NNP/PA/ Hospitalist, TJU

Nemours - Philadelphia, PA3.9

30+ days ago
As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.

Neonatal Nurse practitioner, Physician Assistant or hospitalist sought to work with a large Nemours Neonatology group in Philadelphia, PA. This group covers NICUs for Thomas Jefferson University Hospital located in Center City, Philadelphia. Day, evening, and weekend hours are required.

The NNP/PA/hospitalist will function in an expanded collaborative role by planning and providing comprehensive, complete management of a primary caseload of critically-ill infants and their families. Demonstrates excellent written and verbal communication skills in all phases of practice.

1. Manages and provides care for the patient requiring neonatal intensive care utilizing collaborative consultation with team members, under the direction and supervision (but not necessarily the direct attendance) of an attending neonatologist.

Receives a distressed neonate in the Delivery Room and initiates appropriate intervention.
Performs a complete newborn physical examination and assessment of gestational age, discriminating between normal and abnormal findings.
Conducts parent interviews and takes family history.
Collaborates with neonatologists concerning pertinent historical events, physical findings, diagnostic and therapeutic measures initiated on all admissions.
Orders appropriate laboratory tests and procedures.
Performs diagnostic and therapeutic procedures necessary and appropriate for the care of the patient.

2. Procedures carried out by the NNP/hospitalist may include:
Insertion of intravenous catheters
Insertion of umbilical artery and vein catheters
Insertion of percutaneous arterial lines
Insertion of PICC lines
Artery Puncture
Lumbar puncture
Ordering daily fluids and medications
Suprapubic bladder tap/bladder catheterization
Laryngoscopy and tracheal suctioning
Interpretation of routine lab studies
Interpretation of neonatal radiographs
Abdominal paracentesis (with physician assistance)
Remove sutures, arterial catheters, central catheters, and chest tubes
Pass nasojejunal tube (with radiology assistance)
Nasotracheal intubation
Endotracheal intubation
Ventilator management
Thoracentesis (needle decompression of pneumothorax)
Chest Tube Placement (with physician assistance)
Order vasoactive drug(s) infusion(s)
Advanced cardiopulmonary resuscitation of neonates, including drug therapy
3. Reviews and provides general care items involved in neonatal care, such as temperature stabilization, hyperalimentation therapy, feeding management, and phototherapy.
4. Participates in daily rounds in NICU
5. Intervenes appropriately to assist in meeting the emotional needs of the families
6. Collaborates with attending physician, social worker, nursing staff, and other health care members in planning follow-up care
7. Actively participates in counseling and educating parents and family members
8. Performs transport of critically-ill infants to/from referring hospitals

9. Verifies that the quality of care is documented in the medical records
10. Elicits, records and interprets the past medical, psychosocial and obstetrical history of the neonate’s family.
11. Documents total plan for delivery of care, writes orders for accomplishing that plan and implements the plan personally or through collaboration with medical and nursing staff. Orders will be co-signed by a neonatologist or attending physician according to facility medical staff bylaws and regulations.

Education and Teaching

Participates in educational activities, which promote quality patient care.
Serves on appropriate committees which determine policies related to the delivery of health care to high-risk infants
Performs informal and formal clinical research in collaboration with other medical and nursing personnel and publishes findings as appropriate.
Makes informed recommendations for implementation of new concepts and techniques affecting patient care.
Participates in parent education Participates in activities, which contribute to the education of other professionals.
Teaches NICU continuing education classes.
Contributes to pertinent obstetric and pediatric conferences related to perinatal care.
Assists with the continuing education of residents as requested.
Participates in the education of student nurses/nurse practitioners/medical students/residents/fellows.
Professional Growth and Development

Participates in activities which enhance role development
Maintains clinical competency and keeps informed on current trends and legislation affecting neonatal care.
Reads professional journals and texts and shares knowledge.
Attends related workshops/seminars.
Participates in activities, which demonstrate professional commitment.
Sets goals for professional growth.
Actively participates in at least one professional organization.
Performance Skills

Very strong written and verbal communication skills required
Strong organizational skills and ability to prioritize
Demonstrates ability to work collaboratively with all levels of personnel and to work independently in emergency situations.
Gives and accepts feedback
Asks questions and answers patients/families questions Delegates
Gives accurate information
Recognizes the importance of process
Willingness to accept change/adaptable
Schedules time efficiently
Knowledgeable regarding institute services
Stays current of technological aspects of position
Thinks pro-actively

Active PA Licensure Required
Advanced Practice Nurse Licensure, with or without prescriptive authority
National Certification via NCC and NRP Certification
Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.