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CriteriaBased Job Description

JobTitle: Neonatal Nurse Practitioner

Reportsto: Medical Director of NICU LEVEL II; Nurse Manager NICU LEVELII

Job Code: 723634, 723633 (PerDiem)

Approvedby: Nursing Director, Birth Center

Department: Newborn Intensive Care Unit (NICU LEVEL II)

ApprovalDate: September 2021

MINIMUMQUALIFICATIONS:

Education:

Graduateof an accredited school of nursing

Completionof an accredited Nurse Practitioner/Clinician program

Master'sdegree in nursing

Experience:

Minimumof two years of experience and Neonatal Nurse Practitioner (NNP)experience in a Level III Neonatal Intensive Care Unit.

Licensure/Registration/ Certification:

• CurrentLicense to practice nursing in the state of Minnesota

• Certificationas a Neonatal Nurse Practitioner through NCC.

Knowledge,Skills and Abilities:

• Ableto diagnose, prescribe medications and interventions, order andinterpret laboratory and diagnostic tests, coordinate theinterdisciplinary health care team, plan and coordinate patients'discharge, rehabilitation, home health care and follow-up whileensuring continuity of care within the hospital setting.

• Ableto perform procedures within their scope and realm of theircollaboration agreement with their physician partner.

• Mustdemonstrate current procedural competence. 

• Ableto be flexible to work within a smaller team and be engaged inunit development and education. 

PREFERREDQUALIFICATIONS:

Education:

N/A

Experience:

N/A

Licensure/Registration/ Certification:

N/A

Knowledge,Skills and Abilities:

N/A

POSITIONSUMMARY STATEMENT:

TheNeonatal Nurse Practitioner functions as an associate of thesupervising group of Neonatologists in coordinating the patient careneeds of the high-risk newborns within Regions Hospital. The NNPfunctions in an advanced practice provider role, responsible forcomplete 24 hour/day and 7 days/week management of the NICU LEVEL IIpatients. The practitioner has responsibility for assessment andmanagement of patients including diagnostic and therapeuticinterventions and daily implementation and evaluation of anappropriate plan of care. The NNP is also a participant in andcontributor to continuing education and staff development withinperinatal services as well as involvement in outreach programsprovided to outlying hospitals.

MAJORJOB DUTIES AND TASKS:

Percentage

OfTime:

1.

Responsiblefor the primary care of neonates (age 0 to 30 days) in the NICULEVEL II

25%

a. Performscomplete history: elicits records and interprets a complete healthhistory to include all obstetrical, medical, family andpsychosocial needs.

b. Performsa complete newborn physical examination, assessment of gestationalage and can distinguish between normal and abnormal findings.

c. Performsdiagnostic and therapeutic procedures as necessary. Ordersappropriate lab tests and x-rays. Interprets findings andconsults with physicians as needed.

d. Basedon physical examination and other data, formulates, and implementsa plan of care with expected outcomes. Formulates and documents aproblem list in accordance with the plan of care. Evaluates andrevises daily, the plan as needed. Records patient history, planof care, orders, and progress notes, as needed, which includedongoing evaluation and treatments. Participates in departmentteam talks and daily patient safety huddles and rounds.

e. Writesprescriptions as needed in accordance with the Minnesota Board ofnursing guidelines.

1. Communicateswith the attending physician, parents, nursing staff and othermembers of the health care team appropriate information about thenewborn's diagnosis, plan of care and prognosis.

2. Orders,interprets, and evaluates initial diagnostic tests to identifyand assess infant's clinical problems and health care needs.

3. Providescomplex care coordination, which includes managing a variety ofancillary services, pre-operative plans, discharge planning, andclinician referrals. Provides clinical direction to nursing staffregarding the continued care of patients. Follows through withnursing staff to ensure patient receives recommended care.

2.

Supportseducation to and is a resource for the perinatal staff andoutlying hospitals

25%

1. Initiatesand participates in quality improvement activities and datacollection to evaluate and improve patient care outcomes.

1. Initiatesand facilitates Nursing research projects.

1. Servesas a liaison and resource person regarding neonatal issues andcare. Serves as a

resourceto nursing staff while providing continuing staff education andparticipating in staff development.

