ESSENTIAL FUNCTIONS:
1. Provides advance neonatal nursing practice coverage for high-risk neonates.
2. Performs comprehensive diagnostic and physical assessments to guide development of the medical plan of care in collaboration with the attending physicians.
3. Performs designated diagnostic and clinical procedures as defined in an agreed advanced practice protocol.
4. Participates in the ongoing and yearly revision and implementation of the updated advance practice protocol.
5. Documents concisely accurately and legibly in the medical record.
6. Identifies opportunities for improvement and participates in research development education communication and implementation of system changes and committees.
7. Monitors and evaluates the quality and appropriateness of care and practices through collaboration within the multidisciplinary team.
8. Promotes teamwork and serves as a role model consultant delegator educator and resource for members of the health care team and families.
9. Evaluates and applies knowledge of age-related and socioeconomic factors in the assessment care treatment and education of neonatal patients and their families.
10. Other duties as assigned.

EDUCATION REQUIRED AND OR PREFERRED:
REQUIRED: Completion of an NLN accredited school of nursing program; completion of an approved Neonatal Nurse Practitioner Program.
PREFERRED: Advanced nursing degree
-Certifications Required: NRP

LICENSURE CERTIFICATION:
REQUIRED: Current RN licensure in Texas; concurrent approval to practice advanced nursing in the state of Texas; AAP Neonatal Resuscitation Program certification; NCC Neonatal Nurse Practitioner certification

EXPERIENCE REQUIRED OR PREFERRED:
REQUIRED: 2 Years Level III neonatal nursing

The qualified candidate will meet or excede these expectations.

Does ECMO & Cardiac; about half of ECMO cases are NICU; rest PICU; NNPs “can” manage the ECMO kids

40% of patients are LBW or VLBW -Practices Developmental Care -Delivery Service: approx 225 to 250/mo (NNPs do attend HRDs)

Avg NNP caseload fluctuates between 1-6 (mix of intensive and intermediate kids).

NNPs develop the care plans for their kids vs being told how to manage them

Transport: they have a separate transport team but NNPs can do it if they choose to…NNPs are NOT required to do transport.

Current team of 5 NNPs currently -Shifts: mostly M-F/Days (8aish to 4pish) with shared night and weekend coverage; Self Scheduling in 1 month block. Multiple NNPs on duty, per shift.

Facility is academic teaching center

NNP role is NOT 100% clinical; they do have dedicated non-clinical time: >Committees >Consultant >Research >Bereavement >Transport >Education

Ideal setting for new grads: very experienced in hiring and training new NNP grads to be successful

Program/staff supports flexibility between work and personal lives

Free tuition (including PhD level)

Facility is very pro-research

Open to new ideas…”we can help you with your dreams and visions here”!

Excellent relationships between/amongst NNPs, Neos, RN Staff (Neo Staff are all aware of their skills/abilities and promote independence.

SITE #1

• 29 bed Level III NICU o The patient population is from 24 weeks to sick term infants
• Consistent population of narcotic withdrawal infants
• Capabilities for HFOV and INO
• Surgical patients are transferred out
• Approximately 4,200 deliveries yearly with plans to exceed 5,000 deliveries annually over the next 2.5 years
• NEODATA electronic documentation
• 2 NNPs on service for days, one NNP coverage at night
• Respiratory care support
• High risk pregnancy consultation

Role Variations

• High risk deliveries attendance by NNPs and NICU team
• Low risk deliveries attended by NICU team
• Asked to participate in staff education/NRP
• Respond to neonatal codes and consultations in ER
• Withdrawal infants may be transferred to the pediatric unit and continue to be cared for on the NICU team

SITE #2:

• 14 bed Neonatal intensive care unit with potential to expand to 20 beds in the respite nursery
• Credentialed to care for uncomplicated 28 weeks gestation infants and older
• Surgical patients and those requiring advanced respiratory support (NO or oscillator) are transferred out
• Approximately 3,600 deliveries annually
• NEODATA electronic documentation

Role variations:

