Nurse Extern Prn

The student Nurse Extern functions under the Department of Nursing Service and works directly under the supervision of a Registered Nurse on the unit to which assigned. The Nurse Extern shall function under the direction of a preceptor and shall not perform any clinical procedure out of the approved scope of practice and without having validation of skill competency by RN preceptor.

Each Student Nurse Extern enrolled in the Student Nurse Externship Program is provided a Skills Check List that outlines what skills can be performed under the supervision of the preceptor.  Student agrees to perform only the clinical procedures and activities listed on the skills check list as provided by their School of Nursing, in order to protect his/her potential candidacy for RN licensure. Failure to follow the rules will mean termination from the program.

SKILLS EXCLUSION LIST: Skills that the Student Nurse Extern (MAY NOT PERFORM)
The following clinical skills MAY NOT be performed by a Student Nurse Extern. The student may not:
1. Hang lipids, hyperalimentation, chemotherapy, rejection medications, epidurals, and/or experimental drugs or monoclonal antibiotic infusions.
2. Titrate IV medications.
3. Administer or restart blood products including albumin, HESPAN, platelets, RhoGam, and fresh-frozen plasma.
4. Check out blood products from the blood bank.
5. Withdraw blood from arterial lines.
6. Discontinue PICC or Central IV lines.
7. Conduct cardiac outputs or manipulate arterial and/or invasive monitoring lines (including removal of catheter).
8. Access controlled medications and/or independent access to narcotics.
9. Remove or hang narcotics for PCA pumps.
10. Access dialysis devices or give meds.
11. Access implantable ports - permanent or temporary.
12. Tape, extubate, or manipulate endotracheal tubes.
13. Manipulate respiratory ventilator equipment, auto-infusion devices, and/or dialysis devices.
14. Discontinue chest tubes.
15. Perform vaginal examinations.

16. Transport a client by ambulance or helicopter.
17. Ride in ambulance or helicopter.
18. Take verbal or telephone orders.
19. Sign as a witness for an informed consent.
20. Defibrillate.
21. Procedural sedation.
22. Insert ultrasound guidewire assisted peripheral IV (example: AccuCath)   

Education:
Must be enrolled in an accredited school of nursing program within the United States preparing candidates for registered nursing licensure
Must have successfully completed one academic year, or two clinical semesters, of clinical courses in nursing.
Must be enrolled in an approved MS Summer Student Nurse Externship course for the summer term

Required Licenses:
N/A

Required Certifications:
American Heart Association Basic Life Support (BLS) is required
Student Nurse will provide a minimum of 320 hours in hospital and have a current affiliation with a Registered Nurse education program.

Required Skills:
Ability to read and communicate effectively in English. Additional languages preferred.
Strong written and verbal skills.