ACH PR Neonatal Outcomes Nurse

Department:

35100 Advocate Lutheran General Hospital - Administration: Pediatrics

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

This is a full time on campus position. Monday-Friday

Major Responsibilities:

Maternal screening

• Assists medical team in determination of maternal screening needs that impact health care delivery to the Neonate. (HIV, Hepatitis, RPR)
• Assist medical team with locating absent screening.
• Communicate screening results of all transport infants to Perinatal Outreach coordinator.
• Guide staff to compliance with regulatory and recommended regulations. (HBIG and hepatitis B injection on all unknown maternal status infants beyond 12 hours. HIV drawn on all unknown maternal status neonates.)

NICU Required Screening

Newborn Screens

• Ensure completion of newborn screen on all neonates as required by American Academy of Pediatrics within designated time frame.
• Confirm all infants requiring repeat newborn screens are scheduled.
• Prior to discharge make sure all newborn screens have been completed.
• Follow up with the state on all newborn screens drawn. Any abnormal results will need a redraw so your responsibility would be to notify the appropriate provider to order a redraw.

Hearing screens

• Ensure all newborns have had a hearing screen prior to discharge.
• Partner with care manager to provide additional testing and outpatient referrals.

Eye exams

• Partner with care managers to ensure at risk infants who are 1500g and 32weeks gestation are scheduled for eye exams.
• Providing education to the family about exam and potential treatment.
• Assist with scheduling discharge eye appointments.
• Follow up with patients who are readmitted to the pediatrics and pediatric Intensive Care Unit (PICU) prior to scheduled outpatient exam.
• May need to follow up with Ophthalmologists office to make sure appointments are kept by parent/guardian. If appointments not kept, then call family/guardian to reschedule and if that appointment is not kept send certified letter to family/guardian. If there is still no compliance to keep appointment, partner with the care manager and social worker to contact DCFS for potential risk of harm.

Toxicology

• Follow up on toxicology results on urine/meconium done on high-risk neonates.
• Discuss results with neonatologists and social worker.

CCHD Screening

• Verify pulse oximetry screening for CCHD is performed 24 hours of age or before discharge, following the Illinois Department of Public Health (IDPH)/ APA guidelines.  

Patient Safe Sleep Compliance 

Car seat challenge screening for all infants born < 37 weeks gestation

• Ensure screening is completed and documented prior to discharge.
• Partner with the care manager and social worker to get the patient a car bed with instruction on use.

ILPQC and Vermont Oxford Network (VON) Partner

• Participate in unit-based meetings
• Partner with the VON lead with gathering data
• Partner with the Perinatal Outreach Coordinator with gathering data.
• Identify trends from registries like Vermont Oxford Network (VON), ILPQC, or hospital-specific dashboards.  Serve as a liaison between the NICU and external organizations for data sharing and reporting requirements. 

Align data with strategic goals: 

• Review hospital/system-wide priorities or mandates (e.g., ILPQC initiatives, DE&I goals, SPS).
• Consider accreditation requirements, US News, or external benchmarks. 
• LOS 
• Patient/Family satisfaction scores 
• Annual planning: 
• Conduct a comprehensive review of unit performance and goals to align QI efforts with long-term priorities (also assist in REACT Book work) and review with site leadership 

Additional Tasks:

• Complete daily discharge calls
• Report high risk case to the state via APORS
• Neonatal Surgical Data collection per IDPH and the 640 Perinatal code 

Partner with:

• The Perinatal Outcomes Coordinator
• Provider partner in NICU, Mother Baby unit and outpatient
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