Neonatal Nurse Practitioner NNPPRN

Job Description

Munson Medical Center in Traverse City, Michigan houses a 22-bed level 3 NICU staffed by 2 full-time clinical neonatologists and 4.5 neonatal nurse practitioners. This is the only NICU in the northern lower peninsula, serving a referral region spanning 150 miles.

The NNP functions collaboratively with the supervising neonatologists to coordinate the patient care needs of the high-risk newborn population. The NNP collaborates to manage well and critically ill infants using a family‑centered approach to patient care. The majority of patients are born at Munson Medical Center, but some are transported in from the region, either by the neonatal transport team or through the emergency department after discharge home.

The NICU services well newborns (0‑2 per day) and NICU patients (levels 2 and
3) with an average daily census of 12‑14. NNP shifts are 24 hours in‑house, with 3 shifts every 2 weeks constituting full‑time employment. Neonatologist support is available 24/7, but neonatologists do not reside in‑house.

The NICU hosts a robust neonatal transport team, which you will lead. Accompanied by a NICU RN, respiratory therapist, and EMS team, you will provide regional support spanning a 150‑mile radius, reached by ambulance, helicopter, or fixed‑wing airplane.

Care includes mechanical ventilation options, central line management, bedside retinopathy exams, and a full array of diagnostic services. Commonly encountered procedures include intubation, surfactant administration, needle decompression, chest tube placement, IV access, arterial blood sampling, blood transfusions, lumbar punctures, and resuscitation protocols.

• Conduct comprehensive physical assessments of patients.
• Establish medical diagnoses for common short‑term or chronic health problems.
• Order and interpret laboratory tests and perform diagnostic and invasive and noninvasive procedures.
  • Noninvasive tests that can be ordered and interpreted independently or in collaboration with the neonatologist or his/her designee include X‑ray chest, abdomen, skeletal. Noninvasive and invasive tests ordered by the NNP in collaboration with the neonatologist or his/her designee: MRI, EEG, EKG, and ECHO cardiogram, hearing screening, GI studies: UGI, BE, swallow study, GU studies: VCUG, ultrasonography, CAT scan.
  • Invasive procedures that can be ordered and performed by the NNP with consultation as necessary with the neonatologist or his/her designee include arterial puncture, suprapubic bladder tap, chest tube placement and removal, endotracheal intubation, lumbar puncture, needle thoracentesis, umbilical and arterial catheterization and removal, percutaneous central venous catheter placement and removal, venipuncture, exchange transfusion and partial exchange transfusions, peripheral artery catheterization and removal.
• The NNP may prescribe medications in collaboration with the neonatologist.
• The NNP may prescribe the following therapeutic treatments: respiratory therapy utilizing nasal cannula, nasal CPAP, and ventilation initiation with adjustment of settings based on blood gases and X‑rays for conventional ventilators, volume ventilators, HFOV and HFJV. Inhalation treatments, chest physiotherapy, and suctioning.
• Initiate and adjust fluid requirements, parenteral and enteral nutrition, and placement of OG and NG tubes.
• Perform urinary catheterization.
• Administer blood transfusions.
• Provide phototherapy.
• Remove sutures.
• Make patient referrals to appropriate physicians or other health‑care providers.
• Provide emergency care, including performing CPR and initiating and managing resuscitative measures until a neonatologist or designee is available. The neonatologist is responsible for discontinuing resuscitative measures if the infant does not respond to therapy.
• Perform other duties and responsibilities as assigned.

• Oracle Health

• Education / Training:
  • Licensed Registered Nurse in the State of Michigan
  • Certified as Family Nurse Practitioner with the American Nurses Association
• Work Experience:
  • Neonatal transport experience preferred.
• Certification, Licensure, Registration:
  • Current BLS certification
  • Current NRP certification
  • NRP…