Neonatal Nurse Practitioner (NNP)-PRN

Job description

Munson Medical Center in Traverse City, Michigan houses a 22-bed level 3 NICU staffed by 2 full-time clinical neonatologists and 4.5 neonatal nurse practitioners. This is the only NICU in the northern lower peninsula, serving a referral region spanning 150 miles. The NNP functions collaboratively with the supervising Neonatologists to coordinate the patient care needs of the high-risk newborn population. The NNP collaboratively manages well and critically ill infants using a family-centered approach to patient care. The majority of patients are born at Munson Medical Center, but some are transported in from the region, either by the neonatal transport team or through the emergency department after discharge home. Our neonatal program services well newborns (0-2 per day) and NICU patients (levels 2 and 3) with a total average daily census 12-14. Neonatal nurse practitioner shifts are 24 hours in-house, with 3 shifts every 2 weeks constituting full time employment. Neonatologist support is readily available 24/7, but neonatologists do not reside in-house. The NICU at Munson Medical Center hosts a robust neonatal transport team, which you will lead. Accompanied by a NICU RN, respiratory therapist, and EMS team, you will provide regional support spanning a 150-mile radius, reached by ambulance, helicopter, or fixed wing airplane. The NICU cares for all gestational ages. HFOV, HFJV, conventional volume and pressure ventilation, bubble CPAP, high flow nasal cannula, and NIPPV are available. Gentle ventilation strategies including INSURE surfactant administration are targeted. Management of central lines (UVC, UAC, PICCs) with continuous infusions for pressor support, sedation, or prostaglandins is expected. Bedside retinopathy of prematurity eye exams are completed at Munson by an experienced local ophthalmologist, with capability for in-house laser photocoagulation or anti-VEGF injections. Standard diagnostic services available include MRI, CT scan, GI contrast studies, ultrasound, x-ray, echocardiogram, EKG, continuous EEG with real-time neurology interpretation. Commonly encountered procedures include intubation, surfactant administration, needle decompression, chest tube placement, IV access (PIV, PICC, UVC, UAC), arterial blood sampling, blood transfusions, lumbar punctures, and resuscitation. Daily multidisciplinary rounds with the patient’s family, NNP, Neonatologist, pharmacist, respiratory therapist, nutritionist, dietitian, lactation consultant, and social worker promote a collegial team, with a family-centered approach. As of this posting, pediatric surgical services, ECMO, inhaled nitric oxide therapy, and therapeutic hypothermia are NOT available at Munson Medical Center and require transfer to a level 4 NICU (DeVos Children’s Hospital or University of Michigan). SPECIFIC DUTIES Conducts comprehensive physical assessments of patients. Establishes medical diagnosis for common short-term or chronic health problems. Orders and Interprets laboratory tests and performs diagnostic and invasive and noninvasive procedures. Noninvasive tests that can be ordered and interpreted independently or in collaboration with the neonatologist or his/her designee include X-ray-chest, abdomen, skeletal. Noninvasive and invasive tests ordered by the NNP in collaboration with the neonatologist or his/her designee: MRI, EEG, EKG, and ECHO cardiogram, Hearing Screening, GI studies: UGI, BE, swallow study, GU studies: VCUG, Ultrasonography, CAT scan. Invasive procedures that can be ordered and performed by the NNP with consultation as necessary with the neonatologist or his/her designee include arterial puncture, suprapubic bladder tap, chest tube placement and removal, endotracheal intubation, lumbar puncture, needle thoracentesis, umbilical and arterial catheterization and removal, percutaneous central venous catheter placement and removal, venipuncture, exchange transfusion and partial exchange transfusions, peripheral artery catheterization and removal. The NNP may prescribe medications in collaboration with the neonatologist. The NNP may prescribe the following therapeutic treatments: Respiratory therapy utilizing nasal cannula, nasal CPAP, Ventilation-initiation of initial settings, adjusting settings based on blood gases and x-rays for conventional ventilators, volume ventilators, and HFOV and HFJV. Inhalation treatments, chest physiotherapy, suctioning. Initiation and adjustment of fluid requirements, parenteral and enteral nutrition, placement of OG and NG tubes Urinary Catheterization Blood Transfusions Phototherapy Suture Removal Makes patient referrals to appropriate physicians or other health care providers. Provision of emergency care The NNP may perform CPR and initiate and manage resuscitative measures, including medications, laboratory tests, and therapeutic/corrective measures as listed above until the neonatologist or designee is available. The neonatologist is responsible for discontinuing resuscitative measures if the infant does not respond to therapy. Performs other duties and responsibilities as assigned. EHR Oracle Health Find more than your next job. Find your community. We’re northern Michigan’s largest healthcare system and we are deeply rooted in the communities we serve. That means that our patients are often our family, friends and neighbors – and it’s special to be able to care for them. And as one of the top healthcare systems to work for in Michigan by Forbes (American’s Best Employers by State 2022), we’re committed to your ongoing growth and development. After work, you’ll find things to do in every season – beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. As a non-profit healthcare system, Munson Healthcare provides $65 million in health care programs and education, as well as free discounted and unreimbursed services. Munson Healthcare by the Numbers 8 hospitals 694 licensed acute care beds 212 licensed long-term care beds 7,500 employees 1,000 physicians 63 specialties 540,000 residents We cover 14,667 square miles – about the size of Vermont and Delaware combined. Munson Healthcare Home Health and Munson Healthcare Hospice serve 29 counties. Why Choose Munson Healthcare Balance – Get out on the water, in the woods, on the trails or around town Opportunity – Be a part of northern Michigan’s leading healthcare team with opportunities for personal and professional growth throughout the healthcare system Flexibility – A career that can change as your life changes Teamwork – Our people make Munson Healthcare a great place to work! About Traverse City, Michigan Nestled on the shores of Lake Michigan’s Grand Traverse Bay, Traverse City is a vibrant, four-season resort community renowned for its stunning natural beauty, cultural attractions, and exceptional quality of life. Highlights include: Outdoor Recreation: Endless opportunities for skiing, hiking, biking, boating, and golfing in a region surrounded by pristine lakes, forests, and trails. Cultural Hub: Home to the National Cherry Festival, vibrant arts scenes, award-winning wineries, and a burgeoning culinary landscape. Top-Rated Schools: Excellent public and private schools, making it an ideal place for families. Accessibility: Convenient regional airport with direct flights to major cities, ensuring easy travel for professional and personal needs. Traverse City, Michigan We are an Equal Opportunity Employer Munson Healthcare grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. Education / Training: Nurse Practitioner: Licensed Registered Nurse in the State of Michigan Certified as Family Nurse Practitioner with the American Nurses Association Work Experience : Neonatal transport experience preferred. Certification, Licensure, Registration : Current BLS certification Current NRP certification NRP instructor status is encouraged. Completed advanced training program and is certified by NCC as a neonatal nurse practitioner Candidate must apply for and be granted appropriate clinical privileges through MMC’s normal credentialing processes before rendering services. All your information will be kept confidential according to EEO guidelines. Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.