Emergency Department Registered Nurse in Linville, North Carolina at Appalachian Regional Healthcare System

Deliver high-quality, patient-centered care using the nursing process (assessment, planning, intervention, evaluation).

Triage patients according to acuity using established protocols.

Perform rapid assessment, identify priorities, and implement timely interventions.

Administer medications, treatments, and procedures safely and accurately.

Collaborate with physicians, APPs, and multidisciplinary teams to provide coordinated emergency care.

Monitor, reassess, and document patient status using the Electronic Medical Record (EMR).

Respond quickly to changes in patient condition and emergency situations.

Provide emotional support, patient education, and compassionate communication to patients and families.

Adhere to UNC Health Appalachian standards, safety practices, and regulatory requirements.

• Graduate of an accredited school of nursing

• Previous experience as a registered nurse is not required but is preferred.
• Previous Health Care Experience in an acute or clinic setting is preferred.
• One-year prior experience in a similar role with a similar scope is preferred.

• Current licensure as an RN in North Carolina.
• Basic Life Support (BLS). BLS from the American Heart Association is required at the time of hire.
• All required certifications must be obtained within 1 year of hire date, except Basic Life Support (BLS).
• BLS, Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications must be obtained from American Heart Association.
• Emergency Nurse Pediatric Course (ENPC) and Trauma Nursing Core Course (TNCC) certifications must be obtained from the ENA.

• Department	BLS	ACLS	PALS or ENPC	TNCC	NRP
  Med Surg	Required	Preferred
  IMCU	Required	Required	Required
  ICU	Required	Required	Required
  Emergency Room	Required	Required	Required	Preferred
  Outpatient Surgery	Required	Required	Required
  Operating Room	Required	Required	Preferred
  Recovery Room	Required	Required	Required
  Birthing Center	Required	Required	Preferred		Required

• NIHSS certification required within one (1) year of hire.
• Crisis Prevention Institute (CPI) training and certification is required within one (1) year of hire.

• Ability to communicate courteously and effectively with the public, patients, family, staff, and physician and acts within the chain of command, utilizing positive verbal and non-verbal skills.
• Competent in delivering safe and effective patient care within legal limits of licensure and hospital policies and procedures.
• Knowledge of the continuum of nursing care provided in the patient care department.
• Ability to demonstrate exceptional customer service to patients, family, staff, and physicians.

• Lifts, positions, pushes, pulls and/or transfers up to and greater than 50 pounds
• Manual dexterity and mobility
• Prolonged, extensive or considerable sitting/standing/walking
• Bending, squatting, twisting, turning
• Near acuity: ability to see clearly at 20 inches or less

• Regularly exposed to the risk of blood borne diseases
• Frequently exposed to hazards from electrical/mechanical/power equipment; odorous chemicals and specimens; and, unpleasant elements (accident, injury, slippery surfaces uneven surfaces), etc.
• Subject to irregular hours (days, evenings, nights, weekends, holidays); and emergency situations.
• Continuous standing and walking long periods = to, or, greater than >8 hours per shift
• Speaking, reading and writing, expanded > 8 hours per day
• Exposed to vibration; and cramped spaces >1 hour day
• Frequently mobilizes patients >4 hours per day
• Frequently per shift: lifts, carries; pushes; and/or, pulls >50 lbs
• Frequently per hour: bends; squats; kneels; twists; turns; and reaches.
• Frequently per minute: hand, finger and wrist repetition; and moderate dexterity.
• Frequently per hour, exposed to soft voices >3ft away.
• Frequently per hour, exposed to close eye work
• Infrequently per shift, may be exposed to Ionizing/nonionizing radiation exposure including x-ray and microwave