Nurse Extern Tier II

Appalachian Regional Healthcare, Inc.•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 also 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 assists with patient care and basic procedures when deemed clinically competent by their nursing instructor. Duties include contributing to care planning, completing nursing assessment forms with RN oversight and approval, supporting personal care and mobility, collecting and recording patient information, assisting with procedures, and maintaining a safe care environment.

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 a recommendation letter from two instructors.
  • Ability to function and adapt appropriately in 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.
  • Maintain 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 when deemed clinically competent by a nursing instructor.
  • Complete nursing assessment forms with oversight and approval from an RN.
  • Provide personal care, including bathing, shampooing, shaving, back rubs, repositioning, 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 specimens, including stool, urine, and sputum.
  • Collect and appropriately record intake and output.
  • Collect and record vital signs and 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 using wheelchairs, stretchers, and beds.
  • 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 techniques and provide direct care to patients in isolation.
  • Assist with ostomy care and education.
  • Set up orthopedic appliances.
  • Maintain records and report necessary information regarding patient care.
  • 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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