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 SystemIVF Administration Pumps / Medfusion PumpsCode Drug Box-Location on Unit, Knowledge of ContentsWall / Portable SuctionPyxis-Supplies / MedicinesScalesDiaper ScalesIsolettes / Incubators without humidityRadiant WarmersPhototherapy / BiliblanketCapillary Blood Glucose MonitorHP Bedside Monitor and Modules (EKG / Resp, NIBP Invasive Pressure Monitoring, SpO2)Setup ventilator, NCPAP and nasal cannulaSpO2 Monitor (Bedside)Breast Milk Refrigerator / FreezerBlanket WarmerBreast PumpIV Tubing Assembly / Invasive Pressure TransducerDigital ThermometerUnit Specific
Maintain Developmentally Supportive Neonatal Care EnvironmentProvide Appropriate Neutral Thermal Environment For The NeonateEnsure Security Of The Neonatal Patient From Admission Until DischargePolicies and Upholds Infection Control MeasuresAssures 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 PractitionerIncorporates Positional Support And Changes As Neonate ToleratesCorrectly Employs Procedures And Equipment Necessary To Provide Optimal Nutritional Support And Management For High Risk NeonatesCompetently Monitors Cardiopulmonary and Hemodynamic Status and Intervenes as appropriateCoordinates with Neonatal Nurse Practitioner from assembly / set-up to completion / disposal of equipment necessary for proceduresMaintains and monitors IV fluid volume replacement device (PIV, RAC, or UAC), and fluid administration including obtaining blood specimens from central or peripheral arterial linesProvide appropriate care to the neonateEducate and incorporate parent(s) in the care of the neonate as the neonate's condition permitsConsole and participates appropriately in supporting parent(s) and families who have experienced perinatal lossProcedures
Securing a Neonate to prevent injury during a ProcedureUrinary Specimen CollectionAssist with administration of surfactantAssisting with CircumcisionAssisting with Lumbar PunctureAssisting with SuturingAssisting with Chest Needle aspiration / Chest Tube insertionAssisting with UAC insertionAssisting with Chest Needle aspiration / Chest Tube insertionAssisting with UAC insertionAssisting with IntubationAssisting an Intubated NeonateBag-Valve-Mask DeviceETT / Nasopharyngeal SuctioningAccurately recording I and OMeasuring vital signsTime management skillsDischarge ProcessTransfers into and out of the Special Care NurseryHandwashingStation IsolationAccurate weight with minimal disruption of careCorrectly calculate acuityDepartment 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