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 AssistantLicensure:Current registration with the Maryland State Board of Examiners of Nurses as a Neonatal Nurse Practitioner or Physician AssistantHeart saver (CPR Certification).Experience:At least two years of experience in a Level III or Level IV NICUSkills: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 areasStrategic 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 testingService Excellence:Monitors, investigates and responds to customer, physician and pathologist feedback, modifying technical and office systems, processes as neededMaintain or improves Key Performance IndicatorsHuman 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 staffResponsible for the supervision of Histotechnologists, Laboratory Assistants, Pathology Office Manager, Secretaries, Pathologist Assistants and Technical SpecialistsQuality and Patient Safety Initiatives:Oversees staff involvement in quality control and improvement efforts, general safety, and infection control proceduresInitiates, monitors, evaluates performance improvement on a unit level as neededMonitors trends, reviews and revises systems/processes as appropriateFinancial 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. Hyperbilirubinemia2. Feeding problems3. Methadone withdrawal/neonatal abstinence after stabilization4. Transient respiratory problems5. Dislocated and/or subluxated hips6. Conjunctivitis7. Dermatological problems8. GU problems9. Sepsis10. Respiratory distress11. Congenital heart disease12. Anemia13. Apnea14. Hematologic problems15. HypoglycemiaManages 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 work, including CBC, sedimentation rate, Hgb, blood gases, electrophoresis, blood type and cross and match, Coombs, STS, VDRL, electrolytes, liver enzymes, thyroid function, viral antibody titers, direct and indirect bilirubin estimation.2. Cultures including urine, blood, nasopharyngeal, throat, wound, rectal, stool, eye, C.S.F., other body fluids3. Examination of urine, urinalysis, microscopic examination, Gram stain, ferric chloride4. Examination of stool for occult blood5. Hematocrits6. Skin scrapings7. Blood gasesThe following non-invasive procedures can be ordered independently or with physician consultation, including, but not limited to:1. X-rays2. EKG3. Sonograms4. EEG5. CT scan6. MRIThe following invasive procedures can be ordered and performed by the Neonatal Nurse Practitioner. Again, the list is not inclusive.1. Venipuncture to obtain blood tests as listed above2. Spinal tap3. Arterial punctures4. Arterial catheterization5. Endotracheal intubation6. Umbilical arterial catheterization7. Umbilical venous catheterization8. Thoracostomy9. Thoracentesis10. Urinary catheterization11. Suprapubic tap12. Paracentesis13. Central venous catheterizationPrescribe drugs.Is authorized to prescribe non-controlled substances independently or in collaboration with a physician. The following drugs may be prescribed in the Neonatal Intensive Care Unit and Intermediate Care Nursery. This list is not inclusive.1. Erythromycin 1% ophthalmic ointment2. Vitamin K13. Glycerine suppository4. Antibiotics5. Mycostatin ointment & suspension6. Anticonvulsants7. Sympathomimetics8. Vaso-active agents9. Vitamins10. Electrolytes11. Diuretics12. Immunizations13. Topical preparations14. Blood & blood productsOrders and/or performs the following therapeutic or corrective measures. They include, but not limited to:1. Nasopharyngeal suctioning2. Chest PT3. Clean and dress abrasions and minor lacerations4. Ligate extra digits5. Triple diapering6. Phototherapy7. CPR8. Intubation9. Mechanical ventilation10. Thoracentesis11. Hyperalimentation12. Vaso-active agents13. Paracentesis14. Oxygen therapyRefers patients to appropriate licensed physician or health care provider.Provides emergency care, including, but not limited to:1. Initiating CPR2. Administering O23. Initiating the IV in an emergency4. Intubate and ventilate5. Order medications during an emergencyAttends deliveries when requested by obstetricians. This may include appropriate resuscitation and stabilization of the newborn.All roles must demonstrate GBMC Values:RespectI will treat everyone with courtesy. I will foster a healing environment.Treats others with fairness, kindness, and respect for personal dignity and privacyListens and responds appropriately to others’ needs, feelings, and capabilitiesExcellenceI will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.Meets and/or exceeds customer expectationsActively pursues learning and self-developmentPays attention to detail; follows throughAccountabilityI will be professional in the way I act, look and speak. I will take ownership to solve problems.Sets a positive, professional example for othersTakes ownership of problems and does what is needed to solve themAppropriately plans and utilizes required resources for various job dutiesReports to work regularly and on timeTeamworkI will be engaged and collaborative. I will keep people informed.Works cooperatively and collaboratively with others for the success of the teamAddresses and resolves conflict in a positive waySeeks out the ideas of others to reach the best solutionsAcknowledges and celebrates the contribution of othersEthical BehaviorI will always act with honesty and integrity. I will protect the patient.Demonstrates honesty, integrity and good judgmentRespects the cultural, psychosocial, and spiritual needs of patients/families/coworkersResultsI will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.Embraces change and improvement in the work environmentContinuously seeks to improve the quality of products/servicesDisplays flexibility in dealing with new situations or obstaclesAchieves results on time by focusing on priorities and manages time efficientlyPay Range$39.80 - $66.26Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.Equal Employment OpportunityGBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
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