Registered Nurse
Harlan Appalachian Regional Healthcare
Registered Nurse
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.
Training for all personnel assigned to the Emergency Room shall consist of the following:
State and federal regulations related to emergency services.
Nursing management of trauma.
Nursing management of cardiac related disorders.
Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention.
Pharmacological intervention (IV therapy).
Patient assessment (triage).
Nursing management of pediatric emergencies.
Medicolegal aspects, particularly related to proper documentation.
Nursing management of obstetrical emergencies.
Patient/family emotional response.
Cardiopulmonary resuscitation and airway management.
Qualifications
Education
Associate's Degree required
Graduation from an accredited school of nursing required
Bachelor's Degree preferred
Minimum Work Experience
Up to one (1) year of acute care nursing experience preferred
One (1) year of experience relevant to the assigned department preferred
Experience with Electronic Health Records (EHR) preferred
Licenses & Certifications
Registered Nurse (RN) license in the applicable state required
Basic Life Support (BLS) required
De-Escalation Training required within six (6) months of hire
Advanced Cardiac Life Support (ACLS) required
Trauma Nurse Core Curriculum (TNCC) certification required
Pediatric Advanced Life Support (PALS) certification required
NIH Stroke Certification required
Advanced Dysrhythmia/EKG certification required
Rural Trauma Team Development Course (RTTDC) preferred
Emergency Nursing Pediatric Course (ENPC) preferred
Required Skills, Knowledge, and Abilities
Excellent interpersonal skills and ability to work effectively with providers at all levels
Strong written and verbal communication skills
Ability to influence positive outcomes and collaborate effectively in a complex healthcare environment
Demonstrated critical thinking and decision-making skills
Ability to follow direction and adapt to change
Basic computer skills
Ability to pass a medication examination
Successful completion of a hospital-approved training program and demonstrated competency in emergency care procedures
Knowledge of and competency in moderate sedation procedures
Completion of required stroke education modules
Knowledge of restraint policies and procedures
Ability to maintain competency in unit-specific policies, procedures, equipment, safety practices, infection control, and performance improvement activities
Ability to provide safe, high-quality patient care in a fast-paced clinical environment
$18.5 per hour
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