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Description

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The Cardiovascular Surgical Stepdown unit is located on the 5th and 6th floors of the Heart and Vascular Hospital. The unit was recently expanded from 24 to 32 beds to accommodate an increase in patient volume. The 6 HV stepdown unit specializes in the care of the cardiac and vascular surgical patient, the structural heart patient, cardiac medical patient, and patients requiring the titration of inotropes and vasopressors while meeting the quality metrics that support Magnet designation.

The design of 6 HV allows for quick access to resources within each workstation. The rooms are all equipped with GE bedside monitors and wall mounted computers for easy access to electronic charts.

Nurses have quick access to cardiac surgery APP’s, floor assigned pharmacists, multidisciplinary support through daily rounds, and a consistent case management team that follows surgical patients from surgery to discharge evaluating discharge needs daily. The pharmacy concierge delivery program ensures patients have important medications delivered to the bedside before discharge.

The 6HV Leadership team provides an environment that supports personal and professional growth with opportunities for advancement and a strong support system for new graduate nurses.

Summary:

The goal of the Student Nurse Externship experience is to provide prelicensure nursing students with an immersive experience to enhance their foundational nursing education and role socialization within a clinical setting. The Student Nurse Extern I (SNE I) position is intended for nursing students enrolled in an accredited School of Nursing to function as a member of the patient care team.. The SNE I will work with their RN partner as a partner in practice within their Nursing Assistant I scope of practice.

The Student Nurse Extern I demonstrates the ability to learn and apply the concepts they have been taught in their nursing program to provide technically skilled care in their assigned department. This position provides the chance to work with RNs in a variety of healthcare settings, earning valuable experience that will enhance nursing knowledge and prepare the incumbent for a profession as a registered nurse.

The Student Nurse Extern I reports to the assigned department’s Patient Services Manager or designated Education Leader and works under the direct supervision of an assigned RN partner. The RN partner facilitates and supports learning experiences to enable the SNE to proficiently perform nursing care activities in both complex and non-complex situations. Provides routine direct and indirect patient care in a hospital, clinic, or home health care setting. All work performed is under the direct supervision of a registered nurse or provider.

Program Details/Requirements:

• Nurse Externship program timeframe: 5.19.2025 - 7.26.2025

• Current enrollment in an accredited prelicensure nursing program with anticipated graduation within 12 months’ time from the start of student nurse externship.

• Possess NC NA licensure and BLS prior to start

Responsibilities:

1. Observes, collects, and documents patient information obtained while providing care and promptly report significant changes in the patient's condition to a registered nurse or provider. Participates in the collaborative identification and reporting of patient safety issues.

2. Provides assistance to patients and their families during admission to the clinical area, orientation to the hospital/clinic/home health experience, and discharge

3. Provides care/ treatments to patients as outlined in plan of care including, but not limited to, the measurement of vital signs, height and weight, specimen collection, skin preps/scrubs, catheter care, capillary blood glucose checks, simple wound care, range of motion exercises, postural drainage, and supportive 1:1 patient and family interactions.

4. Provides direct personal care to patients as outlined in plan of care for routine activities of daily living such as bathing, dressing, feeding and assisting with ambulation.

5. Provides indirect care to patients and assigned area to include, but not limited to, cleaning the work area, changing linens, re-stocking supplies, cleaning/sterilizing instruments, transporting patients/ supplies/ specimens, assisting in the orientation of new employees and students, and some routine clerical functions.

9. Reinforces routine teaching given to patients by the registered nurse or provider and document patient understanding of instructions.

10. Assist providers and other health care providers with routine examinations and procedures, as well as procurement of equipment and supplies during emergency situations.

11. In the psychiatric setting, aids patients in reality orientation, participates in behavior modification plans/therapy, provides informal support therapy to patients/families, provides verbal de-escalation of potentially aggressive patients, aids in the physical management of aggressive/out-of-control patients, facilitates age appropriate play for children, and monitors the therapeutic milieu activities on assigned unit to ensure that emotional and safety needs of patients are met.

Other Information

Other information:

Education Requirements:

● High School Diploma/GED

● Current enrollment in an accredited prelicensure nursing program with anticipated graduation within 12 months time from the start of student nurse externship.

Licensure/Certification Requirements:

● Listed as Nursing Assistant I with the North Carolina Department of Health and Human Services

● Basic Life Support (BLS) certification

Professional Experience Requirements:

● None required.

Knowledge/Skills/and Abilities Requirements:

● Fluent in verbal and written English language.

● Ability to organize and prioritize assignments in the delivery of patient care. Attainment and maintenance of unit-specific competencies.

● Basic computer skills.

● Lift and carry 40-50 lbs. Examples: Push/pull patients on a bed, stretcher (requires 29 lbs. push force), lateral transfers up to 50 lbs. of the patient's weight.

● Frequent to continuous standing/walking.

● Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting, and performing CPR.

Job Details

Legal Employer: NCHEALTH

Entity: UNC REX Healthcare

Organization Unit: Heart and Vascular Nursing Overhead

Work Type: Temporary Full Time

Standard Hours Per Week: 36.00

Salary: $17.43

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Variable

Location of Job: US:NC:Raleigh

Exempt From Overtime: Exempt: No

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.