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Nurse Extern

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Ardmore, OK

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Overview We\u2019re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. We don\u2019t believe in jobs at Mercy, we believe in careers that match the unique gifts of unique individuals; careers that not only make the most of your skills and talents, but also your heart. At Mercy, you\u2019ll feel our supportive community every step of your day, especially the tough ones. We\u2019re a team and love working that way. That team is expanding, and we currently have exceptional opportunities to help our communities grow. Responsibilities and Qualifications Adheres to the standards of nursing practice\/policy\/procedures of the hospital and nursing department. 1.1 Utilizes the nursing process to establish priorities of care, responds to patient needs and implements patient care. 1.2 Take assignment from charge nurse clinical preceptor. Answers patient\u2019s call lights in a timely manner to determine needs and responds appropriately by fulfilling needs within the scope of job description or reports patient needs to the nurse. Provides patient with privacy. Administers treatments and procedures within the realm of training using skills check sheet from nursing program and orientation skills check list. Documents select nursing tasks and activities on medical records. Perform routine tasks and simple treatments under the direction of registered nurse. 2.1 Assists the nurse with the admission and discharge process. a) Tasks and documents vital signs\/height\/weight upon admission. b) Orients patient and family to environment. 2.2 Takes and records temperature, pulse, respirations, and blood pressure on all assigned patients at the beginning of each shift and every four hours for twenty four hours after surgery. Takes vital sings more frequently as assigned. Reports and significant findings to the nurse. 2.3 Obtains weight on patients as ordered. 2.4 Performs fingerstick blood sugar as ordered, documents results in computerized nurse\u2019s notes and reports abnormal results (less than 80 or greater than 120). 2.5 Empties wound suction\/drainage devices at 0600, 1400, 2200 and prn; records amounts on Intake\/Output in computerized record. 2.6 Applies and refills ice packs, refills K-pad units and humidifiers, and may measure for and supply TED hose. 2.7 Prepares and assists patients with sitz baths as ordered and documents on patient care record. 2.8 Collects specimens, labels them correctly and delivers them to other departments for analysis, i.e.; a) Urine-routine b) Urine-clean catch c) Urine-sterile from Foley d) Sputum e) Stool 2.9 Pulse oximetry placement\/readings and reports Sa02 less than 92% to nurse immediately. 2.10 Telemetry placement and changes electrodes as needed. 2.11 Applies antiembolism stockings. 2.12 Turn, cough, and deep breathe postoperative patients every 2 hours or as directed by RN. 2.13 Records simple teaching in the patient record; TED hose, body mechanics, equipment, etc. 2.14 Maintains patients, proper body alignment and activity by turning nonambulatory patients every two hours and documenting position in computerized record. 2.15 Assists patient to chair or ambulate as ordered. 2.16 Documents appropriate information in medical record. Provides personal hygiene and comfort measures to patient as directed. 3.1 Provides complete\/partial baths or showers, including oral care. 3.2 Provides fresh ice water at least once per shift. 3.3 Provide hair care, nail care, and back rubs as needed. 3.4 Documents hygiene and comfort measures on the patient care record. 3.5 Assists with bedpan\/urinal, beside commode, or up to bathroom as needed. 3.6 Perform perineal\/catheter care and ostomy care as needed. 3.7 Accurately records intake and output. Reports information to assigned nurse. Demonstrates ability to provide care to the following age groups: Newborn\/Pediatric\/Adolescent\/Adult\/Geriatrics: 4.1 Utilizes knowledge of growth and development related to patient care activities. 4.2 Includes age specific information when gathering data. 4.3 Provides age specific data to other caregivers. Assists in the maintenance of adequate nutrition. 5.1 Serves between meal supplements\/snacks as ordered. 5.2 Assists patients with meals, feeding if necessary. 5.3 Documents types of diet and percentage of food eaten on the computerized record. 5.4 Correctly follows patients\u2019 diet as ordered. Communicates pertinent information to the responsible nurse. 6.1 Promptly reports all signs and symptoms indicating any changes in the patient\u2019s condition to appropriate nurse immediately. 