Nurse Extern Tier II

Appalachian Regional Healthcare•Paintsville, KY
•Onsite

About The Position

The Nurse Extern Tier II provides nursing assistance and performs basic nursing procedures for groups of patients in an assigned nursing department. The role works under the supervision, guidance, and direction of a Registered Nurse, who may delegate supervision to other team members such as a Licensed Practical Nurse or State Registered Nursing Assistant. The position provides additional clinical practice to support preparation for future licensure as a nurse. Under continuous direct on-site supervision of a Certified Nursing Assistant, the Nurse Extern may perform duties for which they have been deemed clinically competent by their nursing instructor.

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.
  • Current transcripts and a copy of a skills evaluation on basic procedures.
  • A recommendation letter 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.
  • Detail-oriented.

Responsibilities

  • Interpret the plan of medical care, provide input on the nursing care plan, and assist with care activities for which clinical competence has been established by the nursing instructor.
  • Complete the nursing assessment form with oversight and approval of an RN.
  • Provide personal care, including bathing, shampooing, shaving, back rubs, position changes, bed-making, meal preparation, feeding, and passing ice water.
  • Answer call lights and bells promptly to determine and meet patient needs.
  • Collect stool, urine, sputum, and other specimens.
  • Collect and appropriately record patient intake and output.
  • Collect and record patient vital signs and obtain and record pertinent patient information according to hospital policy.
  • Assist with or feed patients, including enteral feedings; provide between-meal nourishment and fresh drinking water; and encourage fluids when indicated.
  • Assist with progressive ambulation of patients using a 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.
  • Maintain records and report necessary patient-care information.
  • Prepare patients for surgery and other therapeutic and diagnostic procedures.
  • Maintain a safe environment for patient care.
  • Perform other duties as assigned.
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