Greater Baltimore Medical Center (GBMC)
Neonatal Advanced Practitioner NE
Greater Baltimore Medical Center (GBMC), Baltimore, Maryland, United States, 21276
Job Profile Summary
Under limited supervision, is responsible for the clinical management of assigned neonates in the Newborn Intensive Care Unit and Intermediate Care Nursery, and is responsible, under supervision, for stand‑by at risk deliveries and neonatal resuscitation in the Labor and Delivery Room.
Education
Certified Nurse Practitioner Program or Physician Assistant
Licensure
Current registration with the Maryland State Board of Examiners of Nurses as a Neonatal Nurse Practitioner or Physician Assistant
Heart saver (CPR Certification).
Experience At least two years of experience in a Level III or Level IV NICU
Skills
A high level of analytical ability is required in order to assess patients and implement appropriate intervention.
Substantial interpersonal and verbal communication skills required to effectively interact with staff, physicians, patients, and family members.
Principal Duties and Responsibilities Operations Management
With minimal supervision facilitates a multifunctional team to ensure Anatomic Pathology operations provide efficient, high quality, cost‑effective laboratory services.
Develops and implements work processes for all areas of responsibility.
Establishes polices for all clinical and business operational tasks within assigned areas.
Strategic Operations Management
Directs the evaluation of new technologies, procedures and supplies.
Provides counsel on new test or service implementation.
Plans, implements and monitors achievement of strategic business objectives.
Communicates initiatives to appropriate personnel.
Identifies, implements and monitors new practice opportunities for growth.
Provides investigation and resolution for issues brought up by clinicians and customers related to Anatomic Pathology testing.
Service Excellence
Monitors, investigates and responds to customer, physician and pathologist feedback, modifying technical and office systems, processes as needed.
Maintain or improves Key Performance Indicators.
Human Resources Functions
Manages human resources within established productivity guidelines and the personnel budget.
Facilitates training and development efforts.
Maintains employee competencies.
Monitors and reviews work performance of the staff.
Interviews and selects personnel.
Provides development opportunities to staff.
Responsible for the supervision of Histotechnologists, Laboratory Assistants, Pathology Office Manager, Secretaries, Pathologist Assistants and Technical Specialists.
Quality and Patient Safety Initiatives
Oversees staff involvement in quality control and improvement efforts, general safety, and infection control procedures.
Initiates, monitors, evaluates performance improvement on a unit level as needed.
Monitors trends, reviews and revises systems/processes as appropriate.
Financial Management
Manages the area's budget and prepares variance reports as appropriate.
Prepares operating budget and makes recommendations for capital budget in consultation with appropriate Hospital staff.
Maintains inventory and analyzes cost of supplies and services.
Manages accounts payable issues.
Processes payroll for assigned areas.
Compliance with Regulatory Agencies
Ensures that all criteria of inspection and accreditation agencies are met and that proficiency survey test results are correct.
Ensures standards practices are met and incorporates compliance with regulatory laws.
Provides admission, daily, and discharge physicals on babies admitted to the Neonatal Intensive Care Unit and Intermediate Care Nursery.
Handles problems of the infant and does counseling with parents regarding their infant's care and needs.
Establishes medical diagnosis for common short‑term or chronic stable health problems.
The following problems may be evaluated independently or in consultation with the attending neonatologist or attending neonatal consulting pediatrician when necessary.
Hyperbilirubinemia
Feeding problems
Methadone withdrawal / neonatal abstinence after stabilization
Transient respiratory problems
Dislocated and / or subluxated hips
Conjunctivitis
Dermatological problems
GU problems
Sepsis
Respiratory distress
Congenital heart disease
Anemia
Apnea
Hematologic problems
Hypoglycemia
* Manages problems as assigned by the attending neonatologist or attending neonatal consulting pediatrician.
* Orders, performs, and interprets laboratory tests (including diagnostic and invasive procedures). The following laboratory tests can be ordered, obtained, and the results interpreted by the Neonatal Nurse Practitioner. This list is not inclusive:
Blood work, including CBC, sedimentation rate, Hgb, blood gases, electrophoresis, blood type and cross and match, Coombs, STS, VDRL, electrolytes, liver enzymes, thyroid function, viral antibody titers, direct and indirect bilirubin estimation.
