ICU Student Nurse Extern 7a-7:30p

Frederick Health • Frederick, MD

7d • $21 • Onsite

About The Position

Unit Description: ICU patient population is for the Adult/Geriatric seriously ill requiring intensive treatment and close monitoring of post-surgical and medical with multiple organ failure. The unit serves as a primary source for Code Heart, Stroke, Cardiac Arrest, Continuous Renal Replacement Therapy (CRRT), Ventilator dependent and patient requiring continuous monitoring. Patients are continually monitored by an Intensivist available on the unit 24/7. ICU RNs are also utilized in the role of the Rapid Response Nurse (RRT) providing advanced critical care assessment for the inpatients throughout the organization. Schedule: Must be able to start the week of May 18th or June 1st Full time day shift 7a-7:30p with weekend and holiday rotation; This is a temporary position until the student returns to school for fall semester, at which time the position will transition to a PRN CNA role on the unit hired. Job Summary Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior. Works under the direction of a Registered Nurse and under direct supervision may participate in the nursing process, i.e. assessment, documentation, planning, interventions and evaluations. Can independently function as a certified nursing assistant (CNA) once competencies are verified. Meets patient care standard requirements as outlined by Frederick Health Hospital policies and standards and performs nursing procedures for which she/he has theoretical background from a nursing academic program. Functions within the limits of the State and Federal licensing, regulatory bodies. Example of Essential Functions: Must complete all Hospital wide and Department specific competencies for Certified Nursing Assistants. Performs according to the Frederick Health Hospital Nurse Extern policy and Weekly Progress Expectations. Under the direct supervision of the RN Preceptor, develops the skills to perform nursing practice functions per the Nurse Extern policy and unit-specific RN competencies. Performs independently the roles and responsibilities of a C.N.A. In a team relationship with a registered nurse, and under the instruction, direction, and supervision of a registered nurse, the Nurse Extern shall: Collect and record routine health data that is defined but not limited to cultural, religious, and socioeconomic background and activities of daily living. Orally report the health status data as required by the nurse. Provide feedback to the nurse regarding the nurse-directed plan of care which is being implemented. Provide feedback to the nurse about the patient’s expressed wishes concerning the plan of care. Provide assistance with activities of daily living as delegated by the nurse, including but not limited to: Morning, evening, and general care to include bathing, mouth care, hair care, shaving, and skin care according to individual patient needs. Repositioning patients to prevent skin breakdown. Ensuring patients are out of bed and ambulated according to physician orders and RN direction. Preparing for and assisting patients with meals, nourishments, and beverages. Perform interventions as delegated by a registered nurse, including but not limited to: Hourly rounding to include the 4 P’s: Pain, Potty, Personal Needs; Possessions. Blood glucose testing, vital signs, pulse oximetry, height, weight, SCD’s, indwelling urinary catheter removal, indwelling peripheral intravenous catheter removal, simple wound care to uncomplicated healing surgical wounds, and/or other equipment required by each department. Record routine data and care provided on appropriate documents. Identify the need for assistance and request assistance when the CNA is unsure about the condition; does not know how to do an activity; or is working in a new practice setting. Report the patient’s response and the patient’s progress to the nurse at designated times and/or when there is a change in the patient’s condition. Make suggestions or recommendations on how the nursing plan of care can be modified based on the observations of the patient’s performance. Participation in: Quality of care activities, Performance self-appraisal, Continued learning, Collaboration, Completion of appropriate delegated assignments. Under the direct supervisor of a licensed RN the Nurse Extern will perform the following essential job functions and associated performance measures It is the responsibility of the Nurse Extern to demonstrate use of the nursing process while providing direct patient care. The Nurse Extern: Participates in and contributes to the performance of ongoing assessment, planning, implementation, and evaluation of the care of patients. Under direct supervision of the nurse preceptor, can prepare and administer medications, including flushing of peripheral IV lines with saline and flushing peripheral intermittent infusion devices (IID) with saline. Under direct supervision of the nurse preceptor, can administer and regulate intravenous fluids. Under direct supervision of the nurse preceptor, can prepare and administer non-emergent IV push drugs and heparin flushes for central lines for adults only. Under direct supervision of the nurse preceptor, can provide care of triple lumen catheters and PICC lines for adults. Nurse Externs may not: Administer IV chemotherapeutic drugs, Administer IV push drugs to Pediatric patients under 12 years of age, Flush Dialysis catheters, Flush peripheral IV lines or peripheral IID's on patients less than 3 years of age, Co-sign documentation of and/or administer high-risk medications Develops nursing skills and functions under the direct supervision of the RN Preceptor. Incorporates suggestions for self-development and/or performance into daily practice. Utilizes supplies, equipment, and technology to ensure quality of patient care. Consistently utilizes communication style that sets department tone for positive professional behavior. Promotes meaningful focused communication between all members of the healthcare team as appropriate. Encourages professional interactions between ancillary healthcare givers, including physicians.

