Neonatal Advanced Practice Nurse- McCullough Hyde

Job Overview

The APN is a nurse prepared with graduate level nursing education and authorized to practice and prescribe as a Clinical Nurse Specialist or Certified Nurse Practitioner in collaboration with one or more physicians or podiatrists. This position requires 100% of the incumbents time spent working in clinical practice utilizing prescriptive authority. Performs necessary diagnostic, therapeutic and resuscitative procedures for the identification and management of problems following established policies. Utilizes advanced clinical knowledge/skills and is responsible and accountable for maximizing health potential in an intensive care and acute care environment. Patients in this setting require immediate evaluation i.e. response time within minutes and continued monitoring 24/7. The incumbents skills will focus on patient and family assessment, diagnosis and management of health care problems. Although the APN assumes the roles of educator, change agent, researcher and consultant, the primary role is advanced clinical practice utilizing prescriptive authority within an area of highly complex and high acuity patients.

Job Responsibilities

Collaborates with other health care providers in individual client and target population care. Performs necessary diagnostic, therapeutic, and resuscitative procedures for the identification and management of problems. Completes history, physicals, and exams on high-risk neonates. Formulates individualized plans of care, with complete differential diagnosis and contributes to the discussion of other diagnosis and treatments. Functions independently in the NICU/SCN, when physicians are not on site. Takes responsibility to manage patients on a minute-to minute basis until collaborating physician arrives on the unit. Is the primary pediatric caretaker in the delivery room. Demonstrates advanced depth and breadth of knowledge, synthesis of data, complexity of skills/interventions and role autonomy in nursing practice within area of specialty and population foci. Performs necessary diagnostic, therapeutic and resuscitative procedures such as intubation, arterial line placements, chest tube placements, etc. Consistently supervises inexperienced personnel in performing procedures, while providing encouragement and constructive criticism. Confidently provide medical decision making, as delegated and prescribed by their COA, on a moment-by-moment basis, due to the critically ill nature of the neonate. Assumes responsibility for maintaining competency in clinical practice congruent with role and population foci. Supports the delivery of educational services in area of specialty. Develops a positive relationship with a patient's family and works as the primary person to communicate information with that family while keeping the team informed and included. Uses research findings as a basis for practice and improved health care through participation and leadership in nursing research. Participates in the process of reviewing, revising and writing policies for the work unit yearly and as needed. Ensures policies and procedures are based on new evidence based practices. Supports the delivery of educational services in area of specialty. Presents several educational sessions yearly to a broad array of medical professionals. Uses available networking to research information regarding staff development needs. Participates in a quality review process with collaborating physicians and other health care providers to ensure excellence in health care delivery. Viewed as an expert in a particular area of foci. Participates in ongoing nursing and physician research. Publishes articles, presents at conferences, and is a member of their nursing organization. Participates in networking locally and nationally. Cultivates relationships that inspire us to serve.

Other Job-Related Information

• The APN, CNS, Midwife will be a TriHealth Employee.
• TriHealth has several different locations and the person in this position may be participating in their role at various sites, hours/shifts, and taking call.
• The TriHealth Nursing Vision, Mission and Philosophy speak to professional development, collaboration, and nursing culture.
• To achieve excellence in nursing care, TriHealth encourages: Pursuit of improvement knowledge through continuing education classes, formal education leading to advanced degrees, and the attainment of specialty certification.
• Nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and; all nursing to foster, support, and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care.

Working Conditions

• Climbing - Occasionally
• Concentrating -
• Consistently
• Continuous
• Learning -
• Consistently
• Hearing:
• Conversation -
• Consistently
• Hearing: Other Sounds - Consistently Interpersonal Communication - Consistently Kneeling - Occasionally Lifting <10 Lbs - Consistently Lifting 50+ Lbs - Frequently Lifting <50 Lbs - Frequently Pulling - Frequently Pushing - Frequently Reaching - Consistently Reading - Consistently Sitting - Frequently Standing - Frequently Stooping - Frequently Talking - Consistently Thinking/Reasoning - Consistently
• Use of
• Hands -
• Consistently
• Color
• Vision -
• Consistently
• Visual
• Acuity:
• Far -
• Consistently
• Visual
• Acuity: Near - Consistently Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve

• ALWAYS…
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas
• Excel: ALWAYS…
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service
• Respect: ALWAYS…
• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone’s opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.

Value

• ALWAYS…
• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage

• ALWAYS…
• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community