About Us Careers Students Summer Nurse Extern Application Summer Nurse Extern Application Name(Required) First Last Phone(Required)Email(Required) Educational Institution(Required) Graduation Date(Required) MM slash DD slash YYYY Nursing School Instructors (References)Reference 1 – Name(Required) First Last Reference 1 – Email(Required) Reference 2 – Name(Required) First Last Reference 2 – Email(Required) Have you ever been employed at Memorial?(Required) Yes No If yes, what was your role? Number the Following Clinical Areas in Order of Preference(Required)Cardiac TelemetryICUMedical SurgicalMedical TelemetryOncology/Medical/TelemetryPACUOrtho/Neuro/MedicalProgressive Care UnitSame Day Admit Add RemoveDid you have a clinical rotation at Memorial?(Required) If yes, what unit? List top 3 preferred units for externship(Required)Preferred shift(Required) ExperienceSelect the option that indicates your level of performance for each of the following skills. IVs(Required) Moderate Experience Limited Experience SIM Lab Experience No Experience NG Tubes(Required) Moderate Experience Limited Experience SIM Lab Experience No Experience Urinary Catheters(Required) Moderate Experience Limited Experience SIM Lab Experience No Experience Chest Tubes(Required) Moderate Experience Limited Experience SIM Lab Experience No Experience Trach Care(Required) Moderate Experience Limited Experience SIM Lab Experience No Experience Suctioning(Required) Moderate Experience Limited Experience SIM Lab Experience No Experience Dressings(Required) Moderate Experience Limited Experience SIM Lab Experience No Experience Isolation Rooms(Required) Moderate Experience Limited Experience SIM Lab Experience No Experience Medication Administration(Required) Moderate Experience Limited Experience SIM Lab Experience No Experience Blood Administration(Required) Moderate Experience Limited Experience SIM Lab Experience No Experience What do you hope to achieve through this program?(Required) In what area lies your greatest weakness regarding education or skills?(Required) What is your current knowledge of pharmacology?(Required) How many patients have you been responsible for medicating at one time?(Required) What area of nursing have you enjoyed the most/least?(Required) Δ Contact Info (228) 867-4000 In This Section: Residency Programs PGY1 Pharmacy Residency University Affiliations Graduate Medical Education Research & Trials Pay Incentives Long Term Care Students Job Shadowing Summer Nurse Extern Application Nurse Intern Program Application Patient Care Extern Application We Are Memorial Hospital Scholarship Fund Student Registration RN Internship Summer Nurse Extern Program Patient Care Extern Program Career FAQs Diversity, Equity & Inclusion Coastal Living
