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Appalachian Regional Healthcare

RN ER - Paintsville

Company : Appalachian Regional Healthcare

Location : Paintsville, KY, 41240

Job Type : Full Time / Part Time

Date Posted : 1 January 2026

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.
  • Training for all personnel assigned to the Emergency Room shall consist of the following:
  • 1.State and federal regulations related to emergency services.
  • 2.Nursing management of trauma.
  • 3.Nursing management of cardiac related disorders.
  • 4.Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention.
  • 5.Pharmacological intervention (IV therapy).
  • 6.Patient assessment (triage).
  • 7.Nursing management of pediatric emergencies.
  • 8.Medicolegal aspects, particularly related to proper documentation.
  • 9.Nursing management of obstetrical emergencies.
  • 10.Patient/family emotional response.
  • 11.Cardiopulmonary resuscitation and airway management.

Qualifications

  • Associate's Degree  Graduation from an accredited school of nursing. Required
  • Bachelor's Degree Preferred
  • Up to 1 year Preferred Minimum of one (1) year acute care nursing experience (1) year of experience should be relevant to specific department in which they will be working. Refer to addendums for additional requirements. Experience with Electronic Health Record Preferred. Preferred
  • Excellent interpersonal skills and ability to work with providers at all levels essential.
  • Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes.
  • Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system.
  • Exhibit Critical Thinking Skills
  • Must possess basic computer skills.
  • Ability to pass Medication Exam.
  • Completion of hospital approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services.
  • Moderate Sedation
  • Completion of Stroke Modules
  • Restraints
  • The nurse shall be adequately oriented to the unit policies, procedures, and equipment. Orientation shall include safety procedures, infection control practices and performance improvement monitoring.
  • Registered Nurse in State Required
  • BLS Required
  • De-Escalation Training within 6 months of hire Required
  • ACLS Required
  • Trauma Nurse Core Curriculum Certification Required
  • Pediatric Advanced Life Support Certification Required
  • NIH Stroke Certification   Required
  • Advanced Dysrhythmia/EKG Required
  • Rural Trauma Team Development Course Preferred
  • Emergency Nurse Pediatric Course Preferred

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Frequently asked questions

Paintsville, KY currently shows a moderate demand for emergency room registered nurses, with Appalachian Regional Healthcare actively recruiting. Candidates with trauma and ACLS certifications often find increased opportunities due to regional healthcare needs in rural emergency settings.

Certifications like Trauma Nurse Core Curriculum, Pediatric Advanced Life Support, and NIH Stroke Certification are highly valued locally. Given the rural trauma demands around Paintsville, possessing these credentials can significantly enhance an RN ER candidate’s appeal to regional employers.

Daily tasks often involve rapid patient triage, administering intravenous therapies, performing EKGs with interpretation, and managing pediatric to obstetrical emergencies. Strong critical thinking paired with hands-on emergency care skills tailored to acute trauma are essential in this role.

Emergency room nurses in Paintsville frequently advance into clinical nurse manager roles or specialize further in trauma or critical care nursing. Continuous education, especially in certifications like ACLS and trauma nursing, boosts upward mobility within Appalachian Regional Healthcare or other regional facilities.

RN ER positions in Paintsville generally offer between $55,000 and $70,000 annually, reflecting the rural healthcare market and emergency department specialization. Compensation often factors in certifications, years of acute care experience, and shift differentials.

Yes, Appalachian Regional Healthcare emphasizes comprehensive training including state and federal emergency regulations, trauma management, cardiac and pediatric emergency protocols, and ongoing performance improvement, ensuring RN ER staff are highly prepared for diverse clinical scenarios.

Appalachian Regional Healthcare promotes a collaborative, multidisciplinary environment with a strong focus on mentorship and professional development. This contrasts with some rural hospitals by offering structured orientation and continuous education tailored to emergency nursing challenges.

Beyond RN licensure and basic life support, certifications like ACLS, pediatric advanced life support, and trauma nurse core curriculum are crucial. Employers in Paintsville value acute care experience and demonstrated critical thinking, aligning with the complexity of emergency department cases locally.

Beyond patient assessments and medication administration, this role demands managing emergency-specific nursing interventions, conducting bedside shift reporting using SBAR, and actively participating in discharge planning and multidisciplinary team coordination tailored to rural emergency care challenges.

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