Staff RN - East NICU - PRN - Nights

Staff RN - East NICU - PRN - Nights

Position Summary: A registered professional nurse responsible for direct and/or indirect care of the patient. Education: Graduate from an accredited School of Nursing. Experience: Knowledge of general, obstetric, and neonatal nursing principles and practice skills; knowledge of organizational functions, policies and regulations; knowledge of current trends and new developments; knowledge of principles and practices of nursing, applicable to those areas requiring special education. Licensure: Current licensure to practice nursing in the State of Tennessee. Certification in neonatal nursing desirable. BLS completed prior to going to the unit/department and maintained going forward The Nurse Licensure Compact will not change how to obtain or renew a Tennessee license. However, the Tennessee nursing license will be a single state license for Tennessee residents or non-compact state residents. Tennessee licensure or multistate licensure from a compact state must be obtained within three months of hire for non-Tennessee residents. Preferred: Certification in neonatal nursing desirable. Core Competencies PROCESSES: Admission- Neonatal Data Base, Multi-disciplinary Education Sheet, Physical Assessment Patient Assessment & Accurate Completion of Patient Care Flowsheet (per unit standards of care) Select, Develop and Individualize Plan of Care using Problem Oriented Charting by Exception Implement Plan of Care Evaluate Plan of Care on a daily basis Pharmacology (administration and interaction) Documentation Gestational/Post Conceptional Age Appropriate Care Knowledge of Growth and Development Lab Values, Panic Levels, & ABG's (assessment, reporting to Neonatal Nurse Practitioner and intervention) Interpersonal Communication Safety and Infection Control Participates in Rounds on Assigned Patients Collaborates with Intra-hospital departments Chest Tubes- Set-up, Assisting with Insertion, Maintenance IV Technique Site Inspection, Labeling Tubing, & Documentation 02 Therapy/CPAP/Ventilator setup and adjustments, nasal cannula Suctioning- Oral/ETT Hypo/Hyperthermia Specimens- C&S, Urine Drug Screens, Sputum, Gastric, Stools OG-NGT/Care Volume Replacement - Continuous/Bolus/Rapid Blood Products Cardiac Monitoring- Placement of Electrodes, Trouble-shooting Documentation of Intake and Output Neonatal Code Drainage Tubes Setup/Assist or Perform Invasive Procedures Body Substance Isolation (BSI) Phlebotomy- Technique, Labeling, Type & Cross Match Equipment: Hospital Information System IVF Administration Pumps/Medfusion Pumps Code Drug Box-Location on Unit, Knowledge of Contents Wall/Portable Suction Pyxis-Supplies/Medicines Scales Diaper Scales Isolettes/Incubators without humidity Radiant Warmers Phototherapy/Biliblanket Capillary Blood Glucose Monitor HP Bedside Monitor and Modules (EKG/Resp, NIBP Invasive Pressure Monitoring, SpO2) Setup ventilator, NCPAP and nasal cannula SpO2 Monitor (Bedside) Breast Milk Refrigerator/Freezer Blanket Warmer Breast Pump IV Tubing Assembly/Invasive Pressure Transducer Digital Thermometer UNIT SPECIFIC: Maintain Developmentally Supportive Neonatal Care Environment Provide Appropriate Neutral Thermal Environment For The Neonate Ensure Security Of The Neonatal Patient From Admission Until Discharge Policies and Upholds Infection Control Measures Assures Necessary Equipment Available For Care Of The Neonate (Including As Applicable: Admission Bed Set-Up, Stocking Bed Space For Oncoming Shift) Identifies And Appropriately Communicates Pertinent Findings And Concerns To The Neonatal Nurse Practitioner Incorporates Positional Support And Changes As Neonate Tolerates Correctly Employs Procedures And Equipment Necessary To Provide Optimal Nutritional Support And Management For High Risk Neonates Competently Monitors Cardiopulmonary and Hemodynamic Status and Intervenes as appropriate Coordinates with Neonatal Nurse Practitioner from assembly/set-up to completion/disposal of equipment necessary for procedures Maintains and monitors IV fluid volume replacement device (PIV, RAC, or UAC), and fluid administration including obtaining blood specimens from central or peripheral arterial lines Provide appropriate care to the neonate Educate and incorporate parent(s) in the care of the neonate as the neonate's condition permits Console and participates appropriately in supporting parent(s) and families who have experienced perinatal loss PROCEDURES: Securing a Neonate to prevent injury during a Procedure Urinary Specimen Collection Assist with administration of surfactant Assisting with Circumcision Assisting with Lumbar Puncture Assisting with Suturing Assisting with Chest Needle aspiration/Chest Tube insertion Assisting with UAC insertion Assisting with Intubation Assisting an Intubated Neonate Bag-Valve-Mask Device ETT/Nasopharyngeal Suctioning Accurately recording I and O Measuring vital signs Time management skills Discharge Process Transfers into and out of the Special Care Nursery Handwashing Station Isolation Accurate weight with minimal disruption of care Correctly calculate acuity Department Position Summary: The RN in Special Care Nursery must have knowledge and skill in caring for the sick neonate regardless of gestational age and the use of equipment/supplies associated with that care. The RN in the Special Care Nursery must have skills in caring for the needs of the immediate family members, be familiar with newborn care, as well as familiar with neonatal resuscitation, and be able to care of mom-baby couplets in postpartum phase.