Cultures including urine, blood, nasopharyngeal, throat, wound, rectal, stool, eye, C.S.F., other body fluids
Examination of urine, urinalysis, microscopic examination, Gram stain, ferric chloride
Examination of stool for occult blood
Hematocrits
Skin scrapings
Blood gases
* The following non‑invasive procedures can be ordered independently or with physician consultation, including, but not limited to:
X−rays
EKG
Sonograms
EEG
CT scan
MRI
* The following invasive procedures can be ordered and performed by the Neonatal Nurse Practitioner. Again, the list is not inclusive.
Venipuncture to obtain blood tests as listed above
Spinal tap
Arterial punctures
Arterial catheterization
Endotracheal intubation
Umbilical arterial catheterization
Umbilical venous catheterization
Thoracostomy
Thoracentesis
Urinary catheterization
Suprapubic tap
Paracentesis
Central venous catheterization
* Prescribe drugs.
* Is authorized to prescribe non‑controlled substances independently or in collaboration with a physician. The following drugs may be prescribed in the Neonatal Intensive Care Unit and Intermediate Care Nursery. This list is not inclusive.
Erythromycin 1% ophthalmic ointment
Vitamin K1
Glycerine suppository
Antibiotics
Mycostatin ointment & suspension
Anticonvulsants
Sympathomimetics
Vaso‑active agents
Vitamins
Electrolytes
Diuretics
Immunizations
Topical preparations
Blood & blood products
* Orders and/or performs the following therapeutic or corrective measures. They include, but not limited to:
Nasopharyngeal suctioning
Chest PT
Clean and dress abrasions and minor lacerations
Ligate extra digits
Triple diapering
Phototherapy
CPR
Intubation
Mechanical ventilation
Thoracentesis
Hyperalimentation
Vaso‑active agents
Paracentesis
Oxygen therapy
* Refers patients to appropriate licensed physician or health care provider.
* Provides emergency care, including, but not limited to:
Initiating CPR
Administering O2
Initiating the IV in an emergency
Intubate and ventilate
Order medications during an emergency
* Attends deliveries when requested by obstetricians. This may include appropriate resuscitation and stabilization of the newborn.
Pay Range $38.64 - $64.33
Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.
Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
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Education
Certified Nurse Practitioner Program or Physician Assistant
Licensure
Current registration with the Maryland State Board of Examiners of Nurses as a Neonatal Nurse Practitioner or Physician Assistant
Heart saver (CPR Certification).
Experience At least two years of experience in a Level III or Level IV NICU
Skills
A high level of analytical ability is required in order to assess patients and implement appropriate intervention.
Substantial interpersonal and verbal communication skills required to effectively interact with staff, physicians, patients, and family members.
Principal Duties and Responsibilities Operations Management
With minimal supervision facilitates a multifunctional team to ensure Anatomic Pathology operations provide efficient, high quality, cost‑effective laboratory services.
Develops and implements work processes for all areas of responsibility.
Establishes polices for all clinical and business operational tasks within assigned areas.
Strategic Operations Management
Directs the evaluation of new technologies, procedures and supplies.
Provides counsel on new test or service implementation.
Plans, implements and monitors achievement of strategic business objectives.
Communicates initiatives to appropriate personnel.
Identifies, implements and monitors new practice opportunities for growth.
Provides investigation and resolution for issues brought up by clinicians and customers related to Anatomic Pathology testing.
Service Excellence
Monitors, investigates and responds to customer, physician and pathologist feedback, modifying technical and office systems, processes as needed.
Maintain or improves Key Performance Indicators.
Human Resources Functions
Manages human resources within established productivity guidelines and the personnel budget.
Facilitates training and development efforts.
Maintains employee competencies.
Monitors and reviews work performance of the staff.
Interviews and selects personnel.
Provides development opportunities to staff.
Responsible for the supervision of Histotechnologists, Laboratory Assistants, Pathology Office Manager, Secretaries, Pathologist Assistants and Technical Specialists.
Quality and Patient Safety Initiatives
Oversees staff involvement in quality control and improvement efforts, general safety, and infection control procedures.
