Advanced Practice Registered Nurses / Physician Assistants
The Neonatal Nurse Practitioner (NNP) functions as an independent healthcare provider working collaboratively within a multidisciplinary health care team, and is responsible for providing comprehensive care to acute, convalescing and chronically ill patients in an in-patient setting demonstrating a high degree of clinical expertise. The NNP is responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination for patients and families in a comprehensive manner. The NNP demonstrates an advanced level of medical/nursing clinical knowledge, communication and interdisciplinary collaboration, professionalism and systems-based practice. The NNP will provide care within the defined scope of practice as outlined by applicable state law, licensing, regulations, institutional policy and practice agreements and will be eligible to begin practice after credentialing and privileging by the Bozeman Health medical staff office. Active hospital privileges will be required and reviewed on a biannual basis to maintain employment within this department.
75% Time Spent -
Provides quality, efficient and effective patient care in accordance with standards/guidelines, applicable statutory requirements and accepted clinical practice for the nurse practitioner profession. Is engaged in consulting and advising treatment plans for patients and following established protocols.
Work includes providing direct patient care by examining, diagnosing and analyzing the patient's current health condition. Performing comprehensive admission history and physical exams, admission and discharge summaries, daily assessments and progress notes.
Responsible for developing short- and long-term goals and treatment plans in collaboration with a physician and/or established protocols/standards.
Communicates effectively and coordinates patient care with collaborating physician and the care team
Documents patient examination, assessment, plan of care, response to interventions and follow up in the electronic medical record.
Considers cost effectiveness and risk/benefit analysis when making decisions about patient care. Financially responsible for all aspects relating to transcription/coding.
Uses evidence based medicine to systematically analyze and improve patient care practices.
Participates in quality initiatives/performance activities.
Participates in the development of policies, procedures, protocols, and guidelines as indicated and evaluates and implements the standards of care within the area of specialization.
Participates in daily rounding and collaborates with attending physician and other members of the health care team in order to adjust plans of care accordingly.
25% Time Spent -
Performs routine clinical procedures independently as outlined in practice agreements/scope of practice including but not limited to the following: attendance at deliveries with an ability to provide full resuscitation and stabilization of the newborn, endotracheal intubation, PICC line insertion, umbilical catheter insertion (UAC/UVC), peripheral arterial line insertion, chest tube insertion and removal, thoracentesis, lumbar puncture, double or partial volume exchange transfusion, and neonatal transport.
Actively and willingly participates in the education of NICU and birth center staff, advanced practice clinician (APC) and other students formally and informally on an ongoing basis.
Master of Nursing or Doctorate of Nursing Practice
Graduate of an accredited neonatal nurse practitioner program
LICENSURE and CERTIFICATION
Active RN and APRN licenses in the State of Montana
Montana APRN prescriptive authority
Active DEA licensure
Current national board certification as Neonatal Nurse Practitioner
BLS through AHA as healthcare provider
Neonatal Resuscitation Program Provider
Neonatal Resuscitation Program Instructor
S.T.A.B.L.E Course Instructor
Minimum of 2-3 years previous experience in a Level III / IV NICU as a Neonatal Nurse Practitioner
Minimum of 3-5 years as a clinical RN
Previous experience in EHR documentation
KNOWLEDGE OF, SKILLS IN, ABILITY TO, COMPLEXITY AND DIFFICULY:
Current with continuing education, including pharmacology, related to MT licensure requirements.
Personal computers, hardware and basic software programs including EMR, e-mail, word processing, and spreadsheets.
ICD codes and CPT coding –related to neonatology and NICU procedures.
Up to date knowledge of neonatology principles of practices and management guidelines. Demonstrates advanced clinical knowledge of etiologies, risk factors, pathophysiology, presentation and epidemiology of medical conditions relevant to the newborn population and perinatal setting.
Understanding of primary and specialty services offered through Bozeman Health locally and regionally and when and how to refer / consult other medical providers.
