Nurse Extern Tier I

Appalachian Regional Healthcare, Inc.•Paintsville, KY

About The Position

The Nurse Extern Tier I provides nursing assistance and performs basic nursing procedures for patients in an assigned nursing department under the supervision, guidance, and direction of a Registered Nurse. The role also provides additional clinical practice to support preparation for future licensure as a nurse. Nursing care beyond the tasks of a nursing assistant is provided under the continuous, direct, on-site supervision of an RN, and only after the extern is deemed competent for the task. The Nurse Extern contributes to patient care and safety, maintains patient-care records, communicates with the RN and other members of the health team, and assists with patient and family education as directed. Clinical tasks are performed only after the extern has been deemed clinically competent by their nursing instructor and under the required RN supervision.

Requirements

  • High school diploma or GED equivalent.
  • Enrollment in a Board of Nursing-approved Registered Nurse program.
  • Completion of basic Nursing Fundamentals and/or a Certified Nursing Assistant course.
  • Provide current transcripts and a copy of a skills evaluation on basic procedures.
  • Provide recommendation letters from two instructors.
  • Ability to function in and adapt appropriately to a fast-moving, cross-unit team environment.
  • Strong problem-solving skills.
  • Prior experience handling confidential matters with appropriate discretion.
  • Ability to handle multiple simultaneous tasks in a timely manner.
  • Collaborative attitude when working with different departments.
  • Positive, professional communication skills when working with coworkers.
  • Attention to detail.

Responsibilities

  • Interpret the plan of medical care, provide input on the nursing care plan, and assist with care tasks when deemed clinically competent by the nursing instructor.
  • Complete nursing assessment forms with RN oversight and approval.
  • Provide personal care, including bathing, shampooing, shaving, back rubs, position changes, bed making, preparing patients for meals, feeding, and passing ice water.
  • Respond promptly to call lights and bells to determine and meet patient needs.
  • Collect stool, urine, sputum, and other specimens.
  • Collect and appropriately record intake and output.
  • Collect and record patient vital signs and pertinent patient information according to hospital policy.
  • Assist with or feed patients, including enteral feedings; provide between-meal nourishments and fresh drinking water, and encourage fluids when indicated.
  • Assist with progressive ambulation of patients by wheelchair, stretcher, or bed.
  • Administer enemas and douches, insert rectal tubes, and document appropriately.
  • Apply ace bandages, elastic stockings, and sequential compression devices.
  • Insert catheters and feeding tubes.
  • Apply restraints and side rails to ensure patient safety.
  • Observe isolation technique and provide direct care to patients in isolation.
  • Assist with ostomy care and education.
  • Set up orthopedic appliances.
  • Perform nursing functions requiring skill and judgment under RN supervision.
  • Maintain records and report necessary information related to patient care.
  • Confer periodically with the RN about nursing staff activities and matters related to nursing care.
  • Assist with patient and family education as directed by the RN.
  • Serve as a liaison between patients and other members of the health team.
  • Prepare patients for surgery and other therapeutic and diagnostic procedures.
  • Maintain a safe environment for patient care.
  • Place IV infusion devices under the direct supervision and immediate bedside presence of the supervising nurse.
  • Perform other duties as assigned.
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