Senior Nurse Extern - PCU Per Diem Nights

Orlando Health•Melbourne, FL
•Onsite

About The Position

The Senior Nurse Extern provides bedside patient care in a hospital or inpatient/observation setting under the direct and indirect supervision of a Registered Nurse and the supervision of an assigned preceptor. The role serves acute care patients receiving treatment for injuries, illnesses, medical conditions, or post-intervention assessment. During the externship, the nurse extern develops clinical knowledge and skills, progressively assumes increased responsibility for a defined patient assignment, and follows the assigned preceptor’s schedule. The position focuses on safe, compassionate, evidence-based care; effective communication and collaboration with patients, families, and the interdisciplinary team; and continued learning through feedback and clinical experience. Patient care and documentation are performed within the extern’s scope and under Registered Nurse supervision, with Registered Nurse co-signature for EMR documentation. This is a per diem nights position at Orlando Health Melbourne Hospital.

Requirements

  • Complete the junior year of nursing school, or equivalent, by the start of the program.
  • Successfully complete clinical rotations in an accredited nursing program.
  • Meet mandatory, developmental, and performance competency requirements for Orlando Health and the specific unit or department.
  • Maintain current BLS/Healthcare Provider certification.

Nice To Haves

  • Prior direct patient care experience in a healthcare setting, such as CNA, PCT, MA, EMT, or a similar role.
  • Exposure to acute care or hospital-based clinical environments.

Responsibilities

  • Administer bedside patient care under the supervision of an assigned Preceptor in a Registered Nurse role.
  • Follow infection prevention and control standards, including appropriate use of PPE, hand hygiene, and isolation precautions.
  • Collaborate with the assigned Registered Nurse to assess patient needs and develop or revise individualized plans of care based on patient needs and responses; evaluate progress toward expected outcomes.
  • Promote an inclusive and culturally sensitive environment by respecting diverse backgrounds, identities, and perspectives.
  • Communicate patient and family advocacy issues to the assigned Registered Nurse.
  • Provide age-appropriate care for patients served in the assigned unit or department.
  • Communicate and collaborate with the interdisciplinary team under the guidance of the assigned Registered Nurse.
  • Recognize and promptly escalate patient safety concerns, changes in condition, and urgent clinical needs to the Registered Nurse.
  • Function effectively as a care team member, understanding team roles, responsibilities, and appropriate delegation within scope for a defined patient group.
  • Demonstrate behaviors associated with the 4 C’s: Connection, Curiosity, Communication, and Commitment.
  • Continue to develop knowledge of growth and development across the lifespan and interpret patient data to identify age-specific care requirements.
  • Document patient care accurately and promptly in the EMR under Registered Nurse supervision and with a Registered Nurse co-signature, including assessment, education, medication administration, treatments, and patient safety.
  • Develop nursing skills and competency in the use of patient care and unit equipment as defined by unit or department requirements.
  • Progressively assume increased responsibility for a defined patient assignment under Registered Nurse supervision.
  • Use effective time management and prioritization in delivering patient care according to evidence-based standards of care.
  • Identify and resolve problems effectively; apply developing clinical judgment to recognize changes in patient condition and escalate concerns appropriately.
  • Provide compassionate care and a therapeutic environment for patients and families.
  • Contribute to a positive patient and family experience through service excellence, effective communication, and responsiveness.
  • Build awareness of legal issues and patients’ rights.
  • Seek and incorporate feedback from preceptors and clinical teams to support professional growth and skill development.
  • Maintain reasonably regular and punctual attendance and comply with Orlando Health policies and procedures.
  • Perform other duties as assigned.
  • Follow the assigned preceptor’s schedule and attend assigned meetings with leadership.

Benefits

  • Competitive pay.
  • Evening, night, and weekend shift differentials for qualifying positions.
  • Benefits available starting on day one, including student loan repayment, tuition reimbursement, free college education programs, retirement savings, paid paternity leave, fertility benefits, backup elder and childcare, pet insurance, PTO, and holidays.
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