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Neonatal Nurse Practitioner

Company: Children's Hospital (Omaha)
Location: Omaha
Posted on: January 15, 2019

Job Description:

Why become a nurse practitioner in Children's NICU? Because we are the region's only Level 4 NICU, and we just keep growing!

As the first dedicated neuro NICU in our area, there's no better place for Neonatal Nurse Practitioners who want to care for babies that need the most help. At Children's, our NPs work closely with physicians, enjoying both their trust and collaboration with experts. The new Hubbard Center for Children will expand our NICU to 52 beds; join us in shaping this new state-of-the-art facility.

We offer competitive wages, benefits and generous annual discretionary allowances. If you have the qualifications we're looking for, contact us or apply today. We want you, and our babies need you.

Essential Functions/Competencies
% of Time 40%



  • In collaboration with physicians, assesses patient, synthesizes and analyzes data, develops plan of care, orders diagnostic tests and therapeutic treatments and evaluates clinical outcomes according to individualized* patient needs/age specific standards.

    (*Individualized refers to the patient's developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.)



    • Completes an accurate assessment of patients within assigned specialty.
    • Identifies appropriate medical diagnoses, and documents plan of care in progress notes.
    • Utilizes appropriate diagnostic tests related to patient condition, and demonstrates ability to interpret the diagnostic tests.
    • Synthesizes and analyzes data obtained through assessment to develop a comprehensive plan of care that is individualized and reflects patient care needs including interventions and treatments to attain expected outcomes.
    • Implements plan by writing appropriate medical orders in accordance with medical practice standards and/or jointly approved protocols.
    • Evaluates and revises plan as indicated by changes in patient condition or needs.
    • Communicates daily medical plan/updates to patients/parents, medical team involved, and other interdisciplinary team members.
    • Demonstrates understanding of caregiver dynamics involved in providing care to the pediatric patient.
    • Works in collaboration with nursing staff to integrate individualized nursing plans/ interdisciplinary goals in support of the medical plan of care.
    • Assesses the educational needs of patients/caregivers and develops/implements the educational plan in collaboration with other healthcare professionals.




      20%



      • Prescribes therapeutic measures and medications according to the State of Nebraska APRN statutes and Children's Hospital Policies. Performs select invasive procedures, as approved in his/her individual Scope of Service, according to Children's Hospital policies.



        --Demonstrates competency in principles of medication dosing and mechanism of action as it relates to specific diagnosis.

        --Orders/administers medication according to Children's Hospital policy, procedure and scope of practice.

        --Maintains accurate log of credentialed procedures performed. Demonstrates knowledge and expertise when performing credentialed procedures/specialty skills, independently or with a physician to include:

        CREDENTIALED PROCEDURES

        NICU

        PICU

        CTS

        Hospitalist Service

        Surgical Service Intubations

        X

        X UAC/UVC

        X

        X Arterial Lines/Punctures

        X

        X

        X PICC Lines

        X

        X

        X

        X

        X Chest Tube Insertion

        X

        X Chest Tube Removal

        X Moderate Sedation

        X

        X

        X

        X

        X Lumbar Punctures

        X

        X

        X

        X Needle Thoracentesis

        X

        X Suprapubic Taps

        X Exchange Transfusions

        X Pacemaker Wire Removal

        X Transthoracic Line Removal

        X Bone Marrow Aspiration

        X Transports

        X SPECIALTY SKILLS

        NICU

        PICU

        CTS

        Hospitalist Services

        Surgical Services Emergent Airway Management

        X

        X

        X

        X

        X Drain Removal

        X

        X Suture Removal

        X

        X

        X

        X G-Tube Changes

        X Infiltration/Extravasation Antidote Administration

        X

        X

        X

        X

        X

        20%



        • Documentation reflects assessment/evaluation, modification, and patient's response to therapy, changes in condition, and therapeutic interventions/procedures.



          --Entries in the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility).




