Under direction of the Sunflower Lead Neonatal Nurse Practitioners, Neonatologists, and Hospital NICU Directors or Managers, the Neonatal Nurse Practitioner assesses, plans, implements and evaluates the care for neonatal patients. The NNP is accountable to provide team-oriented, primary-level patient management of critical and convalescent newborns, including performance of defined medical interventions. NNP provides necessary emergency, acute, supportive care for the ill neonate according to guidelines established by the neonatologists. In addition, the NNP has a liaison role between the medical and nursing staffs, the family, and ancillary health personnel to meet the special needs of the infant.
NNP adheres to the core values, practice standards and guidelines of Sunflower Neonatology Associates, and is required to follow guidelines expressed by Sunflower Neonatologists. Provides nursing care in accordance with policies and procedures established by the Hospital NICU, applicable state Nurse Practice Acts and ANA Standards of Practice.
Essential Duties and Responsibilities
• Provides primary care for high-risk neonates upon delivery, and carries a patient load in the neonatal intensive nursery under the direction of the neonatologists.
• Elicits, records, and interprets the obstetrical, medical, family and psychosocial history of the neonate’s parents. Notes risk factors and their implications for problems in the immediate neonatal period as well as the potential impact on the neonate’s future growth and development.
• Becomes familiar with the medical history and gestational problems of individual high-risk mothers to be delivered at the institution. Follows the progress of these high-risk mothers in labor and has available the supportive personnel, equipment and drugs in anticipation of delivery of a compromised neonate.
• Collaborates with members of the high-risk obstetrical team to identify high-risk mothers and anticipate their needs and provides information pertaining to the NICU.
• Provides immediate supportive care of the newborn in the delivery room, performs the initial vital assessments, resuscitates the infant when necessary, and transfers to intensive care nursery, as appropriate.
• Performs a standard newborn physical examination using the techniques of observation, inspection, auscultation, palpation, and percussion. Assesses for the presence of congenital malformations and performs a gestational age evaluation relating this data to fetal growth measurements for determination of size or date discrepancies.
• Discriminates between normal and abnormal findings on the physical examination records, identifies infant’s status as well as expected outcome.
• Prioritizes, develops and implements an initial plan of care for differential diagnoses and management of presenting problems, discusses the identified problems and their management with the neonatologists.
• Carries out all necessary procedures such as resuscitation from severe apneic episodes, endotracheal intubation, full septic work-up (blood culture, lumbar puncture, venipuncture, arterial sticks), vessel catheterization (UAC/UVC), exchange transfusion, thoracentesis, thoracostomy.
• Selects, requests and interprets necessary diagnostic tests, laboratory and routine radiographic data for incorporation in the patient’s database, diagnosis and progress evaluation.
• Follows up on laboratory findings; Evaluates responses to therapeutic treatments and interventions. Performs and records ongoing reassessment of problem list, patient progress, and implications for revision of plan of care management.
• All procedures, whether under direct or indirect supervision, will be permitted by the neonatologist after proven competence by the nurse practitioner.
• Assists with other duties and responsibilities as assigned by the neonatologist, Lead NNP or NICU Director or Manager.
• Examines and records findings on patients of the NICU on daily rounds (or more often, if indicated) and discusses infants with the neonatologists. Provides clear, concise written and verbal reports, shares change in condition of infant with care team members.
• Writes routine health care maintenance orders according to established protocol and guidelines. Documents relevant care management notes and updates in Neodata.
• Communicates information about the neonate’s diagnosis, plan of care management, and progress with referring physicians, parents, and other members of the health care team.
• Gathers input from care team members and incudes others in making decisions regarding plan of care management to ensure appropriate understanding and collaborative efforts of resulting decisions.
• Participates in communicating with the parents of the infant, including the plan of care from admission to discharge.
• Clarifies all relevant issues, develops others’ and own ideas in an open, objective manner and stays focused on seeking solutions and positive courses of action. Recognizes and takes initiative for appropriate actions to resolve conflicts. Strives to reach concurrence and maintains respectful and professional working relationships.
• Maintains respectful demeanor in carrying out all tasks and responsibilities.
• Remains focused and uses time productively when working under stress; develops means for reducing and minimizing stress. Recognizes personal limits, asks for help whenever necessary.
• Demonstrates leadership qualities and professional attitude toward self and others.
• Contributes to the educational objectives of the NICU. Provides in-service education to the nursing staff on topics dealing with diseases and care of the newborn infant. Acts as a coach and resource person for the staff.
• Clarifies expected behaviors, knowledge and levels of proficiency by continuously seeking and sharing information and by encouraging questions to ensure understanding.
• Recognizes opportunities for observation and development; Provides instruction, positive role models and examples to help others develop and improve skills. Provides timely and appropriate feedback.
• Provides impromptu staff teaching in the patient care department as the occasion arises.
• Interprets the role of the practitioner to other members of the care team, healthcare professionals or groups.
• Participates in community and professional organizations concerned with improving the quality of care for the high-risk mother and newborn.
• Assumes responsibility for own continuing education. Completes mandatory annual in-services. Keeps Lead NNP and Practice Administrator informed of current licensure.
• Assists in establishing performance goals and objectives. Demonstrates understanding of own job description, responsibilities and standards of performance. Recognizes personal skills, strengths and areas for improvement.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Master’s Degree in Advanced Practice Nursing required unless certification is grandfathered.
Current Kansas and/or Missouri APRN licensure required. Current board certification to perform as a neonatal nurse practitioner. NRP and BLS required.
Experience: Must have five-years of experience as a registered nurse, including two in a neonatal intensive care unit; Prefer a minimum of 2 years current clinical experience as an APRN working in a Level III NICU.
NNP must be able to work effectively in crisis situations and possess independent decision-making skills.
The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
While performing the tasks and duties expected of this job, an employee is regularly required to sit, use hands to finger, handle, hold or feel and reach with hands, arms. The employee may regularly lift and/or move up to 10 pounds and occasionally lift up to 100 pounds. The employee is regularly required to stand, talk, see and hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision and depth perception.
Work environment and characteristics described herein are representative of the work environment that must be met by the employee in order to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
While performing the tasks and duties expected of this job, the employee is recurrently exposed to contagious disease and/or blood and bodily fluids which require routine precautions. There may be potential injuries such as punctures or muscle strains. Occupational exposure to blood/bodily fluids occur. Noise levels are usually moderate.