Nurse Practitioner, Neonatal Per Diem

Criteria
Based Job Description

Job Title: Neonatal Nurse Practitioner	Reports to: Medical Director of NICU LEVEL II; Nurse Manager NICU LEVEL II
Job Code: 723634, 723633 (Per Diem)	Approved by: Nursing Director, Birth Center
Department: Newborn Intensive Care Unit (NICU LEVEL II)	Approval Date: September 2021

MINIMUM
QUALIFICATIONS:

Education:	Graduate of an accredited school of nursing Completion of an accredited Nurse Practitioner/Clinician program Master’s degree in nursing
Experience:	Minimum of two years of experience and Neonatal Nurse Practitioner (NNP) experience in a Level III Neonatal Intensive Care Unit.
Licensure/ Registration/ Certification:	Current License to practice nursing in the state of Minnesota Certification as a Neonatal Nurse Practitioner through NCC.
Knowledge, Skills and Abilities:	Able to diagnose, prescribe medications and interventions, order and interpret laboratory and diagnostic tests, coordinate the interdisciplinary health care team, plan and coordinate patients' discharge, rehabilitation, home health care and follow-up while ensuring continuity of care within the hospital setting. Able to perform procedures within their scope and realm of their collaboration agreement with their physician partner. Must demonstrate current procedural competence.  Able to be flexible to work within a smaller team and be engaged in unit development and education.

PREFERRED
QUALIFICATIONS:

Education:	N/A
Experience:	N/A
Licensure/ Registration/ Certification:	N/A
Knowledge, Skills and Abilities:	N/A

POSITION
SUMMARY STATEMENT:

The
Neonatal Nurse Practitioner functions as an associate of the
supervising group of Neonatologists in coordinating the patient care
needs of the high-risk newborns within Regions Hospital. The NNP
functions in an advanced practice provider role, responsible for
complete 24 hour/day and 7 days/week management of the NICU LEVEL II
patients. The practitioner has responsibility for assessment and
management of patients including diagnostic and therapeutic
interventions and daily implementation and evaluation of an
appropriate plan of care. The NNP is also a participant in and
contributor to continuing education and staff development within
perinatal services as well as involvement in outreach programs
provided to outlying hospitals.

MAJOR JOB DUTIES AND TASKS:		Percentage Of Time:
1.	Responsible for the primary care of neonates (age 0 to 30 days) in the NICU LEVEL II	25%
	a. Performs complete history: elicits records and interprets a complete health history to include all obstetrical, medical, family and psychosocial needs.
	b. Performs a complete newborn physical examination, assessment of gestational age and can distinguish between normal and abnormal findings.
	c. Performs diagnostic and therapeutic procedures as necessary. Orders appropriate lab tests and x-rays. Interprets findings and consults with physicians as needed.
	d. Based on physical examination and other data, formulates, and implements a plan of care with expected outcomes. Formulates and documents a problem list in accordance with the plan of care. Evaluates and revises daily, the plan as needed. Records patient history, plan of care, orders, and progress notes, as needed, which included ongoing evaluation and treatments. Participates in department team talks and daily patient safety huddles and rounds.
	e. Writes prescriptions as needed in accordance with the Minnesota Board of nursing guidelines. Communicates with the attending physician, parents, nursing staff and other members of the health care team appropriate information about the newborn’s diagnosis, plan of care and prognosis. Orders, interprets, and evaluates initial diagnostic tests to identify and assess infant’s clinical problems and health care needs. Provides complex care coordination, which includes managing a variety of ancillary services, pre-operative plans, discharge planning, and clinician referrals. Provides clinical direction to nursing staff regarding the continued care of patients. Follows through with nursing staff to ensure patient receives recommended care.
2.	Supports education to and is a resource for the perinatal staff and outlying hospitals	25%
	Initiates and participates in quality improvement activities and data collection to evaluate and improve patient care outcomes. Initiates and facilitates Nursing research projects. Serves as a liaison and resource person regarding neonatal issues and care. Serves as a resource to nursing staff while providing continuing staff education and participating in staff development. Participates in teaching the, NRP and STABLE programs. Assumes responsibility for maintaining certification and competence in clinical practice. Continue professional development through attendance at meetings and conferences and CEU programs. Maintains membership in professional organizations. Participates in annual evaluation of job performance.

