Medical-Surgical Registered Nurse in Linville, North Carolina at Appalachian Regional Healthcare System

Location: Linville, North Carolina | PRN | Night Shift

As an Med Surg Registered Nurse at UNC Health Appalachian, you’ll provide high-acuity, fast-paced patient care that makes a life-saving difference every day. You’ll use advanced assessment skills, rapid critical thinking, and the full nursing process to stabilize patients and guide urgent interventions. Join a mission-driven team committed to excellence, compassion, and teamwork in one of the most essential departments in the hospital.

• The registered nurse (RN) provides direct and indirect patient care services that meet the psychosocial, physical, and restorative needs of each patient. The registered nurse’s decisions and actions with patients and families are determined in an ethical manner, practicing compassion and respect for the inherent dignity, worth and unique attributes of each person. Effectively communicates with patients/families, visitors, colleagues, physicians, leadership, and volunteers. All areas of nursing practice and care delivery are provided to achieve and maintain top decile results and outcomes for patient experience, quality, and patient safety. The RN follows and adheres to ARHS policies and procedures; regulatory requirements and standards of behavior. The RN practices within the nurse practice act and their license.
• The RN demonstrates the ARHS Mission, Vision, and Values in action, and, approaches work in a way that reflects a bias for action, efficiency, and personal accountability. The RN demonstrates professional conduct, effective communication, and effective delegation of tasks. Effectively and professionally manages working relationships with coworkers, physicians, and all ARHS team members in a way that promotes a healthy work environment. Responds quickly and accurately to emergencies in the work environment and/or to changes in patient condition. Performs registered nursing duties under general supervision. Always assists coworkers, patients, families, and visitors regardless of the patient assignment, so long as the assistance is in-line with their scope of practice and license.

• Minimum Education
  • Graduate of an accredited school of nursing
• Experience
  • 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.
• Required Registration/License/Certification
  • 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

• Knowledge, Skills and Abilities
  • 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.
• Physical Demands
  • 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
• Working Conditions
  • 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