Student Extern​/Student Nurse-Part Time

Position Overview

Position Title: Nurse Extern Position Code: Student Extern-8062

Department: Nursing Safety Sensitive: Yes

Reports to: Department Manager/Director Exempt Status: No

Position

Purpose:

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country.

Nursing Process

• Assessment:
• Performs routine aspects of patient treatment, care and progress (i.e. basic data collection, physical assessment, vital signs, weights, intake & outputs, blood glucose monitoring).
• Collects body fluids for specimens.
• Diagnosis/Care Needs: The student extern analyzes assessment data with preceptor and/or supervising RN to identify care needs and verbalizes needed care to the preceptor and/or supervising RN.
• Implementation:
• Nursing care is based on identified nursing diagnoses/care needs and standards of patient care.
• The student extern implements patient education and involves the patient and family and/or significant other as appropriate.
• Evaluation: Recognizes and reports to the RN any alterations in the patient’s health status and responses to treatment.
• Documentation: Documents patient care in a clear, concise manner. In collaboration with RN:
• Completes nursing admission and assessment form.
• Initiates the Nursing Care Plan with identified patient problems (utilizing nursing diagnosis), expected outcomes and nursing intervention.
• Documents treatments and nursing intervention on appropriate chart forms.
• Completes discharge instruction sheet as appropriate.

• Regularly performs appropriate utilization of equipment, tubes and drains as designated in department specific orientation.
• Promotes restorative and/or therapeutic care by providing assistance with activities of daily living (i.e. hygiene, feeding, mobility, elimination, and simple physical/respiratory/occupational/speech therapy).
• Maintains clean and safe work environment.
• Applies standard precautions during patient contact and when handling contaminated materials.
• Follows restraint policy and procedure.
• Adheres to Arizona State Board of Nursing and KRMC guidelines, and does not:
• Administer any type of medication by any route.
• Initiate any type of IV therapy.
• Accept verbal orders or telephone for orders from physicians.
• Obtain and/or witness consents.
• Apply restraints.
• Administer blood products.

• Corroborates with RN in setting weekly goals and takes action to achieve the identified goals.
• Completes the administrative paperwork as determined by Director of Education.
• Attends educational offerings and monthly departmental meetings when possible.

• Provides appropriate age-specific safety measures.

Level I:
First Semester RN students — enrolled and in good standing in the 1st semester of RN school. Responsibilities include vital sign monitoring, point-of-care testing, hourly rounding, assisting with activities of daily living, documentation in EHR, and other duties as trained.

Level II
:
Second Semester RN students — completed Level I requirements and maintain active enrollment in the 2nd semester. Includes duties of Level I plus additional responsibilities as assigned.

Level III
:
Third Semester RN students — performs all Level II duties, may be paired with an RN to provide full patient care and assessment under supervision, manages full patient load with RN, and participates in development activities.

Level IV
:
Fourth Semester RN/ LPN — manages full patient load, performs RN-level tasks under supervision, active participation in transition to practice activities and program progression.

Grad Nurse and RN Resident — manages full patient load and performs RN-level tasks under supervision with program-specific requirements.

• Education: High School Diploma; for LPN and RN track specifics apply per level requirements.
• Experience: LPN only: one year of acute care in direct patient care if third semester is not complete. Higher levels require RN program enrollment and progression per level.
• Certification: Current BLS (CPR) through ARC or AHA.
• Licensure: LPN or RN licensure as applicable…