Physician Assistant​/Neonatal Nurse Practitioner- NICU​/Nursery

Job Description

Completes thorough but appropriately focused evaluations of term and premature newborns primarily in the NICU Level IV, tertiary care referral center, including competent and age appropriate histories and examinations. Identifies level of illness severity in a timely manner. Presents thoughtful assessments to the supervising physician and works towards prescribing necessary care plans. Performs appropriate procedures under their responsibility with the appropriate guidance.

Knows when and how to seek assistance.

• With guidance, applies basic medical knowledge to common diagnoses in the department. Expands clinical knowledge by asking insightful questions, seeking knowledge independently and reading medical literature critically. Incorporates issues of child health advocacy, preventive health care, ethical dilemmas, and cost of tests and therapies.

• Provides basic evaluation (diagnostic testing and consultation) for common diagnoses. Increasingly recommends broad evaluation based on an unfocused differential diagnosis. Reports results of diagnostic studies, identifying clinically significant results with guidance.

Gathers patient information following a template. Adapts the template with guidance and as appropriate to filter and prioritize pertinent positives and negatives based on broad diagnostic categories or possible diagnoses.

• Clinical reasoning:
  Presents clinical facts (history, exam, tests, consultations) to preceptor, supervising physician, and care team. Generates an unfocused differential diagnosis based on the clinical facts.
• Organize and prioritize patient care:
  Completes assigned patient care responsibilities focused on individual patients.
• Patient management:
  Increasingly participates in the creation of patient management plans. Discusses plans with patients/families.

Attends deliveries with preceptor until independence in neonatal resuscitation is established.

Increasingly exposed to the array of core procedures and guided in the performance of these. Please reference the “APP Procedures Listing” for those relevant to the Medical Specialty.

• Patient and family centered communications:
  Works to establish rapport with patients/families, developing a therapeutic relationship in straightforward encounters, seeks guidance when adjusting communication strategies to mitigate barriers and meet expectations.
• Interpersonal and team communication:
  Participates within the inter‑professional team, clearly and appropriately requesting consultation and presenting relevant patient information to supervising physician.
• Communication within the Health Care System:
  Accurately and timely records information in the patient record; responds in a timely fashion and appropriate form to requests; seeks guidance on best mode of communicating when uncertain.

• Evidence‑based and informed practice:
  Develops and articulates clinical questions; accesses available evidence with appropriate guidance.
• Reflective practice and commitment to personal growth:
  Participates in feedback sessions; develops professional goals and a learning plan incorporating feedback and performance data.

• Performs responsibilities in a thorough and timely manner; proactively seeks guidance in new, complex, or stressful situations.
• Participates in creating, promoting and sustaining a healthy and productive team and work environment; familiarizes self with institutional resources that promote well‑being.

• System navigation for patient center care coordination:
  Gradually involved in coordinating care of patients in routine clinical situations; identifies need for and engages inter‑professional team based on patient and family needs.
• Population and community health:
  Incorporates awareness of population and community health needs and disparities and knowledge of local resources.

• Advanced Practice Nurse Practitioner:
  Graduate degree in nursing accredited by one of the national…