J OB DESCRIPTION FORM
Lakeview Hospital
POSITION TITLE: Neonatal Nurse Practitioner
POSITION CODE(s): 7624221, 7624224 (casual), 7624225 (0.30FTE)
LOCATION: Lakeview Hospital, Hudson Hospital
DEPARTMENT: Birth & Women’s Center
WRITTEN BY:
MANAGER’S TITLE:
Nurse Manager Women’s Center
FINAL APPROVAL(MANAGER TITLE):
DATE APPROVED:
DATE REVISED:
12/1/2021, 8/9/2022, 9/23/22, 01/11/2023, 07/14/2023
VALUES:
All team 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.
POSITION SUMMARY:
The Neonatal Nurse Practitioner functions as a collaborating partner of the Neonatologists and Pediatricians in directing and managing the patient care needs of all newborns within the assigned hospital. The NNP works collaboratively with the ER (Emergency Room) physicians/PAs to help establish access, draw blood, assist with management, or consult on the care of newborns and infants up to 28 days (about 4 weeks) of life. The NNP functions in an advanced practice role and is responsible for complete daily management of Level II patients in collaboration with a sponsoring physician(s). The NNP has responsibility for the assessment and management of newborn patients including diagnostic and therapeutic interventions and daily implementation and evaluation of an appropriate plan of care. The NNP is responsible for participating in the continuing education and staff development within the Birth Center.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Elicits, records, and interprets complete patient health history, including past medical, obstetrical, family, and psychosocial information
Plans and documents a course of management derived from performing a comprehensive physical assessment of the newborn/infant, as well as applying interpretations from laboratory, radiographic and clinical data
Discusses the treatment plan with Neonatology and Pediatricians
Performs complex diagnostic and therapeutic procedures on infants
Records and dictates interim, discharge, and transfer summaries
Initiates emergency assessment and treatment of newborns
Diagnoses medical and surgical problems of the newborn and prescribe treatment
Records patient data and tentative conclusions from prescribed treatment for review by the attending physician
Performs routine medical and surgical procedures, including assessments and examinations of newborns
Provides patient education and counselling to family and significant others regarding health care plans and procedures
Follows written protocols in ordering medications, treatments, and tests
Provides education to students and staff in complex techniques and procedure which are unique to the newborn
Promotes a customer friendly environment and provides superior service to patients, students, faculty, and employees
ESSENTIAL DUTIES:
ENTER % OF TIME FOR EACH TASK
Elicits, records, and interprets complete patient health history, including past medical, obstetrical, family, and psychosocial information
5%
Plans and documents a course of management derived from performing a comprehensive physical assessment of the newborn/infant, as well as applying interpretations from laboratory, radiographic and clinical data
15%
Discusses the assessment, diagnosis, and treatment plan with Neonatology and Pediatricians
15%
Performs complex diagnostic and therapeutic procedures on infants
10%
Records and dictates interim, discharge, and transfer summaries
5%
Initiates emergency assessment and treatment
5%
Diagnoses medical and surgical problems of the newborn and prescribe treatment
5%
Performs routine medical and surgical procedures, including assessments and examinations of newborns
10%
Provides patient education and counselling to family and significant others regarding health care plans and procedures
10%
Follows written protocols in ordering medications, treatments, and tests
5%
Provides education to students and staff in complex techniques and procedure which are unique to the newborn
5%
Promotes a customer friendly environment and provides superior service to patients, students, faculty, and employees
10%
*Please be sure this equals 100%.
100%
EDUCATION:
Required:
Graduate of an accredited school of nursing
Completion of an accredited Advanced Practice Provider Program
Preferred:
Master’s degree in nursing
LICENSE & CERTIFICATION:
Required:
Neonatal Nurse Practitioner (NNP) Practicing in Minnesota
Current prescriptive writing authority in Minnesota through the Drug Enforcement Administration (DEA) or within 3 months of hire.
Current Registered Nurse (RN) license by the Minnesota Board of Nursing
Current Certified Nurse Practitioner (CNP) active through the Minnesota Board of Nursing
Current Certification as a Neonatal Nurse Practitioner through the National Certification Corporation (NCC)
As listed on the Minnesota Board of Nursing or verified through the National Certification Corporation (NCC)
Current Basic Life Support (BLS) certification – American Heart Association or BLS – American Red Cross (CPR/AED for Professional Rescuer & Health Care Provider)
Current Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP)
Neonatal Nurse Practitioner (NNP) Practicing in Wisconsin
Current prescriptive writing authority in Wisconsin through the Drug Enforcement Administration (DEA) or within 3 months of hire.
Current Registered Nurse (RN) license by the Wisconsin Department of Safety and Professional Services
Current Advanced Practice Nurse Prescriber (APNP) license by the Wisconsin Department of Safety and Professional Services
Current Certification as a Neonatal Nurse Practitioner through the National Certification Corporation (NCC)
As listed on the Minnesota Board of Nursing or verified through the National Certification Corporation (NCC)
Current Basic Life Support (BLS) certification – American Heart Association or BLS – American Red Cross (CPR/AED for Professional Rescuer & Health Care Provider)
Current Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP)
Physician Assistant (PA) Practicing in Minnesota
Current prescriptive writing authority in Minnesota through the Drug Enforcement Administration (DEA) or within 3 months of hire.
