RN ICU - 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
- 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
- Operates critical care equipment such as respirators, temporary pacemakers, defibrillators, and other emergency equipment.
- Set-up, maintains, interprets results of cardiac and hemodynamic monitor required and takes action as indicated by nursing practice and hospital procedures.
- Perform special procedures such as endotracheal and tracheostomy suctioning; tracheostomy care; extubation; cardio-pulmonary resuscitation; arterial punctures; care of chest tubes and pleurevac; set up and assistance with peritoneal dialysis, paracentesis, thoracentesis.
- Able to manage specialty drips using approved protocols
- Prior to assignment to unit as sole RN provider, the nurse must successfully complete critical care course acceptable to the Community Chief Nursing Officer and demonstrate mastery of equipment, diagnostic responsibilities, and procedures required of the critical care nurse. Such course work shall include: • Cardiopulmonary resuscitation and management of an obstructed airway. • EKG interpretation. • Drug therapy, including emergency drug therapy via the I.V. route, or routes normally left to the physician. • Hemodynamic monitoring. • Critical care procedures. The nurse shall be adequately oriented to unit policies, procedures and equipment. Orientation shall include safety procedures, infection control practices, and performance improvement activities.
- Completion of the following Competencies: Moderate Sedation Completion of Stroke Modules Restraints
- Registered Nurse Required
- Advanced Dysrhythmia/EKG Required
- NIH Stroke Certification Required
- BLS Required
- Advanced Life Support Certification Required
- De-Escalation Training within 6 months of hire Required
- Pediatric Advanced Life Support Certification (recommended) Preferred
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Frequently asked questions
An RN ICU in Paintsville must combine advanced clinical skills with critical thinking to manage life-support equipment and complex patient needs. The role demands proficiency in cardiac monitoring, emergency procedures, and collaborative care, tailored to the acute care environment prevalent in Appalachian Regional Healthcare.
Certifications such as Advanced Cardiac Life Support (ACLS), NIH Stroke Certification, and Advanced Dysrhythmia/EKG are essential. These credentials empower ICU nurses in Paintsville to handle emergencies confidently and align with Appalachian Regional Healthcare’s high standards for critical care.
The RN ICU at Appalachian Regional Healthcare oversees complex patient monitoring, administers specialized treatments, and mentors colleagues. This position emphasizes hands-on use of critical care devices and collaborative discharge planning, reflecting the intensity and specificity of ICU nursing in Paintsville.
Paintsville’s ICU nursing demand is steady but less saturated than urban hubs like Cincinnati or Denver. Local healthcare systems prioritize candidates with acute care experience and certifications, offering a more community-focused work environment with growing opportunities at Appalachian Regional Healthcare.
The Paintsville ICU nursing market balances moderate competition with a need for specialized skills. Factors such as regional healthcare expansion, preference for certified nurses, and retention efforts by Appalachian Regional Healthcare contribute to a dynamic hiring landscape.
Appalachian Regional Healthcare offers an RN ICU role emphasizing comprehensive patient advocacy, mentorship, and advanced critical care procedures. The hospital’s commitment to ongoing staff development and community health differentiates it from other Paintsville healthcare employers.
The hospital provides structured orientation, specialized critical care courses, and opportunities to participate in committees and performance improvement initiatives. This focus fosters skill enhancement and leadership development tailored to ICU nursing at Appalachian Regional Healthcare.
RN ICU nurses in Paintsville typically earn between $60,000 and $75,000 annually, reflecting regional cost of living and demand. This range aligns competitively with Appalachian Regional Healthcare’s compensation packages, offering a balance of benefits and local market standards.
ICU nurses in Paintsville rigorously train to perform advanced interventions like endotracheal suctioning and manage critical devices such as respirators and defibrillators. Mastery of these skills ensures patient safety and effective response during high-stakes situations.
New graduate ICU nurses in Paintsville face steep learning curves with complex patient needs. Appalachian Regional Healthcare addresses this through mentorship programs, comprehensive orientation, and continuous education to build confidence and clinical competence.