Job Description

MINIMUMQUALIFICATIONS

Education:

Graduate of an accredited school of nursing Completion of an accredited Nurse Practitioner/Clinician program Master's degree in nursing

Experience:

Minimum of two years of experience and Neonatal Nurse Practitioner (NNP) experience in a Level III Neonatal Intensive Care Unit.

Licensure/ Registration/ Certification:

Current License to practice nursing in the state of Minnesota Certification as a Neonatal Nurse Practitioner through NCC.

Knowledge, Skills and Abilities:

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.

PREFERREDQUALIFICATIONS

Education:

N/A Experience:

N/A Licensure/ Registration/ Certification:

N/A Knowledge, Skills and Abilities:

N/A POSITIONSUMMARY STATEMENT

TheNeonatal Nurse Practitioner functions as an associate of thesupervising group of Neonatologists in coordinating the patient careneeds of the high-risk newborns within Regions Hospital. The NNPfunctions in an advanced practice provider role, responsible forcomplete 24 hour/day and 7 days/week management of the

NICU LEVEL

IIpatients. The practitioner has responsibility for assessment andmanagement of patients including diagnostic and therapeuticinterventions and daily implementation and evaluation of anappropriate plan of care. The NNP is also a participant in andcontributor to continuing education and staff development withinperinatal services as well as involvement in outreach programsprovided to outlying hospitals.

MAJOR JOB DUTIES AND TASKS

Percentage Of Time:

1. Responsible for the primary care of neonates (age 0 to 30 days) in the

NICU LEVEL II 25

% a.

Performs complete history:

elicits records and interprets a complete health history to include all obstetrical, medical, family and psychosocial needs. b. Performs a complete newborn physical examination, assessment of gestational age and can distinguish between normal and abnormal findings. c. Performs diagnostic and therapeutic procedures as necessary. Orders appropriate lab tests and x-rays. Interprets findings and consults with physicians as needed. d. 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. e. 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. 2. Supports education to and is a resource for the perinatal staff and outlying hospitals 25% 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. 3. Understands the concept of and is committed to Regions Hospital Mission and Vision by demonstrating behaviors consistent with the Mission and Vision Statements 25% 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. 4. Attends all high-risk deliveries and monitors high-risk infant care in

NICU LEVEL

II and Newborn observation 25% 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.

ORGANIZATIONALEXPECTATIONS

Values Allteam members are expected to demonstrate our values:

Excellence:

We strive for the best results and always look for ways to improve.

Compassion:

We care and show empathy and respect for each person.

Partnership:

We are strongest when we work together and with those we serve.

Integrity:

We are open and honest, and we keep our commitments. Weare committed to living our values. That means our patients andfamilies can expect certain things from each of us: Theycan expect us to be their partner and treat them with dignity andrespect. They can expect us to listen carefully and give good, timelyinformation. They can expect us to do our best to provide affordable,coordinated, high quality care and services that are easy to find andsimple to use. They can expect safe, clean spaces. And they canexpect that we will do our very best to earn their trust by beingopen and honest, and keeping our word.

AdditionalExpectations:

Complies with safety instructions, observe safe work practices, provides input on safety issues and promotes a safe work environment. Maintains regular and timely attendance Protects confidentiality Demonstrates participation in and support of the organization's Corporate Integrity Program by participating in compliance-related education and training and complying with the organization's policies and procedures. Timely completion of all mandatory education and organizational requirements (i.e. licensure/certification, Employee Health and Wellness requirements, annual training, etc.)

POPULATION SPECIFIC COMPETENCIES

X Yes No Does this employee have direct patient contact? If"Yes," departments will need to determine the appropriatecompetencies in their areas for their specific patient populations. Examples of items that can beincluded are:

• Identifiesexpected outcomes for a plan individualized to the patient orsituation specific to the needs of the population served.
• Communicateseffectively with patients, families and team members.
• Integratespractices that supports patient safety, acknowledges variations inpopulations served.
• Anticipatesthe needs of the population served as well as the uniquecharacteristics of the communities served.
• Anticipatesthe needs of the population in providing cultural responsive care anddevelops an individualized plan for patients and families.

LEADERSHIPRESPONSIBILITIES

Pleasedescribe the degree to which the position directs the work of othersor coordinates workflow of a clinic, department or functional area. If applicable, indicate the number of people and the titles for whichthis position directly and/or indirectly directs the work of othersor coordinates workflow. None

PHYSICALREQUIREMENTS

Pleaselist any physical requirements necessaryto the performance of this job (e.g. lifting, carrying, stretching,sitting or standing for long periods of time). Please specifydetails such as number of pounds expected to lift, number of hoursmust be on feet, etc.

Physical:

Hearing,seeing, touching

Mental:

Adaptability,analyzing, assessing, calculating, decision-making, dependability,judgement, memorizing, reading, social skills, speaking, stresscontrol, writing Standing

• up to 4/hours per day Walking
• up to 1/hour per day Sitting
• up to 3/hours per day Thefollowing are performed on an occasional basis (1%
• 33% of time): Lifting,Carrying, Pushing, Pulling, Climbing, Balancing, Bending, Twisting,Rotating, Reaching Liftingof 10-24lbs, Carrying 20-24 lbs., Reaching above shoulder, Reachingbelow shoulder Thefollowing are performed frequently (34
• 66% of time): Liftingof