Registered Nurse Tier 1 (Union

Appalachian Regional Healthcare (ARH); Kentucky; On-site; USD 60,000 - 85,000; Full time

Job summary

Appalachian Regional Healthcare (ARH) is seeking a Registered Nurse in Kentucky to provide skilled nursing care in collaboration with physicians and a multidisciplinary team. The role emphasizes patient advocacy, safe care, and adherence to nursing standards across departments.

The RN will complete assessments, develop and adjust care plans, administer medications, mentor staff, and participate in discharge planning.

Qualifications

• Bachelor's degree preferred.
• Associate's degree required.
• Registered Nurse license required.
• BLS on hire required.
• De-Escalation training within 6 months of hire required.
• Driver's license required.

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.

Skills

SBAR communication

Critical thinking

Team collaboration

Patient advocacy

Documentation

Nursing supervision

Education

Bachelor's degree preferred

Associate's degree required

Job description

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.

Education

• Bachelor's Degree Preferred
• Associate's Degree Required

Licensure & Certifications

• Registered Nurse Required
• BLS upon hire Required
• De-Escalation Training within 6 months of hire Required
• Driver's License Required

Responsibilities

• 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 and nursing care standards.
• Responsible for communicating pertinent client assessments/reassessments findings to physician.
• Responsible for initiating referrals to other health care organizations and community services based on identified client needs and physician orders.
• Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations.