. The Inpatient Dialysis RN provides specialized nursing care to patients undergoing dialysis treatment in an acute care setting. This role includes patient assessment, treatment administration, emergency response, and interdisciplinary collaboration to ensure safe and effective dialysis care. The RN may deliver care across multiple modalities including hemodialysis, peritoneal dialysis, and continuous renal replacement therapy (CRRT). 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 Conduct comprehensive patient assessments prior to, during, and after dialysis treatments. Administer dialysis treatments in accordance with physician orders and established protocols. Safely administer medications related to dialysis care and monitor for adverse reactions. Respond promptly and effectively to dialysis-related emergencies and changes in patient condition. Educate patients and families about dialysis procedures, post-treatment care, and long-term management. Document all aspects of patient care accurately and timely in the electronic medical record. Collaborate with nephrologists, hospital staff, and dialysis team members to coordinate care. Manage dialysis equipment setup, operation, troubleshooting, and disinfection across all modalities. Ensure compliance with infection control, safety, and regulatory standards. Participate in quality improvement initiatives, staff education, and ongoing training. Respects dignity and confidentiality of all matters relating to patients Performs other job duties as assigned. Qualifications Education (experience can be substituted for education) Bachelor's Degree Preferred Associate's Degree Required Work Experience (education can be substituted for experience) Up to one-year Acute care or dialysis experience Preferred. Experience with hemodialysis, peritoneal dialysis, or CRRT is highly desirable. Preferred. Knowledge, Skills and Abilities Mastery of problem solving and decision making skills. Mastery of collaboration and teamwork. Mastery of growth mindset (agility and developing yourself and others) skills. Mastery of execution and delivery (planning, delivering, and supporting) skills. Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. Mastery knowledge of phases of care transitions and resources available for patients. Mastery of digital literacy skills. Licenses and Certifications Registered Nurse. Required BLS upon hire Required De-Escalation Training within 6 months of hire Required Advanced Dysrhythmia/EKG (Med/Surg telemetry unit ONLY) Required