Goals for student externship

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Specializes in General adult inpatient psychiatry.

I'm applying for a student nurse residency (externship) at University of Maryland Medical Center for this upcoming summer. I've got several questions and I'm hoping you all can help me out here. I have to write an essay on how I feel this opportunity will help me in my nursing practice, which shouldn't be too hard for me to write. I am however stumped when asked to list 3 of my goals for the summer experience. I know I want to work on my skills, gain confidence in myself as a budding nurse, and figure out what department suits me best, but I don't know if that's what they're looking for. I'm also at a bit of a loss as towards what department to apply for. Externships are offered in Acute Care, Critical Care, Trauma, Women's and Children's Health, Oncology, Neurology and Transplant, Pediatrics, MICU, Cardiac Surgery, Acute Care Surgery, PICU, NICU, Labor and Delivery, Neurotrauma, Multitrauma, and Select trauma. I want to do Emergency Department when I graduate (if not initially, eventually) but I have no real experience with the field as of yet. UMMC is home to Shock Trauma, which is very prestigious and intimidating. I'm not sure I'm a strong enough person to do trauma nursing and don't want to get in over my head, even though I like Emergency Department. Any ideas of what department would offer the most useful experience to me but not be completely overwhelming? I'd be assigned to a nurse and work his/her shift completely 36-40 hours a week from May 27th through August 8th. Thanks in advance!

Specializes in ED, ICU, MS/MT, PCU, CM, House Sup, Frontline mgr.

Current Extern here... Just a reminder, you are not licensed so you will NEVER EVER be expected to do anything that is "over your head". In fact, as an Extern this is probably the only time in your nursing career that you will be able to tell someone "I am not comfortable doing [fill in the blank]" without being written up or looked at strangely. Thus, I highly suggest that you pick an area you plan to work in after your graduate. Especially since it is possible that you will gain experience, connections, and land a job in that specialty before you graduate. GL! :up:

Specializes in Nursing Professional Development.

I run a summer extern program (at another hospital) ... and the goals that you listed are the types of things we look for.

As for which unit ... I don't know the units (or your temperament) well enough to say. For our externs, we ask them about their preferences and career plans and the WE determine which unit they are assigned to. Some years, we have lots of great applicants who all want the same unit and we can't do that: we need to spread them out. So, we ask them to give us their top 3 or 4 units and discuss their reasons for wanting those units etc. so that we can match them up with a unit that will work well for them even if it is not their first choice.

Does the program you are applying to force you to pick only 1 unit ... and then have it be "all or nothing?" with you either being chosen for that unit or nothing at all?

As llg notes, the goals you've listed are realistic. I've found that being an extern allows me to utilize the skills I've learned in nursing school and gives me an opportunity to improve and expand them. Externing also helps me improve my organizational skills, which to me is everything. I'm not there yet, but I'm much further along than if I never had any floor experience at all. Finally, I'm honing interpersonal skills with peers and staff, and finally speaking to doctors, whom I artfully dodged previously.

Good luck to you. I extern once a week during school and more on breaks, and it has helped me on every level in nursing school.

Specializes in General adult inpatient psychiatry.
I run a summer extern program (at another hospital) ... and the goals that you listed are the types of things we look for.

As for which unit ... I don't know the units (or your temperament) well enough to say. For our externs, we ask them about their preferences and career plans and the WE determine which unit they are assigned to. Some years, we have lots of great applicants who all want the same unit and we can't do that: we need to spread them out. So, we ask them to give us their top 3 or 4 units and discuss their reasons for wanting those units etc. so that we can match them up with a unit that will work well for them even if it is not their first choice.

Does the program you are applying to force you to pick only 1 unit ... and then have it be "all or nothing?" with you either being chosen for that unit or nothing at all?

Well, there are individual applications on the website for the hospital for different units. I think I might see if I can track down a nurse recruiter there and see if it works as you say your program does. Thanks for the info!

Specializes in Nursing Professional Development.
Well, there are individual applications on the website for the hospital for different units. I think I might see if I can track down a nurse recruiter there and see if it works as you say your program does. Thanks for the info!

I think it is a great idea to discuss it with the Nurse Recruiter even if you do have to pick one unit for yourself. She can probably give you some good advice that will help you make a good choice. Too many people (especially students and new grads) will pick a particular unit because of it's title -- e.g. "I want the ED." or "I want the ICU." etc. without investigating and taking the particular details of that unit into consideration. At a large hospital such as the one you are applying to, there are probably several units that would be good choices for you. Pick the one that you will be happiest in so that you can focus on the things you want to learn -- and not so over-stressed and unhappy that it becomes a problem.

I was wondering how you may have fared in your externship or pursuit of one?

I will be starting my nursing program in January and would love to find a similar oportunity in the area. (Balt.) Do you have any advice for me?

Thanks!

Specializes in General adult inpatient psychiatry.
I was wondering how you may have fared in your externship or pursuit of one?

I will be starting my nursing program in January and would love to find a similar oportunity in the area. (Balt.) Do you have any advice for me?

Thanks!

I actually didn't end up getting an externship, but I have a flexible job as a part-time/as needed student nurse working in a hospital.

I think it is a great idea to discuss it with the Nurse Recruiter even if you do have to pick one unit for yourself. She can probably give you some good advice that will help you make a good choice. Too many people (especially students and new grads) will pick a particular unit because of it's title -- e.g. "I want the ED." or "I want the ICU." etc. without investigating and taking the particular details of that unit into consideration. At a large hospital such as the one you are applying to, there are probably several units that would be good choices for you. Pick the one that you will be happiest in so that you can focus on the things you want to learn -- and not so over-stressed and unhappy that it becomes a problem.

Ilg, do you have any recommendations of a place we could go to learn about "a day in the unit" for different departments? It's hard to get an outsider-looking-in idea of each unit until you've been there in clinical, and some are never visited by many clinical groups.

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