3.	Understands the concept of and is committed to Regions Hospital Mission and Vision by demonstrating behaviors consistent with the Mission and Vision Statements	25%
	Daily contact with patient’s families providing updates on plan of care, treatment, test results and answering any questions they may have. Maintains professional accountability. Recognizes and understands the influence of culture, belief and family systems in improving and maintaining health. Participates in the team approach for health care. Serves as the patient/family advocate. Models accountability by adapting to changes in health care, independently seeking learning opportunities, sharing knowledge, seeking out information about unit activities, demonstrating awareness and support of decisions made by the NICU LEVEL II and hospital groups. Recognizes and affirms the contribution of co-workers.

4.	Attends all high-risk deliveries and monitors high-risk infant care in NICU LEVEL II and Newborn observation	25%
	Provides delivery room neonatal resuscitation and stabilization, involving observation, assessment, planning, implementation, and evaluation. Communicates in a professional manner with the delivering provider, obstetric nurse. and parents of the infant regarding identified cares/needs. Will attend all deliveries where requested with support of NICU LEVEL II RN or NRP trained obstetric RN. Facilitates the transfer of neonates to/from other hospitals.

ORGANIZATIONAL
EXPECTATIONS:

Values

All
team members are expected to demonstrate our values: 

Excellence: 
We strive for the best results and always look for ways to improve.

Compassion: 
We care and show empathy and respect for each person.

Partnership: 
We are strongest when we work together and with those we serve.

Integrity: 
We are open and honest, and we keep our commitments.

We
are committed to living our values. That means our patients and
families can expect certain things from each of us:

They
can expect us to be their partner and treat them with dignity and
respect. They can expect us to listen carefully and give good, timely
information. They can expect us to do our best to provide affordable,
coordinated, high quality care and services that are easy to find and
simple to use. They can expect safe, clean spaces. And they can
expect that we will do our very best to earn their trust by being
open and honest, and keeping our word.

Additional
Expectations:

• Complies
  with safety instructions, observe safe work practices, provides
  input on safety issues and promotes a safe work environment.

• Maintains
  regular and timely attendance

• Protects
  confidentiality

• Demonstrates
  participation in and support of the organization's Corporate
  Integrity Program by participating in compliance-related education
  and training and complying with the organization's policies and
  procedures. 

• Timely
  completion of all mandatory education and organizational
  requirements (i.e. licensure/certification, Employee Health and
  Wellness requirements, annual training, etc.)

POPULATION
SPECIFIC COMPETENCIES:

X Yes

No

Does this employee have direct patient contact?

If
“Yes,” departments will need to determine the appropriate
competencies in their areas for their specific patient populations.

Examples of items that can be
included are:

• Identifies
expected outcomes for a plan individualized to the patient or
situation specific to the needs of the population served.

• Communicates
effectively with patients, families and team members.

• Integrates
practices that supports patient safety, acknowledges variations in
populations served.

• Anticipates
the needs of the population served as well as the unique
characteristics of the communities served.

• Anticipates
the needs of the population in providing cultural responsive care and
develops an individualized plan for patients and families.

LEADERSHIP
RESPONSIBILITIES:

Please
describe the degree to which the position directs the work of others
or coordinates workflow of a clinic, department or functional area.
If applicable, indicate the number of people and the titles for which
this position directly and/or indirectly directs the work of others
or coordinates workflow.

None

PHYSICAL
REQUIREMENTS:

Please
list any physical requirements necessary
to the performance of this job (e.g. lifting, carrying, stretching,
sitting or standing for long periods of time). Please specify
details such as number of pounds expected to lift, number of hours
must be on feet, etc.

Physical:

Hearing,
seeing, touching

Mental:

Adaptability,
analyzing, assessing, calculating, decision-making, dependability,
judgement, memorizing, reading, social skills, speaking, stress
control, writing

Standing
- up to 4/hours per day

Walking
- up to 1/hour per day

Sitting
– up to 3/hours per day

The
following are performed on an occasional basis (1% - 33% of time):

Lifting,
Carrying, Pushing, Pulling, Climbing, Balancing, Bending, Twisting,
Rotating, Reaching

Lifting
of 10-24lbs, Carrying 20-24 lbs., Reaching above shoulder, Reaching
below shoulder

The
following are performed frequently (34%-66% of time):

Lifting
of <10 lbs., Carrying of <10 lbs., Reaching at shoulder

ENVIRONMENTAL
CONDITIONS:

Please
list unusual environmental conditions, if any (e.g. extremely cramped
quarters, noise, fumes, gases, extreme heat/cold, etc.).

No
extreme conditions, 99% inside, 1% outside

EQUIPMENT:

Please
list the equipment used in this position.

Incubators Ventilators
(Alladin)

Heart
monitors Otoscopes

Oximeters Stethoscope

Laryngoscopes Central
line trays

5

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