Medical University of South Carolina

Health sciences university in Charleston, SC

Nurse Practitioner or Physician Assistant - Neonatology

Advanced Practice ProvidersConfirmed live in the last 24 hours

Full-timeCharleston, SC, USANo salary listedIn-person

About the Job

Requirements

Completion of an accredited Physician Assistant program and current licensure or eligibility for licensure as a Physician Assistant, or completion of an accredited Nurse Practitioner program and current licensure or eligibility for licensure as an Advanced Practice Registered Nurse.
Physician Assistants must have at least one year of experience in neonatal intensive care, which may include a Neonatal Intensive Care Unit fellowship.
Current Neonatal Resuscitation Program certification is required before the start date.
DHEC and Drug Enforcement Administration license applications must be started before the first day when applicable.
The Advanced Practice Registered Nurse or Physician Assistant must maintain licenses, certifications, continuing nursing education or continuing medical education, and other credentials required by applicable policies and state law.
The role requires thorough physical assessment skills for normal and high-risk newborns.
The role requires knowledge of risk-screening and developmental assessment tools.
The role requires extensive skill using specialized equipment for critically ill neonates, including ventilators, high-frequency ventilation, cardiorespiratory monitors, oxygen saturation monitors, transcutaneous PO2/PCO2 monitors, and phototherapy.
The role requires the ability to function independently in a critical care environment.
The role requires considerable skill interpreting laboratory findings.
The role requires the ability to obtain consent for invasive procedures as required.
The role requires the ability to incorporate explanations and health education into care for high-risk neonates and their families.
The role requires knowledge and skills to provide care appropriate to patients' ages and developmental levels, including patients from birth through age one.
The role requires mastery of physical assessment and technical skills for neonatal resuscitation interventions, including endotracheal intubation, chest compressions, central and peripheral line placement, arterial sticks, and medication administration.
The role requires the ability to perform maternal and newborn consultations and communicate findings.
The role requires well-developed diagnostic and analytic skills.
The role requires sound oral and written communication skills.
The role requires the physical ability to stand, walk, sit, bend, kneel, climb stairs, reach in all directions, use both hands and legs, perform repetitive motions, and lift, push, pull, or carry objects weighing approximately 50 pounds unassisted.
The role requires physical qualification for respirator use, corrected 20/40 vision, and the ability to work indoors in a latex-safe environment.

Responsibilities

Manage a caseload of neonatal patients in consultation and collaboration with neonatologists.
Assess, diagnose, and manage neonatal patients using independent clinical judgment and knowledge of pathophysiology, pharmacology, and physiology.
Provide individualized, safe, effective, goal-directed care to neonatal patients and their families.
Take comprehensive histories and perform physical examinations.
Evaluate and treat patients using histories, physical examinations, radiological studies, laboratory results, and other diagnostic findings pursuant to the practice agreement or scope-of-practice guideline.
Perform authorized therapeutic procedures, including intubation, central venous and arterial line placement, chest tube insertion and removal, thoracentesis, suprapubic bladder tap, lumbar puncture, paracentesis, partial and total exchange transfusion, arterial puncture, and peripheral arterial line placement.
Initiate referrals to other health care providers and consult with attending or collaborating physicians.
Document and bill for direct care provided.
Use current research and evidence-based decision-making in clinical practice.
Perform and participate in quality and performance improvement activities and clinical research.
Participate in the organization's accreditation, compliance, and regulatory activities.
Maintain professional practice through participation in professional organizations and continuing education.
Precept advanced practice provider students and facilitate the learning of new team members.
Implement established guidelines for managing neonatology patients.
Collaborate with other disciplines to provide effective and efficient services.
Involve unit staff and representatives from other disciplines in decision-making.
Use research and benchmark data when planning and evaluating service operations.
Develop, implement, monitor, and evaluate service-specific goals based on organizational and departmental goals.
Maintain a safe hospital environment for patients, families, and other customers.
Attend intermediate- and high-risk deliveries independently and perform neonatal resuscitation interventions as required.
Perform neonatal intensive care and admission procedures for an assigned caseload, including family histories and complete physical examinations.
Order appropriate diagnostic testing, including radiologic and laboratory studies, and accurately interpret the findings.
Determine the daily plan of care for an assigned caseload of neonates in collaboration with neonatologists, fellows, residents, interns, nurses, respiratory therapists, and other health care team members.
Write daily orders for fluids, medications, nutrition, and respiratory management.
Document daily patient progress and write discharge and death summaries.
Perform highly skilled technical procedures, including lumbar punctures, needle aspirations, chest tube placement, arterial catheterization, peripherally inserted central catheter placement, and suprapubic bladder taps, under protocol.
Monitor nursing care and serve as a role model and educator for nursing staff, student nurse practitioners, and residents.
Maintain clinical patient responsibilities throughout each scheduled shift and arrange appropriate coverage during time away from the unit.
Participate in collaborative scheduling to ensure coverage of day, night, weekend, and holiday shifts.

