Neonatal Nurse Practitioner (NNP), Jacksonville

Overview

Specializes in providing primary, acute, chronic, and critical care to neonates and high risk infants from birth to 2 years of life. Must come on site for 40 hours per week. Provides 24-call coverage responsibilities 2 weeks per month, starting at 7am to 7am next day.  Must come on site, when requested, for the following deliveries: thick (particulate) meconium stained amniotic fluid, premature infants < 36 weeks gestation, stat C-section for abruption, placenta previa, prolapsed cord, or suspected fetal distress, vaginal delivery for suspected fetal distress, multiple births, or care provider requests. Orders, interprets, and records results of clinical tests and reports results to physicians. Prescribes medications and makes recommendations for other therapeutic forms of treatment. Ensures compliance with established standards, practices and regulatory requirements. Maintains effective communication with physicians, staff, and collaborating physicians.  Maintains or exceeds targeted expectations in reference to patient satisfaction, clinical and financial outcomes.  Promotes positive physician and interdepartmental relations including positive employee morale. 

Responsibilities

1. Attend high-risk deliveries and provide medical management as a member of multi-disciplinary group.
   
   
2. Provides medical management as a member of the multi-disciplinary team to well babies up to two years of age and babies in the Level II nursery.
   
   
3. Conducts comprehensive health history and physical assessment of patients with acute health problems.
   
   
4. Institutes discharge planning guidelines and completes discharge summary.
   
   
5. Performs admission history and physical, develops, manages, and modifies treatment plans. Makes daily rounds on hospitalized patients and records appropriate data in hospital record or progress note
   
   
6. Performs routine clinical procedures independently including providing resuscitation and stabilization of newborn, endotracheal tube placement/intubation, insert and remove nasogastric tube, PICC line insertion,    umbilical catheter insertion (arterial/venous), peripheral arterial line insertion, perform venous and arterial punctures for blood sampling, cultures and IV catheterization,  Insert intraosseous needle, chest tube insertion and removal, thoracentesis, lumber puncture, administer surfactant, double or partial volume exchanges transfusion can be done with direction of Neonatologist at referring hospital in emergent situations only. Order and initiate interpretation of diagnostic testing and therapeutic modalities such as laboratory tests, medications, hemodynamic monitoring, treatments, x-ray, EKG, IV fluids and electrolytes, etc.
   
   
7. Affiliation with medical staff: The exercise of these privileges requires a designated collaborating/supervising physician with clinical privileges at the hospital in the same area of specialty practice.
   
   
8. In the case of emergency, any medical staff appointee is authorized to do anything possible to save a patient's life or save a patient from serious harm. A practitioner exercising such emergency privileges is obligated to arrange for all consultative assistance deemed necessary and to arrange for appropriate follow-up.
   
   
9. Provides training to nursing staff and physicians regarding Level II newborn assessment and management.
   
   
10. Will provide care in a Level III Nursery for 240 hours per year to maintain competency.
    
    
11. Maintains appropriate certifications.
    
    
12. Exhibits exemplary patient satisfaction skills. Promotes Great Patient Experiences.
    
    
13. Complies with all reimbursement rules and regulations, including Corporate Compliance Plan. Applies the Minimum Necessary Standard when accessing protected health information.  Complies with established clinic policies and procedures and safety standards.
    
    
14. Performs other related work as required or requested.

Qualifications

Education:

• Graduate of an accredited school of Nursing with current certification as an NNP by the National Certification Corporation or an equivalent body.
• Completion of master's, post-master's or doctorate from a nurse practitioner program that prepares NNPs accredited by the Commission on the Collegiate of Nursing Education or the National League for Nursing Accrediting Commission.
• Maintains state regulated CME.

Licensure/Certification/Registry:

• Licensure or eligible to be licensed as APN in State of Illinois.
• Maintain certification as APN by national certifying bodies and participate in continuing education at the local and national level.
• Valid state license to practice as a professional nurse.
• CPR certification required.
• NRP- Neonatal Resuscitation Program certified.
• Current Illinois State licensure as a nurse practitioner, unrestricted Illinois controlled substance license, unrestricted Illinois DEA, with appropriate malpractice insurance and coverage.

Experience:

• 2 years' experience as NNP in NICU (min. Level III)
• Working knowledge of an Electronic Health Records required

Other Knowledge/Skills/Abilities/Working Conditions-Physical Requirements & Atmosphere:

• Excellent verbal and written communication skills.
• Excellent organizational and process skills.
• Outstanding ability to communicate with patients and physicians in all situations.
• Potential exposure to infectious diseases. Potential exposure to blood borne pathogens and body fluids.
• Ability to stand and walk for long periods of time.
• Physical demands include repetitive motions of the hands, walking, standing.
• Occasional bending, stooping and lifting of up to 30 pounds.
• Occasional pushing and pulling wheelchairs to assist patient
• Constant upper body movement, including grasping, reaching, pinching, pulling, writing and typing
• Must be able to speak in clear voice and ability to modulate voice tone and volume
• Constant verbal communication in person and by phone
• Ability to see a font size of 8 or greater and view and read computer display
• Moderate to high stress level due to the nature of position.
• Ability to remain calm and positive when working with distraught or angry patients.