Neonatal Advanced Practitioner NE - PRN

GBMC HealthCare•Towson, MD

11d•$40 - $66•Onsite

About The Position

Under limited supervision, is responsible for the clinical management of assigned neonates in the Newborn Intensive Care Unit and Intermediate Care Nursery, and is responsible, under supervision, for stand-by at risk deliveries and neonatal resuscitation in the Labor and Delivery Room. Provides admission, daily, and discharge physicals on babies admitted to the Neonatal Intensive Care Unit and Intermediate Care Nursery. Handles problems of the infant and does counseling with parents regarding their infant’s care and needs. Establishes medical diagnosis for common short-term or chronic stable health problems. The following problems may be evaluated independently or in consultation with the attending neonatologist or attending neonatal consulting pediatrician when necessary. This list includes, but is not limited to: Hyperbilirubinemia, Feeding problems, Methadone withdrawal/neonatal abstinence after stabilization, Transient respiratory problems, Dislocated and/or subluxated hips, Conjunctivitis, Dermatological problems, GU problems, Sepsis, Respiratory distress, Congenital heart disease, Anemia, Apnea, Hematologic problems, Hypoglycemia. Manages problems as assigned by the attending neonatologist or attending neonatal consulting pediatrician. Orders, performs, and interprets laboratory tests (including diagnostic and invasive procedures). The following laboratory tests can be ordered, obtained, and the results interpreted by the Neonatal Nurse Practitioner. This list is not inclusive: Blood work, including CBC, sedimentation rate, Hgb, blood gases, electrophoresis, blood type and cross and match, Coombs, STS, VDRL, electrolytes, liver enzymes, thyroid function, viral antibody titers, direct and indirect bilirubin estimation. Cultures including urine, blood, nasopharyngeal, throat, wound, rectal, stool, eye, C.S.F., other body fluids. Examination of urine, urinalysis, microscopic examination, Gram stain, ferric chloride. Examination of stool for occult blood. Hematocrits. Skin scrapings. Blood gases. The following non-invasive procedures can be ordered independently or with physician consultation, including, but not limited to: X-rays, EKG, Sonograms, EEG, CT scan, MRI. The following invasive procedures can be ordered and performed by the Neonatal Nurse Practitioner. Again, the list is not inclusive. Venipuncture to obtain blood tests as listed above, Spinal tap, Arterial punctures, Arterial catheterization, Endotracheal intubation, Umbilical arterial catheterization, Umbilical venous catheterization, Thoracostomy, Thoracentesis, Urinary catheterization, Suprapubic tap, Paracentesis, Central venous catheterization. Prescribe drugs. Is authorized to prescribe non-controlled substances independently or in collaboration with a physician. The following drugs may be prescribed in the Neonatal Intensive Care Unit and Intermediate Care Nursery. This list is not inclusive. Erythromycin 1% ophthalmic ointment, Vitamin K1, Glycerine suppository, Antibiotics, Mycostatin ointment & suspension, Anticonvulsants, Sympathomimetics, Vaso-active agents, Vitamins, Electrolytes, Diuretics, Immunizations, Topical preparations, Blood & blood products. Orders and/or performs the following therapeutic or corrective measures. They include, but not limited to: Nasopharyngeal suctioning, Chest PT, Clean and dress abrasions and minor lacerations, Ligate extra digits, Triple diapering, Phototherapy, CPR, Intubation, Mechanical ventilation, Thoracentesis, Hyperalimentation, Vaso-active agents, Paracentesis, Oxygen therapy. Refers patients to appropriate licensed physician or health care provider. Provides emergency care, including, but not limited to: Initiating CPR, Administering O2, Initiating the IV in an emergency, Intubate and ventilate, Order medications during an emergency. Attends deliveries when requested by obstetricians. This may include appropriate resuscitation and stabilization of the newborn. All roles must demonstrate GBMC Values: Respect, Excellence, Accountability, Teamwork, Ethical Behavior, Results.

Requirements

Certified Nurse Practitioner Program or Physician Assistant
Current registration with the Maryland State Board of Examiners of Nurses as a Neonatal Nurse Practitioner or Physician Assistant
Heart saver (CPR Certification).
At least two years of experience in a Level III or IV NICU
A high level of analytical ability is required in order to assess patients and implement appropriate intervention.
Substantial interpersonal and verbal communication skills required to effectively interact with staff, physicians, patients, and family members.

Responsibilities

Clinical management of assigned neonates in the Newborn Intensive Care Unit and Intermediate Care Nursery.
Stand-by at risk deliveries and neonatal resuscitation in the Labor and Delivery Room.
Provides admission, daily, and discharge physicals on babies admitted to the Neonatal Intensive Care Unit and Intermediate Care Nursery.
Handles problems of the infant and does counseling with parents regarding their infant’s care and needs.
Establishes medical diagnosis for common short-term or chronic stable health problems.
Manages problems as assigned by the attending neonatologist or attending neonatal consulting pediatrician.
Orders, performs, and interprets laboratory tests (including diagnostic and invasive procedures).
Orders and/or performs non-invasive procedures such as X-rays, EKG, Sonograms, EEG, CT scan, MRI.
Orders and performs invasive procedures such as Venipuncture, Spinal tap, Arterial punctures, Arterial catheterization, Endotracheal intubation, Umbilical arterial catheterization, Umbilical venous catheterization, Thoracostomy, Thoracentesis, Urinary catheterization, Suprapubic tap, Paracentesis, Central venous catheterization.
Prescribes drugs, including non-controlled substances independently or in collaboration with a physician.
Orders and/or performs therapeutic or corrective measures such as Nasopharyngeal suctioning, Chest PT, cleaning and dressing abrasions and minor lacerations, ligating extra digits, triple diapering, phototherapy, CPR, intubation, mechanical ventilation, thoracentesis, hyperalimentation, vaso-active agents, paracentesis, oxygen therapy.
Refers patients to appropriate licensed physician or health care provider.
Provides emergency care, including initiating CPR, administering O2, initiating IV in an emergency, intubating and ventilating, and ordering medications during an emergency.
Attends deliveries when requested by obstetricians, including appropriate resuscitation and stabilization of the newborn.
Demonstrates GBMC Values: Respect, Excellence, Accountability, Teamwork, Ethical Behavior, Results.