Nurse Practitioner, Neonatal Per Diem

HealthPartners•Saint Paul, MN

8h•Onsite

About The Position

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.

Requirements

Graduate of an accredited school of nursing
Completion of an accredited Nurse Practitioner/Clinician program
Master’s degree in nursing
Minimum of two years of experience and Neonatal Nurse Practitioner (NNP) experience in a Level III Neonatal Intensive Care Unit.
Current License to practice nursing in the state of Minnesota
Certification as a Neonatal Nurse Practitioner through NCC.
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.

Responsibilities

Responsible for the primary care of neonates (age 0 to 30 days) in the NICU LEVEL II
Performs complete history: elicits records and interprets a complete health history to include all obstetrical, medical, family and psychosocial needs.
Performs a complete newborn physical examination, assessment of gestational age and can distinguish between normal and abnormal findings.
Performs diagnostic and therapeutic procedures as necessary. Orders appropriate lab tests and x-rays. Interprets findings and consults with physicians as needed.
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.
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.
Supports education to and is a resource for the perinatal staff and outlying hospitals
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.
Understands the concept of and is committed to Regions Hospital Mission and Vision by demonstrating behaviors consistent with the Mission and Vision Statements
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.
Attends all high-risk deliveries and monitors high-risk infant care in NICU LEVEL II and Newborn observation
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.