Good Shepherd Penn Partners
JOB SUMMARY
The Nurse Extern is a participant in a 10 week summer program for nursing students. They must have completed a minimum of 1 medical surgical clinical nursing course in an accredited school of nursing and must have current CPR certification (BLS for Healthcare Provider with the American Heart Association). The nurse extern program is designed to provide the nursing student with an opportunity to strengthen and reinforce his or her knowledge and skill in the practice of nursing under the direct supervision of a registered nurse preceptor and ease the transition of the realities of the work world. The nurse extern will follow his or her preceptor’s work schedule and will assist with the care for that nurse’s patients. All nurse externs will be required to attend or view all classroom presentations.
ESSENTIAL FUNCTIONS PATIENT / CUSTOMER Essential Accountabilities Assessment Identifies the patient per hospital policy before carrying out functions.
Assists with data collection for nursing history and physical.
Participates in therapeutic communication.
Includes available auxiliary information i.e., physician, lab, x-ray.
Provides information to the registered nurse for coordination of care and discharge planning including both the patient and family.
Observes skin changes and reports discoloration, abrasions, infestations or skin breakdown.
Planning Participates with patient/family and the healthcare team in decisions related to the care plan of the patient.
Assists in setting mutually agreed upon realistic individual patient goals.
Receives report from the RN on the patient’s plan of care.
Gives on coming shift handoff report under direct supervision of the RN
Intervention Promotes infection control.
Follows standard precautions and any other isolation precautions as dictated by the patient’s condition.
Maintains a safe environment and protects the patient from injury. Supports the observer in one to one/constant observation situation.
Observes or monitors behavior/health state and responses to therapy. Temperature, Pulse, Respiration
Blood Pressure
Neurological Checks
Vascular Checks
Pain Assessment/Level of Sedation
Height and Weight
Intake and Output
Communicates pertinent observations to appropriate members of the health care team under the direct supervision of the RN.
Participates in multidisciplinary rounds on the patient care unit.
Participates in staff meetings.
Works in collaboration with all members of the healthcare team.
Reports findings to nurse concerning the patient and or family which may impact patient care.
Performs bed bath, tub bath, shower.
Participates in the prevention and treatment of skin breakdown.
Assists patient with activities of daily living such as bathing, grooming, eating, feeding, range of motion, ambulating, transferring.
Applies current accepted methods of heat and cold therapy.
Provides for the patient’s oral dietary needs using currently accepted methods.
Provides for the elimination needs by giving a bed pan, urinal or implementing he bowel program under the direction of the nurse.
Inserts urinary catheter under direct supervision of the RN.
Removes urinary catheter under direct supervision of the RN
Assists with colostomy irrigations under the direct supervision of the RN.
Applies condom catheter.
Administers cleansing enemas as ordered under direct supervision of the RN.
Assists with suctioning under direct supervision of RN.
Performs post mortem care under direct supervision of the RN.
Assists the physician to perform physical exams.
Assists with oxygen therapy only and
does not
regulate the flow of oxygen.
Encourage the use of the pulmonary toilet by using the incentive spirometer, coughing, turning and deep breathing.
Assists with Hoyer/ceiling lifts.
Reinforces health care instruction to patients according to the directions of the nurse.
Displays competence in using the following equipment: Pulse oximeter
Bladder scanner
12 Lead ECG
Glucometer
Documentation Documents assessment data, interventions and patient outcome results on patient documents.
Documents using complete signature, status “nurse extern,” date and time on all charted entries.
All admission assessments and head-to-toe assessments need to be validated with a signature of the RN preceptor.
Evaluation Seeks and utilizes feedback regarding nursing care to determine necessary changes in the care plan.
PATIENT/ EMPLOYEE SAFETY ACCOUNTABILITIES Non-Patient Care Participates in Entity and Department wide initiatives for Patient /Employee safety.
Demonstrates an awareness of patient/employee safety when carrying out daily responsibilities of their position.
Patient Care Providers Participates in Entity and Department wide initiatives for Patient/Employee safety.
Demonstrates an awareness of patient/employee safety when carrying out daily responsibilities of their position.
Validation of annual competencies required for the position.
Identifies the patient per policy i.e. uses two unique identifiers.
Aware of the Safe Medical Device Act.
Aware of the Material Safety Data Sheet.
Carries out fire and safety regulation.
Identifies where the oxygen safety valve is located.
Makes occupied or unoccupied bed.
Cleans and restocks equipment as needed.
Observes radiation precautions.
Demonstrates proper body mechanics when moving and lifting.
Alerts the nurse to the sounding of alarms. Does not change settings or rates on equipment.
Observes HIPAA regulations.
Knows limits of responsibilities and seeks guidance as appropriate.
Observes chemotherapy precautions.
Identifies emergency equipment on the unit.
Items not to be Performed Intravenous therapy
Medication Administration
Taking of Verbal Orders
Central Line Care/Procedure
Total Parental Nutrition Administration
Chemotherapy Administration
Blood Administration
Items to be performed by the nurse extern under the direct supervision of a RN (RN is present in the room as care is delivered) Urinary Catheter Insertion
Suctioning
Tracheostomy Care
Enteral Feedings
Simple Dressing Changes
Discontinuing an Intravenous Line
Venipuncture under the direct supervision of the RN
QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education High School Diploma required
Must be registered in an accredited school of nursing with completion of 1 medical surgical clinical nursing course required
Work Experience 1 medical surgical clinical rotation is required.
