Neonatal Nurse Practitioner Level III NICU

Here, it's different. Come join us.

Children's Hospital Colorado has defined and delivered pediatric healthcare excellence for more than 100 years.

Here, the nation's brightest nurses, physicians, scientists, researchers, therapists, and care providers are creating the future of child health. With an optimist's outlook, a trailblazing spirit, and a celebrated history, we're making new strides every day.

We've been Magnet-designated four times by the American Nurses Credentialing Center and are consistently recognized among the best of the best pediatric hospitals with #1 rankings in Colorado and the region by U.S. News & World Report.

As a national leader in pediatric care, we serve children and families from all over the nation. Our System of Care includes four pediatric hospitals, 11 specialty care centers, 1,300+ outreach clinics and more than 10,000 healthcare professionals representing the full spectrum of pediatric care specialties.

Here, we know it takes all of us, every role, to deliver the best possible care to each child and family we treat.

That's why we build our teams toward a foundation of equity in access, advancement, and opportunity. We know teams of individuals with different identities and backgrounds can nurture creativity and innovation. We know we can see, treat, and heal children better when our team reflects the diversity of our patient population. We strive to attract and retain diverse talent because we know a truly inclusive and equitable workforce will help us one day realize our most basic calling: to heal every child who comes through our doors.

A career at Children's Colorado will challenge you, inspire you, and motivate you to make a difference in the life of a child. Here, it's different.

The Neonatal Nurse Practitioner (NNP) provides expert Family-Centered Care across the wellness-illness continuum, providing primary, acute, chronic and critical care to infants and toddlers up to age 2 years. In collaboration with other health care providers the NNP will provide initial, ongoing and comprehensive care, including taking complete histories; providing physical examinations and diagnosing, treating and managing patients with acute and chronic illnesses and diseases. This includes ordering, performing, supervising, and interpreting laboratory and imaging studies; prescribing medication and durable medical equipment; and making appropriate referrals for patients and families. In addition, NNP care also includes health promotion, disease prevention, health education, and counseling. The NNP will function as a leader within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care. Identifies and demonstrates incorporation of best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care at the unit or organization level.

This position is eligible for relocation assistance, if relocating from 100 miles or greater.

Department Name: Neonatal Nurse Practitioners
Job Status: full time, 36 hours per week, eligible for benefits
Shift: 24-hour shifts (0600-0600), some opportunity to work 12-hour days or nights as well

**This position supports our Level III NICU at University of Colorado Hospital (UCH)**

Come Write Your Story With Us

• Education: Bachelor of Science in Nursing & Master's Degree NNP
• Experience: Three years' combined experience as RN or NNP in a neonatal setting. High risk neonatal setting experience preferred.
• Certification(s): BLS/CPR from the American Heart Association; Neonatal Resuscitation Program (NRP) Certificate and optional Pediatric Advanced Life Support (PALS).
• Licensure(s): Registered Nurse License (RN); Advanced Practice Registered Nurse (APRN) License; Prescriptive Authority License; Board Certification as a NNP; Credentialing must be completed by the Medical Staff Office (MSO) within 3 months of employment

This position has been defined and is governed by the Children's Hospital Colorado Medical Staff bylaws, continuation of employment is contingent upon the review and approval of the Colorado Health Care Professionals Credential Application within 3 months of employment. Failure to successfully pass the credentialing process may result in the termination of your employment. Such positions include: Advanced Practice Providers, licensed professional counselors, or Adjunct Medical Staff.

POPULATION SPECIFIC CARE

• Neonate - <30 days
• Infancy - >30 days to 1yr
• Toddlers - >1yr to 2yrs

ESSENTIAL FUNCTIONS

An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform.

Family Centered Care:

• Consistently integrates age specific age specific and culturally diverse concepts into patient care, taking into consideration both the patient's chronological age and developmental functioning.
• Advocates for the neonatal patient/family/caregiver
• Promotes self-management & family centered care
• Derives outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources
• Provides patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies.

Teamwork & Collaboration:

• Provides leadership in care management to achieve optimal quality, cost-effective care.
• Documents & communicates with healthcare team members to achieve an integrated delivery of pediatric care services.
• Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver; Provides consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system.
• Makes appropriate referrals and discusses recommendations with patient/family/caregiver.

Quality Improvement:

• Participates in quality improvement activities or research to improve the care delivery process & patient care outcomes; Uses & communicates results to initiate change in practice
• Uses creativity, new knowledge, & innovation to improve care

Safety:

• Maintains a professional practice while utilizing evidenced based practice
• Communicates and demonstrates critical thinking for patient care management
• Is mindful and judicious in monitoring safety and departmental policies and procedures
• NNP maintains clinical competency (ability to independently manage and perform at a high level, and takes personal responsibility for obtaining competency as needed).
• Prescribes appropriate pharmacologic/non-pharmacological agents & interventions that are both universal & unique to the patient, & monitors/evaluates effects.
• Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment
• Orders and/or performs appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice;

Informatics:

• Uses information and technology to communicate, manage knowledge, mitigate error and support decision making,

Leadership:

• Takes action to achieve goals identified during performance appraisal & peer review, resulting in changes in practice & role performance
• Participates in lifelong learning that improves skills & competence in clinical practice/role performance;
• Serves as preceptor, role model, or mentor
• Contributes to the professional development of peers/colleagues to improve neonatal health care & to foster the profession's growth; Integrates ethical considerations & research findings into practice
• Provides leadership by participating on committees or in professional organizations, or writing/publishing/presenting.
• Serves as a leader, influencing healthcare/APN practice & policy.

