NP/PA - Special Care Nursery - WDH

Mass General Brigham Advanced Practice Provider

Wentworth-Douglass Hospital is a community hospital located in Dover, New Hampshire, about 70 miles north of Boston and is a part of Mass General Brigham network. WDH Women & Children's Center currently has over 1700 deliveries per year and offers complete family-focused care, making it the delivery destination for the New Hampshire Seacoast. The centerpiece of the WDH Newborn Program is a 12-bed Level IIB Special Care Nursery, offering care to infants born at 32 weeks of gestation and higher. WDH's close medical and nursing collaboration with the Mass General Brigham Academic Medical Centers ensures the most advanced approach to infant care.

The qualified candidate will be joining a dynamic group of advanced practice practitioners and physicians, led by a neonatologist medical director. Newborn and Pediatric services at WDH are supported by MGH pediatric subspecialties, including pediatric cardiology, pulmonary, endocrinology and gastroenterology.

Delivery Room Services

The Advanced Practice Provider (APP) will provide delivery room (DR) coverage at WDH. DR coverage responsibilities include attending high risk deliveries upon request, providing neonatal resuscitation, evaluating newborns in the delivery room and newborn nurseries. The APP will provide all necessary in-house and outpatient prenatal neonatology consultations requested by obstetric staff. The APP will work collaboratively with a supervising physician who will generally not be on-site. In addition, the program will be supported with the 24/7 availability from neonatologists based in the MGH Neonatal Intensive Care Unit.

Newborn Nursery

The APP will manage infants in the Newborn Nursery as a primary provider in collaboration with supervising physician. This involves daily rounding, daily comprehensive assessments, review of patient data, and development of plans for all infants. Diagnoses are varied and include those infants who are experiencing delayed transition, mild respiratory distress, hypoglycemic infants, late preterm infants, convalescing preterm infants, and infants born to mothers with substance use disorder. Responsible for daily care, coordinating and planning discharge home, supporting and updating families, and conducting family meetings.

Level IIB NICU

The APP will manage infants in the Level IIB NICU as a primary provider. This involves daily rounding with a multidisciplinary team, daily comprehensive assessments, review of patient data, and development of plans for a caseload of infants. Diagnoses are varied and include those infants who are delivered at 32 weeks or greater, need CPAP or short-term ventilation, late preterm infants, convalescing preterm infants, and ESC infants. Responsible for daily care, coordinating and planning discharge home, supporting and updating families, and conducting family meetings.

Nurse Practitioner Responsibilities

The Nurse Practitioner (NP) is a licensed provider. The NP is responsible for assessing and managing various patient populations, including those with medical and/or surgical conditions, as well as providing diagnostic and therapeutic interventions, developing appropriate plans of care, and conducting ongoing evaluations. May also perform additional duties, such as precepting a small group of learners.

Essential Functions:

• Provides direct care, counseling, and education to a designated patient population in ambulatory, inpatient, operative, and/or procedural settings.
• Performs complete histories and physical examinations.
• Orders, interprets, and evaluates appropriate laboratory and diagnostic tests.
• Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings.
• Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
• Consistently provides high-quality and timely documentation, including admission and progress notes, procedure notes, operative notes, and discharge summaries.
• Performs bedside procedures as are appropriate to the patient population.

Qualifications

Education:

• Master's Degree Nursing required

Licenses and Credentials:

• Advanced Practice Registered Nurse, NH

Experience:

• 2 years of licensed nurse practitioner experience 1-2 years required

Knowledge, Skills and Abilities:

• Skilled in taking medical histories to assess medical condition and interpret findings.
• Ability to maintain quality control standards.
• Ability to react calmly and effectively in emergency situations.
• Ability to interpret, adapt and apply guidelines and procedures.
• Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public.

Work Location: 700 Central Avenue

Pay Range: $59.04 - $83.59/Hourly

Grade: 7