Registered Nurse Tier 1 (Union): Med/Surg Telemetry
Company : Appalachian Regional Healthcare
Location : Hazard, KY, 41701
Job Type : Full Time / Part Time
Date Posted : 30 December 2025
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.
Special Instructions
Registered Nurse: Med/Surg TelemetryResponsibilities
- 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.
Qualifications
- Bachelor's Degree Preferred
- Associate's Degree Required
- Registered Nurse. Required
- BLS upon hire Required
- De-Escalation Training within 6 months of hire Required
- Driver's License required
- Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments.
- Responsible for performing nursing treatments, procedures and total client care in accordance with established agency andnursing care standards.
- Responsible for communicating pertinent client assessments/reassessments finding to physician.
- Responsible for initiating referrals to other health care organizations and community services based on identified client needs andphysician orders.
- Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations.
Related Jobs
Popular Searches for Registered Nurse
Frequently asked questions
Excelling as a Registered Nurse Tier 1 in Med/Surg Telemetry demands sharp clinical assessment abilities, proficiency in cardiac telemetry monitoring, and solid teamwork skills. Critical thinking for adjusting care plans and mentoring peers is also vital in this Kentucky healthcare setting.
Typical days blend patient assessments, medication administration, telemetry monitoring, and interdisciplinary coordination. Nurses also engage in discharge planning and patient advocacy while navigating the specific healthcare challenges found within rural Kentucky communities.
Nurses in this role often progress to leadership or specialized clinical positions, leveraging experience with telemetry patients and involvement in quality improvement committees at Appalachian Regional Healthcare, fostering both professional growth and expanded clinical expertise.
Appalachian Regional Healthcare emphasizes mentorship, continuous education, and collaborative team environments. Registered Nurses receive orientation, de-escalation training, and opportunities to participate in committees, all tailored to enhance performance in Med/Surg Telemetry units.
Yes, the role demands a strong commitment to rural patient care dynamics, including travel in inclement weather and comprehensive discharge planning. Appalachian Regional Healthcare prioritizes community-oriented care and teamwork within Med/Surg Telemetry units.
Hazard's telemetry nursing market shows steady demand with moderate competition, reflecting regional healthcare needs. Applicants with telemetry experience and required certifications like BLS and de-escalation training are more likely to secure roles quickly.
Due to Hazard's rural layout, commuting times can be longer, especially during adverse weather. Nurses should plan for travel flexibility, as providing care at Appalachian Regional Healthcare may include patient home visits or off-site coordination.
Registered Nurses in this specialty typically earn between $55,000 and $68,000 annually in Hazard, KY. Salaries factor in specialized telemetry skills and union status, with Appalachian Regional Healthcare offering competitive compensation aligned with regional standards.
This position integrates hands-on telemetry monitoring with active mentorship and a strong emphasis on rural healthcare challenges. Appalachian Regional Healthcare supports nurses with structured orientation and leadership in quality improvement initiatives.
While primarily focused on in-person telemetry care, this role may involve telehealth communication tools for patient monitoring and interdisciplinary coordination, blending traditional nursing skills with emerging telemedicine practices to improve patient outcomes.