Provides complex care coordination and advanced care (i.e. complex monitoring, therapies and high intensity medical and surgical interventions) to neonatal and high-risk infant patients with complex, acute, and critical health conditions in collaboration with or under the clinical supervision of a physician. Responsible for the patient evaluation, interpretation, diagnosis, and prescribing of appropriate medical and therapeutic measures. Works autonomously as well as in collaboration with a multidisciplinary team of physicians, nurses, therapists and social workers to diagnose and manage patient care.

Manages the daily care of neonates and high-risk infants which includes the provision of advanced practice clinical skills such as delivery room management of the infant, advanced physical assessment, evaluation of laboratory and clinical data, consulting and collaborating with physicians and other interdisciplinary team members. Attends high-risk and c-section deliveries as team leader except when neonatologist is present.

Acts as the primary patient and physician contact. Works one-on-one with the physician to facilitate access to the specialty team for the patient and their family. Provides for continuity of care by ensuring smooth transitions between care settings and tracks patient along the care continuum including post-discharge.

Provides complex care coordination, which includes managing a variety of ancillary services, pre-operative plans, discharge planning, and provider referrals. Provides clinical direction to nursing staff regarding the continued care of patients. Follows through with nursing staff to ensure patient receives recommended care.

Prescribes, recommends and regulates pharmacologic and non-pharmacologic therapies, including controlled medications that are warranted by patient's diagnosis or changing medical condition.

Orders, performs, and interprets procedures, diagnostic tests or studies to manage complex neonatal illnesses /conditions, most commonly, prematurity and respiratory distress. Examples could include: injections, immunizations, wound care, spinal taps, intubation, umbilical line insertion, lumbar punctures, and chest tube, percutaneous arterial line and central line insertion.

Provides parental and family support and education as it relates to the infant. Counsels, instructs and educates families on physical and mental health including: disease, home care skills, treatment options, health behaviors, diet, preventive health measures, and growth and development.

Interprets and evaluates patient data as authorized by a physician for the purpose of determining management and treatment of patients. Consults with physician as appropriate.

Adjusts patient care plan by reviewing and monitoring treatments and therapy plans. Prepares, dictates and signs patient care plans and summaries of patient care. Maintains records according to established standards and guidelines.

Manages the neonatal resuscitation team when neonatologist is not present. May act as a team leader during transport to/from facilities, and in collaboration with the neonatologist, provides stabilization of critically ill infants.

Performs various patient positioning and transporting duties, which require lifting and pushing/pulling, while utilizing proper technique.

A full-time NNP works ten 24-hour shifts per 6-week schedule in the Level 1 nursery at Lakeland

Licenses & Certifications

Registered Nurse license issued by the state in which the team member practices, and

Advanced Practice Nurse Prescriber license issued by the state of Wisconsin, and

Neonatal Nurse Practitioner-Board Certified (NNP-BC) issued by the National Certification Corporation (NCC), and

Drug Enforcement Administration (DEA) registration issued by the Drug Enforcement Administration (DEA) Registration, and

Basic Life Support (BLS) for Healthcare Providerscertification issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required, and

Neonatal Resuscitation Program (NRP) certification issued by the American Heart Association (AHA)/American Academy of Pediatrics (AAP).

Degrees

Master's Degree (or equivalent knowledge) in Nursing.

Required Functional Experience

Typically requires 2 years of experience in providing clinical care as a neonatal nurse practitioner that includes extensive knowledge of neonatal/infant physiology, pathophysiology, and pharmacology.

Knowledge, Skills & Abilities

Ability to effectively exercise independent judgment in the assessment, diagnosis and initiation of nursing and delegated medical processes and procedures.Demonstrated ability to work independently and as an effective member of a health care team.Ability to work in a fast paced, high stress environment while managing multiple demands.Excellent oral and written communication skills. Ability to effectively collaborate with and establish/build relationships with others.Proven organizational skills and ability to prioritize effectively.