Senior Nurse Extern - ICU Days

Orlando Health•Sebastian, FL

About The Position

Under the direct and indirect supervision of a Registered Nurse, the Senior Nurse Extern administers patient care in a hospital or inpatient/observation setting where acute care patients receive active treatment for injuries, illnesses, medical conditions, or post-intervention assessment. The extern works under an assigned RN preceptor, follows the preceptor’s schedule, and progressively assumes increased responsibility for a defined patient assignment while developing nursing knowledge and skills.

Requirements

  • Completed junior year of nursing school or equivalent by the start of the program.
  • Successfully completed clinical rotations in an accredited nursing program.
  • Meet all mandatory, developmental, and performance competency requirements for Orlando Health and the assigned unit or department.
  • Maintain current BLS/Healthcare Provider certification.
  • No prior professional nursing experience is required.

Nice To Haves

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

Responsibilities

  • Administer bedside patient care under the supervision of an assigned Registered Nurse preceptor.
  • Follow infection prevention and control standards, including appropriate PPE use, hand hygiene, and isolation precautions.
  • Collaborate with the assigned RN to assess patient needs, develop or revise individualized plans of care, and evaluate progress toward expected outcomes.
  • Promote an inclusive and culturally sensitive environment that respects diverse backgrounds, identities, and perspectives.
  • Communicate patient and family advocacy issues to the assigned RN.
  • Provide age-appropriate care for patients served by the assigned unit or department.
  • Communicate and collaborate with the interdisciplinary team under RN guidance.
  • Recognize and promptly escalate patient safety concerns, changes in condition, or urgent clinical needs to the RN.
  • Function effectively as a care-team member, understanding roles, responsibilities, and appropriate delegation within scope for an assigned group of patients.
  • Demonstrate behaviors associated with the 4 C’s: Connection, Curiosity, Communication, and Commitment.
  • Expand 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 RN supervision and with RN co-signature, including assessments, education, medication administration, treatments, and patient-safety measures.
  • Develop competency in nursing skills and the use of patient-care and unit equipment as defined by unit or department requirements.
  • Progressively assume greater responsibility for a defined patient assignment under RN supervision.
  • Use effective time management and prioritization in accordance with evidence-based standards of care.
  • Identify and resolve problems effectively; apply developing clinical judgment to recognize patient-condition changes and escalate concerns appropriately.
  • Provide compassionate, therapeutic care to patients and families.
  • Support a positive patient and family experience through service excellence, effective communication, and responsiveness.
  • Develop awareness of legal issues and patient 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.
  • Attend assigned meetings with leadership.

Benefits

  • Competitive pay.
  • Evening, night, and weekend shift differentials for qualifying positions.
  • Benefits beginning 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, and PTO/holidays for full-time and part-time employees.
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