ICU Student Nurse Extern

ICU patient population is for the Adult/Geriatric seriously ill requiring intensive treatment and close monitoring of post-surgical and medical with multiple organ failure. The unit serves as a primary source for Code Heart, Stroke, Cardiac Arrest, Continuous Renal Replacement Therapy (CRRT), Ventilator dependent and patient requiring continuous monitoring. Patients are continually monitored by an Intensivist available on the unit 24/7. ICU RNs are also utilized in the role of the Rapid Response Nurse (RRT) providing advanced critical care assessment for the inpatients throughout the organization.

Must be able to start the week of May 18th or June 1st

Full time day shift 7a-7:30p with weekend and holiday rotation;
This is a temporary position until the student returns to school for fall semester, at which time the position will transition to a PRN CNA role on the unit hired.

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) 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.

• 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 unit-specific RN competencies.
• Performs independently the roles and responsibilities of a C.N.A.
• 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 nurse-directed plan of care which is being implemented.
• Provide feedback to the nurse about the patient’s 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 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 P’s:
  Pain, Potty, Personal Needs;
  Possessions.
• Blood glucose testing, vital signs, pulse oximetry, height, weight, SCD’s, 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 patient’s response and the patient’s progress to the nurse at designated times and/or when there is a change in the patient’s condition.
• Make suggestions or recommendations on how the nursing plan of care can be…