Neonatal Nurse Practitioner NNP PNP Per Diem BWH

Site: The Brigham and Women's Hospital, Inc.

 

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NICU/ Neonatal/ Pediatric Nurse Practitioner/ Per Diem/ Rotating Shift

GENERAL SUMMARY/ OVERVIEW STATEMENT:
• The Nurse Practitioner provides care of the critically ill neonate in the neonatal ICU and SCN setting, including attendance at high-risk deliveries with the NICU team, admission of the ill neonate to both the level II and III setting, and medical management of the critically ill neonate in the NICU/SCN setting.

• The Nurse Practitioner shall work with a multidisciplinary team to review history and daily patient data, round with a multidisciplinary team to make management plans and carry forth these plans through the off hours.

• The Nurse Practitioner will perform emergency procedures including but not limited to endotracheal intubation, needle thoracentesis, thoracostomy, paracentesis, umbilical line placement, PICC line placement, peripheral arterial access, lumbar puncture, bladder catheterization.

• Minimum 4 open shifts per month.
• At least 3 of these shifts must fulfill a night, weekend or holiday need.
• The Nurse Practitioner shall maintain appropriate licensure and maintenance of certification.
• Other duties as assigned.

 

Job Summary

Summary
The Nurse Practitioner is an advanced practice registered nurse who has acquired specialized knowledge and skills through completion of a nurse practitioner program. The practitioner has the credentials to function in an expanded nursing role and is responsible for the daily management of selected patients. The practitioner has responsibility for the assessment and management of patients, including diagnostic and therapeutic interventions, and the continuous implementation and evaluation of an appropriate plan of care. The Nurse Practitioner works with their collaborating physician in accordance with mutually developed practice guidelines, members of the care team, and is responsible to the Nursing Director or Executive Nursing Director for the area for issues specific to the discipline of nursing.

Satisfactory completion of an approved formal education program that has as its objective the preparation of professional nurses to practice as nurse practitioners.

APRN national certification required.

ANA or other appropriate nursing certification in the area of practice and authorization by the Massachusetts Board of Registration in Nursing to practice in the expanded role. DEA for prescription writing.

Working Conditions - Works in a variety of patient care environments where there may be exposure to communicable disease and hazardous materials. Does this position require Patient Care? Yes
Essential Functions
Patient Care Organization
1. Provides direct care, counseling, and teaching to a select patient population.
2. Performs physical examinations and provides preventive health measures appropriate to patient needs.
3. Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess patients’ clinical problems and health care needs.
4. Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings.
5. Performs laboratory tests appropriate for specific patient population.
6. Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
7. Records pertinent patient care findings in the medical record.
8. Sets priorities for appropriate and efficient management of patient care that reflects cost effective management of time, available human resources, supplies and equipment.
9. Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.
10. Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling.
11. Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.
-Quality of Care
1. Assists in the development, implementation and revision of nurse practitioner guidelines and monitoring requirements for prescription writing in collaboration with their designated physician and Nursing Director or Executive Nursing Director.
2. Evaluates outcomes of own patients’ care and makes necessary revisions in care plans.
3. Seeks and provides consultative services as required.
4. Participates in departmental and organization quality improvement program.
5. Utilizes quality improvement data and research findings to enhance patient care.
-Coordination
1. Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community.
2. Serves on Nursing and Hospital Committees and assumes responsibility for disseminating and communicating information to staff.
-Budget
1. Participates in setting productivity metrics and in cost-effective management of personnel, time, supplies, and equipment in their area.
2. Collaborates with the Nursing Director/Practice Manager/Executive Nursing Director in the recommendation of appropriate staffing patterns for their clinical areas.
-Personnel Management
1. Participates in selection process of new employees in group or team practice as requested.
2. Provides input into evaluation of other staff as appropriate.
-Education
1. Acts as preceptor for nursing students and staff as requested.
2. Participates in orientation of new staff.
3. Participates in Departmental and organization continuing education programs.
4. Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.
5. Educates lay and/or professional groups through lectures, papers, publications, and educational materials.
-Planning
1. Develops annual objectives and reviews with Nursing Director or Executive Nursing Director and collaborating M.D. at time of performance review and at appropriate intervals. Completes annual credentialing process through the Nursing Department credentialing program.
2. Assists in determining, evaluating, and/or implementing clinical area goals and objectives.
3. Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice.
4. Maintains current knowledge of legislation that may affect the health care delivery system.
5. Identifies and integrates patient population and/or disease state in programmatic goals and objectives.
-Research
1. Participates in nursing research at a level consistent with educational background and experience.
2. Maintains understanding of current research of others in related clinical areas through review of relevant publications.
3. Participates in grant writing as appropriate.
-Supervisory Responsibilities
1. May assume responsibility for providing direction to designated personnel.

 

QUALIFICATIONS

Education/Licensure:

• Master’s in Nursing (or) DNP (or) PhD Degree in nursing required. Completion of a master’s or post Masters’ degree in Neonatal or Pediatric Nurse practitioner program accredited by the American Nurses Credentialing Center (ANCC) or National Certification Corporation (NCC).  Can this role accept experience in lieu of a degree? No

• Current Neonatal or Pediatric Nurse Practitioner board certification by an accredited APRN certifying body required.

• Valid prescriptive authority from both MA DPH and Federal DEA required.

• Valid APRN License to practice in Massachusetts required.

Experience:

• 1. Minimum 3 years clinical nurse practitioner experience in a NICU setting required. (5 years' experience strongly preferred).

• 2. Minimum 3 years clinical nurse practitioner experience in the delivery room setting caring for the critically ill newborn patient population required. (5 years’ experience strongly preferred).

• 3. Current Neonatal Resuscitation Program (NRP) certification required.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

- Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate - Must have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the position - Must have the ability to utilize appropriate problem-solving and conflict resolution skills - Must be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient care - Must be proficient with BWH computer systems as needed to independently perform daily tasks (EMR, Epic preferred) - Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician

WORKING CONDITIONS:

Work setting specific to Neonatal Intensive Care Unit, Labor and Delivery Floor and OR. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients. The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.

SUPERVISORY RESPONSIBILITY:

The Nurse Practitioner does not have any supervisory responsibility.

 

 

Onsite

 

45 Francis Street

 

0

 

Per Diem

 

Rotating (United States of America)

 

The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

 

Mass General Brigham Competency Framework