St. Mary s 2009 Summer Student Nurse Internship

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1 St. Mary s 2009 Summer Student Nurse Internship The Summer Student Nurse internship is designed to increase the clinical competence and confidence of nursing students. The experience achieved through this program will help improve your nursing skills, competency, and help decide the type of nursing you would like to pursue when you graduate. Program Highlights: Limited number of positions available 8 week summer program beginning June 8 th through July 31 st (2) 12 hour shifts per week 1:1 precepted time with RN Educational Programs Rotations through various areas of hospital with a specialty area option Competitive pay Program Requirements: Students must be currently enrolled and in good standing in an accredited school of nursing December 2009 or May 2010 RN graduate Completion of Employment Application and interview Information/Preference form Submission of 2 SMMC faculty recommendation forms Official Transcript (unofficial if currently employed by SMMC as SN) Proof of CPR, and Immunizations upon acceptance into the program Please Submit the following by March 1 st, 2009: Student Summer Nurse Information/Preference Form Official Transcript (or copy if you currently work as a SN at SMMC) 2 faculty verification/recommendation forms available at Employment application* (Complete new online application at select Find a Job, then select Job Search & Application, select Summer Student Nurse Intern position) or *If currently employed with St. Mary s submit a status change form (request for transfer) instead of employment application Mail forms to the address below or deliver to Human Resources: Rachel Spalding, RN, BSN St. Mary s Medical Center 3700 Washington Ave Evansville, IN Phone: (812) Application Materials Below

2 SUMMER STUDENT NURSE INTERN INFORMATION/PREFERENCE FORM NAME DATE CURRENT ADDRESS CITY STATE ZIP MAILING ADDRESS CITY STATE ZIP HOME PHONE CELL PHONE SCHOOL CURRENTLY ATTENDING GRADUATION DATE ADN BSN SPECIALTY ROTATION PREFERENCE (Please check) Women/Children Services (Birthplace, NICU, Peds, PICU, Mother/Baby) Perioperative Services (Surgery, Same Day, PACU, Pre-Procedure Clinic) NOTE: We will try to accommodate your preference whenever possible; however, it is often difficult to match students with their preferences because of the unequal distribution of choices.

3 Student Nurse Faculty Verification/ Recommendation Form Dear : (Faculty Member) I, (Print Student s Name) a student at (school name), have applied to participate in Student Nurse Programs at St. Mary s Medical Center. I understand that my signature on this letter authorizes the release of the requested information. (Student Signature) Please answer the following questions and return this form to: St. Mary s Medical Center Human Resources, Attn: Tracy Jones 3700 Washington Ave., Evansville, IN Areas of study, which the student has successfully completed: (Please check all appropriate spaces) Fundamentals of Nursing or Introduction to Nursing (All basic skills have been checked off/recorded by an instructor and is on record at the above listed school) Medical Surgical Nursing Medication Administration Obstetric Nursing Pediatric Nursing Critical Care Nursing Theory Not Clinical

4 St. Mary s Medical Center Student Evaluation Please rate the student in the following areas: Unsatisfactory Satisfactory Above Average Excellent Communication Skills/ Techniques Professional Appearance & Attendance Effectiveness of Team Relationships Initiative to Learn Quality of Clinical Care Critical Thinking Demonstrates Interest in Caring for Patient Remarks/Comments: (Please note specific strong and weak points and any major accomplishments) Would you recommend this student for participation in our Student Nurse Programs? Yes No (Signature) (Title)

5 Student Nurse Faculty Verification/Recommendation Form Dear : (Faculty Member) I, (Print Student s Name) a student at (school name), have applied to participate in Student Nurse Programs at St. Mary s Medical Center. I understand that my signature on this letter authorizes the release of the requested information. (Student Signature) Please answer the following questions and return this form to: St. Mary s Medical Center Human Resources, Attn: Tracy Jones 3700 Washington Ave., Evansville, IN Areas of study, which the student has successfully completed: (Please check all appropriate spaces) Fundamentals of Nursing or Introduction to Nursing (All basic skills have been checked off/recorded by an instructor and is on record at the above listed school) Medical Surgical Nursing Medication Administration Obstetric Nursing Pediatric Nursing Critical Care Nursing Theory Not Clinical

6 St. Mary s Medical Center Student Evaluation Please rate the student in the following areas: Unsatisfactory Satisfactory Above Average Excellent Communication Skills/ Techniques Professional Appearance & Attendance Effectiveness of Team Relationships Initiative to Learn Quality of Clinical Care Critical Thinking Demonstrates Interest in Caring for Patient Remarks/Comments: (Please note specific strong and weak points and any major accomplishments) Would you recommend this student for participation in our Student Nurse Programs? Yes No (Signature) (Title)

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