Advanced Neonatal Nurse Practitioner

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We are looking for an exceptional, highly motivated, innovative individual to join our team of ANNPs at our Level 2 LNU. On our unit we have a strong commitment to QI and work closely with our colleagues within maternity including the West Midlands Perinatal Network, LMNS programmes of work.

The successful candidate would use highly specialised clinical and theoretical knowledge to undertake a comprehensive health history and examination of any neonate in order to diagnose and treat. Work in partnership with the medical team to deliver a holistic approach to the care of neonates throughout the patient pathway from admission to discharge. Use specialised clinical and theoretical knowledge to regularly weigh up differential diagnosis and the potential range of treatment options available, ensuring that the care provided to all neonates is safe and effective.

Attend high‑risk deliveries and other emergencies as an autonomous practitioner, ensuring that neonates receive safe and effective advanced resuscitation. Undertake non‑medical prescribing. Act on results and develop management plans. Participate in, and perform, clinical procedures for ill and premature neonates. Participate in the stabilisation, transfer and admission of the extremely ill neonate. Provide regular communication and support with parents regarding their baby's condition and promoting family integrated care.

The post holder will join a team of West Midlands deanery senior and junior specialty trainees and Advanced Neonatal Nurse Practitioners to provide cover on Tier 1 rota. The post holder will have an overall responsibility for the assessment of care needs and the delivery of optimal care at a level equivalent to that of a junior grade doctor.

There is a full shift system in operation. The post holder will form part of this rota working shifts as designated on our neonatal unit and will be accountable for improving and complying with infection control practices. There are team of ANNPs plus 3 WTE student ANNPs. The ANNP team contribute to the junior grade rota. The successful post holder would provide cover in the neonatal department support colleagues and attend deliveries as required.

Duties will be split between Intensive care, high dependency, special care, transitional care and post‑natal ward.

• Works within agreed medical / nursing protocols to meet the responsibilities of senior and junior specialty doctors as required.
• Attends high‑risk deliveries for emergency management of sick neonates as required.
• Assesses the need of the neonate, admitting to and discharging from the unit as necessary.
• Assesses neonates health status, to include medical history, physical examination, and social history.
• Plans and implements individual management according to unit guidelines and protocols.
• Requests and interprets investigations including laboratory tests, x‑rays and ultrasound scans, and act on results as appropriate.
• Prescribes and administers drugs according to unit guidelines and agreed clinical management plans including independent prescribing.

• Venepuncture / venous cannulation
• Percutaneous arterial line insertion and sampling
• Blood gases / adjustment of ventilator and respiratory support settings
• Insertion and removal of percutaneous long line
• Umbilical venous and arterial catheterization and removal
• Endotracheal intubation and extubation
• Emergency needle aspiration/ chest drain insertion for pneumothorax/ pleural effusion
• Maintain contemporaneous records (nursing and medical)
• Undertake and interpret bedside therapeutic and diagnostic procedures (blood tests, transillumination, lumbar puncture, supra pubic aspirations, urinary catheterisation)
• Requesting and interpreting chest and abdominal x‑rays
• Request, perform and interpret cranial ultrasounds
• Emergency drug administration, according to unit guidelines
• Initiation of treatment with prescribed drugs as stated within protocols and according to agreed Clinical Management Plans and Independent prescribing
• Request and prescribe parenteral fluids, electrolyte solutions and blood products…