Knowledge of diagnostic testing modalities: indications, interpretation and application of labs and imaging.
Manages general medical and surgical conditions of the neonate based on up to date knowledge of the indications, contraindications, side effects, interactions and adverse reactions of pharmacologic agents and other relevant treatment modalities.
Up to date knowledge of community resources.
Knowledge of clinical operations and procedures.
Ability to perform detailed history and physical assessments of the neonate that are accurate, complete, concise, relevant for clinical problem and presentation.
Demonstrates critical thinking skills to synthesize and analyze collected data.
Ability to order appropriate diagnostic studies and correctly interpret the results.
Ability to communicate effectively both orally and written with colleagues, patients and families.
Preparation and maintenance of electronic medical record.
Ability to maintain flexibility to adapt to a variety of work environments and workload assignments.
Ability to manage stressful situations and to practice self-care.
Ability to educate and counsel patients and families.
Ability to provide age appropriate care in a culturally and ethically sensitive manner.
Ability to work independently and in a team model of patient care.
Ability to delegate duties to care team members- to include RN's, RT;s and unlicensed personnel.
Ability to follow established Bozeman Health policy and procedures.
Ability to evaluate one’s own nursing and advanced practice nursing practice in relation to professional practice standards, guidelines, rules and regulations.
Ability to attain knowledge and competency as needed for job description.
Participates in ongoing educational activities, demonstrating commitment to lifelong learning, seeks experience to maintain skills and competency.
Maintains record of educational activities.
Participates in required APC peer and performance review and takes action to achieve goals that are identified during this process.
Ability/interest/and participation in efforts that contribute to the professional development of co-workers and students.
Ability to integrate ethical provisions in all areas of practice: delivering care that protects patient autonomy, dignity and rights while maintaining patient confidentiality and serving as a patient advocate.
Ability to maintain therapeutic and professional relationships with patients and peers.
Ability and commitment to integrate evidence based practice and research into one's professional practice.
Ability to provide leadership in the practice setting and advanced practice profession participating in the education of students and other health care professionals.
Adhere to the standards of the job description and overall mission and philosophy of Bozeman Health Ability to provide accountable advanced nursing and medical care to patients within the Montana scope of practice for an APRN as outlined by applicable state law, licensing, regulations and institutional policy and practice agreements.
COMPLEXITY AND DIFFICULTY:
NNP will work to full scope of practice with MD collaboration and supervision as per Bozeman Health Deaconess Hospital's medical staff bylaws.
Patient care situations will range from basic to complex in the newborn nursery, NICU, labor & delivery, postpartum and ED care settings.
Demonstrates independence and proficiency in procedural skills pertinent to the practice area including: neonatal resuscitation, intubation, thoracentesis, chest tube placement, umbilical catheter placement, lumbar puncture, arterial puncture, peripheral arterial catheter placement, and PICC placement / maintenance.
NNP must have good self judgement and ability to know their competencies and skill limitations within their scope of practice, and when to refer and consult appropriate medical providers.
Internal Number: 10988
About Bozeman Health
About Bozeman Health
Bozeman Health is an independent, locally owned and controlled integrated healthcare delivery system serving Southwest Montana, and includes Bozeman Health Deaconess Hospital, Bozeman Health Big Sky Medical Center, Bozeman Health Belgrade Clinic + Urgent Care, b2 Cares (retail micro and urgent care clinics), Bozeman Health Hillcrest Senior Living, and Bozeman Health Clinical Research. As a nonprofit organization, governed by a volunteer community board of directors, Bozeman Health is the largest private employer in Gallatin County, with more than 2,000 employees, including 270 medical providers representing 50 clinical specialties. It is our privilege to deliver expert, compassionate health and wellness services across the care continuum, designed to meet the diverse healthcare needs of the communities we serve. Learn more about Bozeman Health at https://www.bozemanhealth.org