Requirements

• Ability to use technology and equipment to perform job duties.
• Effective interpersonal and communication skills.
• Effective use of proper body mechanics when handling patients, supplies and equipment.
• Ability to handle a physically demanding environment.
• 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.
• Possess the ability to 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/department’s policies and procedures.
• Familiarity with computer keyboard/computer programs.
• Follows Frederick Health Hospital’s employment policies and Frederick Health Hospital Nurse Extern Policy.
• Currently entering final/senior year of Registered Nurse educational program
• Certified in Cardiopulmonary Resuscitation (CPR).
• Skills and abilities to perform all job description duties according to the age specific patient population served by their department and described in the Department’s Quality Improvement Plan.
• MBON CNA license required
• Must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups: _X_ Neonate (0 thru 30 days) _X_ Infant (31 thru 12 months) _X_ Child (13 months thru 12 years) _X_ Adolescent (13 years thru 17 years) _X_ Adult (18 years thru 65 years) _X_ Geriatric (66+ years)

Responsibilities

• Collect and record routine health data that is defined but not limited to cultural, religious, and socioeconomic background and activities of daily living.
• Orally report the health status data as required by the nurse.
• Provide feedback to the nurse regarding the nurse-directed plan of care which is being implemented.
• Provide feedback to the nurse about the patient’s expressed wishes concerning the plan of care.
• Provide assistance with activities of daily living as delegated by the nurse, including but not limited to: Morning, evening, and general care to include bathing, mouth care, hair care, shaving, and skin care according to individual patient needs. Repositioning patients to prevent skin breakdown. Ensuring patients are out of bed and ambulated according to physician orders and RN direction. Preparing for and assisting patients with meals, nourishments, and beverages.
• Perform interventions as delegated by a registered nurse, including but not limited to: Hourly rounding to include the 4 P’s: Pain, Potty, Personal Needs; Possessions. Blood glucose testing, vital signs, pulse oximetry, height, weight, SCD’s, indwelling urinary catheter removal, indwelling peripheral intravenous catheter removal, simple wound care to uncomplicated healing surgical wounds, and/or other equipment required by each department.
• Record routine data and care provided on appropriate documents.
• Identify the need for assistance and request assistance when the CNA is unsure about the condition; does not know how to do an activity; or is working in a new practice setting.
• Report the patient’s response and the patient’s progress to the nurse at designated times and/or when there is a change in the patient’s condition.
• Make suggestions or recommendations on how the nursing plan of care can be modified based on the observations of the patient’s performance.
• Participation in: Quality of care activities, Performance self-appraisal, Continued learning, Collaboration, Completion of appropriate delegated assignments.
• Participates in and contributes to the performance of ongoing assessment, planning, implementation, and evaluation of the care of patients.
• Under direct supervision of the nurse preceptor, can prepare and administer medications, including flushing of peripheral IV lines with saline and flushing peripheral intermittent infusion devices (IID) with saline.
• Under direct supervision of the nurse preceptor, can administer and regulate intravenous fluids.
• Under direct supervision of the nurse preceptor, can prepare and administer non-emergent IV push drugs and heparin flushes for central lines for adults only.
• Under direct supervision of the nurse preceptor, can provide care of triple lumen catheters and PICC lines for adults.
• Develops nursing skills and functions under the direct supervision of the RN Preceptor.
• Incorporates suggestions for self-development and/or performance into daily practice.
• Utilizes supplies, equipment, and technology to ensure quality of patient care.
• Consistently utilizes communication style that sets department tone for positive professional behavior.
• Promotes meaningful focused communication between all members of the healthcare team as appropriate.
• Encourages professional interactions between ancillary healthcare givers, including physicians.

Benefits

• Frederick Health offers a comprehensive and affordable benefits package.
• Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs.
• Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees.
• Frederick Health offers a robust Paid Time Off program for eligible employees.
• Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees.
• All employees have access to free financial planning sessions.
• We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program.

What This Job Offers

• Job Type: Full-time
• Career Level: Intern
• Education Level: No Education Listed