Durh

ham Reg
gional Ho
ospital Ambass
A sador Intternship
p Progra
am
Studen
nt Applicatiion

Ple
ease review program des
scriptions an
nd select (on
ne) program :

 Emerg
gency Dep
partment  Periope
erative Se
ervices

Name

Add
dress

Em
mail (ccell)

Date of birth Ge
ender

Sch
hool M
Major

Yea
ar in College
e H
Hometown

Em
mergency Co
ontact Name
e P
Phone

How would you

u describe yo
our race?

 White/C
Caucasian  American n Indian/Alaskan Native
 African American
Black/A  Multi-raccial
 Asian/In
ndian  I do not wwish to desccribe my race
e
 Native Hawaiian/Ot
H ther Pacific Islander

c or Latino? Yes  No 
Are yyou Hispanic nswer 
No An

Are yyou fluent in

n any langua
ages other th ? Yes  N o  If so wh
han English? hich languag
ge(s)?

Are yyou legally authorized

a to e United Stattes? Yes  No 
o work in the

Have e you ever been

b convicted of a crime other than
n a minor tra ? Yes  No 
affic offense?
xplain below (note that a background
If yess, please ex d check will be complete ed on applica
ants being cconsidered
for th
he internship
p):

ase answer the followin

Plea ng question
ns after reviiewing the e
enclosed pa
atient liaiso
on informatiion:

1. W
Why do you wish to be an
a Emergenc
cy Departme
ent /Periope rative Amba
assador? Ple
ease explain
n:
  

2. H
Have you ev
ver been invo
olved in a stressful healtthcare situattion? Please
e explain (op
ptional):

3. Is there any reason why you cannot perform the

e requiremen
nts of the job
b (see job du
uties)?

4. D
Do you have
e transportation to and frrom Durham
m Regional H es  No 
Hospital? Ye

((Please note
e that Durham
m Regional is unable to provide tran
nsportation b
but is located
d on several Durham
b sing the bus as primary transportatio
bus routes. Students us t on are not pe
ermitted to w
work eveninggs.)

ase list any volunteer and

Plea a work ex
xperience

Co
ompany / Org
ganization Job
b Duty / Title
e Start Date
e End Date

Sign
nature (type if submitted electronically) Date
e
 Emergency Department
Ambassador Program

Durham Regional Hospital invites undergraduate

and graduate students interested in a career in
healthcare to apply for a unique Emergency
Department (ED) internship experience. This
non-paying internship will allow students to
learn about:

 Managing patient flow in an ED

 Customer service in a healthcare environment
 Data collection and analysis
 Healthcare disparities and multi-cultural health
issues

Application Deadline is Jan. 1

For more information and application,
please contact Bianca Briola
bianca.briola@duke.edu
 Emergency Department
Ambassador Program

Please review the program description and submit

a completed application electronically
to Bianca Briola
bianca.briola@duke.edu
or Fax to 919-470-8447

Application Deadline: Jan 3, 2011

Applicants must be available for a 30 min interview that
will be scheduled on one of these dates:

Jan. 14th an 18th

 Emergency Department Ambassador Program
Program Description

The Durham Regional Hospital Emergency Department Ambassador

Program is a non-paying internship experience for undergraduate
and graduate students interested in learning in a fast-paced
healthcare environment.

Ambassador Program Interns will be responsible for:

Customer Service
 Serving as the face of Durham Regional for Emergency Department Patients
 Addressing complaints , questions and patient issues
 Assisting with transportation and other services
 Conducting customer service rounds
 Proactively meeting patient needs
 Patient satisfaction survey data collection and analysis
 Improving patient satisfaction survey scores and increasing survey response
rates

Quality
 Monitoring deterioration in condition
 Maintaining ED waiting room
 Assisting the charge nurse in managing patient flow
 Escorting/transporting patients

Work Culture
 Develop relationships with ED staff
 Foster a team environment
 Emergency Department Ambassador Program
Internship Requirements

Ambassador Interns must be:

 Ambassador Interns must be available to attend one of the
scheduled training sessions on Jan 26 or 27 (5p to 8:30p)
 Proactive and customer service oriented

 Able to commit 4 hours per week for a semester, hours to be

completed Mon, Tues or Weds between 11AM to 3PM
 Comfortable interacting with different types of patients

 Able to dress professionally and appropriately for healthcare

environment
 Able to adhere to the rules and regulations of Durham Regional
Hospital
 Able to conduct themselves in a professional manner

 Able to push a wheelchair

 Comfortable in stressful healthcare environment

 Comfortable with the sight of blood or other body fluids

 Able to be on feet for extend periods of time

 Committed to a safe work environment

 Committed to fostering a respectful, inclusive and diverse

work environment
 Able to fulfill confidentiality requirements

 Able to work on a team

 Perioperative Services
Ambassador Program

Durham Regional Hospital invites undergraduate

and graduate students interested in a career in
healthcare to apply for a unique Perioperative
internship experience. This non-paying
internship will allow students to learn about:

 Communicating with family members regarding

patient flow through the perioperative areas
 Customer service in a healthcare environment
 Data collection and analysis

Application Deadline is Jan. 3

For more information and application,
please contact Bianca Briola

bianca.briola@duke.edu
 Perioperative Services
Ambassador Program

Please review the program description and submit

a completed application electronically
to Bianca Briola
bianca.briola@duke.edu
or Fax to 919-470-8447

Application Deadline: Jan 3, 2011

Applicants must be available for a 30 min interview that

will be scheduled on one of these dates:

Jan. 14th an 18th

 Perioperative Services Ambassador Program
Program Description

The Durham Regional Hospital Perioperative Department Ambassador

Program is a non-paying internship experience for undergraduate
and graduate students interested in learning in a fast-paced
healthcare environment.
Ambassador Program Interns will be responsible for:

Customer Service
 Serving as the face of Durham Regional for Perioperative Department Patients
 Addressing complaints , questions and patient issues
 Conducting customer service rounds
 Proactively meeting patient /family needs
 Patient satisfaction survey data collection and analysis
 Improving patient satisfaction survey scores and increasing survey response
rates

Quality
 Rounding on waiting rooms
 Escorts families to PACU, ACU, or nursing units as appropriate

Work Culture
 Develop relationships with Perioperative staff
 Foster a team environment
 Collaborate with Perioperative Coordinator and department charge nurses to
communicate patient flow changes (ie delays, etc).
 Available to Perioperative staff to intervene in special circumstances.
 Perioperative Department Ambassador Program
Internship Requirements

Ambassador Interns must be:

 Ambassador Interns must be available to attend one of the

scheduled training sessions on Jan 26 or 27 (5p to 8:30p)
 Able to commit 4 hours per week for a semester, hours to be
completed Mon-Fri between 8 AM to 2 PM
 Proactive and customer service oriented
 Comfortable interacting with different types of patients
 Able to dress professionally and appropriately for healthcare
environment
 Able to adhere to the rules and regulations of Durham Regional
Hospital
 Able to conduct themselves in a professional manner
 Able to push a wheelchair
 Comfortable in stressful healthcare environment
 Comfortable with the sight of blood or other body fluids
 Able to be on feet for extend periods of time
 Committed to a safe work environment
 Committed to fostering a respectful, inclusive and diverse
work environment
 Able to fulfill confidentiality requirements
 Able to work on a team