Roles & Responsibilities for Nurse Extern

Roles & Responsibilities
for Nurse Extern
The Nurse Extern shall function under the direction of an RN preceptor. The Nurse Extern shall not perform any
clinical procedure without having validation of skill competency by RN preceptor, unless otherwise noted.
Assessment
1. Assist with data collection for completion of the admission health history
2. Perform physical assessments including breath sounds, heart sounds, abdominal assessments, pain
assessments, and response to medication administration
3. Participate in therapeutic communication
Planning
1. Contributes to the nursing care plan for patient
2. Assists in setting mutually agreed upon realistic individual patient goals
Intervention
1. Observes or monitors behavior/health state and response to therapy
a. Temperature
b. Heart rate
c. Respirations
d. Blood pressure
e. Neurological checks
f. Vascular checks
2. Provides nursing care based on validated skills
3. Communicate pertinent observations to appropriate members of healthcare team
4. Administer medication after successfully completing medication administration test, may not administer
controlled substances (Oral, rectal, IM, IV) or IV push medications.
Documentation
1. Documentation following patient plan of care utilizing the HIS
2. Document according to the floor standards
3. Sign documentation with name followed by NE
Evaluation
1. Assists in evaluating nursing care provided
2. Seeks and utilizes feedback regarding nursing care to determine necessary changes in the plan of care
The Nurse Extern under the direction of the registered nurse preceptor shall participate in the patient care
utilizing the following technologies/interventions:
Medications
1. Oral administration
2. Sub q administration
Assessments
1. Breath Sounds
2. Heart Sounds
3. Rectal administration
3. Abdominal Assessment
4. IM injections
5. IVPB
6. Intradermal
4. Pain Assessment
5. Response to pain medication
6. Neuro-circulatory assessment
7. Heparin Drip
8. Flow Sheet
9. Standing Orders - except for narcotics
10. Insulin Administration Policy
11. Pyxis
Blood Administration
1. Monitor transfusion, after initial 15 minutes of
infusion
2. Signs and Symptoms Adverse Reaction

Transferring Patients
1. Bed to bed
2. Chair to bed
3. Use of gait belt
Respiratory
1. Oxygen outlet wall
2. Portable Oxygen tank
3. Use of Incentive Spirometry
4. Set up wall suction
5. Location of oral airways
6. Location of pocket masks
7. Pulse Oximetry
8. Oxygen therapy
9. Oral/Nasal suctioning
10. Tracheal suctioning
Nursing Area
1. Location of exits
2. Location of elevators
3. Fire alarms
4. Fire extinguishers
5. Emergency Red Outlets
6. Code Blue, crash cart location/response
Department Policies
1. Fire Plan
2. Disaster Plan
3. Tornado Plan
4. Earthquake Plan
5. Code Pink
6. Code Blue
Documentation
1. Charting guidelines
2. Nursing Admission Data
3. Initial Discharge Planning Assessment
4. Patient Assessment Flow Sheet
5. Patient Care and Activities Flow Sheet
6. Patient Transfer Record
7. Extended Care Facility Transfer Record
8. Discharge Summary
9. Physical Restraints/Seclusion Flow Sheets
Interventions - IV - under direct observation
1. Initiate an IV
2. Initiate saline lock & flush
3. Convert to IV to saline lock
4. Program infusion pump
5. Site Care
6. Tubing Change
7. Discontinue and Documentation
Central Line/Arterial Line
1. Ensure proper date/time labels on IV tubing
for CL
2. Observe for clean/intact dressing
3. Apply Curos caps to all IV ports to tubing for
patients with accessed CL
Miscellaneous Skills
1. Insertion nasogastric tube
2. Insertion of feeding tube
3. Tube feeding pump
4. Operation Gomco Suction
5. Insertion indwelling foley catheter – male
6. Insertion indwelling foley catheter – female
7. Straight catheterization
8. Catheter irrigation
9. Hemovac Care
10. JP Drain Care
11. Colostomy Care
12. Ileal Conduit Care
13. Suture/Staple removal
14. Replace Steri-strip- wound
15. Decubitus care
16. Use of Doppler
17. Non-invasive blood pressure machine
The Nurse Extern SHALL NOT:
1. Take verbal or telephone physician orders
2. Note off physician orders
3. Act as primary nurse in giving patient care
4. Receive or give report as primary care giver
5. Initiate any blood or blood products
6. Sign off on consent forms
7. Give any controlled substance or IVP
8. Access or flush a central line
9. Change dressings on central line
10. Initiate or manage an Intraosseous access
Revised April, 2014