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Appalachian Regional Healthcare

RN Med Surg - 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 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
  • Mastery of problem solving and decision making skills.
  • Mastery of collaboration and teamwork.
  • Mastery of growth mindset (agility and developing yourself and others) skills.
  • Mastery of execution and delivery (planning, delivering, and supporting) skills.
  • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one.
  • Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients.
  • Mastery knowledge of phases of care transitions and resources available for patients.
  • Mastery of digital literacy skills.
  • Registered Nurse. Required
  • BLS upon hire Required
  • De-Escalation Training within 6 months of hire Required
  • Advanced Dysrhythmia/EKG (Med/Surg telemetry unit ONLY) Required

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Frequently asked questions

In Paintsville, RNs in Med Surg play a vital role in coordinating patient care transitions by assessing needs, planning discharges, and collaborating with multidisciplinary teams to ensure smooth handoffs. This involvement helps reduce readmission rates and supports patient recovery effectively within Appalachian Regional Healthcare.

Key skills include critical thinking for care plan adjustments, mastery in medication administration, digital literacy, and effective communication using SBAR. Cultural sensitivity and teamwork also stand out, given the diverse patient population served at Appalachian Regional Healthcare in Paintsville.

Paintsville nurses often manage broader scopes of care with fewer resources, emphasizing adaptability and problem-solving. The tight-knit community setting fosters strong patient relationships, but also demands high emotional resilience and cultural awareness unique to the Appalachian region.

Appalachian Regional Healthcare emphasizes mentorship and professional growth, with structured orientation and preceptorship. It values holistic nursing, combining psychological and biological sciences, and fosters collaborative teamwork tailored to Paintsville’s healthcare needs.

This role offers exposure to advanced clinical practices, leadership in team supervision, and participation in quality improvement initiatives. Appalachian Regional Healthcare supports continuous learning, enhancing skills like de-escalation and telemetry monitoring, advancing your nursing career locally.

Registered nurses in Med Surg roles in Paintsville typically earn between $55,000 and $65,000 annually. This range reflects local demand, cost of living, and Appalachian Regional Healthcare's competitive packages designed to retain skilled nursing professionals.

Paintsville’s healthcare sector has a steady demand for Med Surg RNs, but competition remains moderate due to regional workforce size. Candidates with certifications like advanced EKG and de-escalation training, as required by Appalachian Regional Healthcare, gain a distinct advantage.

Given Paintsville’s rural setting, most RNs rely on personal vehicles for commuting. Traffic congestion is minimal, but candidates should consider weather impacts on travel, especially in winter months. Appalachian Regional Healthcare’s location is accessible within reasonable drive times from surrounding towns.

Priority certifications include active RN licensure, Basic Life Support (BLS), advanced dysrhythmia/EKG for telemetry units, and de-escalation training. These credentials enhance clinical competence and align with Appalachian Regional Healthcare’s standards for quality patient care.

Daily duties involve comprehensive patient assessments, coordinating care plans, supervising team members, administering medications, and facilitating patient education. Emphasis on compassionate communication and collaboration with multidisciplinary staff defines the routine at Appalachian Regional Healthcare.

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