RN - Neonatal ICU - PRN, East Campus

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.

Erlanger East Chattanooga, TN

Registered Nurse - Erlanger East Campus - PRN, hours vary

Standard Hours

Temporary