Position Summary(Basic Job Function)

This is a temporary or on-call position. Provides independent, direct and specialized nursing care as a primary care provider to patients with acute and chronic illnesses by performing physical examinations under protocol. Counsels and instructs patients in order to assist in their recovery and promote health education.

Unit Position Summary

The NNP functions as a primary care provider to patients assigned to the Michigan State University neonatologists at the Sparrow Hospital Regional Neonatal Intensive Care Unit (RNICU). The NNP will report to the medical director of RNICU. The successful candidate will be expected to:

Assess, plan, and evaluate medical care in collaboration with MSU neonatologists

Report patient care accurately and concisely in patient care rounds and problem-oriented documentation

Collaborate with the health care team in planning and coordinating care for patients and their families through care conferences

Order diagnostic studies and therapeutic measures in collaboration with the responsible physician

Order medications utilizing approved RNICU goals, guidelines, and protocols (including blood and blood protocols)

Attend high-risk deliveries

Resuscitate and stabilize newborn patients

Determine need for and perform core specialized diagnostic, therapeutic, and other procedures, including but not limited to:

• Initiation and management of cardiopulmonary resuscitation
• Endotracheal intubation
• Initiation and management of ventilatory support
• Lumbar puncture
• Venipuncture
• Percutaneous, radial, posterior tibial, and dorsalis pedis arterial cannulation
• Arterial puncture
• Urethral catheterization of the bladder
• Thoracentesis
• Peripheral intravenous catheter insertion
• Umbilical venous catheterization
• Umbilical artery catheterization
• Percutaneous central venous catheterization

Perform the following procedures in consultation with a neonatologist (unless in life threatening situations):

• Exchange transfusion
• Initiation of oscillator ventilator support
• Initiation of inhaled Nitric Oxide
• Initiation of therapeutic hypothermia
• Pericardiocentesis
• Thoracotomy for chest tube insertion

Provide direction to neonatal transport nurses for transport of patients, or participate in transport when appropriate

Provide consultation for patients in the mother baby unit, delivery room, pediatric floors, ED and Perinatal areas

Provide leadership by:

Assisting in clinical supervision and teaching of residents, advanced practice nursing students, and PA students

Participating in performance evaluations

Formulate long-term and short-term goals based on self-assessment of strengths and weaknesses

Participate in the formulation, revision, and implementation of policies and procedures in the RNICU, as appropriate

Participate in quality of care and performance improvement

Maintain a climate conducive to open communication

Act as a role model and resource for peers, students, residents, and nursing staff

Maintaining a working knowledge of applicable federal, state, and local laws and regulations; the Corporate Compliance Plan; Code of Ethics; and other policies and procedures to ensure adherence to standards of honest, ethical, and professional behavior

Serving as a model representative of Michigan State University by demonstrating adherence to customer service standards, and by respecting the privacy and confidentiality of all patients

Demonstrating knowledge of and respect for patient, provider, and organizational confidentiality procedures and protocols defined under HIPAA

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