Neonatal Advanced Practitioner NE

Education:
Certified Nurse Practitioner Program or Physician Assistant
Licensure:
* Current registration with the Maryland State Board of Examiners of Nurses as a Neonatal Nurse Practitioner or Physician Assistant
* Heart saver (CPR Certification).
Experience:
At least two years of experience in a Level III or Level IV NICU
Skills:
* 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.

Principal Duties and Responsibilities:
Operations Management:
* With minimal supervision facilitates a multifunctional team to ensure Anatomic Pathology operations provide efficient, high quality, cost-effective laboratory services. Develops and implements work processes for all areas of responsibility. Establishes polices for all clinical and business operational tasks within assigned areas
Strategic Operations Management:
* Directs the evaluation of new technologies, procedures and supplies. Provides counsel on new test or service implementation. Plans, implements and monitors achievement of strategic business objectives. Communicates initiatives to appropriate personnel. Identifies, implements and monitors new practice opportunities for growth. Provides investigation and resolution for issues brought up by clinicians and customers related to Anatomic Pathology testing
Service Excellence:
* Monitors, investigates and responds to customer, physician and pathologist feedback, modifying technical and office systems, processes as needed
* Maintain or improves Key Performance Indicators
Human Resources Functions:
* Manages human resources within established productivity guidelines and the personnel budget. Facilitates training and development efforts. Maintains employee competencies. Monitors and reviews work performance of the staff. Interviews and selects personnel. Provides development opportunities to staff
* Responsible for the supervision of Histotechnologists, Laboratory Assistants, Pathology Office Manager, Secretaries, Pathologist Assistants and Technical Specialists
Quality and Patient Safety Initiatives:
* Oversees staff involvement in quality control and improvement efforts, general safety, and infection control procedures
* Initiates, monitors, evaluates performance improvement on a unit level as needed
* Monitors trends, reviews and revises systems/processes as appropriate
Financial Management:
* Manages the area's budget and prepares variance reports as appropriate. Prepares operating budget and makes recommendations for capital budget in consultation with appropriate Hospital staff. Maintains inventory and analyzes cost of supplies and services. Manages accounts payable issues. Processes payroll for assigned areas.
Compliance with Regulatory Agencies:
* Ensures that all criteria of inspection and accreditation agencies are met and that proficiency survey test results are correct. Ensures standards practices are met and incorporates compliance with regulatory laws.
* 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:
1. Hyperbilirubinemia
2. Feeding problems
3. Methadone withdrawal/neonatal abstinence after stabilization
4. Transient respiratory problems
5. Dislocated and/or subluxated hips
6. Conjunctivitis
7. Dermatological problems
8. GU problems
9. Sepsis
10. Respiratory distress
11. Congenital heart disease
12. Anemia
13. Apnea
14. Hematologic problems
15. 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:
1. 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.
2. Cultures including urine, blood, nasopharyngeal, throat, wound, rectal, stool, eye, C.S.F., other body fluids
3. Examination of urine, urinalysis, microscopic examination, Gram stain, ferric chloride
4. Examination of stool for occult blood
5. Hematocrits
6. Skin scrapings
7. Blood gases
* The following non-invasive procedures can be ordered independently or with physician consultation, including, but not limited to:
1. X-rays
2. EKG
3. Sonograms
4. EEG
5. CT scan
6. MRI
* The following invasive procedures can be ordered and performed by the Neonatal Nurse Practitioner. Again, the list is not inclusive.
1. Venipuncture to obtain blood tests as listed above
2. Spinal tap
3. Arterial punctures
4. Arterial catheterization
5. Endotracheal intubation
6. Umbilical arterial catheterization
7. Umbilical venous catheterization
8. Thoracostomy
9. Thoracentesis
10. Urinary catheterization
11. Suprapubic tap
12. Paracentesis
13. 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.
1. Erythromycin 1% ophthalmic ointment
2. Vitamin K1
3. Glycerine suppository
4. Antibiotics
5. Mycostatin ointment & suspension
6. Anticonvulsants
7. Sympathomimetics
8. Vaso-active agents
9. Vitamins
10. Electrolytes
11. Diuretics
12. Immunizations
13. Topical preparations
14. Blood & blood products
* Orders and/or performs the following therapeutic or corrective measures. They include, but not limited to:
1. Nasopharyngeal suctioning
2. Chest PT
3. Clean and dress abrasions and minor lacerations
4. Ligate extra digits
5. Triple diapering
6. Phototherapy
7. CPR
8. Intubation
9. Mechanical ventilation
10. Thoracentesis
11. Hyperalimentation
12. Vaso-active agents
13. Paracentesis
14. Oxygen therapy
* Refers patients to appropriate licensed physician or health care provider.
* Provides emergency care, including, but not limited to:
1. Initiating CPR
2. Administering O2
3. Initiating the IV in an emergency
4. Intubate and ventilate
5. 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

I will treat everyone with courtesy. I will foster a healing environment.

* Treats others with fairness, kindness, and respect for personal dignity and privacy

* Listens and responds appropriately to others' needs, feelings, and capabilities

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

* Meets and/or exceeds customer expectations

* Actively pursues learning and self-development

* Pays attention to detail; follows through

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

* Sets a positive, professional example for others

* Takes ownership of problems and does what is needed to solve them

* Appropriately plans and utilizes required resources for various job duties

* Reports to work regularly and on time

Teamwork

I will be engaged and collaborative. I will keep people informed.

* Works cooperatively and collaboratively with others for the success of the team

* Addresses and resolves conflict in a positive way

* Seeks out the ideas of others to reach the best solutions

* Acknowledges and celebrates the contribution of others

Ethical Behavior

I will always act with honesty and integrity. I will protect the patient.

* Demonstrates honesty, integrity and good judgment

* Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers

Results

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.

* Embraces change and improvement in the work environment

* Continuously seeks to improve the quality of products/services

* Displays flexibility in dealing with new situations or obstacles

* Achieves results on time by focusing on priorities and manages time efficiently