Nurse Practitioner or Physician Assistant - Neonatology

Job Description Summary Job Description Summary The Nurse Practitioner or Physician Assistant covering neonatal and newborn services reports to the Neonatal APP Lead. The Nurse Practitioner or Physician Assistant manages a case load of neonatal patients in consultation and collaboration with neonatologists. The Nurse Practitioner or Physician Assistant utilizes extensive knowledge of pathophysiology, pharmacology, and physiology and exercises independent judgment in the assessment, diagnosis, and management of neonatal patients. The Nurse Practitioner or Physician Assistant provides individualized, safe, effective, goal‑directed patient care to families and patients to achieve desired results. Required Training and Experience Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant, or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN. Physician Assistant (PA) : at least one year of experience in neonatal intensive care, which may include an NICU fellowship. APRN (Neonatal Nurse Practitioner) : primary, acute, chronic, and critical care to neonates, infants, and toddlers from birth until discharge from the Neonatal Unit or from the Neonatologist service. Required Licensure, Certifications, Registrations Neonatal Resuscitation Program DHEC and DEA license applications must be started prior to first day. Job Duties Takes comprehensive history and performs physical examinations. Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline. Performs the following therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief: Intubation Central venous and arterial line placement Insertion and removal of chest tubes Thoracentesis Suprapubic bladder tap Lumbar puncture Paracentesis Partial and total exchange transfusion Arterial puncture Peripheral arterial line placement Other procedures as needed Initiates referrals to other health care providers, and/or consults with the attending physician or the collaborating physician. Documents and bills for direct care provided. Utilizes current research and evidence-based decision-making in all clinical practice. Performs and participates in quality/performance improvement activities and clinical research. Participates in and supports accreditation, compliance, and regulatory activities of the organization. Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education. Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitates the learning of other new team members. Maintains licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law. Ensures implementation of established guidelines for the management of neonatology patients. Collaborates with other disciplines to ensure effective and efficient services are provided. Involves unit staff and representatives from other disciplines in decision making. Utilizes research and benchmark data when planning evaluating service operations. Develops, implements, monitors and evaluates service‑specific goals which are based on organizational and departmental goals. Promotes and maintains a safe, warm, hospital environment for all customers. Has thorough knowledge of physical assessment skills for normal and high‑risk newborns. Has considerable knowledge of risk‑screening and developmental assessment tools. Has extensive skill in the use of specialized equipment utilized in the care of critically ill neonates (ventilators, HFV, cardio‑respiratory monitors, oxygen saturation and transcutaneous P02/PC02 monitors, phototherapy, etc.). Can function independently in the critical care environment and serve as a leader for the infants’ care. Has considerable skills regarding interpretation of laboratory findings. Obtains consent for invasive procedures as required. Incorporates explanations and health education into the care of high‑risk neonates and their families. Provides care appropriate to the age and level of development of the patient, considering the needs of the families. Requires knowledge and skills to care for patients between the age of 0 and 1. Attends intermediate and high risk deliveries independently and performs resuscitation interventions with mastery of physical assessment and technical skills such as endotracheal intubation, chest compressions, central and peripheral lines, arterial sticks, and medication administration. Can perform maternal and newborn consults and communicate findings, functioning as a skilled team leader with well‑developed diagnostic and analytic skills. Performs all neonatal intensive care admission procedures for a designated case load of patients, including appropriate family history and complete physical examination. Orders diagnostic testing as appropriate, including radiologic and laboratory studies, and accurately interprets findings. Determines the daily plan of care for a designated case load of neonates in collaboration with neonatologists, fellows, residents, interns, nurses, respiratory therapists, and other members of the health care team. Writes daily orders for fluids, medications, nutrition, and respiratory management. Demonstrates sound oral and written communication skills and documents daily progress of patients, writes discharge and death summaries, and performs highly skilled technical procedures under protocol. Monitors nursing care delivered, serving as a role model and educator for nursing staff, student nurse practitioners, and residents. Maintains clinical patient responsibilities for entirety of scheduled shift and ensures appropriate coverage is in place for any time away from unit. Participates in collaborative scheduling to ensure all shifts are covered to maintain patient safety. Physical Requirements Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex‑safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (±) unassisted, exert up to 50 lbs of force, lift from 36” to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces. Equal Opportunity Employer The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. E‑Verify Medical University of South Carolina participates in the federal E‑Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E‑Verify program, please click here: #J-18808-Ljbffr Dormont Manufacturing Co