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The UAMS Medical Center
Externship Program/Contract
Name:
_____________________________________________________
School:
____________________________________________________
Date
of Graduation:______________
Are you currently employed? (circle
one) Yes No
If yes, state name of employer:
___________________________________
Are you currently under contract to
work upon graduation? (circle one) Yes No
If yes, state name of employer:
___________________________________
Area/Shift:
The purpose of the Extern Program
is to enhance clinical competencies. Therefore, students will be assigned
to work A or P shift on a specific nursing area. Opportunities to work
in alternative settings will also be offered. Every effort will be
made to accommodate rankings but is not guaranteed. Please use numbers to indicate choice using 1 as first choice, etc.
A:
6:30A-7P; P: 6:30P-7A
| Shifts
Available: |
Areas Available: |
| ___
A M-F (rotation to WE) |
___
Med./Surg. |
| ___
P M-F (rotation to WE) |
___
ICU |
| ___
A Sa./Su. (+1 shift M-F) |
___
Nurseries |
| ___
P Fri./Sa./Su. |
|
Program
Requirements:
- Student committed to work at least 1 year with UAMS Medical Center upon graduation.
- Student
required to purchase “designated”
uniform.
- Student required to work same
schedule as preceptor.
- Student required to attend additional
two (2) hour bi-weekly seminar. Specific days/times vary based
on instructor availability.
- Student cannot be paid for any time over 40 hours/week.
- Student
allowed to continue working
after completion of program, if opening available.
- Student
required to adhere to hospital
policies and standards.
- Student committed to no absences
or tardiness.
*college credit will not be issued for any absences
- Signed contract indicates student’s obligation to adhere to program
requirements.
___________________________________________________
Signature Date |