Job Location : Chattanooga,TN, USA
Position Summary: A registered professional nurse responsible for direct and/or indirect care of the patient. Education: Graduate from an accredited School of Nursing. Experience: Knowledge of general, obstetric, and neonatal nursing principles and practice skills; knowledge of organizational functions, policies and regulations; knowledge of current trends and new developments; knowledge of principles and practices of nursing, applicable to those areas requiring special education. Licensure: Current licensure to practice nursing in the State of Tennessee. Certification in neonatal nursing desirable. BLS completed prior to going to the unit/ department and maintained going forward The Nurse Licensure Compact will not change how to obtain or renew a Tennessee license. However, the Tennessee nursing license will be a single state license for Tennessee Residents or non-compact state residents. Tennessee licensure or multistate licensure from a compact state must be obtained within three months of hire for non-Tennessee residents. Preferred: Certification in neonatal nursing desirable. Core Competencies PROCESSES: 1. Admission- Neonatal Data Base, Multi-disciplinary Education Sheet, Physical Assessment Patient Assessment & Accurate Completion of Patient Care Flowsheet (per unit standards of care) 2. Select, Develop and Individualize Plan of Care using Problem Oriented Charting by Exception 3. Implement Plan of Care 4. Evaluate Plan of Care on a daily basis 5. Pharmacology (administration and interaction) 6. Documentation 7. Gestational/Post Conceptional Age Appropriate Care 8. Knowledge of Growth and Development 9. Lab Values, Panic Levels, & ABG's (assessment, reporting to Neonatal Nurse Practitioner and intervention) 10. Interpersonal Communication 11. Safety and Infection Control 12. Participates in Rounds on Assigned Patients 13. Collaborates with Intra-hospital departments 14. Chest Tubes- Set-up, Assisting with Insertion, Maintenance 15. IV Technique Site Inspection, Labeling Tubing, & Documentation 16. 02 Therapy/CPAP/Ventilator setup and adjustments, nasal cannula 17. Suctioning- Oral/ETT 18. Hypo/Hyperthermia 19. Specimens- C&S, Urine Drug Screens, Sputum, Gastric, Stools 20. OG-NGT/Care 21. Volume Replacement - Continuous/Bolus/Rapid 22. Blood Products 23. Cardiac Monitoring- Placement of Electrodes, Trouble-shooting 24. Documentation of Intake and Output 25. Neonatal Code 26. Drainage Tubes 27. Setup/Assist or Perform Invasive Procedures 28. Body Substance Isolation (BSI) 29. Phlebotomy- Technique, Labeling, Type & Cross Match Equipment: 30. Hospital Information System 31. IVF Administration Pumps/Medfusion Pumps 32. Code Drug Box-Location on Unit, Knowledge of Contents 33. Wall/Portable Suction 34. Pyxis-Supplies/Medicines 35. Scales 36. Diaper Scales 37. Isolettes/Incubators without humidity 38. Radiant Warmers 39. Phototherapy/Biliblanket 40. Capillary Blood Glucose Monitor 41. HP Bedside Monitor and Modules (EKG/Resp, NIBP Invasive Pressure Monitoring, SpO2) 42. Setup ventilator, NCPAP and nasal cannula 43. SpO2 Monitor (Bedside) 44. Breast Milk Refrigerator/Freezer 45. Blanket Warmer 46. Breast Pump 47. IV Tubing Assembly/Invasive Pressure Transducer 48. Digital Thermometer UNIT SPECIFIC: 49. Maintain Developmentally Supportive Neonatal Care Environment 50. Provide Appropriate Neutral Thermal Environment For The Neonate 51. Ensure Security Of The Neonatal Patient From Admission Until Discharge 52. Policies and Upholds Infection Control Measures 53. Assures Necessary Equipment Available For Care Of The Neonate (Including As Applicable: Admission Bed Set-Up, Stocking Bed Space For Oncoming Shift) 54. Identifies And Appropriately Communicates Pertinent Findings And Concerns To The Neonatal Nurse Practitioner 55. Incorporates Positional Support And Changes As Neonate Tolerates 56. Correctly Employs Procedures And Equipment Necessary To Provide Optimal Nutritional Support And Management For High Risk Neonates 57. Competently Monitors Cardiopulmonary and Hemodynamic Status and Intervenes as appropriate 58. Coordinates with Neonatal Nurse Practitioner from assembly/set-up to completion/disposal of equipment necessary for procedures 59. Maintains and monitors IV fluid volume replacement device (PIV, RAC, or UAC), and fluid administration including obtaining blood specimens from central or peripheral arterial lines 60. Provide appropriate care to the neonate 61. Educate and incorporate parent(s) in the care of the neonate as the neonate's condition permits 62. Console and participates appropriately in supporting parent(s) and families who have experienced perinatal loss PROCEDURES: 68. Securing a Neonate to prevent injury during a Procedure 69. Urinary Specimen Collection 70. Assist with administration of surfactant 71. Assisting with Circumcision 72. Assisting with Lumbar Puncture 73. Assisting with Suturing 74. Assisting with Chest Needle aspiration/Chest Tube insertion 75. Assisting with UAC insertion 76. Assisting with Chest Needle aspiration/Chest Tube insertion 77. Assisting with UAC insertion 78. Assisting with Intubation 79. Assisting an Intubated Neonate 80. Bag-Valve-Mask Device 81. ETT/Nasopharyngeal Suctioning 82. Accurately recording I and O 83. Measuring vital signs 84. Time management skills 85. Discharge Process 86. Transfers into and out of the Special Care Nursery 87. Handwashing 88. Station Isolation 89. Accurate weight with minimal disruption of care 90. Correctly calculate acuity Department Position Summary: The RN in Special Care Nursery must have knowledge and skill in caring for the sick neonate regardless of gestational age and the use of equipment/supplies associated with that care. The RN in the Special Care Nursery must have skills in caring for the needs of the immediate family members, be familiar with newborn care, as well as familiar with neonatal resuscitation, and be able to care of mom-baby couplets in postpartum phase.