Nurse Extern

Memorial Healthcare Owosso , MI 48867

Posted 2 months ago

JOB SUMMARY # This paid externship offers practical experiences and opportunities for nursing students working collaboratively with registered nurse preceptors. A 10-week summer program that helps the student nurse develop a greater understanding of the professional component of the RN role as well as being the coordinator of patient care.

He/she will also develop skill and confidence in performing a multitude of technical procedures.# # Works under the direct supervision of the unit Nurse Manager and assigned preceptor. # Strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. Recognizes and demonstrates understanding of patient and family centered care. # # JOB RELATIONSHIPS # RESPONSIBLE TO: Manager of Education, Nurse Manager, and assigned preceptor



WORKERS SUPERVISED:

None



INTERRELATIONSHIPS:

Other clinical departments, other nursing units, physicians # # PRIMARY JOB RESPONSIBILITIES # Activity/Comfort: # 1. Makes an occupied and unoccupied bed, makes a bed with a patient in traction. 2.

Turns and positions a patient in bed, ambulates a patient. 3. Transfers a patient using a chair, wheelchair and stretcher. 4. Positions/transfers a patient with hip precautions, traction, or CPM machine. 5.

Transports a patient using wheelchair and stretcher. 6. Performs passive and assists with active range of motion. # # # Hygiene 1. Gives a patient a complete, partial, shower or tub bath 2.

Shaves a patient, shampoos a patient, and gives oral care, including denture care. 3. Performs perineal care and indwelling urinary catheter care. 4. Performs back and nighttime care 5.

Changes a non-sterile and sterile dressing 6. Performs ileostomy/colostomy care 7. Assists with postmortem care 8.

Performs clean and sterile oral, nasopharyngeal and tracheostomy suctioning 9. Performs tracheostomy care # Nutrition 1.

Passes trays, snacks and water, feeds a patient, measures and records intake from dietary trays. 2.

Inserts, irrigates, administers feeding through, and removes various feeding tubes as appropriate # Elimination 1.

Places and removes a bedpan, fracture pan and urinal, and assists patient with using a bedside commode. 2. Empties, measures and records drainage from a urinary bag, Jackson Pratt drain, Hemovac, and bile bag. 3.

Removes fecal impaction, inserts and removes a rectal tube, administers a cleansing a retention enema, and applies and removes fecal incontinence bag. 4. Performs urinary catheterization # Specimen Collection 1. Collects urine, sputum, and stool specimens, obtains wound cultures 2.

Uses a glucometer # Vital Signs/Measurement 1. Measures the following vital signs: oral and tympanic temperature, radial and apical pulse, blood pressure, respiratory rate and pain rating 2. Measurement: measures a patient#s weigh using a standing, chair, sling and bed scales # Equipment 1.

Operates the electronic vital sign machine, IV pump, feeding pump and pulse oximeter, sets up oxygen flow meter, provides oxygen therapy as ordered, assists patient with incentive spirometer 2.

Sets up suction apparatus and disposes of suction canisters, uses a disposable ambu-bag 3. Applies and removes ice bags, moist or dry heat, ace bandages, arm slings, bingers, supports, antiembolism stockings, Intermittent Compression Devices, soft limb restraints, and locking restraints # Infection Control 1.

Uses aseptic technique and adheres to standard precautions, cares for patients with special isolation precautions 2. Passes clean linen and bags/disposes soiled linen 3. Cleans equipment between patient use and cleans equipment prior to return to Sterile Processing, replaces full sharps containers # Medication Administration 1.

Administers medication per RN#s discretion with direct RN supervision.# 2. May perform IV fluid or IV medication administration with direct RN supervision. 3.

RN must cosign all medications given by Student Nurse Extern # Documentation 1.

Per discretion of RN # Communication 1.

Reports observations to RN and keeps RN informed of care delivered, prepares/gives report to the oncoming shift 2. Assists in the development of a care plan # Personal/Professional: # 1.

Recognizes demands of responsible resource allocation and utilization and ensures that pro-grams are managed efficiently. 2.

Sets priorities for accomplishing departmental and hospital goals. 3. Engages in educational experiences and programs that ensure ongoing competence and knowledge in own practice. 4.

Sets goals and objectives for self-development. 5. Maintains competency in clinical care of patients. 6. Utilizes computer information systems according to standards of practice. 7.

