Registered Nurse Tier 1 (Union) Obstetrics
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.
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.
- Training for Labor and Delivery shall consist of the following topics related to both normal and abnormal deliveries: *Admission of labor patient. *Care of the labor patient. *Delivery of labor patient. *Recognition and nursing care of abnormal conditions. *Fetal monitors and nursing intervention. *Appropriate nursing intervention. *Management of Obstetrical Emergencies
- The nurse shall be adequately oriented to unit policies, procedures and equipment. Orientation shall include safety procedures, infection control practices, and performance improvement activities.
Qualifications
- Associate's Degree Nursing Required
- Bachelor's Degree Nursing Preferred
- 1-3 years Preferred
- Performs initial assessment to include physical exam of OB patient, recognizes abnormal signs and symptoms, and takes action as indicated.
- Performs special OB procedures as required.
- Sets up, operates and cleans OB equipment.
- Provides routine post-partum care including ongoing assessment.
- Registered Nurse. Required
- BLS Required
- Completion of Intermediate Fetal Monitoring Course (AWHONN) within 6 months of hire. Required
- Neonatal Resuscitation Program (NRP) Required
- De-Escalation Training within 6 months of hire Required
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Frequently asked questions
In Hazard, KY, Registered Nurse Tier 1 positions in Obstetrics typically require BLS certification, Neonatal Resuscitation Program (NRP), and completion of an intermediate fetal monitoring course (AWHONN) within six months of hire. These credentials ensure safe maternal and neonatal care aligned with local healthcare standards.
Registered Nurse Tier 1 in Obstetrics focuses heavily on labor and delivery, fetal monitoring, and postpartum care, demanding specialized skills in both normal and high-risk deliveries. This contrasts with broader maternal child health nursing, which may include pediatric care or outpatient services, emphasizing inpatient labor support.
Handling high-acuity labor patients, coordinating multidisciplinary care, and responding swiftly to obstetrical emergencies are routine challenges. Balancing patient advocacy with supervising staff and ensuring thorough documentation under union protocols adds complexity unique to Appalachian Regional Healthcare’s operative environment.
Hazard, KY shows a steady demand for obstetric nursing professionals due to regional birth rates and healthcare expansion. Candidates with neonatal resuscitation and fetal monitoring certifications often experience faster hiring, reflecting community needs for skilled obstetrics RNs in both hospital and unionized settings.
Indeed, Hazard’s moderate living costs mean that Registered Nurse Tier 1 (Union) Obstetrics salaries typically range between $55,000 and $70,000 annually. This competitive pay scale balances local economic conditions with the specialized expertise required for maternal and neonatal care.
Appalachian Regional Healthcare offers structured mentorship, orientation programs, and continuous education focused on obstetrical nursing competencies. Registered Nurses benefit from hands-on fetal monitoring training, leadership development, and participation in quality improvement initiatives tailored to unionized healthcare staff.
Unionized roles at Appalachian Regional Healthcare entail adherence to collective bargaining agreements influencing shift patterns and staffing. Nurses also engage deeply in multidisciplinary committees and performance improvement projects, emphasizing patient safety and union-supported workplace standards specific to obstetrics.
Entry-level obstetrics RN roles in Hazard face moderate competition; however, possessing certifications like NRP and AWHONN fetal monitoring significantly improves prospects. Local hospitals value candidates demonstrating critical thinking in labor and delivery care, reflecting the community’s emphasis on high-quality maternal health services.
This role demands specialized expertise in obstetrical care, including fetal monitoring, labor support, and emergency interventions. Strong communication, mentorship capability, and union compliance knowledge set these nurses apart, enabling them to manage complex maternal-child scenarios with precision.
Registered Nurse Tier 1 (Union) Obstetrics salaries in Hazard, KY generally fall between $55,000 and $70,000 annually, aligning with regional averages for obstetric nursing roles. This range reflects union-negotiated pay scales and local healthcare demands, offering competitive compensation relative to surrounding Appalachian areas.