3G Med/Surg Student Nurse Extern day shift

Job Summary

Supports and is responsible for incorporating into job performance the Frederick Health (FH) mission vision core values and customer service philosophy and adheres to the FH Compliance Program including following all regulatory requirements and the FH Standards of Behavior.

Works under the direction of a Registered Nurse and under direct supervision may participate in the nursing process i.e. assessment documentation planning interventions and evaluations. Can independently function as a certified nursing assistant (CNA) if they hold CNA certification and once competencies are verified. Meets patient care standard requirements as outlined by Frederick Health Hospital policies and standards and performs nursing procedures for which she/he has theoretical background from a nursing academic program. Functions within the limits of the State and Federal licensing regulatory bodies.

Example of Essential Functions:

• Must complete all Hospital wide and Department specific competencies for Certified Nursing Assistants.
• Performs according to the Frederick Health Hospital Nurse Extern policy and Weekly Progress Expectations.
• Under the direct supervision of the RN Preceptor develops the skills to perform nursing practice functions per the Nurse Extern policy and unitspecific RN competencies.
• Performs independently the roles and responsibilities of a C.N.A. if certified.
• In a team relationship with a registered nurse and under the instruction direction and supervision of a registered nurse the Nurse Extern shall:
• Collect and record routine health data that is defined but not limited to cultural religious and socioeconomic background and activities of daily living.
• Orally report the health status data as required by the nurse.
• Provide feedback to the nurse regarding the nursedirected plan of care which is being implemented.
• Provide feedback to the nurse about the patients expressed wishes concerning the plan of care.
• Provide assistance with activities of daily living as delegated by the nurse including but not limited to:
• Morning evening and general care to include bathing mouth care hair care shaving and skin care according to individual patient needs.
• Repositioning patients to prevent skin breakdown.
• Ensuring patients are out of bed and ambulated according to physician orders and RN direction.
• Preparing for and assisting patients with meals nourishments and beverages.
• Perform interventions as delegated by a registered nurse including but not limited to:
• Hourly rounding to include the 4 Ps: Pain Potty Personal Needs; Possessions.
• Blood glucose testing vital signs pulse oximetry height weight SCDs indwelling urinary catheter removal indwelling peripheral intravenous catheter removal simple wound care to uncomplicated healing surgical wounds and/or other equipment required by each department.
• Record routine data and care provided on appropriate documents.
• Identify the need for assistance and request assistance when the CNA is unsure about the condition; does not know how to do an activity; or is working in a new practice setting.
• Report the patients response and the patients progress to the nurse at designated times and/or when there is a change in the patients condition.
• Make suggestions or recommendations on how the nursing plan of care can be modified based on the observations of the patients performance.
• Participation in: Quality of care activities Performance selfappraisal Continued learning Collaboration Completion of appropriate delegated assignments.
• Under the direct supervisor of a licensed RN the Nurse Extern will perform the following essential job functions and associated performance measures
• It is the responsibility of the Nurse Extern to demonstrate use of the nursing process while providing direct patient care. The Nurse Extern:
• Participates in and contributes to the performance of ongoing assessment planning implementation and evaluation of the care of patients.
• Under direct supervision of the nurse preceptor can prepare and administer medications including flushing of peripheral IV lines with saline and flushing peripheral intermittent infusion devices (IID) with saline.
• Under direct supervision of the nurse preceptor can administer and regulate intravenous fluids.
• Under direct supervision of the nurse preceptor can prepare and administer nonemergent IV push drugs and heparin flushes for central lines for adults only.
• Under direct supervision of the nurse preceptor can provide care of triple lumen catheters and PICC lines for adults.
• Nurse Externs may not: Administer IV chemotherapeutic drugs Administer IV push drugs to Pediatric patients under 12 years of age Flush Dialysis catheters Flush peripheral IV lines or peripheral IIDs on patients less than 3 years of age

Cosign documentation of and/or administer highrisk medications

• Develops nursing skills and functions under the direct supervision of the RN Preceptor.
• Incorporates suggestions for selfdevelopment and/or performance into daily practice.
• Utilizes supplies equipment and technology to ensure quality of patient care.
• Consistently utilizes communication style that sets department tone for positive professional behavior. Promotes meaningful focused communication between all members of the healthcare team as appropriate.
• Encourages professional interactions between ancillary healthcare givers including physicians.

Required Knowledge Skills and Abilities:

• Ability to use technology and equipment to perform job duties.
• Effective interpersonal and communication skills.
• Effective use of proper body mechanics when handling patients supplies and equipment.
• Ability to handle a physically demanding environment.
• Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patients status. Possess the ability to interpret the appropriate information needed to identify each patients requirements relative to his/her agespecific needs and to provide the care needed as described in the units/departments policies and procedures.
• Familiarity with computer keyboard/computer programs.
• Follows Frederick Health Hospitals employment policies and Frederick Health Hospital Nurse Extern Policy.

Minimum Education Training and Experience Required:

• Currently entering final/senior year of Registered Nurse educational program
• Certified in Cardiopulmonary Resuscitation (CPR).
• Skills and abilities to perform all job description duties according to the age specific patient population served by their department and described in the Departments Quality Improvement Plan.

Patient Contact

Must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups:

• X Neonate (0 thru 30 days)
• X Infant (31 thru 12 months)
• X Child (13 months thru 12 years)
• X Adolescent (13 years thru 17 years)
• X Adult (18 years thru 65 years)
• X Geriatric (66 years)

Physical Demands:

MediumHeavy Work Lifting up to 75 pounds on an infrequent basis (less than one lift every three minutes) and/or carrying up to 35 pounds while walking. Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour).

Ergonomic Risk Factors:

Repetition: Repeating the same motion over and over again places stress on the muscles and tendons. The severity of risk depends on how often the action is repeated the speed of the movement the required force and muscles involved.

Forceful Exertion: The amount of physical effort required to perform a task (such as moving patients) or to maintain control of equipment or tools. The amount of force depends on the type of grip the weight of an object or person body posture the type of activity and the duration of the task.

Awkward Posture: Posture is the position your body is in and its effect on the muscle groups that are involved in the physical activity. Awkward postures include repeated or prolonged reaching twisting bending kneeling squatting working overhead with your hands or arms or holding fixed positions.

Contact Stress: Pressing the body hard on sharp edges can result in placing too much pressure on nerves tendons and blood vessels. For example using the palm of your hand to hit or stick objects can increase risk of musculoskeletal disorders.

Working Conditions:

1. Bloodborne Pathogens Exposure Risk: Category A WILL have exposure to blood or body fluids.

Reporting Relationship:

Reports to Department Manager

Schedule:

Full time 7a7:30p with weekend and holiday commitments

Caring for you as you care for the CommUNITY
Frederick Health offers a comprehensive and affordable benefits package. Health Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your familys needs. Life insurance ShortTerm Income Replacement and LongTerm Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program.

Pay is based on experience skills and education. If position is parttime salary will be prorated based on scheduled hours. The pay range may also vary within the stated range based on specialty if applicable. NonExempt positions may have shift differential and/or Overtime paid if applicable.

Pay range: Hourly Rate $20.00

Required Experience:

Intern