Represents nursing practice in interdisciplinary projects. # # OTHER JOB RESPONSIBILITIES # 1. Demonstrates job related aspects of patient safety to assure a safe environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences. 2. Demonstrates knowledge of and supports hospital mission, vision, value statements, standards of care, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, standards of behavior, and the code of ethical behavior. 3.

Must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of patients served.# Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient#s status and interpret the appropriate information needed to identify each patient#s requirements relative to his/her age-specific needs, and to provide the care needed as described in the unit#s and division#s policies and procedures. 4. Performs all other job-related duties as assigned.



JOB SPECIFICATIONS # 1. EDUCATION:



A. Within one year of graduation from a nationally-accredited nursing program B.

Successful completion of a clinical rotation C. Current certification in Basic Life Support required. # 3. ESSENTIAL PHYSICAL REQUIREMENTS:# # # # #Ability to:

A. Travel independently throughout the service area. B. Withstand extended periods of walking, standing, and sitting. # 4. ESSENTIAL MENTAL ABILITIES:# Ability to:



A. Independently judge, assess, evaluate, and manage problems; and follow through the completion of activities.

B. Work under stress, interruptions, and deadlines. C. Be self motivated and able to work independently. D. Effectively problem solve.

E. Organize and plan details of educational classes. F. Understand, observe, and interpret policies and procedures. G. Assess situations and set priorities. # 5. ESSENTIAL TECHNICAL/MOTOR SKILLS:



Ability to:# A. Have hand-eye coordination to operate equipment.

B. Be computer literate. # 6. ESSENTIAL SENSORY REQUIREMENTS: Ability to:# A.

Document pertinent data and receive and interpret information and respond to verbal requests. B. Communicate receptively and expressively in English, both written and spoken, with employees, volunteers, physicians, other healthcare providers, and others as needed. C. Maintain self control.

D. Accurately hear communication by phone or in person. # 7. INTERPERSONAL SKILLS: Ability to:

A. Communicate effectively with providers, administration, staff, patients and families, etc. in a sensitive manner. B. Have verbal and written skills to develop and implement policies and procedures. C. Effectively interact with co-workers, medical staff, patients, hospital staff, and the public. D. Maintain a professional and courteous manner. #

JOB SUMMARY

This paid externship offers practical experiences and opportunities for nursing students working collaboratively with registered nurse preceptors. A 10-week summer program that helps the student nurse develop a greater understanding of the professional component of the RN role as well as being the coordinator of patient care.

He/she will also develop skill and confidence in performing a multitude of technical procedures.

Works under the direct supervision of the unit Nurse Manager and assigned preceptor.

Strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. Recognizes and demonstrates understanding of patient and family centered care.

JOB RELATIONSHIPS

RESPONSIBLE TO: Manager of Education, Nurse Manager, and assigned preceptor

WORKERS SUPERVISED: None

INTERRELATIONSHIPS: Other clinical departments, other nursing units, physicians

PRIMARY JOB RESPONSIBILITIES

Activity/Comfort:

1.Makes an occupied and unoccupied bed, makes a bed with a patient in traction.

2.Turns and positions a patient in bed, ambulates a patient.

3.Transfers a patient using a chair, wheelchair and stretcher.

4.Positions/transfers a patient with hip precautions, traction, or CPM machine.

5.Transports a patient using wheelchair and stretcher.

6.Performs passive and assists with active range of motion.

Hygiene

1.Gives a patient a complete, partial, shower or tub bath

2.Shaves a patient, shampoos a patient, and gives oral care, including denture care.

3.Performs perineal care and indwelling urinary catheter care.

4.Performs back and nighttime care

5.Changes a non-sterile and sterile dressing

6.Performs ileostomy/colostomy care

7.Assists with postmortem care

8.Performs clean and sterile oral, nasopharyngeal and tracheostomy suctioning

9.Performs tracheostomy care

Nutrition

1.Passes trays, snacks and water, feeds a patient, measures and records intake from dietary trays.

2.Inserts, irrigates, administers feeding through, and removes various feeding tubes as appropriate

Elimination

1.Places and removes a bedpan, fracture pan and urinal, and assists patient with using a bedside commode.