Current Physician Assistant (PA) license through the Minnesota Board of Medical Practice
Current Certification as a Physician Assistant through the National Commission on Certification of Physician Assistants (NCCPA)
Current Basic Life Support (BLS) certification – American Heart Association or BLS – American Red Cross (CPR/AED for Professional Rescuer & Health Care Provider)
Current Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP)
Physician Assistant (PA) Practicing in Wisconsin
Current prescriptive writing authority in Wisconsin through the Drug Enforcement Administration (DEA) or within 3 months of hire.
Current Physician Assistant (PA) license through the Wisconsin Department of Safety and Professional Services
Current Certification as a Physician Assistant through the National Commission on Certification of Physician Assistants (NCCPA)
Current Basic Life Support (BLS) certification – American Heart Association or BLS – American Red Cross (CPR/AED for Professional Rescuer & Health Care Provider)
Current Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP)
Preferred:
STABLE Program Instructor
NRP Instructor
EXPERIENCE / SKILLS:
Required:
Experience: Pediatric or neonatal nursing experience and at least 2 years’ experience in a level II/III NICU position.
Knowledge: They must possess clinical knowledge and expertise in management of critically ill neonates including: resuscitation and stabilization, admission and triage. The work of NNP consistently exercises a high degree of discretion and independent judgment in analyzing, interpreting, and making inferences from comprehensive physical assessment of the newborn/infant, as well as from laboratory, radiographic, and clinical reports
They should possess proficient technical skills in intubation, umbilical line catheterization, chest tube placement. Should be able to developing individualized plan of care and knowledge of ongoing management of critical neonates including: management of respiratory, fluids and electrolytes, infection, cardiovascular
A comprehensive understanding of common neonatal disease processes, including identification and treatment, clinical procedural and physical examination is essential
Collaborative skills: Neonatal nurse practitioner are a part of an interdisciplinary team, hence they require this skill to work collaboratively with other nurses and allied healthcare professionals in providing patient care to infants
Communication skills: They require effective writing and oral communication skills to provide education and counselling to parents and care-givers
Interpersonal skills: Neonatal nurse practitioners require this skill for establishing rapport and building relationship with parents and families whose infants are in NICU, as well as other nursing staff.
Preferred:
Minimum of 3 years Level III work experience as a NNP
BACKGROUND STUDY REQUIREMENTS: (HR use only)
Required:
SUPERVISION / WORK DIRECTION:
N/A
DEPARTMENT SPECIFIC DUTIES:
CRITICAL/PHYSICAL JOB DEMANDS
Job Title _____Neonatal Nurse Practitioner_______ Department ___Women’s Center____________________
RATINGS USED FOR THIS ANALYSIS
CONTINUOUSLY – 75% or more of a worker’s time FREQUENTLY –More than 25% and up to 75% of a worker’s time
OCCASIONALLY – 25% or less of a worker’s time NEVER – Nonexistent
PSYCHOLOGICAL FACTORS
Constantly
Frequently
Occasionally
Never
SENSORY FACTORS
Constantly
Frequently
Occasionally
Never
1. Working Alone
*
39. Smelling odors
*
2. Working with others
*
40. Sensing by touch
*
3. Following instruction
*
41. Other:
4. Supervising others
*
BODY MOVEMENTS
5. Performing repetitive tasks
*
42. Sitting
*
6. Keeping pace/Meeting deadlines
*
43. Standing
*
7. Making judgments
*
44. Walking
*
8. Reasoning/analyzing
*
45. Bending/stooping
*
9. Math and calculations
*
46. Squatting/kneeling
*
10. Problem Solving
*
47. Crouching/crawling
*
11. Reading and/or proof reading
*
48. Twisting at waist
*
12. Other:
49. Reaching above shoulders
*
ENVIRONMENTAL FACTORS
50. Reaching below knees
*
13. Noise
*
51. Lifting/carrying up to 20___ lbs.
*
14. Vibrations
*
52. Pushing/pulling up to 30___ lbs.
*
15. Abrupt Temperature changes
*
53. Climbing ladders
*
16. Heat (up to _____ F)
*
54. Climbing stairs
*
17. Cold (down to _____ F)
*
55. Sweeping/mopping
*
18. Wet and/or high humidity
*
56. Operating foot controls
*
19. Dampness
*
57. Other:
20. Dryness
*
MANUAL TASKS
21. Fumes, odors
*
58. Grasping with one hand
*
22. Solvents
*
59. Grasping with both hands
*
23. Acids, bases
*
60. Manipulating with one hand
*
24. Oils
*
61. Manipulating with both hands
*
25. Toxins
*
62. Writing
*
26. Radiation
*
63. Using a keyboard/mouse
*
27. Work Area - Inside
*
64. Using hand tools
*
28. Work Area - Outside
*
65. Operating power tools
*
29. Poor Ventilation
*
66. Operating machinery
*
30. Dusts
*
67. Twisting/wringing
*
31. Other:
68. Scrubbing/washing/ polishing
*
SENSORY FACTORS
69. Scraping
*
32. Seeing close (inspecting)
*
70. Operating clinical equipment:___________
*
33. Seeing far (observing)
*
71. Other:
34. Seeing sides
*
DRIVING
35. Seeing colors
*
72. Driving a car/truck
*
36. Speaking
*
73. Driving a company vehicle
*
37. Hearing speech
*
74. Driving a Shuttle Bus
*
38. Hearing mechanical sounds
*
75. Other: