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Nurse Extern Tier II
Company : Appalachian Regional Healthcare
Location : Harlan, KY, 40831
Job Type : Full Time / Part Time
Date Posted : 31 December 2025
Overview
The Nurse Extern Tier II is accountable for providing nursing assistance and performing basic nursing procedures to groups of patients within an assigned nursing department, under the supervision, guidance, and direction of a Registered Nurse who may delegate subversion to other Team Member such as; Licensed Practical Nurse and/or State Registered Nursing Assistant. In addition, the Nurse Extern can gain additional clinical practice to enhance their preparation as future licensed nurses
Responsibilities
Under the continuous direct on-site supervision of a Certified Nursing Assistant:• Interprets plan of medical care and provides input on nursing care plan and assist in the following provided they have been deemed clinically competent by their nursing instructor.• Completes the nursing assessment form with oversight and approval of RN.• Provides personal care including bath, shampoo, shave, back rub, positions changes, makes beds, prepares patients for meals, feeds patients and passes ice water.• Answers call lights and bells promptly to determine and meet patient needs.• Collects specimens, stool, urine, sputum, etc.• Collects input and output and records appropriately.• Collects and records vital signs on patient. Obtains and records pertinent patient information per hospital policy.• Assist and/or feeds patients. (enteral feedings included), provides between meal nourishments, provides fresh drinking water and encourages fluids when indicated.• Assists in progressive ambulation of patients by wheelchair, stretcher and bed.• Administers enemas, douches and inserts rectal tubes and documents appropriately.• Applies ace bandages and elastic stockings and sequential compression devices.• Inserts catheters and feeding tubes.• Applies restraints and side rails to ensure safety of patients.• Observes isolation technique and give direct care to patients in isolation.• Assists in ostomy care and education.• Set up orthopedic appliances.• Maintains records and reports necessary information in regard to patient care.• Prepares patients for surgery and other therapeutic and diagnostic procedures.• Maintains a safe environment for patient care.• Performs other duties as assigned.
Qualifications
Education• High school diploma or GED equivalent.• Enrollment in Board of Nursing approved School of Nursing Registered Nurse Program• Completion of basic Nursing Fundamentals and/or Certified Nursing Assistant Course• Current Transcripts and Copy of Skills Evaluation on basic procedures• Recommendation Letter from 2 Instructors
Minimum Work Experience• N/A
Required Skills, Knowledge, and Abilities• Ability to function in and adapt appropriately to a fast-moving, cross-unit team environment.• Strong problem-solving skills.• Prior experience handling confidential matters with appropriate discretion.• To handle multiple, simultaneous tasks in a timely manner.• Collaborative attitude with the many different departments.• Must maintain positive, professional communications skills when working with co-workers • Detail oriented
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Frequently asked questions
Nurse Extern Tier II roles focus on assisting with essential nursing tasks such as vital signs monitoring, specimen collection, and personal care under RN supervision. This hands-on experience bridges classroom learning and licensed nursing duties, essential for developing clinical skills in real-world healthcare environments.
Unlike general entry-level nursing roles, Nurse Extern Tier II candidates need to be enrolled in an accredited RN program and have completed foundational nursing courses. They should also provide instructor recommendations and demonstrate basic clinical competencies, ensuring readiness for supervised patient care activities.
Completing a Nurse Extern Tier II position often leads to smoother transitions into registered nurse roles within Appalachian Regional Healthcare or other healthcare systems. The program enhances clinical confidence, builds practical experience, and can improve competitiveness for future nursing positions in Kentucky and beyond.
Appalachian Regional Healthcare provides direct RN oversight and diverse clinical tasks, allowing Nurse Extern Tier II participants to build critical nursing skills. The focus on collaborative team environments and comprehensive patient care prepares externs for licensure and promotes a supportive culture for new nurses.
Appalachian Regional Healthcare emphasizes personalized mentorship and a structured externship program that integrates practical nursing fundamentals with patient-centered care. This approach, combined with local healthcare demands in Harlan, KY, offers externs unique hands-on training aligned with regional health needs.
In Harlan, KY, Nurse Extern Tier II positions typically offer hourly wages between $14 and $18, reflecting the region's cost of living and healthcare market. Nationally, entry-level nursing extern roles might command slightly higher pay, but local compensation aligns competitively with Appalachian Regional Healthcare's support for new nurses.
Harlan's compact community generally allows manageable commutes to Appalachian Regional Healthcare facilities. However, public transportation options are limited, so most Nurse Extern Tier II candidates rely on personal vehicles, making proximity a key consideration when applying for this position.
Healthcare staffing in Harlan reflects a steady need for nursing support roles, including Nurse Extern Tier II. Local hospitals like Appalachian Regional Healthcare actively recruit to fill these roles, driven by ongoing efforts to bolster rural healthcare services and prepare future licensed nurses.
This externship immerses candidates in tasks such as specimen collection, ambulation assistance, and patient hygiene under supervision, offering real-time clinical exposure. These experiences bridge theoretical nursing concepts with hands-on care, essential for developing competence prior to full RN licensure.
Candidates should demonstrate strong problem-solving abilities, adaptability in fast-paced healthcare environments, attention to detail, and effective communication. A collaborative mindset and prior completion of nursing fundamentals also enhance suitability for this role within Appalachian Regional Healthcare's team-oriented culture.