Neonatal Nurse Practitioner-Per Diem
St. Luke's Hospital - Missouri - Chesterfield, MO

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Summary: The neonatal nurse practitioner (NNP), under the management of the Head Nurse will (1) provide care for neonates in the nursery and delivery room in collaboration with the neonatologist as defined by the Missouri Nurse Practice Act and institutionally approved guidelines and (2) be responsible for designated areas and for special projects as described in the following guidelines. The NNP functions collaboratively with the neonatologist to deliver high quality, consistent neonatal care as outlined below. Performs duties and responsibilities in a manner consistent with our mission and values.

Principle Accountabilities: % Of Time Spent

1.Elicits, records and interprets the obstetrical, family medical and psychological history of the neonate’s parents, noting risk factors and their implications for problems in the immediate newborn period, as well as the potential impact on the neonate’s future growth and development. (5%)

2.Performs a standard newborn physical assessment using the techniques of observation, inspection, auscultation, palpation, and percussion. (5%)

3.Discriminates between normal and abnormal findings on the physical examination, records these findings and postulates an impression of the infant’s present status and expected outcome. (5%)

4.Develops and implements an initial plan for differential diagnosis and management of presenting problems. (5%)

5.Performs diagnostic and therapeutic procedures as prescribes for identification and management of problems. This may include, but is not limited to, venipuncture, suprapubic aspiration, tracheal aspiration and intubation, insertion of nasal tube, starting IVs, umbilical vessel catheterization, pleural catheterization, suturing and removal of sutures, lumbar punctures, and arterial sampling. (10%)

6.Writes orders to accomplish the designated plan of patient care management with all orders to be cosigned by sponsoring physician within 24 hours. (5%)

7.Requests and interprets laboratory and radiographic data for incorporation into the patient’s assessment and progress evaluation. (5%)

8.Reassesses patient progress and problems on a daily basis, revising the management plan as necessary.(5%)

9.Carries out emergency procedures as necessary on all nursery and SCN patients. (5%)

10.Communicates impressions, plan of management, and patient progress to supervising physician. (5%)

11.Communicates appropriate information about the neonate’s diagnosis, plan of management and progress to parents, physicians, and other members of the health care team. Strives to develop relationships that are characterized by mutual support, open communication, trust and respect. (5%)

12.Assesses parent’s psychological problems and support needs, recommends necessary consultation and involvement of other hospital staff as necessary. Acts as liaison between physician and health care team and between physician, patients and families. (5%)

13. Communicates with physicians regarding high risk of potentially high risk mothers, providing counseling and support, and following progress of labor in preparation for the delivery of a potentially compromised newborn. (5%)

14.Provides immediate emergency supportive care for the high risk newborn in the delivery room, performing initial vital assessment, resuscitation when necessary, and transport to the Special Care Nursery when indicated. This may include but is not limited to, performing bag and mask ventilation, pharyngeal and tracheal suction, endotracheal intubation, administration of emergency drugs via appropriate route in accordance to NRP guidelines and external cardiac massage, as required. (5%)

15.Continues to update own body of knowledge by reading professional journals and textbooks and attending educational offerings. (3%)

16. Attends high risk deliveries. Notifies physician as indicated by established delivery criteria. (5%)

17.Makes daily rounds in the Special Care Nursery and maintains open communication with Well Baby Nursery staff regarding any potential/actual newborn illness. (15%)

18. Performs other work duties as assigned. (2%)

Total: 100%

Required Experience:
NCC certification.

Current Advanced Practice Nurse License.

The patient care provider will take into consideration the needs of the patient. Nursing division may provide care to neonatal/infants.

Basic Life Support completion within 3 months of hire.

Certification in Neonatal Resuscitation Program.


Required Education:
Graduate from a University affiliated NNP program.

Working Conditions:

Employee is required to sit continuously and walk occasionally. Employee must lift/carry a light (1-20 lbs.) medium (21-50 lbs.) and heavy (50 lbs. +) load occasionally. Employee is frequently required to bend, squat, crawl, kneel, climb, lift waist to overhead. Employee is occasionally required to reach forward and reach overhead. For repetitive action, employee is required to use both hands for simple grasping and pushing/pulling. Employee is occasionally exposed to electrical hazards and CRT terminal work. Verbal and cognitive, as well as motor coordination and manual dexterity are required. Speech, hearing, and near-visual acuity are required. May need to work any shift due to 24-hour day, 7 days per week operation. Employee if frequently exposed to blood borne pathogens.

(Occasionally: 1-33%, Frequently: 34-66%, Continuously: 67-100%)

The most significant of duties are included but this does not exclude occasional work assignments not mentioned or developmental duties.

Job Relationships: Member of a comprehensive healthcare team, including other health care providers, the patient, the patients family and significant others.

Takes direction from: Head Nurse and the Neonatologist
Provides direction to:
Supervised by: Head Nurse/ Neonatologist

Additional Comments:
Mission: Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Luke’s Hospital is
dedicated to improving the health of the community. Using talents and resources responsibly, our medical staff, employees and volunteers provide care for the whole person with compassion, professional excellence, and respect for each other and those we serve.

Core Values: Human Dignity, Compassion, Justice, Excellence, and Stewardship.

Human Dignity: We accept and treat all persons as being created in the image of God.

Compassion: We respond with caring to the needs of others as if they were members of our family.

Justice: We honor each person’s rights and responsibilities in light of the common good.

Excellence: We set and strive to attain high standards of performance and continuous improvement.

Stewardship: We use our talents and resources wisely, with honesty and integrity.

FACES – Friendly – Available – Caring – Efficient – Safe

Communication Standards: Promotes and provides courteous and effective communication with internal and external customers.

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At St. Luke's, each and every day, we put into practice our values: Human Dignity We accept and treat all persons as being created in...