Advanced Practitioner Inpatient - Full-time - Days

Under limited supervision, is responsible for the clinical management of assigned neonates in the Newborn Intensive Care Unit and Intermediate Care Nursery, and is responsible, under supervision, for stand-by at risk deliveries and neonatal resuscitation in the Labor and Delivery Room.

Education:
Certified Nurse Practitioner Program or Physician Assistant
 

Licensure:
• Current registration with the Maryland State Board of Examiners of Nurses as a Neonatal Nurse Practitioner or Physician Assistant
• Heart saver (CPR Certification).
 

Experience:
At least two years of experience in a Level III or Level IV NICU
 

Skills:
• A high level of analytical ability is required in order to assess patients and implement appropriate intervention.
• Substantial interpersonal and verbal communication skills required to effectively interact with staff, physicians, patients, and family members.

Principal Duties and Responsibilities:
Operations Management:
• With minimal supervision facilitates a multifunctional team to ensure Anatomic Pathology operations provide efficient, high quality, cost-effective laboratory services. Develops and implements work processes for all areas of responsibility. Establishes polices for all clinical and business operational tasks within assigned areas
Strategic Operations Management:
• Directs the evaluation of new technologies, procedures and supplies. Provides counsel on new test or service implementation. Plans, implements and monitors achievement of strategic business objectives. Communicates initiatives to appropriate personnel. Identifies, implements and monitors new practice opportunities for growth. Provides investigation and resolution for issues brought up by clinicians and customers related to Anatomic Pathology testing
Service Excellence:
• Monitors, investigates and responds to customer, physician and pathologist feedback, modifying technical and office systems, processes as needed
• Maintain or improves Key Performance Indicators
Human Resources Functions:
• Manages human resources within established productivity guidelines and the personnel budget. Facilitates training and development efforts. Maintains employee competencies. Monitors and reviews work performance of the staff. Interviews and selects personnel. Provides development opportunities to staff
• Responsible for the supervision of Histotechnologists, Laboratory Assistants, Pathology Office Manager, Secretaries, Pathologist Assistants and Technical Specialists
Quality and Patient Safety Initiatives:
• Oversees staff involvement in quality control and improvement efforts, general safety, and infection control procedures
• Initiates, monitors, evaluates performance improvement on a unit level as needed
• Monitors trends, reviews and revises systems/processes as appropriate
Financial Management:
• Manages the area’s budget and prepares variance reports as appropriate. Prepares operating budget and makes recommendations for capital budget in consultation with appropriate Hospital staff. Maintains inventory and analyzes cost of supplies and services. Manages accounts payable issues. Processes payroll for assigned areas.
Compliance with Regulatory Agencies:
• Ensures that all criteria of inspection and accreditation agencies are met and that proficiency survey test results are correct. Ensures standards practices are met and incorporates compliance with regulatory laws.
• Provides admission, daily, and discharge physicals on babies admitted to the Neonatal Intensive Care Unit and Intermediate Care Nursery. Handles problems of the infant and does counseling with parents regarding their infant’s care and needs.
• Establishes medical diagnosis for common short-term or chronic stable health problems.
The following problems may be evaluated independently or in consultation with the attending neonatologist or attending neonatal consulting pediatrician when necessary.
This list includes, but is not limited to:
1. Hyperbilirubinemia
2. Feeding problems
3. Methadone withdrawal/neonatal abstinence after stabilization
4. Transient respiratory problems
5. Dislocated and/or subluxated hips
6. Conjunctivitis
7. Dermatological problems
8. GU problems
9. Sepsis
10. Respiratory distress
11. Congenital heart disease
12. Anemia
13. Apnea
14. Hematologic problems
15. Hypoglycemia
• Manages problems as assigned by the attending neonatologist or attending neonatal consulting pediatrician.
• Orders, performs, and interprets laboratory tests (including diagnostic and invasive procedures).
The following laboratory tests can be ordered, obtained, and the results interpreted by the Neonatal Nurse Practitioner. This list is not inclusive:
1. Blood wo