2.Empties, measures and records drainage from a urinary bag, Jackson Pratt drain, Hemovac, and bile bag.

3.Removes fecal impaction, inserts and removes a rectal tube, administers a cleansing a retention enema, and applies and removes fecal incontinence bag.

4.Performs urinary catheterization

Specimen Collection

1.Collects urine, sputum, and stool specimens, obtains wound cultures

2.Uses a glucometer

Vital Signs/Measurement

1.Measures the following vital signs: oral and tympanic temperature, radial and apical pulse, blood pressure, respiratory rate and pain rating

2.Measurement: measures a patient's weigh using a standing, chair, sling and bed scales

Equipment

1.Operates the electronic vital sign machine, IV pump, feeding pump and pulse oximeter, sets up oxygen flow meter, provides oxygen therapy as ordered, assists patient with incentive spirometer

2.Sets up suction apparatus and disposes of suction canisters, uses a disposable ambu-bag

3.Applies and removes ice bags, moist or dry heat, ace bandages, arm slings, bingers, supports, antiembolism stockings, Intermittent Compression Devices, soft limb restraints, and locking restraints

Infection Control

1.Uses aseptic technique and adheres to standard precautions, cares for patients with special isolation precautions

2.Passes clean linen and bags/disposes soiled linen

3.Cleans equipment between patient use and cleans equipment prior to return to Sterile Processing, replaces full sharps containers

Medication Administration

1.Administers medication per RN's discretion with direct RN supervision.

2.May perform IV fluid or IV medication administration with direct RN supervision.

3.RN must cosign all medications given by Student Nurse Extern

Documentation

1.Per discretion of RN

Communication

1.Reports observations to RN and keeps RN informed of care delivered, prepares/gives report to the oncoming shift

2.Assists in the development of a care plan

Personal/Professional:

1.Recognizes demands of responsible resource allocation and utilization and ensures that pro-grams are managed efficiently.

2.Sets priorities for accomplishing departmental and hospital goals.

3.Engages in educational experiences and programs that ensure ongoing competence and knowledge in own practice.

4.Sets goals and objectives for self-development.

5.Maintains competency in clinical care of patients.

6.Utilizes computer information systems according to standards of practice.

7.Represents nursing practice in interdisciplinary projects.

OTHER JOB RESPONSIBILITIES

1.Demonstrates job related aspects of patient safety to assure a safe environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences.

2.Demonstrates knowledge of and supports hospital mission, vision, value statements, standards of care, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, standards of behavior, and the code of ethical behavior.

3.Must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the unit's and division's policies and procedures.

4.Performs all other job-related duties as assigned.

JOB SPECIFICATIONS

1.EDUCATION:

A. Within one year of graduation from a nationally-accredited nursing program

B.

Successful completion of a clinical rotation

C. Current certification in Basic Life Support required.

3.ESSENTIAL PHYSICAL REQUIREMENTS:

Ability to:

A. Travel independently throughout the service area.

B. Withstand extended periods of walking, standing, and sitting.

4.ESSENTIAL MENTAL ABILITIES:

Ability to:

A. Independently judge, assess, evaluate, and manage problems; and follow through the completion of activities.

B. Work under stress, interruptions, and deadlines.

C. Be self motivated and able to work independently.

D. Effectively problem solve.

E. Organize and plan details of educational classes.

F. Understand, observe, and interpret policies and procedures.

G. Assess situations and set priorities.

5.ESSENTIAL TECHNICAL/MOTOR SKILLS:

Ability to:

A. Have hand-eye coordination to operate equipment.

B. Be computer literate.

6.ESSENTIAL SENSORY REQUIREMENTS:

Ability to:

A.

Document pertinent data and receive and interpret information and respond to verbal requests.

B. Communicate receptively and expressively in English, both written and spoken, with employees, volunteers, physicians, other healthcare providers, and others as needed.

C. Maintain self control.

D. Accurately hear communication by phone or in person.

7.INTERPERSONAL SKILLS:

Ability to:

A. Communicate effectively with providers, administration, staff, patients and families, etc. in a sensitive manner.

B. Have verbal and written skills to develop and implement policies and procedures.

C. Effectively interact with co-workers, medical staff, patients, hospital staff, and the public.

D. Maintain a professional and courteous manner.



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Nurse Extern

Memorial Healthcare