Neonatal Nurse Practitioner (NNP)-PRN

Munson Healthcare • Traverse City, MI

1d • Onsite

About The Position

Munson Medical Center in Traverse City, Michigan houses a 22-bed level 3 NICU staffed by 2 full-time clinical neonatologists and 4.5 neonatal nurse practitioners. This is the only NICU in the northern lower peninsula, serving a referral region spanning 150 miles. The NNP functions collaboratively with the supervising Neonatologists to coordinate the patient care needs of the high-risk newborn population. The NNP collaboratively manages well and critically ill infants using a family-centered approach to patient care. The majority of patients are born at Munson Medical Center, but some are transported in from the region, either by the neonatal transport team or through the emergency department after discharge home. Our neonatal program services well newborns (0-2 per day) and NICU patients (levels 2 and 3) with a total average daily census 12-14. Neonatal nurse practitioner shifts are 24 hours in-house, with 3 shifts every 2 weeks constituting full time employment. Neonatologist support is readily available 24/7, but neonatologists do not reside in-house. The NICU at Munson Medical Center hosts a robust neonatal transport team, which you will lead. Accompanied by a NICU RN, respiratory therapist, and EMS team, you will provide regional support spanning a 150-mile radius, reached by ambulance, helicopter, or fixed wing airplane. The NICU cares for all gestational ages. HFOV, HFJV, conventional volume and pressure ventilation, bubble CPAP, high flow nasal cannula, and NIPPV are available. Gentle ventilation strategies including INSURE surfactant administration are targeted. Management of central lines (UVC, UAC, PICCs) with continuous infusions for pressor support, sedation, or prostaglandins is expected. Bedside retinopathy of prematurity eye exams are completed at Munson by an experienced local ophthalmologist, with capability for in-house laser photocoagulation or anti-VEGF injections. Standard diagnostic services available include MRI, CT scan, GI contrast studies, ultrasound, x-ray, echocardiogram, EKG, continuous EEG with real-time neurology interpretation. Commonly encountered procedures include intubation, surfactant administration, needle decompression, chest tube placement, IV access (PIV, PICC, UVC, UAC), arterial blood sampling, blood transfusions, lumbar punctures, and resuscitation. Daily multidisciplinary rounds with the patient’s family, NNP, Neonatologist, pharmacist, respiratory therapist, nutritionist, dietitian, lactation consultant, and social worker promote a collegial team, with a family-centered approach. As of this posting, pediatric surgical services, ECMO, inhaled nitric oxide therapy, and therapeutic hypothermia are NOT available at Munson Medical Center and require transfer to a level 4 NICU (DeVos Children’s Hospital or University of Michigan).

Requirements

• Licensed Registered Nurse in the State of Michigan
• Certified as Family Nurse Practitioner with the American Nurses Association
• Current BLS certification
• Current NRP certification
• Completed advanced training program and is certified by NCC as a neonatal nurse practitioner
• Candidate must apply for and be granted appropriate clinical privileges through MMC’s normal credentialing processes before rendering services.
• Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella.
• MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

Nice To Haves

• Neonatal transport experience preferred.
• NRP instructor status is encouraged.

Responsibilities

• Conducts comprehensive physical assessments of patients.
• Establishes medical diagnosis for common short-term or chronic health problems.
• Orders and Interprets laboratory tests and performs diagnostic and invasive and noninvasive procedures.
• Makes patient referrals to appropriate physicians or other health care providers.
• Provision of emergency care
• Performs CPR and initiate and manage resuscitative measures, including medications, laboratory tests, and therapeutic/corrective measures as listed above until the neonatologist or designee is available.
• Performs other duties and responsibilities as assigned.

Benefits

• We’re northern Michigan’s largest healthcare system and we are deeply rooted in the communities we serve.
• As one of the top healthcare systems to work for in Michigan by Forbes (American’s Best Employers by State 2022), we’re committed to your ongoing growth and development.
• After work, you’ll find things to do in every season – beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment.
• As a non-profit healthcare system, Munson Healthcare provides $65 million in health care programs and education, as well as free discounted and unreimbursed services.
• Balance – Get out on the water, in the woods, on the trails or around town
• Opportunity – Be a part of northern Michigan’s leading healthcare team with opportunities for personal and professional growth throughout the healthcare system
• Flexibility – A career that can change as your life changes
• Teamwork – Our people make Munson Healthcare a great place to work!

What This Job Offers

• Job Type: Full-time
• Career Level: Senior