Licenses / Certifications Basic Life Support / CPR, as a healthcare provider, per the American Heart Association required
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ESSENTIAL FUNCTIONS PATIENT / CUSTOMER Essential Accountabilities Assessment Identifies the patient per hospital policy before carrying out functions.
Assists with data collection for nursing history and physical.
Participates in therapeutic communication.
Includes available auxiliary information i.e., physician, lab, x-ray.
Provides information to the registered nurse for coordination of care and discharge planning including both the patient and family.
Observes skin changes and reports discoloration, abrasions, infestations or skin breakdown.
Planning Participates with patient/family and the healthcare team in decisions related to the care plan of the patient.
Assists in setting mutually agreed upon realistic individual patient goals.
Receives report from the RN on the patient’s plan of care.
Gives on coming shift handoff report under direct supervision of the RN
Intervention Promotes infection control.
Follows standard precautions and any other isolation precautions as dictated by the patient’s condition.
Maintains a safe environment and protects the patient from injury. Supports the observer in one to one/constant observation situation.
Observes or monitors behavior/health state and responses to therapy. Temperature, Pulse, Respiration
Blood Pressure
Neurological Checks
Vascular Checks
Pain Assessment/Level of Sedation
Height and Weight
Intake and Output
Communicates pertinent observations to appropriate members of the health care team under the direct supervision of the RN.
Participates in multidisciplinary rounds on the patient care unit.
Participates in staff meetings.
Works in collaboration with all members of the healthcare team.
Reports findings to nurse concerning the patient and or family which may impact patient care.
Performs bed bath, tub bath, shower.
Participates in the prevention and treatment of skin breakdown.
Assists patient with activities of daily living such as bathing, grooming, eating, feeding, range of motion, ambulating, transferring.
Applies current accepted methods of heat and cold therapy.
Provides for the patient’s oral dietary needs using currently accepted methods.
Provides for the elimination needs by giving a bed pan, urinal or implementing he bowel program under the direction of the nurse.
Inserts urinary catheter under direct supervision of the RN.
Removes urinary catheter under direct supervision of the RN
Assists with colostomy irrigations under the direct supervision of the RN.
Applies condom catheter.
Administers cleansing enemas as ordered under direct supervision of the RN.
Assists with suctioning under direct supervision of RN.
Performs post mortem care under direct supervision of the RN.
Assists the physician to perform physical exams.
Assists with oxygen therapy only and
does not
regulate the flow of oxygen.
Encourage the use of the pulmonary toilet by using the incentive spirometer, coughing, turning and deep breathing.
Assists with Hoyer/ceiling lifts.
Reinforces health care instruction to patients according to the directions of the nurse.
Displays competence in using the following equipment: Pulse oximeter
Bladder scanner
12 Lead ECG
Glucometer
Documentation Documents assessment data, interventions and patient outcome results on patient documents.
Documents using complete signature, status “nurse extern,” date and time on all charted entries.
All admission assessments and head-to-toe assessments need to be validated with a signature of the RN preceptor.
Evaluation Seeks and utilizes feedback regarding nursing care to determine necessary changes in the care plan.
PATIENT/ EMPLOYEE SAFETY ACCOUNTABILITIES Non-Patient Care Participates in Entity and Department wide initiatives for Patient /Employee safety.
Demonstrates an awareness of patient/employee safety when carrying out daily responsibilities of their position.
Patient Care Providers Participates in Entity and Department wide initiatives for Patient/Employee safety.
Demonstrates an awareness of patient/employee safety when carrying out daily responsibilities of their position.
Validation of annual competencies required for the position.
Identifies the patient per policy i.e. uses two unique identifiers.
Aware of the Safe Medical Device Act.
Aware of the Material Safety Data Sheet.
Carries out fire and safety regulation.
Identifies where the oxygen safety valve is located.
Makes occupied or unoccupied bed.
Cleans and restocks equipment as needed.
Observes radiation precautions.
Demonstrates proper body mechanics when moving and lifting.
Alerts the nurse to the sounding of alarms. Does not change settings or rates on equipment.
Observes HIPAA regulations.
Knows limits of responsibilities and seeks guidance as appropriate.
Observes chemotherapy precautions.
Identifies emergency equipment on the unit.
Items not to be Performed Intravenous therapy
Medication Administration
Taking of Verbal Orders
Central Line Care/Procedure
Total Parental Nutrition Administration
Chemotherapy Administration
Blood Administration
Items to be performed by the nurse extern under the direct supervision of a RN (RN is present in the room as care is delivered) Urinary Catheter Insertion
Suctioning
Tracheostomy Care
Enteral Feedings
Simple Dressing Changes
Discontinuing an Intravenous Line
Venipuncture under the direct supervision of the RN
QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education High School Diploma required
Must be registered in an accredited school of nursing with completion of 1 medical surgical clinical nursing course required
Work Experience 1 medical surgical clinical rotation is required.
Licenses / Certifications Basic Life Support / CPR, as a healthcare provider, per the American Heart Association required
",
#J-18808-Ljbffr