Registered Nurse

Appalachian Regional Healthcare (ARH); Hazard (KY); On-site; USD 60,000 - 80,000; Full time

Job summary

Appalachian Regional Healthcare (ARH) seeks a Registered Nurse to provide skilled nursing care, collaborate with physicians and teams, and mentor students in a dynamic environment. The RN will assess, plan, implement, and evaluate patient care while ensuring safety and advocacy for patients and families.

Responsibilities include medication administration, IV therapy, discharge planning, and active participation in performance improvement.

Qualifications

• Associate’s Degree in Nursing is required.
• Active Registered Nurse license in Kentucky or compac.
• 1 year acute care experience preferred; department-specific preferred.
• Experience with Electronic Health Records preferred.
• Advanced Dysrhythmia/EKG and NIH Stroke certifications required or preferred.
• BLS required; ACLS recommended; PALS preferred.

Responsibilities

• Completes patient assessments and formulates the plan of care.
• Oversees implementation and evaluates progress using critical thinking.
• Administers medications and IV therapy as prescribed by a licensed practitioner.
• Supervises and mentors staff and students; participates in orientation.
• Documents pertinent findings in the medical record timely.
• Participates in discharge planning and transition of care.
• Advocates for patients; communicates with families and care teams.
• Uses SBAR for effective communication and handoffs.
• Engages in performance improvement initiatives and safety when needed.

Skills

Nursing assessment

Critical thinking

Patient advocacy

SBAR communication

Team collaboration

Teach Back

Mentoring staff

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing (preferred)

Registered Nurse license

Advanced Dysrhythmia/EKG Certification

NIH Stroke Certification

BLS Certification

ACLS Certification

Pediatric Advanced Life Support (PALS) preferred

Tools

Electronic Health Record

Critical care equipment

Cardiac monitoring

Defibrillators/ECG

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.

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