• Attend 80-100 deliveries/month. The delivery team is comprised of a NICU RN and NNP, with RT support for preterm deliveries and when requested
• Provide additional support for pediatricians, including consults and well baby exams when the pediatrician is unavailable
• Respond to neonatal codes and consultations in the ER
• Responsible for some staff education including mock codes and classes as well as informal bedside teaching
• Infants less than 37 weeks or less than 2500g are admitted to the nursery under pediatrician care for an observation period. Following admission, they are either admitted to Neonatology service or returned to the MBU under the care of the attending pediatrician

BENEFITS:

• 272 hours of vacation time yearly subtracted from 1.0 FTE
• 208 hours of non-clinical time yearly subtracted from 1.0 FTE
• Total clinical hours = 1,600 hours yearly
• 36 hour work week (72 hours per pay period) · Education Time and Money
• $2,000 education allowance per year for full time employees, the rate is pro-rated for part-time employees
• 3 paid days (24 hours) of education leave not taken from PTO bank · Vacation Hours
• 34 days of paid vacation yearly (272 hours)
• 4 people off at one time
• Specific weekend requirements for full time and part-time (26 and 17 respectively)
• Friday requirement yearly
• Self scheduling model with schedule posted 3 months in advance
• Equal distribution of holidays and less desirable shifts

Salary Structure

• Based on years of experience as NNP
• Consideration for years of experience as NICU RN
• Salary scale = $92,872 – $117,312 based on experience for 1.0 FTE
• Yearly merit increases up to 5% · Miscellaneous
• Relocation allowance
• DEA paid for by Medical Center ($550.00/3 years)
• Credentialing fees paid for by Medical Center
• Tuition assistance for staff who meet criteria to pursue further education

ESSENTIAL FUNCTIONS:
1. Provides advance neonatal nursing practice coverage for high-risk neonates.
2. Performs comprehensive diagnostic and physical assessments to guide development of the medical plan of care in collaboration with the attending physicians.
3. Performs designated diagnostic and clinical procedures as defined in an agreed advanced practice protocol.
4. Participates in the ongoing and yearly revision and implementation of the updated advance practice protocol.
5. Documents concisely accurately and legibly in the medical record.
6. Identifies opportunities for improvement and participates in research development education communication and implementation of system changes and committees.
7. Monitors and evaluates the quality and appropriateness of care and practices through collaboration within the multidisciplinary team.
8. Promotes teamwork and serves as a role model consultant delegator educator and resource for members of the health care team and families.
9. Evaluates and applies knowledge of age-related and socioeconomic factors in the assessment care treatment and education of neonatal patients and their families.
10. Other duties as assigned.

EDUCATION REQUIRED AND OR PREFERRED:
REQUIRED: Completion of an NLN accredited school of nursing program; completion of an approved Neonatal Nurse Practitioner Program.
PREFERRED: Advanced nursing degree
-Certifications Required: NRP

LICENSURE CERTIFICATION:
REQUIRED: Current RN licensure in Texas; concurrent approval to practice advanced nursing in the state of Texas; AAP Neonatal Resuscitation Program certification; NCC Neonatal Nurse Practitioner certification

EXPERIENCE REQUIRED OR PREFERRED:
REQUIRED: 2 Years Level III neonatal nursing

The right candidate will meet or excede these requirements.

JOB DUTIES AND RESPONSIBILITIES:
Assures the delivery of comprehensive care through the coordination and provision of expert direct and or indirect patient care to a caseload of patients and their significant others. Collaborates with other members of the health care team.

MINIMUM REQUIREMENTS:
Knowledge, Skills, and Abilities
Minimum Requirements
Must have certification in NNP
RN license in Missouri
Prefers MS in Nursing, will consider BS
BCLS certification
3-5 years clinical experience and hospital experience
Must demonstrate clinical expertise in the neonatal specialty practice
Will work with medical students, residents, parents, and hospitalized neonatal infants.
Must speak, read and write English
Must be able to lift 50 lbs w o assistance