Neonatal Nurse Practitioner

3 weeks ago

Boston MA United States Massachusetts General Hospital Full time

OVERVIEW

The nurse practitioner (NP) will have a multifaceted role, caring for patients in all locations within Wentworth-Douglass Hospital's (WDH) Newborn Medicine Service, including its growing Newborn Nursery, Level IIB NICU, and in the delivery room.

Wentworth-Douglass Hospital is a community hospital located in Dover, New Hampshire, about 70 miles north of Boston and is an MGH clinical affiliate. WDH Women & Children's Center currently has around 1,500 deliveries per year. The newborn program is supported by a full time WDH based Neonatology medical director. This NP will have all of his/her clinical work take place at WDH.

Clinical coverage of the WDH Newborn Medicine Service will be entirely in-hospital and this position will include a mix of daytime, weeknight, weekend and holiday hours. This can be a full time, part-time or per diem position.

Delivery Room Services

The NP 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 NP will provide all necessary in-house and outpatient prenatal neonatology consultations requested by obstetric staff. The NP 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 of telemedicine consultation from neonatologists based in the MGH Neonatal Intensive Care Unit.

Newborn Nursery

The NP 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 NP 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, infants, late preterm infants, convalescing preterm infants, and NAS infants. Responsible for daily care, coordinating and planning discharge home, supporting and updating families, conducting family meetings.

PRINCIPAL DUTIES AND RESPONSIBILITIES

Current position includes shift rotation with day, night, weekend and holiday coverage.

  • Manages the health care of patients within Newborn Services through advanced health assessment, diagnosis, intervention, and evaluation in a collaborative practice agreement with a physician.
  • Develops treatment plans, orders and interprets laboratory and diagnostic tests, treats patients with acute problems including illnesses and minor injuries following a predetermined protocol in a collaborative practice agreement with a physician.
  • Coordinates the care of select patient populations to ensure promotion of health and wellness through education of patients and families, coordination of services and placing referrals.
  • Coordinates patient transfers and admissions within Newborn Services.
  • Participates in professional development and lifelong learning, including participation in resident medical education and training. Participates in continuing education, quality improvement initiatives, clinical outcome evaluation and monitoring as well as medical and nursing research.

QUALIFICATIONS

  • Professional NP licensure in New Hampshire in good standing required
  • Current NP certification granted by a Board recognized certifying organization required
  • NH DEA required
  • Master's degree in Nursing and current NP certification required
  • Minimum of 2 years of NP experience in a Neonatal Intensive Care Unit/Special Care Nursery and Delivery Room is required

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED

  • Maintains competency in procedures necessary to care for neonates including: intubation, surfactant administration, ventilator management, needle thoracostomy, chest tube placement, umbilical line placement, PIV insertion, PICC insertion and arterial line placement
  • Strong communication and collaboration skills
  • Strong organizational and project management skills; ability to set priorities
  • Identifies own learning needs and develops a plan to meet them
  • Adheres to annual retraining requirements
  • Writes prescriptions in accordance with patients' needs and regulatory and practice guidelines

WORKING CONDITIONS

Hospital setting. Must be able to work in a fast-paced clinical environment.

EEO Statement: Massachusetts General Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

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