Registered Nurse Tier 1

Appalachian Regional Healthcare, Inc.•Prestonsburg, KY

About The Position

The Registered Nurse applies specialized nursing knowledge, judgment, and skills grounded in psychological, biological, physical, and social sciences to the nursing process in assigned departments. The RN collaborates with physicians and multidisciplinary team members, provides physical and psychological support to patients and their families, and supervises assigned team members and students. The role includes preparing and interpreting client plans of care and systematic assessments and reassessments; providing nursing treatments, procedures, and total client care according to established agency and nursing care standards; communicating pertinent assessment findings to physicians; and initiating referrals to health care organizations and community services based on client needs and physician orders. The nurse also supports discharge planning and transitions of care, advocates for patients, documents findings promptly, and helps maintain a safe and secure environment. The RN may travel to client residences in inclement weather and provide care in varying environmental situations. Other duties may be assigned.

Requirements

  • Associate's degree required.
  • Registered Nurse credential required.
  • BLS certification required upon hire.
  • De-Escalation Training required within six 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 plans of care, oversee their implementation, and evaluate and adjust them using critical thinking.
  • Perform nursing acts authorized or limited by the board and consistent with applicable professional standards of practice.
  • Provide care, counseling, health teaching, and promotion, using the Teach Back methodology to affirm comprehension.
  • Administer medications, intravenous therapy, and treatments as prescribed by a 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.
  • Assume responsibility for personal professional development.
  • Use effective communication and active listening, and demonstrate compassion and empathy.
  • Use SBAR for hands-off communication and bedside shift reporting unless contraindicated.
  • Serve as a positive influence and role model and adhere to the professional code of conduct.
  • Respect patient dignity and confidentiality.
  • Prepare and interpret client plans of care and perform systematic assessments and reassessments.
  • Perform nursing treatments, procedures, and total client care in accordance with 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.
  • Perform other job duties as assigned.
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