Registered Nurse Tier 1 (Union

Appalachian Regional Healthcare•Pikeville, KY

About The Position

The Registered Nurse applies specialized knowledge, judgment, and nursing skills grounded in the psychological, biological, physical, and social sciences. The RN uses the nursing process in assigned departments and collaborates with physicians and multidisciplinary team members. The role provides physical and psychological support to patients, friends, and families, and supervises assigned team members and students. The RN is responsible for preparing and interpreting client plans of care, completing systematic assessments and reassessments, and providing nursing treatments, procedures, and total client care in accordance with established agency and nursing care standards. The role also communicates pertinent assessment findings to physicians and initiates referrals to other health care organizations and community services based on client needs and physician orders. The RN must be able to travel to client residences in inclement weather and provide care in varying environmental situations.

Requirements

  • Associate's degree required.
  • Registered Nurse credential required.
  • BLS certification required upon hire.
  • De-escalation training required within 6 months of hire.
  • Driver's license required.
  • Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations.

Nice To Haves

  • Bachelor's degree preferred.

Responsibilities

  • Complete patient assessments; formulate, implement, evaluate, and adjust plans of care using critical-thinking skills.
  • Perform nursing acts authorized or limited by the board and consistent with applicable nursing standards of practice.
  • Provide care, counseling, health teaching, and health promotion, using Teach Back to affirm comprehension.
  • Administer medications, intravenous therapy, and treatments as prescribed by a licensed independent practitioner (LIP).
  • Supervise, delegate, and follow through with other personnel performing activities related to nursing care.
  • Mentor and precept students and orient new staff as assigned.
  • Report pertinent information through the chain of command to the Clinical Nurse Manager, Nurse Manager, or House Nurse Coordinator.
  • Participate in teams, committees, and performance-improvement initiatives.
  • Help ensure a safe and secure environment for patients, coworkers, and self.
  • Participate in discharge planning and transition of care and identify patient needs.
  • Advocate for patients and escalate patient-related concerns in a timely manner.
  • Document pertinent findings in the medical record in a timely manner.
  • Assist patients with activities of daily living and function as an active team member.
  • Take responsibility for personal professional development.
  • Use effective communication and active listening, and demonstrate compassion and empathy.
  • Use SBAR for handoff communication and bedside shift reporting unless contraindicated.
  • Act as a positive influence and role model and adhere to professional conduct standards.
  • Respect patient dignity and confidentiality.
  • Prepare and interpret client plans of care and conduct systematic assessments and reassessments.
  • Provide nursing treatments, procedures, and total client care according to established agency and nursing care standards.
  • Communicate pertinent client assessment and reassessment findings to physicians.
  • Initiate referrals to other health care organizations and community services based on identified client needs and physician orders.
  • Travel to client residences in inclement weather and provide nursing care in varying environmental situations.
  • Perform other job duties as assigned.
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