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.
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.
Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies.Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care.Participates in the ongoing assessment of the quality of patient care services provided on the unit, in collaboration with other members of the management team.Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service.Supports a patient-first philosophy and engages in service recovery when necessary.Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift report and other initiatives.Provides recommendations related to interviewing, selecting, and training new staff.Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization.Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines.Supports proper inventory control and assists with managing supplies and equipment.Works with medical staff to coordinate management of patient care.Shows leadership and initiative in situations where supervision is not present or required.Appropriately escalates problems relating to rules and regulations in a timely and effective manner. Qualifications Education (experience can be substituted for education) Associate's Degree in Nursing RequiredBachelor's Degree in Nursing Preferred Work Experience (education can be substituted for experience) 1-3 years Minimum of 1 year clinical experience required – 2 years, preferred. Required Knowledge, Skills and Abilities Evidence of leadership experience abilities required.Knowledge of general nursing principles and practice skills;Knowledge of organizational functions, policies and regulations;Applicable knowledge of technical skills related to worked clinical area. Licenses and Certifications Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence. RequiredBLS RequiredACLS within six (6) months of hire (ED, Critical Care, OR and Specialty Areas/Units Only) RequiredPALS within six (6) months of hire (ED, OR, Med/Surg Peds) RequiredNRP and AWHONN fetal monitoring w/in six (6) months (Maternal/Child Only) RequiredTNCC within six (6) months of hire (ED Only) RequiredDe-Escalation Training within six (6) months of hire (all units) RequiredProfessional Nursing Certification Preferred
Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies.Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care.Participates in the ongoing assessment of the quality of patient care services provided on the unit, in collaboration with other members of the management team.Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service.Supports a patient-first philosophy and engages in service recovery when necessary.Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift report and other initiatives.Provides recommendations related to interviewing, selecting, and training new staff.Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization.Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines.Supports proper inventory control and assists with managing supplies and equipment.Works with medical staff to coordinate management of patient care.Shows leadership and initiative in situations where supervision is not present or required.Appropriately escalates problems relating to rules and regulations in a timely and effective manner. Qualifications Education (experience can be substituted for education) Associate's Degree in Nursing RequiredBachelor's Degree in Nursing Preferred Work Experience (education can be substituted for experience) 1-3 years Minimum of 1 year clinical experience required – 2 years, preferred. Required Knowledge, Skills and Abilities Evidence of leadership experience abilities required.Knowledge of general nursing principles and practice skills;Knowledge of organizational functions, policies and regulations;Applicable knowledge of technical skills related to worked clinical area. Licenses and Certifications Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence. RequiredBLS RequiredACLS within six (6) months of hire (ED, Critical Care, OR and Specialty Areas/Units Only) RequiredPALS within six (6) months of hire (ED, OR, Med/Surg Peds) RequiredNRP and AWHONN fetal monitoring w/in six (6) months (Maternal/Child Only) RequiredTNCC within six (6) months of hire (ED Only) RequiredDe-Escalation Training within six (6) months of hire (all units) RequiredProfessional Nursing Certification Preferred
Overview The Community Chief Nursing Officer (CCNO) is responsible for planning, organizing and directing the overalloperations of Nursing and Patient Care Services. Ensures compliance with patient care quality standards as itrelates to the care provided to all age groups of patients ranging from neonate to geriatric. Maintains andparticipates in Continuous Quality Improvement activities. The CCNO is responsible for driving, supporting andmodeling a just culture focused on employee engagement, quality, patient safety, fiscal responsibility, and theoverall patient experience. Responsibilities Promotes the mission, vision, and values of Appalachian Regional Healthcare.Knows and practices the prescribed philosophy, purpose, policies, and standards of Nursing/Patient CareServices.Organizes, directs, and administers the Nursing/Patient Care Services in order to provide the level of carerequired by current medical and nursing standards.Strategizes and drives process improvements focused on innovative care delivery and/or operational modelsdesigned to improve clinical