6.2 Reports to appropriate nurse any patient needs\/responses to therapy (complaints of pain, response to surroundings, changes in alertness, unusual skin redness or tears, etc.). 6.3 Reports off to charge nurse before leaving assigned area. Maintains a clean and safe environment for patient and self by: Emptying and properly bagging linen and trash and storing it according to hospital policy. Cleaning bedside and over-bed tables and straightening\/changing bed linen prn. Removing unnecessary equipment from room. Cleaning bedpans, urinals and bedside commodes. Using proper hand washing techniques and standard precautions at all times. Complies with isolation procedures. Keeping side rails up, bed at low positions, call light within patient\u2019s reach, and alerts patient and staff to fall risk. Promotes professional and organizational development by completing the following: Attends all mandatory inservices. Accountable for staff meeting information by attendance at 50% of meetings or through documentation that minutes have been read. 8.3 Maintain current CPR certification. 8.4 Participates in hospital committee, special projects, or service as requested. 8.5 Adheres to all OSHA Standard regarding appropriate safety regulation and procedures. 8.6 Complies with all policies, procedures, and protocols with no documentation violations.\\ 8.7 Accurately completes clock-in transactions. 8.8 Ability to get along with co-workers. 8.9 Ability to function as a team player. 8.10 Ability to accept constructive criticism from supervisor. 8.11 Ability to abide by all work rules. 8.12 Maintains a positive influence and with environment at all times. Performs the following charting duties as delegated and supervised by an RN. a) Intake and Output b) Vital Signs c) Hygiene Performs the following skills as delegated and supervised by an RN. a) Dressing change for peripheral IV sites b) Administers all types of enemas, except any that contain medication c) Insert and remove Foley catheters d) Sterile\/nonsterile dressing changes (excluding meds) e) Provides shift report f) Insert and Remove NG tube g) Irrigate Foley catheter h) Tracheostomy care\/suctioning i) NT\/ET suctioning j) Enternal tube feedings k) Dressing change for central venous catheter, i.e., multi-lumen and PICC l) ER triage Skills Competencies: 12.1 Provides necessary documentation of competency to RN preceptor for desired skills i.e., skills checklist from current school of nursing. 12.2 Completes provided skills checklist with RN signature at time of skill completion and returns form to Nursing Education at the end of the Extern program.\u00a0 Because you\u2019re committed to excellence, you understand the importance of being properly prepared for your role at Mercy. That\u2019s why you\u2019ll bring to your role the right set of qualifications: Education: Current enrollment in an RN school of nursing and has at lest one year or less to complete the nursing program, or has completed an RN program in a school of nursing and has applied to write the licensure examination. The graduate may continue to be employed in a Nurse Intern role until licensed, provided that the first licensure examination is taken within 6 months of graduation, on either the first or the second attempt. Completion of orientation to unit assigned. Certifications: Basic Life Support Preferred Certifications: Basic Life Support (BLS)

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Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 185 years. It began with an Irish woman named Catherine McAuley, who wanted to help the poor women and children of Dublin. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill her dreams. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to poor women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, the first religious order not bound to the rules of the cloister, whose Sisters were free to walk among the poor and visit them in their homes. By the time Catherine died in 1841, there were convents in Ireland and England, and in 1843, the Sisters of Mercy came to the United States. In 1871, they traveled to St. Louis and from there throughout the Midwest, beginning what would, today be known as Mercy. Since our creation in 1986, Mercy is the seventh largest Catholic health care system in the U.S. and serves millions annually. Mercy includes 46 acute care and specialty (heart, children’s, orthopedic and rehab) hospitals, more than 700 physician practices and outpatient facilities, 40,000 co-workers and more than 2,000 Mercy Clinic physicians in Arkansas, Kansas, Missouri and Oklahoma. Mercy also has outreach ministries in Arkansas, Louisiana, Mississippi and Texas.

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