Core Duties:
- Provide a full range of outcome-based nurse practitioner services in accordance with privileges granted by the MTF (e.g., supervise and provide general screening and medical care and examinations of patients for routine, acute and chronic conditions involving any and all organ systems; provide immunizations; diagnose, treat, and counsel patients as indicated).
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Technically direct and teach other staff, provide evidenced-based educational lectures and participate in in-service training to staff members.
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Diagnose and treat patients with common acute conditions, chronic illnesses, or minor trauma within accepted protocols, clinical practice guidelines, Nurse Practice Acts, and/or in consultation with a physician.
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Promote preventive care and health maintenance including annual physicals, positive health behaviors and self-care through both formal and individual education and counseling.
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Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.
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Recognize conditions that require isolation and ensure universal precautions are used in all patient encounters.
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Attend staff meetings to provide case discussion, continuing education, and continuous quality improvement and safety.
HCW GENERAL DUTIES: Contractor personnel shall perform a full range of duties consistent with their labor category, education, training, experience, clinical privileges (as applicable), and assigned position. General duties that apply to all personnel or across certain labor categories are given below.
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Maintain a level of productivity comparable with that of other individuals performing similar services.
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Participate in peer review and performance improvement activities.
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Practice aseptic techniques as necessary. Comply with infection control guidelines to include the proper handling, storage, and disposal of infectious wastes, and the use of universal precautions to prevent the spread of infection.
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Function with an awareness and application of safety procedures.
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Perform efficiently in emergency patient situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Anticipate potential problems/emergencies and make appropriate interventions. Notify supervisor, director, or other designated person regarding problems that the HCW is unable to manage.
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Apply an awareness of legal issues in all aspects of patient care and strive to manage situations in a reduced risk manner.
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Participate in the implementation of the Family Advocacy Program as directed. Participation shall include, but not be limited to, appropriate medical examination, documentation, and reporting.
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Exercise awareness and sensitivity to patient/significant others' rights, as identified within the MTF.
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Maintain an awareness of responsibility and accountability for own professional practice.
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Participate in continuing education to meet own professional growth.
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Attend and/or comply with all annual training classes required by the MTF, to include but not limited to online annual training provided by the MTF: disaster training, infection control, Sexual Harassment, Blood-borne Pathogens, Fire and Safety, Chemical, Biological, Radiological, Nuclear and Explosives (CBRNE), MHS Genesis, and all other required training.
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Actively participate in the MTF’s Performance Improvement Program. Participate in meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist.
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Participate in the provision of in-service training to clinic staff members. Provide training and/or clinical direction as applicable to supporting government employees (e.g., hospital corpsmen, students, etc.).
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Attend and participate in various meetings as directed.
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Perform timely, accurate, and concise documentation of patient care.
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Operate and manipulate automated systems such as ADS, Essentris, MHS Genesis and Clinical Information System (CIS), participate in clinical staff Performance Improvement (PI) and Risk Management (RM) functions, as prescribed by the MTF Director. Maintain DOD email account as directed. The HCW shall be responsive to all email and voicemail communications.
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Exercise appropriate clinical delegation of tasks and duties in the clinical direction and coordination of health care team members, patient care, and clinic activities.
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Maintain documentation of all treatment provided in accordance with clinic directives and prepare such records and reports as may be required. All records and reports must be legible. Abbreviations must be only those listed in local instructions.
Duties – Specific. Neonatal Nurse Practitioner. The HCW shall provide services within the scope of the clinical privileges granted by the MTF Director, the applicable duties provided in the basic contract, and the following:
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Provide comprehensive medical assessment, examination, consultation, diagnosis, and treatment plan for neonates, under the direction of a staff Pediatrician.
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Provide medical management of critically ill neonates in a Level III Neonatal Intensive Care Unit and other areas to include neonatal resuscitation, conventional ventilation, stabilize and maintain Level III care prior to transport, prescription of medications (including controlled substances), to treat neonatal medical disorders, under direction of a staff neonatologist.
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Request and interpret laboratory tests, electrocardiograms, and radiographic procedures, and other tests as needed under the direction of staff Pediatricians.
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Perform procedures including sedation, endotracheal intubation, routine phlebotomy, arterial phlebotomy, percutaneous central venous line placement, umbilical line placement, lumbar puncture, suprapubic bladder taps, bladder catheterization, needle thoracentesis, chest tube placement, circumcision as deemed appropriate under the Government supervision of the staff Pediatrician.
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Attend routine and high-risk deliveries as a member of the Resuscitation Team and perform Neonatal Resuscitation.
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Provide medical care to neonates awaiting transport to other facilities and from other higher level of care neonatal intensive care units (NICUs), under direction of a staff Pediatrician.
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Provide outpatient care for routine well baby appointments and NICU follow-up appointments.
- Degree: Master's degree in nursing
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Education: Graduate from an academic program, within the nursing specialty field of study that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
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Have successfully completed at least twelve (12) contact hours of continuing NNP education within the preceding twenty-four (24) months which maintains skills and knowledge as an NNP.
Certifications
- Certified in the specialty required by the TO as a Nurse Practitioner by the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners (AANP) or the recognized national nursing certification organization for the specialty area of practice as appropriate (for example, National Certification Board of Pediatric Nurse Practitioners and Nurses, American Nurses Association, National Certification Corporation for the Obstetric, Gynecologic and Neonatal Specialties).
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Possess and maintain current certification in Basic Life Support
- Possess and maintain current certification as a Neonatal Nurse Practitioner from the National Certification Corporation (NCC).
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Possess and maintain a Neonatal Resuscitation Certification (NRP) certification as recognized by the American Board of Pediatrics. Possess and maintain a Pediatric Advanced Life Support (PALS) certification.
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Experience: Possess a minimum of one (1) year full-time experience as a Neonatal Nurse Practitioner within the preceding two (2) years. Possess a minimum of one (1) year broad experience as a Nurse Practitioner in Level 3 NICUs and experience in both the newborn nursery and delivery room setting within the last two (2) years.
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Licensure: Possess and maintain Current, full, active, and unrestricted license as a Registered Nurse
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Additional Requirements: Provide two (2) letters of recommendation written within the last two (2) years attesting to the HCW’s clinical skills. At least one (1) letter must be from a physician or nurse who has personally observed and evaluated the HCW and who can attest to the HCW’s clinical competence in the care of patients. The other letter may be from a clinic or hospital administrator, physician or nurse who has personal knowledge of the HCW’s patient care skills in a similar clinical environment. Reference letters shall attest to the HCW’s communication skills and ability to relate to patients as well as professional and other interpersonal skills among staff members and must include name, title, phone number, date of reference, address and signature of the individual providing reference. Letters of recommendation must have been written within the preceding three (3) years.
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Ability to complete favorable background check
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Ability to complete favorable credentialing and security requirements
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Ability to complete Medical requirements
Computer Skill Competency: Each HCW shall demonstrate competency as required in the contract and as follows:
Basic
This level of skills is sufficient to perform daily word processing tasks, such as, producing routine letters, memorandums, and informal reports. A person with this level of skills is able to use basic formatting, editing, printing functions, and understands the document page setup. The person has the skills to:
Create a new document, enter text, and save it.
Open and edit existing documents.
Navigate in a document and perform a search.
Select and move text.
Format characters and paragraphs; work with tabs, indents, margins, lists, breaks, spacing.
Use AutoCorrect and Help tools.
Create and edit tables.
Control page and document appearance.
Print documents, envelopes, and labels.
Clinical Competency: Each HCW requesting clinical privileges shall be required to demonstrate clinical competency within the past two years in the required clinical discipline as specified in this PWS.
