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AR

Registered Nurse Tier 1 OR

Appalachian Regional Healthcare, Inc.·Prestonsburg, Kentucky

Other·On Site·0-2 yrs·Posted 1 month ago
Practice for this role

About the role

The Registered Nurse provides specialized care in the operating room, including patient assessment, surgical preparation, and monitoring during operative procedures. They collaborate with multidisciplinary teams to ensure patient safety and maintain a sterile environment throughout the surgical process.

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 orients 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 Performs other job duties as assigned.

Qualifications

Associate's Degree Nursing Required Bachelor's Degree Preferred Up to 1 year Preferred Assures all members of the surgical team have been instructed in the surgical procedures performed and periodically updates personnel on new techniques, instrumentation and procedures. Prepares for each assigned case by ensuring the room is properly prepared and equipped, the required documentation is present on the medical record, and the patient is properly identified. Prepares the patient for operative procedure by positioning and grounding the patient as required, securing the patient on the table, assisting with intubation, and preparing operative site. Accompanies the patient to recovery room and may be required to provide nursing care in the recovery room. Monitors operative procedures by documenting proper patient positioning, breaks in sterile procedure, instrument, needle and sponge counts, preservation and labeling of all specimens, drugs and blood administration, and critical incidents during the operative procedure. Functions as a team member within the surgical department by assisting with gowning and gloving; procuring required medication, blood and supplies; coordinating involvement of other departments with the procedure; properly processing operative specimens. Maintains a safe and productive work environment by assisting with cleaning, maintenance, and re-supply. Successful completion of a training program and demonstrated competence in circulating nurse duties as determined by the Director of Surgical Services. The nurse shall be adequately oriented to unit policies, procedures and equipment. Orientation shall include safety procedures, infection control practices, and performance improvement activities. Training for OR shall consist of completion of competencies in various areas or roles the nurse will function. RN Required Basic Life Support Certification Required ACLS Required PALS Required De-Escalation Training within 6 months of hire Required

Requirements

Requires an Associate's Degree in Nursing and active RN licensure, with a Bachelor's degree preferred. Mandatory certifications include BLS, ACLS, and PALS, with de-escalation training required within six months of hire.

  • associate degree
  • bachelor degree
  • Patient Advocacy
  • Care Planning
  • Medication Administration
  • Patient Assessment
  • Clinical Documentation
  • Patient Positioning
  • Discharge Planning
  • Sterile Technique
  • Precepting
  • Intravenous Therapy
  • SBAR Communication
  • Surgical Nursing

Posting details

Employment type
Other
Work arrangement
On Site
Experience
0-2 yrs
Location
Prestonsburg, Kentucky
Posted
Jun 17, 2026
Closes
Jul 8, 2027
Application
Employer website
AR

Hiring organization

Appalachian Regional Healthcare, Inc.

Appalachian Regional Healthcare (ARH), the Healthcare System of Appalachia, and ranked as one of the Top 10 Employers in Kentucky by Forbes Magazine, is a not-for-profit health system operating 13 hospitals in Barbourville, Hazard, Harlan, Hyden, Martin, McDowell, Middlesboro,...

Salary listed on 1 job
IndustryHospitals and Health Care
TypeNonprofit
Size5,001-10,000 employees
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Market context

Kentucky LPN roles remain steady

Kentucky nursing employers commonly look for licensed practical nurses who can step into school, pediatric, or long-term care settings and handle routine care with confidence. These roles can be competitive because an active Kentucky LPN license, current CPR/BLS, and comfort with complex medical needs are often expected, while the benefits package may include paid holidays, personal time, sick time, and a 401(k) match. Review the AI-summarized requirements and benefits here to save research time, and confirm your license and certification status before applying.

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