          • Facilitates written medical orders vs verbal orders, when appropriate.
          • Documentation reflects timely notification of collaborating physician and/or appropriate health care team members.
          • Documentation reflects communication with families/caregivers as appropriate (i.e., update on plan of care, teaching, etc.).
          • Documentation notes are individualized to the clinical area and reflect assessment, plan of care, rationale for plan of care, care changes, and collaborative discussions, contains necessary components per hospital policy and standards. Notes include but are not limited to:



            DOCUMENTATION - Per Specialty*

            NICU

            PICU

            CTS

            Hospitalist Services

            Surgical Services History & Physical

            X

            X

            X

            X Consultation Notes

            X

            X

            X

            X

            X Discharge/Transfer Summary

            X

            X

            X Progress Note Plan of Care

            X

            X

            X

            X

            X Procedure Note

            X

            X

            X

            X

            X Unplanned changes in patient condition which may/may not result in changes to plan of care.

            X

            X

            X

            X

            X Time Out process completed

            X

            X

            X

            X

            X Sedation Notes

            X

            X

            X

            X

            X Documentation accurately reflects services provided in order to appropriately code for PICC and sedation billing.

            X

            X

            X

            X Documentation accurately reflects services provided in order to appropriately code for billing (*to include metabolic service).

            X*

            15%



            • Assumes leadership role in implementing and reinforcing medical/nursing standards of practice to promote quality patient care.



              --Performs as a clinical content expert in integrating medical/nursing practice into unit/organizational systems under development/review.

              --Collaborates with identified groups in the organization to define/clarify/improve practice while incorporating research findings, new knowledge and national standards to advance patient care throughout the organization.

              --Proactively identifies educational needs related to patient care specialty and provides formal/informal professional education.

              --Coordinates/participates in clinical project planning and program development for effective implementation and monitoring of outcomes.

              --Identifies opportunities to acknowledge unit/organization for patient care best practices as seen through support of publication/research participation. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section SECONDARY FUNCTIONS/COMPETENCIES 5%



              • Performs other duties assigned.
              • Provides in-house PICC line service coverage for medical-surgical patients located in Med-Surg, PICU, ED as scheduled (CTS, PICU/ hospitalist/surgical service NP's).
              • Hospitalist NP covers eating disorder patients as directed by hospitalists, covers house staff during clinic, resident education and post call, admission /treatment process for metabolic service. Assists in covering for sedation services as needed.




                • Participates in preceptorship/internship of nurse practitioner students, as assigned.




                  • Promotes professionalism and leadership within service team, and through interactions with patients, families, staff, colleagues, others.
                  • Professionally seeks opportunities to help unit team members/department, as needed.
                  • Accepts assignments to share/teach knowledge and provide clinical support.




                    100%

                    KNOWLEDGE, SKILLS AND ABILITIES:






                    • Satisfy all relevant criteria and qualifications outlined in the Medical Staff Policy on Allied Health Professional, required to be credentialed
                    • Maintains practice agreement with service of specialty, and practices within framework of respective scope of practice
                    • Must be knowledgeable in billing regulation practices to include documentation requirements/CPT coding regulations
                    • Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills
                    • Strong interpersonal and communication skills with the ability to work effectively with multiple disciplines


                      EDUCATION AND EXPERIENCE:






                      • Master's Degree from an accredited college or university in nursing required
                      • An Advanced Practice Registered Nurse who does not have a master's degree or two-thousand (2,000) hours of supervised practice will be required to furnish proof of jointly approved protocols with a collaborating physician, which shall guide the nurse practitioner's practice
                      • Current and valid Federal DEA license required
                      • Previous NICU experience preferred

                        CERTIFICATIONS/LICENSURE REQUIREMENTS:



                        • Current License as an Advanced Practice Registered Nurse (APRN-NP or APRN-PNP) in the state of NE/Compact state required
                        • Basic Cardiac Life Support (BLS) required to work
                        • Pediatric Advanced Life Support (PALS) required
                        • Current and valid Neonatal Resuscitation Program (NRP) certification required, within one year of hire

                          Glassdoor Ind123

                          91945

                          Keywords: Children's Hospital (Omaha), Omaha , Neonatal Nurse Practitioner, Healthcare , Omaha, Nebraska

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