Nurse Practitioner

Job: Nurse Practitioner - Nursery/Pedi
Classification: Salaried/Exempt
FLSA Category: Professional Exemption
Job Category: 2 Professionals

Position Summary
The Nurse Practitioner performs physical examinations and patient visits, orders and interprets appropriate diagnostic tests, makes appropriate referrals to either a physician or specialist as needed, collaborates with physicians and staff as necessary to provide consistent care to patients, ensures quality assurance standards are met, and displays a caring and professional attitude at all times.

The Nurse Practitioner will also operate as the Pediatric Emergency Nursing Coordinator and have the authority and oversight responsibilities in ensuring high-quality, comprehensive emergency medical services for children within the Emergency Department.

Essential Functions of the Nurse Practitioner

Scope of Practice
-Focuses on providing primary care, preventive care, and treatment for children from infancy through adolescence, diagnosing and managing common pediatric conditions.
-Works with newborns in the well- nursery and the neonatal intensive care unit (NICU), delivering specialized care ill or high-risk infants. This includes attending high-risk deliveries, providing assessment, monitoring, and interventions for neonates and managing neonatal conditions.
-Collaborates with physician supervisors through approved protocols to provide delivery of quality health care services. Consults regularly with supervising physician on problem cases or on cases not covered by protocols.
-In emergency situations, administers lifesaving procedures and medication, but not to exceed current training.
-Delegates duties according to authority appropriate for Texas Nursing Practice.

Responsibilities & Duties
Pediatric Patients
-Provides routine and emergency care.
-Conducts physical exams, take health histories, and perform diagnostic tests.
-Diagnoses and treats common illnesses and conditions.
-Provides immunizations, growth monitoring, and developmental assessments.
-Educates families on health, nutrition, and wellness.
-Reviews all x-rays, radiology, pathology, lab and other diagnostic reports in a timely fashion.

Nursery/NICU Patients
-Provides specialized care for newborns, especially those requiring intensive monitoring and treatment.
-Conducts thorough physical assessments of neonates, including assessing gestational age, vital signs, and reflexes.
-Monitors and manages respiratory support, including mechanical ventilation, oxygen therapy, and CPAP.
-Administers medications, including neonatal resuscitation and pharmacological interventions as needed.
-Works with multidisciplinary teams to coordinate care for newborns with congenital conditions.
-Provides emotional and educational support to families of critically ill newborns.
-Attends high risk deliveries.
-Reviews all x-rays, radiology, pathology, lab and other diagnostic reports in a timely fashion.

Skills and Qualifications
Pediatric Patients
-Ability to assess, diagnose, and treat pediatric patients.
-Strong communication skills for interacting with children and families.
-Knowledge of pediatric pharmacology and developmental stages.
-Ability to work in a pediatric healthcare setting.

Nursery/NICU Patients
-Proficiency in neonatal resuscitation, including NRP (Neonatal Resuscitation Program).
-Experience with newborn and infant critical care techniques, such as intubation, umbilical line placement, and blood gas analysis.
-Strong skills in neonatal assessment and the ability to interpret neonatal lab results and imaging.
-Ability to manage neonates in high-acuity settings such as NICUs.
-Compassionate and empathetic approach when providing care to newborns and supporting their families.

Education & Certification Requirements
-Master's degree in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited program.
-Board certification as a Pediatric Nurse Practitioner (PNP) or Neonatal Nurse Practitioner (NNP).
-Active, unrestricted RN and APRN licenses in the state of practice.
-Advanced certification in neonatal resuscitation and pediatric advanced life support (PALS) for NNP.
-Continuing education specific to neonatal care for NNPs.

Collaborative Duties
-Works collaboratively with multidisciplinary teams to develop and implement care plans for pediatric patients or newborns.
-Provides education to families regarding care plans, treatments, and ongoing needs for both pediatric and neonatal patients.
-Advocates for patient care and provide referrals to specialists when necessary.
-Participates in continuous quality improvement, staff meetings, and policies and procedures reviews.
-Coordinates patient care with other members of the health care teams at the Rural Health Clinic, Community Prenatal Clinic and Titus Regional Medical Center.
-Provides daily clinical supervision and routine clinical training for staff on treatment, infection control and laboratory policies and procedures.
-Adheres to and follows all patient experience initiatives.
-Reports to and departs from work on time and as scheduled.
-Performs other duties as assigned.
-Must be able to deal with stress while maintaining composure.
-Follows and adheres to TRMC vaccine policy(s) mandated by the Centers for Medicare & Medicaid Services (CMS).

Essential Functions of the Pediatric Emergency Nursing Coordinator
-Facilitates and participates in ED pediatric activities.
-Serves as a liaison to appropriate pediatric care committees.
-Ensures continuing education in pediatrics and that pediatric-specific elements are included in orientation for new staff members.
-Ensures that initial and annual competency evaluations completed by the ED nursing staff are pertinent to children of all ages.
-Promotes pediatric disaster preparedness for the ED and participates in hospital disaster preparedness activities.
-Promotes patient and family education in illness and injury prevention.
-Provides assistance and support for pediatric education.
-Works alongside clinical leadership to ensure availability of pediatric equipment, medications, staffing, and other resources.
-Collaborates with physicians to ensure that the ED is prepared to care for children of all ages, including children with special healthcare needs.

Work Experience
-Five years' experience of pediatric experience in a hospital or clinic setting is preferred.

Education
-Licensed by the Texas State Board of Nurse Examiners as an Advanced Practice Nurse required.

Physical Demands and Work Environment
Lifting/Carrying Pushing/Pulling
Lbs. % Time Lbs. % Time
1 66 1 66
11-20 0 20 0-33
21-50 0 50 0-33
51-75 0 75 0-33
76-100 0 100 0-33

Movement % Time
Bend/Stoop/Twist 0-33
Crouch/Squat 0-33
Kneel/Crawl 0-33
Reach above Shoulder 0-33
Reach below Shoulder 0-33
Repetitive Arm None
Repetitive Hand 0-33
Grasping 0-33
Squeezing 0-33
Climb Stairs None
Walking Uneven 0-33
Walking Even 34-66

Environment % Time
Indoors 67-100
Outdoors 0-33
Extreme Heat None
Dusty None
Excessive Noise 0-33

Equipment % Time
Motor Vehicles None
Foot Pedals None
Extreme Heat None
Dusty None
Excessive Noise 0-33

Work near % Time
Machinery None
Electricity None
Sharps 0-33
Chemicals 0-33
Fumes 0-33
Heights None

Vision
Depth Perception Required
Color Not Required
Peripheral Required

Endurance Hours at Once Total in 12HR
Sit 1 3
Stand 4 4.5
Walk 4 4.5