Job Description Summary

Job Description Summary
The Nurse Practitioner or Physician Assistant covering neonatal and newborn services reports to the Neonatal APP Lead. The Nurse Practitioner or Physician Assistant manages a case load of neonatal patients in consultation and collaboration with Neonatologists. The Nurse Practitioner or Physician Assistant utilizes extensive knowledge of pathophysiology, pharmacology, and physiology and exercises independent judgment in the assessment, diagnosis, and management of neonatal patients. The Nurse Practitioner or Physician Assistant provides individualized, safe, effective, goal-directed patient care to families and patients to achieve desired results.

Entity

University Medical Associates (UMA) Only Employees and Financials

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC001025 COM PEDS Neonatology CC

Pay Rate Type

Salary

Pay Grade

Health-33

Scheduled Weekly Hours

Work Shift

Job Description

Fair Labor Standards Act Status: Salary exempt

Hours per week: 40

Scheduled Work Hours/Shift: 14 (13-hour shifts) per month with rotating nights, weekends, and holidays

Patient Population Focus: Inpatient

Patient Population Age Range : 0 up to age 2

Required Training and Experience

Required Minimum Training: Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN.

Physician Assistant (PA)

must have at least one-year experience in neonatal intensive care which may include an NICU fellowship.

APRN - Neonatal Nurse Practitioner (NNP): primary, acute, chronic, and critical care to neonates, infants, and toddlers from birth until discharge from the Neonatal Unit or from the Neonatologist service

Degree of Supervision
Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician.

Required Licensure, Certifications, Registrations

All certifications must be current and complete prior to start date:

Neonatal Resuscitation Program
If applicable, DHEC and DEA license applications must be started prior to first day.

Job Duties (list job tasks)

Provides direct care to patients through the following activities:

- Takes comprehensive history and performs physical examinations

Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline
Performs the following therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief:

- Intubation

- Central venous and arterial line placement

- Insertion and removal of chest tubes

- Thoracentesis

- Suprapubic bladder tap

- Lumbar puncture

- Paracentesis

- Partial and total exchange transfusion

- Arterial puncture

- Peripheral arterial line placement

- Other procedures as needed    

Initiates referrals to other health care providers, and/or consults with the attending physician or the collaborating physician

Documents and bills for direct care provided

Utilizes current research and evidence-based decision-making in all clinical practice

Performs and participates in quality/performance improvement activities and clinical research

Participates in and supports accreditation, compliance, and regulatory activities of the organization

Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education

Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitates the learning of other new team members

APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law

Ensures implementation of established guidelines for the management of neonatology patients.

Collaborates with other disciplines to ensure effective and efficient services are provided.

Involves unit staff and representatives from other disciplines in decision making.

Utilizes research and benchmark data when planning evaluating service operations.

Develops, Implements, monitors and evaluates service-specific goals which are based on organizational and departmental goals.

Promotes and maintains a safe, warm, hospital environment for all customers.

Thorough knowledge of physical assessment skills for normal and high-risk newborns.

Considerable knowledge of risk-screening and developmental assessment tools.

Extensive skill in the use of specialized equipment utilized in the care of critically ill neonates (e.g.: ventilators, HFV, cardio-respiratory monitors, oxygen saturation and transcutaneous P02/PC02 monitors, phototherapy, etc.).

Ability to function independently in the critical care environment and serve as a leader for the infants’ care.

Considerable skills regarding interpretation of laboratory findings.

Obtains consent for invasive procedures as required.

Ability to incorporate explanations and health education into the care of high-risk neonates and their families.

Demonstrates knowledge and skills required to provide care and/or service appropriate to the age and level of development of the patient, with consideration of the needs of the patients’ families.

All job duties require knowledge and skills to care for patients between the age of 0 and 1.

Attends intermediate and high risk deliveries independently and performs resuscitation interventions with mastery of physical assessment and technical skills as required – endotracheal intubation, chest compressions, central and peripheral lines, arterial sticks, and medication administration.

Ability to perform maternal and newborn consults and communicate findings. Functions as a skilled team leader with well-developed diagnostic and analytic skills.

Performs all neonatal intensive care, admission procedures for a designated case load of patients, including appropriate family history and complete physical examination.

Orders diagnostic testing as appropriate, including radiologic and laboratory studies, and accurately interprets findings.

Determines the daily plan of care for a designated case load of neonates in collaboration with neonatologists, fellows, residents, interns, nurses, respiratory therapists, and other members of the health care team.

Writes daily orders for fluids, medications, nutrition, and respiratory management.

Demonstrates sound oral and written communication skills and documents daily progress of patients, writing both discharges and death summaries. Performs highly skilled and technical procedures (lumbar punctures, needle aspiration, chest tube placement, arterial catheterization, PICC placement, suprapubic bladder taps, etc.) under protocol.

Monitors nursing care delivered, serving as a role model and educator for nursing staff, student nurse practitioners, and residents, demonstrating teaching expertise.

Maintains clinical patient responsibilities for entirety of scheduled shift, and ensures appropriate coverage is in place for any time away from unit.

Participates in collaborative scheduling to ensure all shifts (days/nights/weekends/holidays) are covered to maintain patient safety.

Additional Job Description

Physical Requirements

Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

About the Company

Medical University of South Carolina

Health sciences university in Charleston, SC

Medical University of South Carolina is a public academic health sciences university in Charleston, South Carolina. It offers bachelor's, master's, doctoral, and professional degrees through six colleges in dental medicine, graduate studies, health professions, medicine, nursing, and pharmacy.

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