1. Participatesin teaching the, NRP and STABLE programs.

2. Assumesresponsibility for maintaining certification and competence inclinical practice.

3. Continueprofessional development through attendance at meetings andconferences and CEU programs.

4. Maintainsmembership in professional organizations.

5. Participatesin annual evaluation of job performance.

3.

Understandsthe concept of and is committed to Regions Hospital Mission andVision by demonstrating behaviors consistent with the Mission andVision Statements

25%

1. Dailycontact with patient's families providing updates on plan ofcare, treatment, test results and answering any questions theymay have.

1. Maintainsprofessional accountability.

2. Recognizesand understands the influence of culture, belief and familysystems in improving and maintaining health.

3. Participatesin the team approach for health care.

4. Servesas the patient/family advocate.

5. Modelsaccountability by adapting to changes in health care,independently seeking learning opportunities, sharingknowledge, seeking out information about unit activities,demonstrating awareness and support of decisions made by theNICU LEVEL II and hospital groups.

6. Recognizesand affirms the contribution of co-workers.

4.

Attendsall high-risk deliveries and monitors high-risk infant care inNICU LEVEL II and Newborn observation

25%

1. Providesdelivery room neonatal resuscitation and stabilization,involving observation, assessment, planning, implementation,and evaluation.

1. Communicatesin a professional manner with the delivering provider,obstetric nurse. and parents of the infant regardingidentified cares/needs.

1. Willattend all deliveries where requested with support of NICULEVEL II RN or NRP trained obstetric RN.

2. Facilitatesthe transfer of neonates to/from other hospitals.

ORGANIZATIONALEXPECTATIONS:

Values

Allteam 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.

Weare committed to living our values. That means our patients andfamilies can expect certain things from each of us:

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

AdditionalExpectations:

• Complieswith safety instructions, observe safe work practices, providesinput on safety issues and promotes a safe work environment.

• Maintainsregular and timely attendance

• Protectsconfidentiality

• Demonstratesparticipation in and support of the organization's CorporateIntegrity Program by participating in compliance-related educationand training and complying with the organization's policies andprocedures. 

• Timelycompletion of all mandatory education and organizationalrequirements (i.e. licensure/certification, Employee Health andWellness requirements, annual training, etc.)

POPULATIONSPECIFIC COMPETENCIES:

X Yes

No

Doesthis employee have direct patient contact?

If"Yes," departments will need to determine the appropriatecompetencies in their areas for their specific patient populations.

Examples of items that can beincluded are:

Identifiesexpected outcomes for a plan individualized to the patient orsituation specific to the needs of the population served.

Communicateseffectively with patients, families and team members.

Integratespractices that supports patient safety, acknowledges variations inpopulations served.

Anticipatesthe needs of the population served as well as the uniquecharacteristics of the communities served.

Anticipatesthe needs of the population in providing cultural responsive care anddevelops an individualized plan for patients and families.

LEADERSHIPRESPONSIBILITIES:

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

None

PHYSICALREQUIREMENTS:

Pleaselist any physical requirements necessaryto the performance of this job (e.g. lifting, carrying, stretching,sitting or standing for long periods of time). Please specifydetails such as number of pounds expected to lift, number of hoursmust be on feet, etc.

Physical:

Hearing,seeing, touching

Mental:

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

Standing- up to 4/hours per day

Walking - up to 1/hour per day

Sitting- up to 3/hours per day

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

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

Liftingof 10-24lbs, Carrying 20-24 lbs., Reaching above shoulder, Reachingbelow shoulder

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

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

ENVIRONMENTALCONDITIONS:

Pleaselist unusual environmental conditions, if any (e.g. extremely crampedquarters, noise, fumes, gases, extreme heat/cold, etc.).

Noextreme conditions, 99% inside, 1% outside

EQUIPMENT:

Pleaselist the equipment used in this position.

IncubatorsVentilators(Alladin)

HeartmonitorsOtoscopes

OximetersStethoscope

LaryngoscopesCentralline trays

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