| Location | Chattanooga, TN |
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:
Admission- Neonatal Data Base, Multi-disciplinary Education Sheet, Physical Assessment Patient Assessment & Accurate Completion of Patient Care Flowsheet (per unit standards of care)
Select, Develop and Individualize Plan of Care using Problem Oriented Charting by Exception
Implement Plan of Care
Evaluate Plan of Care on a daily basis
Pharmacology (administration and interaction)
Documentation
Gestational/Post Conceptional Age Appropriate Care
Knowledge of Growth and Development
Lab Values, Panic Levels, & ABG's (assessment, reporting to Neonatal Nurse Practitioner and intervention)
Interpersonal Communication
Safety and Infection Control
Participates in Rounds on Assigned Patients
Collaborates with Intra-hospital departments
Chest Tubes- Set-up, Assisting with Insertion, Maintenance
IV Technique Site Inspection, Labeling Tubing, & Documentation
02 Therapy/CPAP/Ventilator setup and adjustments, nasal cannula
Suctioning- Oral/ETT
Hypo/Hyperthermia
Specimens- C&S, Urine Drug Screens, Sputum, Gastric, Stools
OG-NGT/Care
Volume Replacement - Continuous/Bolus/Rapid
Blood Products
Cardiac Monitoring- Placement of Electrodes, Trouble-shooting
Documentation of Intake and Output
Neonatal Code
Drainage Tubes
Setup/Assist or Perform Invasive Procedures
Body Substance Isolation (BSI)
Phlebotomy- Technique, Labeling, Type & Cross Match
Equipment:
Hospital Information System
IVF Administration Pumps/Medfusion Pumps
Code Drug Box-Location on Unit, Knowledge of Contents
Wall/Portable Suction
Pyxis-Supplies/Medicines
Scales
Diaper Scales
Isolettes/Incubators without humidity
Radiant Warmers
Phototherapy/Biliblanket
Capillary Blood Glucose Monitor
HP Bedside Monitor and Modules (EKG/Resp, NIBP Invasive Pressure Monitoring, SpO2)
Setup ventilator, NCPAP and nasal cannula
SpO2 Monitor (Bedside)
Breast Milk Refrigerator/Freezer
Blanket Warmer
Breast Pump
IV Tubing Assembly/Invasive Pressure Transducer
Digital Thermometer
UNIT SPECIFIC:
Maintain Developmentally Supportive Neonatal Care Environment
Provide Appropriate Neutral Thermal Environment For The Neonate
Ensure Security Of The Neonatal Patient From Admission Until Discharge
Policies and Upholds Infection Control Measures
Assures Necessary Equipment Available For Care Of The Neonate (Including As Applicable: Admission Bed Set-Up, Stocking Bed Space For Oncoming Shift)
Identifies And Appropriately Communicates Pertinent Findings And Concerns To The Neonatal Nurse Practitioner
Incorporates Positional Support And Changes As Neonate Tolerates
Correctly Employs Procedures And Equipment Necessary To Provide Optimal Nutritional Support And Management For High Risk Neonates
Competently Monitors Cardiopulmonary and Hemodynamic Status and Intervenes as appropriate
Coordinates with Neonatal Nurse Practitioner from assembly/set-up to completion/disposal of equipment necessary for procedures
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
Provide appropriate care to the neonate
Educate and incorporate parent(s) in the care of the neonate as the neonate's condition permits
Console and participates appropriately in supporting parent(s) and families who have experienced perinatal loss
PROCEDURES:
Securing a Neonate to prevent injury during a Procedure
Urinary Specimen Collection
Assist with administration of surfactant
Assisting with Circumcision
Assisting with Lumbar Puncture
Assisting with Suturing
Assisting with Chest Needle aspiration/Chest Tube insertion
Assisting with UAC insertion
Assisting with Chest Needle aspiration/Chest Tube insertion
Assisting with UAC insertion
Assisting with Intubation
Assisting an Intubated Neonate
Bag-Valve-Mask Device
ETT/Nasopharyngeal Suctioning
Accurately recording I and O
Measuring vital signs
Time management skills
Discharge Process
Transfers into and out of the Special Care Nursery
Handwashing
Station Isolation
Accurate weight with minimal disruption of care
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.
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