Sr. Nurse Practitioner (School of Medicine Pediatrics, Neonatology)

Neonatal Nurse Practitioner

The Frederick Health Hospital (FHH) Neonatal Intensive Care Unit (NICU), an affiliate of The Johns Hopkins University School of Medicine, is seeking a full-time neonatal Sr. Nurse Practitioner to join their team. The Neonatal Nurse Practitioner (NNP) is an independent health care provider who, working collaboratively within a multidisciplinary health team, is responsible for providing comprehensive care to both well and ill patients/participants. The NNP educates patients/participants and/or their families in order to promote wellness, prevent health problems, maintain current health and intervene in acute or chronic illness.

Specific Duties & Responsibilities

• Conducts comprehensive and/or episodic health assessment of patients/participants/families with real or potential, acute or chronic health problems, to promote their optimal health status.
• Performs patient history and physical examinations of acute and critically ill neonates as well as subacute and convalescing infants in NICU.
• Completes and maintains appropriate clinical forms/records relating to the history, physical assessment, and clinical care of the above patients/participants.
• Establishes appropriate medical diagnoses for acute or chronic health problems.
• Orders and performs lab tests and procedures relevant to the patient's diagnoses and treatment.
• Interprets the results of diagnostic and laboratory tests in order to prescribe and/or adjust pharmacologic agents and/or treatment plans.
• Performs routine high-risk neonatal procedures as detailed in the Delineation of Privileges document, to include but not limited to: endotracheal intubation, thoracentesis, chest tube placement, umbilical vein and umbilical artery catheterizations, lumbar punctures, venipuncture, arterial puncture, peripheral arterial line placement, percutaneous central venous catheter placement, suprapubic urine aspiration. Completion of on-line training (through Johns Hopkins myLearning) will be required prior to performance of percutaneous central venous catheter placement. Review of performance and documentation of all procedures while working in the Frederick Health Hospital (FHH) NICU may be required as a component of Focused Professional Practice Evaluation (F-PPE).
• Attends high risk deliveries and performs neonatal resuscitation as needed, to include routine stabilization, use of bag/Neo -T/mask/ETT positive pressure ventilation, endotracheal intubation, umbilical vein catheterization, and ordering and administration of resuscitation medications and IV fluids, in accordance with current Neonatal Resuscitation Program (NRP) standards.
• Develops and implements treatment plans, consistent with current health care knowledge, research, and evidence-based clinical practice.
• Prescribes pharmacologic agents appropriate to the patient/participant, in appropriate doses and routes for individual patients/participants.
• Prescribes controlled medications. This privilege requires proof of current Maryland CDS and federal DEA registrations prior to the exercise of this privilege.
• Participates in daily rounds plus regular review and discussion of the patient/participant's health problems, medications, and treatment plan(s) with the Attending Physician, and communicates and explains plans to other members of the multidisciplinary team as needed.
• Updates family members as to the baby's condition and treatment plan regularly and as needed.
• Performs treatments and/or procedures as indicated.
• Documents accurately, expediently and consistently with care provided.
• Appropriately orders consults and/or provides referrals to additional providers or outside services with attention to patient's medical and social needs.
• Maintains and updates own ability to provide patient/participant education.
• Develops and/or implements formal or informal methods to educate and counsel participants, family, staff and/or colleagues.
• Updates knowledge of current and new medications and/or therapies by reading journals, and attending continuing education/conferences/in-house lectures.
• Acts in role of mentor and/or consultant to nurses, students and other health care professionals.
• Serves as an effective member of the clinical/research team, contributing to and assuring patient safety and efficient operation of the unit. Promotes effective relationships and communication with all hospital personnel as part of the hospital's commitment to service excellence, quality patient/participant care.
• Participates with the physician staff in the professional fee billing for services conducted in the Intensive Care Nursery.

• Master's Degree in Nursing; Registered Nurse license and Certified as a Nurse Practitioner.
• Must be licensed as NP in State of Maryland or other state where practicing.
• Current CPR certification required. Must maintain current licensure and certification during duration of employment.
• Minimum of 3 year's experience in related clinical area and obtained proficiency in area of specialty.
• Residency or fellowship programs in area of specialization may substitute for some experience.
• Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula.

• Five years or more experience in related clinical area.