About Us Careers Students Summer Nurse Extern Packet Summer Nurse Extern Packet Name(Required) First Last Phone(Required)Email(Required) Educational Institution(Required) Graduation Date(Required) MM slash DD slash YYYY SON Point of Contact (Email)(Required) Nursing School Instructors (References)Reference 1 – Name(Required) First Last Reference 1 – Email(Required) Reference 2 – Name(Required) First Last Reference 2 – Email(Required) Did you have a clinical rotation at Memorial?(Required) Yes No If yes, what was your role? Have you ever been employed at Memorial?(Required) Yes No If yes, what uint(s)? Number the Following Clinical Areas in Order of Preference(Required)Cardiac TelemetryEmergency DepartmentICUL&DMedical SurgicalMedical TelemetryMother/BabyOncology/Medical/TelemetryOrtho/Neuro/MedicalProgressive Care UnitSurgery Add RemoveDid you have a clinical rotation at Memorial?(Required) If yes, what unit? Desired Shift(Required) Days Nights No Preference 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 (228) 236-6487 clinicalprograms@mhg.com In This Section: Career FAQs Students Residency Programs Job Shadowing Summer Nurse Extern Packet Nurse Intern Program Packet Patient Care Extern Packet Respiratory Extern RN Internship We Are Memorial Scholarship Summer Nurse Extern Program Patient Care Extern Program Student Registration Long Term Care Careers Clinical Staff Pay Incentives Diversity, Equity & Inclusion Coastal Living