services, outcomes, patient throughput, and patient safety.Promotes the use and implementation of technology in the workplace in order to streamline operations, facilitatecommunications, and optimize work processes.Plans and coordinates with the administration utilizing the respective Nursing Leadership members for planningthe budgeting requirements for personnel, supplies, and equipment.Responsible for cost controls to ensure maximum effectiveness of funds expended from the approveddepartmental budgets.Supports and develops Nursing/Patient Care Services in the coordination of the employee selection process, workassignments, performance evaluations, and staff development for these services.Leads the efforts of the facility to improve engagement by operationalizing current nursing strategies, includingExecutive, nurse leader rounding, employee rounding, hourly rounds, beside shift report and other initiatives.Maintains continuing quality assessment and improvement analysis and evaluation of patient care delivery andcommunicates with Administration on the activities/issues of Nursing/Patient Care Services.Plans and recommends to Administration new facilities or equipment, or modification thereto, needed to providepatient care.Recommends, supports, and participates in education services, programs of education, and training, includingorientation of new employees. Encourages and facilitates the professional advancement of employees byaffording opportunities for further education and experience.Establishes mechanisms to assure nurses throughout the organization are involved in shared–governance anddecision-making structures and processes that establish standards of practice and address issues of concern.Incorporates best practices for building and sustaining a fair and just culture of safety and performanceexcellenceRecommends the modification, addition, or deletion of personnel policies to insure reasonable hours andacceptable working conditions to provide patient care coverage.Initiates and participates in problem-solving, policy-forming conferences for Nursing/Patient Care Services.Maintains close coordination with all department to insure continuity and collaboration of services.Insures that cordial relationships are maintained with patients, their families and friends, clergy, and otherinterested groups in the community. Interprets the goals of the Nursing/Patient Care Services areas to thecommunity by maintaining harmonious and effective relationships with the education system, volunteer groups,agencies, and the community.Participates in policy decisions that affect Nursing/Patient Care Services in the hospital.Responsible for the implementation, monitoring and evaluation of performance improvement and CQI. Qualifications Education (experience can be substituted for education) Bachelor's Degree Nursing RequiredMaster's Degree in Healthcare or Hospital Administration, Nursing Administration, Business, or arelated discipline is required OR Proof of enrollment with a written plan toadvanced degree completion within 3 years is requiredDoctor of Nursing Practice (DNP) Preferred Work Experience (education can be substituted for experience) 4-6 years Five (5) years of progressively responsible nursing management or supervisory level experience. Required7-9 years Seven (7) years of progressively responsible nursing management or supervisory level experience PreferredPrior experience as a Chief Nursing Officer PreferredExperience working in an acute care hospital setting Preferred Knowledge, Skills and Abilities Broad knowledge of modern health care administration, systems, practices, and principles Effective leadership abilities Record of initiating change and innovation Strategic thinking, planning, and problem solving Superior communication skills, both in written and verbal presentation Effective human relations abilities to affect collaborative alliances, promote teamwork, and ensure a high level of internal and external customer satisfaction and engagement Ability to succeed in a complex environment where decision making may be diffuseand ambiguous Demonstrated exemplary presentation skills to engage and motivate organizational stakeholders Proven success in developing a large, high performing staff, establishing performance standards, and transitioning staff through organizational change with an emphasis on the ability to recruit and manage a culturally diverse workforce A high degree of professionalism and competency working with a variety of individuals including physicians, senior executives, hospital administration, and external customers Experience in preparing operating and capital budgets An ability to organize and present data in a concise and easily understood manner, often to professionals, physicians, and board members Ability to be recognized as a positive change agent Proven success as a dynamic and empowering leader who possesses a positive attitude to instill a vision for excellence with innovation and creativity Conflict management and resolution skills Skilled developer of relationships and partnerships Licenses and Certifications Registered Nurse. RequiredBLS Upon Hire RequiredProfessional Certification in Nurse LeadershipAND/OR Professional Certification in Clinical Specialty Preferred
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 in Nursing Required Bachelor's Degree in Nursing Preferred Up to 1 year Preferred 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
