ENTRY REQUIREMENTS
Master of Science degree in Nursing.
Board certified and licensed as a Nurse Practitioner in the State of Michigan.
Credentialed as an Allied Health Practitioner by the Munson Medical Staff, with privileges in Neonatology.
Candidate must apply for and be granted appropriate clinical privileges through MMC's normal credentialing processes before rendering services. Prescriptive authority is provided by unit-specific specialty physicians, under the Michigan Board of Nursing and DEA regulations.
Neonatal transport experience preferred.
ORGANIZATION
This is a self-directed professional practitioner with the ability to make independent judgments in providing direct patient care. The NNP is accountable, and directly responsible to the Medical Director of Neonatal Intensive Care Services, w ith a collaborative relationship with the Manager of the NICU.
The NNP will serve as a resource person for the Pediatrician on-call staff, nursing staff and for the family practice residents on rotation in the NICU. They are expected to help with interpreting, explaining and demonstrating procedures and care plans.
AGE OF PATIENTS SERVED
Cares for patients in the age category(s) checked below:
X Neonatal (birth-1 mo) Young adult (18 yr-25 yrs)
X Infant (1 mo-1 yr) Adult (26 yrs-54 yrs)
Early childhood (1 yr-5 yrs) Sr. Adult (55 yrs-64 yrs)
Late childhood (6 yrs-12 yrs) Geriatric (65 yrs & above)
Adolescence (13 yrs-17 yrs) All ages (birth & above)
No clinical contact with patients
SPECIFIC DUTIES
1.Supports the Mission, Vision and Values of Munson Healthcare.2.Embraces and supports the Performance Improvement philosophy of Munson Healthcare.3.Promotes personal and patient safety.4. Has basic understanding of Relationship-Based Care (RBC) principles, meets expectations outlined in Commitment To My Co-workers, and supports RBC unit action plans.5.Uses effective customer service/interpersonal skills at all times.
6.Conducts comprehensive physical assessments of patients. 7. Establishes medical diagnosis for common short-term or chronic health problems. 8. Orders and Interprets laboratory tests and performs diagnostic and invasive and noninvasive procedures.
Noninvasive tests that can be ordered and interpreted independently or in collaboration with the neonatologist or his/her designee include X-ray-chest, abdomen, skeletal. Noninvasive and invasive tests ordered by the NNP in collaboration with the neonatologist or his/her designee: MRI, EEG, EKG, and ECHO cardiogram, Hearing Screening, GI studies: UGI, BE, scintiscan, swallow study, GU studies: VCUG, Ultrasonography, CAT scan.
Invasive procedures that can be ordered and performed by the NNP with consultation as necessary with the neonatologist or his/her designee include a rterial puncture, suprapubic bladder tap, chest tube placement and removal, endotracheal intubation, l umbar puncture, n eedle thoracentesis, umbilical and arterial catheterization and removal, percutaneous central venous catheter placement and removal, v enipuncture, e xchange transfusion and partial exchange transfusions, peripheral artery catheterization and removal.
- The NNP may prescribe medications in collaboration with the neonatologist. 10. The NNP may prescribe the following therapeutic treatments:
Respiratory therapy utilizing nasal cannula, hood oxygen, nasal CPAP, Ventilation-initiation of initial settings, adjusting settings based on blood gases and x-rays for conventional ventilators, volume ventilators, and HFOV. nitric oxide therapy, inhalation treatments, chest physiotherapy, suctioning.
Establishment of neutral thermal environment
Nutrition
Initiation and adjustment of fluid requirements, parenteral and enteral nutrition, placement of OG, NG, Jejunal tubes, and Recta tubes, care and insertion gastrostomy tubes
Urinary Catheterization
Blood Transfusions-responsible for obtaining consent
Phototherapy-bank or blanket
Suture Removal
Isolation Precautions
- Makes patient referrals to appropriate physicians or other health care providers. 12. Provision of emergency care:
The NNP may perform CPR and initiate and manage resuscitative measures, including medications, laboratory tests, and therapeutic/corrective measures as listed above until the neonatologist or designee is available. The neonatologist is responsible for discontinuing resuscitative measures if the infant does not respond to therapy.
- Performs other duties and responsibilities as assigned.