KNOWLEDGE, SKILLS & ABILITIES

• Ability to provide and coordinate clinical practice for patients admitted to a special care nursery and/or neonatal intensive care unit, 24 hours a day, through a collaborative practice with on-call attending physician who is either on site or available by pager or phone.
• Knowledge of evidence-based clinical care practices and skills in implementing them into practice to improve outcomes.
• Maintains competency in skills/procedures
• Highly organized and ability to manage multiple patients on a care team
• Ability to work effectively in a multi-disciplinary, academic health care setting as needed
• Skills in collecting pertinent patient information systematically from all sources including clinical history, diagnostic tests, comprehensive physical examinations and behavioral and developmental assessments.
• Ability to develop problem lists with associated differential diagnosis
• Knowledge of normal and abnormal variations for all body systems and ability to incorporate assessment findings into direct patient management
• Skills in evaluating patient physiological and behavioral responses to interventions for revision of management plans
• Prescribes appropriate pharmacologic/non-pharmacological agents & interventions that are both universal & unique to the patient, & monitors/evaluates effects.
• Ability to document, assess and evaluate daily all relevant data including but not limited to results of diagnostic tests, laboratory results, patients' condition, response to therapies and follow-up interventions
• Skills in assessing family communication, adaptation, and coping skills to provide the best support for the family, including recognizing when the need for crisis or other interventions may be necessary. Ability to communicate with a child's family regarding changing healthcare needs.
• Ability to utilize appropriate resources and inter-disciplinary team to establish appropriate priorities of care and implement therapies, including PharmD, formulary, attending physician and consulting services.
• Skills in performing routine diagnostic and therapeutic techniques according to established protocol and current neonatal critical care standards
• Knowledge of current NRP and AHA standards to skillfully initiate and perform measures necessary to resuscitate and stabilize a compromised neonatal/pediatric patient.
• Skills in keeping knowledge base current by reading professional literature, attending educational programs, and reviewing changes in health legislation and relevant professional research.
• Knowledge of clinical research/trials protocols and procedures in an academic setting.

SCOPE AND LEVEL

• Guidelines: Developmental, standard, or intermediate level. Guidelines are generally numerous, well established, and directly applicable to the work assignment. Work assignment and desired results are explained by general oral or written instructions.
• Complexity: Falls between the entry and full performance/senior level. Duties assigned are generally repetitive and restricted in scope but may be of substantial intricacy. Employee primarily applies standardized practices.
• Decision Making: Decisions or recommendations on non-standardized situations are limited to relating organizational policies to specific cases. Brings non routine issues to supervisor. Problems that are not covered by guidelines or that are without precedent are taken up with the supervisor.
• Communications: Contacts with team members, clients or the public where explanatory or interpretive information is exchanged, gathered, or presented and some degree of discretion and judgment are required within the parameters of the job function.
• Supervision Received: Under normal supervision, within a standardized work situation, the employee performs duties common to the line of work without close supervision or detailed instruction. Work product is subject to continual review.

Ability to Perform Essential Functions of the Job

PHYSICAL REQUIREMENTS

Body Movement

• Will frequently stand/walk for 6-8 hours per day.
• Will frequently use hands while keyboarding and writing.
• Will frequently sit for 2-4 hours per day while accessing computer, talking on the telephone, and while attending meetings.
• Back and Upper Body (lifting and carrying)
• Will occasionally lift/force exerted up to 100 pounds.

Vision

• Constantly uses sight in performance for daily job duties.

Hearing

• Constantly uses hearing in performance for daily job duties.

Others

• Able to assist or assume direct patient care as census directly permits. Exposure to unsteady or falling patient: In the course of transferring a patient, may encounter a patient who falls or loses balance, causing employee to fall and/or bear the full weight of a patient.

WORK ENVIRONMENT

• Exposure: Exposure to blood/body fluid: Regular/Frequent.
• Exposure: Exposure to heights: Occasional.
• Exposure: Exposure to infectious diseases: Frequent.
• Exposure: Exposure to radiation: Occasional.
• Exposure: Exposure to lung irritations: Occasional.
• Mental and Emotional Requirements: Independent discretion/decision making.
• Mental and Emotional Requirements: Makes decisions under pressure.
• Mental and Emotional Requirements: Manages stress appropriately.
• Mental and Emotional Requirements: Works with others effectively.

It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information.

Here, you matter. As a Children's Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical/dental/vision insurance, company provided life and disability insurance, paid parental leave, 403b employer match (retirement savings), a robust wellness program, and access to professional development tools, including an education benefit to help you advance your career.

As part of our Total Rewards package, Children's Colorado offers an annual employee bonus program that rewards eligible team members based on organizational performance. If organizational goals are met for the year, the bonus is paid out the following April.

Children's Colorado delivers annual base pay increases to eligible team members based on their performance over the previous year.