STAFF NURSE - PRN - NIGHTS - NICU

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

Medicine Journal