Clinical Extern, Tcpt

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The Clinical Extern is a member of the interprofessional healthcare team, as an unregulated care provider, in the inpatient units at Niagara Health. As part of the interprofessional healthcare team, the Clinical Extern will support high quality care for patients and families, while demonstrating a commitment to excellence in supporting the patient and family experience. Clinical externs are involved in delivering care to patients, which includes personal care, promoting patient safety through falls risk assessments and skin assessments, help with activities of daily living, and other nursing interventions that are assigned or delegated to them by the Nurse. Clinical Externs will work under the direct/indirect supervision of an Extern Coordinator. The Clinical Extern will practice within their knowledge, skill, and judgement a manner consistent with Niagara Health's Purpose, Vision and Values.

**KEY QUALIFICIATIONS/JOB REQUIREMENTS: Must be enrolled in one of the following programs**:
Students registered in the following accredited programs:

- Registered Nurse (RN) Student enrolled in their 2nd, 3rd, or 4th year
- Registered Practical Nurse (RPN) Students enrolled in their final year of study
- Undergraduate Medical Students in the final year of a program; recent Canadian Medical Graduates awaiting start of residency
- Respiratory Therapy Students in their 2nd or 3rd year of study in a Diploma Program
- Paramedic Students who are in an approved Paramedic Program; 2nd year of study
- Occupational Therapy Students (any year)
- Physiotherapy Students (any year)
- Internationally Educated Nurses who have initiated registration with the College of Nurses of Ontario (CNO), have received a CNO letter of direction and meet one of the following:

- are in any year of study in a CNO approved program, such as a BScN-IEN program, PN-IEN program, or
- are completing a micro-credential plan with a curriculum to meet the CNO requirements for registration (e.g. Standards of Practice for nursing, Entry-to-Practice Competencies, Evidence of Safe Practice, Evidence of English Language Proficiency) or have completed their educational requirements (e.g. BScN-IEN/PN-IEN program, or micro-credentialing) and are waiting to write their registration exam

**ADDITIONAL REQUIREMENTS**:

- Current certificate in BCLS
- Completion of any orientation and mandatory training provided by Niagara Health
- Demonstrated IPAC practices
- Evidence of good academic standing with enrolled program
- Evidence of successful learning experiences in recent clinical placements
- Ability to communicate in a confidential, professional, diplomatic and friendly manner when interacting with patients, families, staff, physicians, students and volunteers
- Ability to work as a member of a team and request guidance and consultation
- Acquired competencies to provide safe, high quality and compassionate care reflective of level of formal education and in accordance with organizational Purpose, Vision and Values
- Demonstrated critical thinking skills including clinical judgment, problem solving, and evaluation skills reflective of level of formal education
- Demonstrated attitude and behavior that conveys respect and dignity of all persons
- Demonstrated excellent organizational and time-management skills
- Excellent attendence record

**EXPERIENCE**:

- Successful completion of a recent clinical placement in an acute care area preferred.
- Students who have successfully completed a recent clinical placement at Niagara Health preferred.

**DUTIES/RESPONSIBILITIES**:

- Practice under the direct and/or indirect supervision of a Healthcare Professional (eg. RN, RPN, Respiratory Therapist etc) in a manner consistent with NH's Purpose, Vision, Values, policies and procedures and in accordance with the CNO Practice Guideline for Working with Unregulated Care Providers
- Carry out or assist with activities of daily living with the goal of supporting and optimizing patient independence and functioning. In consultation and collaboration with supervising healthcare professional, these duties may include both patient care activities and non-patient care activities as follows:

- Assistance with Activities of Daily Living (e.g. feeding, toileting, bathing, dressing, etc.)
- Mobility Assistance (lifting, turning, positioning, transfer, ambulation, etc.)
- Provision of measures to ensure skin integrity
- Answering call bells
- Taking patients' Vital Signs, height and weight
- Assistance with comfort measures and involvement in We Rounds
- Contribution to care planning and implementation of existing care plan interventions under direction of the nurse
- Activation, companionship, and social engagement
- Reporting changes in patient status or safety concerns to a supervising nurse
- Falls Risk Assessment
- Pain Assessment
- Braden Scale Assessment
- CAM Assessment
- Other care activities as needed and appropriate for clinical area and patient population served
- Documenting