Initiates, monitors, evaluates performance improvement on a unit level as needed.
Monitors trends, reviews and revises systems/processes as appropriate.
Financial Management
Manages the area's budget and prepares variance reports as appropriate.
Prepares operating budget and makes recommendations for capital budget in consultation with appropriate Hospital staff.
Maintains inventory and analyzes cost of supplies and services.
Manages accounts payable issues.
Processes payroll for assigned areas.
Compliance with Regulatory Agencies
Ensures that all criteria of inspection and accreditation agencies are met and that proficiency survey test results are correct.
Ensures standards practices are met and incorporates compliance with regulatory laws.
Provides admission, daily, and discharge physicals on babies admitted to the Neonatal Intensive Care Unit and Intermediate Care Nursery.
Handles problems of the infant and does counseling with parents regarding their infant's care and needs.
Establishes medical diagnosis for common short‑term or chronic stable health problems.
The following problems may be evaluated independently or in consultation with the attending neonatologist or attending neonatal consulting pediatrician when necessary.
Hyperbilirubinemia
Feeding problems
Methadone withdrawal / neonatal abstinence after stabilization
Transient respiratory problems
Dislocated and / or subluxated hips
Conjunctivitis
Dermatological problems
GU problems
Sepsis
Respiratory distress
Congenital heart disease
Anemia
Apnea
Hematologic problems
Hypoglycemia
* Manages problems as assigned by the attending neonatologist or attending neonatal consulting pediatrician.
* Orders, performs, and interprets laboratory tests (including diagnostic and invasive procedures). The following laboratory tests can be ordered, obtained, and the results interpreted by the Neonatal Nurse Practitioner. This list is not inclusive:
Blood work, including CBC, sedimentation rate, Hgb, blood gases, electrophoresis, blood type and cross and match, Coombs, STS, VDRL, electrolytes, liver enzymes, thyroid function, viral antibody titers, direct and indirect bilirubin estimation.
Cultures including urine, blood, nasopharyngeal, throat, wound, rectal, stool, eye, C.S.F., other body fluids
Examination of urine, urinalysis, microscopic examination, Gram stain, ferric chloride
Examination of stool for occult blood
Hematocrits
Skin scrapings
Blood gases
* The following non‑invasive procedures can be ordered independently or with physician consultation, including, but not limited to:
X−rays
EKG
Sonograms
EEG
CT scan
MRI
* The following invasive procedures can be ordered and performed by the Neonatal Nurse Practitioner. Again, the list is not inclusive.
Venipuncture to obtain blood tests as listed above
Spinal tap
Arterial punctures
Arterial catheterization
Endotracheal intubation
Umbilical arterial catheterization
Umbilical venous catheterization
Thoracostomy
Thoracentesis
Urinary catheterization
Suprapubic tap
Paracentesis
Central venous catheterization
* Prescribe drugs.
* Is authorized to prescribe non‑controlled substances independently or in collaboration with a physician. The following drugs may be prescribed in the Neonatal Intensive Care Unit and Intermediate Care Nursery. This list is not inclusive.
Erythromycin 1% ophthalmic ointment
Vitamin K1
Glycerine suppository
Antibiotics
Mycostatin ointment & suspension
Anticonvulsants
Sympathomimetics
Vaso‑active agents
Vitamins
Electrolytes
Diuretics
Immunizations
Topical preparations
Blood & blood products
* Orders and/or performs the following therapeutic or corrective measures. They include, but not limited to:
Nasopharyngeal suctioning
Chest PT
Clean and dress abrasions and minor lacerations
Ligate extra digits
Triple diapering
Phototherapy
CPR
Intubation
Mechanical ventilation
Thoracentesis
Hyperalimentation
Vaso‑active agents
Paracentesis
Oxygen therapy
* Refers patients to appropriate licensed physician or health care provider.
* Provides emergency care, including, but not limited to:
Initiating CPR
Administering O2
Initiating the IV in an emergency
Intubate and ventilate
Order medications during an emergency
* Attends deliveries when requested by obstetricians. This may include appropriate resuscitation and stabilization of the newborn.
Pay Range $38.64 - $64.33
Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.
Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
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