Neonatal Advanced Practice Provider

ST. CHARLES MEDICAL GROUP

ADVANCE PRACTICE PROVIDER JOB DESCRIPTION

TITLE:                                     Neonatal Advanced Practice Provider (NNP or PA)        

REPORTS TO POSITION:        Clinical Division Director, Pediatrics

DEPARTMENT:                       Neonatology

DATE LAST REVIEWED:         9/9/2020

OUR VISION:               Creating America’s healthiest community, together

OUR MISSION:             In the spirit of love and compassion, better health, better care, better value

OUR VALUES:             Accountability, Caring and Teamwork

POSITION OVERVIEW: Neonatal Nurse Practitioner or Physician Assistant provides leadership during resuscitation at birth of both term and preterm infants. Develops a plan of care for neonates admitted into the NICU in collaboration with the multidisciplinary team. Particiaptes in ongoing quality improvement, educational, and clinical leadership activities in collaboration with the NICU Medical Director and NICU Leadership.

Work schedule: The Bend NICU operates with 24/7 APP coverage. The NNP/PA will be responsible for both day and night coverage, as directed by the schedule with oversight from the NICU Medical Director. Shift length is 12 and 24 hrs, with handoff occurring at 7:00am and 7:00pm.

Call expectation: There are no formal call expectations for this position, though a collaborative and supportive team culture will remain a top priority to best support the NICU provider team in times of high census and/or cross coverage.

Work location: St. Charles Bend

FUNCTIONS AND DUTIES:

Clinical Duties:

• Assists in monitoring the effectiveness and quality of patient care with primary focus on neonatal intensive care management, newborn delivery and resuscitation, and neonatal transport.
• Provides effective, efficient, appropriate care, with a central focus on infant evaluation, management of acute and ongoing care, and development of treatment plans.
• Performs health assessment of at risk infants at the time of delivery.
• Performs health assessment of infants admitted to the NICU, completes admission H and P.
• Determines normal vs abnormal findings via exam and/or diagnostic tests.
• Admits infants to NICU as appropriate.
• Acts appropriately and timely in addressing urgent care needs of infants both at the time of delivery and on-going in the NICU – including initiating full resuscitations when appropriate.
• Develops plan of care for infants in the NICU consistent with approved protocols – makes adjustments to plan based on changes in infants condition.
• Prescribes treatments, medications, respiratory care and miscellaneous care instructions as necessary.
• May discharge or transfer infants from NICU – consults with discharge Pediatrician as necessary.
• Performs pre-delivery consults as requested by OB services.
• Manages newborn transition support as needed.
• Management of patients in the NICU may include daily physical exams, evaluation of progress, documentation via progress and procedure notes, rounds with attending physician and other team members, and writing orders.
• Recognizes when the infant’s needs are not within scope of practice and collaborates with other medical and nursing specialists.
• Communicates with infants family regarding infant’s status and plan of care, provides family centered care at all times, and acts as a liaison between parents and caregiver team.
• Participates in telemedicine support (Telebaby) to our referral hospitals as requested
• Supports/mentors NICU transport nurses as clinical situation warrants. 
• Accompanies transport team when deemed necessary for patient acuity and/or orientation of staff. 
• Attend at least 50% of NICU TR team meetings.
• Attend all required safety briefings and safety days as outline by Airlink.
• Participate in skills labs related to transport.
• Seek out opportunities to maintain knowledge of aircrafts and all emergency procedures related to each.
• Adheres to SCMC service standards, including interaction agreements.
• Participation in departmental opportunities i.e., NICU/Peds committee, UPC committee, RN/RT committee.
• Collaborates with NICU caregiver team to develop teaching/learning priorities for families and caregiver staff.
• Demonstrates compliance with National Certification, State of Oregon, and SCMC requirements for minimal continuing NNP/PA education.
• Acts as primary preceptor/mentor for newly hired NNP/PAs and transport team.
• Consults wit