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Pediatric Nurse Practitioner (PNP) for Special Infant Care Clinic (SICC)

Job ID: 32863
Location: Chapel Hill, NC
Facility/Division: UNC Faculty Physicians
Status: Full Time
Shift: Day Job

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Job Description

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
An Advanced Practice Provider (APP) functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician. The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.

PNP for SICC: 

The incumbent of this position functions as a Pediatric Nurse Practitioner (PNP) delivering developmental monitoring in the Special Infant Care Clinic (SICC) based at the North Carolina Children’s Hospital and outpatient clinics of UNC Hospitals. This includes direct evaluation of patients under the supervision of a neonatologist or pediatric developmental specialist. This PNP will assess and support the inter-related medical, nutritional, and developmental progress of infants born prematurely and/or with congenital anomalies or other neonatal complications. The Clinic is based at the North Carolina’s Hospital, and UNC Raleigh Blue Ridge Outpatient Clinics. The practitioner works in a multi-disciplinary, academic environment and interacts at all professional levels including students, residents, fellows, faculty, staff, and other medical allied health professionals. 

Responsible To:

The APP Manager and SICC Medical Director and/or a Division of Neonatal-Perinatal Medicine faculty member designated by the Director.

Responsibilities:

1. Clinical- Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results. Develops appropriate differential diagnoses. Develops and implements treatment plans including prescribing/ordering of appropriate evidence-based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow-up management. Actively incorporates evidence-based hospital initiatives to improve patient care. Conducts preventive health screening based on age, history and patient needs. Maintains clear comprehensive yet concise records of all aspects of patient care. Maintains essential knowledge of general disease and pathologic processes. Maintains extensive knowledge of their specialty literature including awareness of developing areas. Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies. Develops comprehensive differential diagnoses for patients. Revises the plan of care to meet the changing needs of the patient. Prioritizes work and assists staff to provide prompt and efficient client flow. Consistently maintains high productivity according to identified standards. Leads/participates in projects to improve productivity. Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities.
2. Education- Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow-up. Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care. Develops educational materials based on learning needs of clinicians, staff, and students. Provide education/instruction to physicians, housestaff, nursing, ancillaries and/or students. Actively recognizes and participates in identification and achievement of self-learning needs. Attends education programs based on identified learning needs.
3. Leadership- Provides instruction to physicians, housestaff, nursing, ancillaries and/or students including but not limited to precepting, shadowing, lectures, training classes, CE, rounds, morning report, and or staff meetings. Participates in community/network outreach programs. Develops/leads community/network outreach programs. Demonstrates both an understanding of the contexts and system in which healthcare is provided and the ability to apply this knowledge to improve and optimize health care delivery. Leads/participates in systems improvements.
4. Professionalism- Interacts with patients and families in a respectful, courteous and timely fashion using appropriate communication for the patient and situation. Interacts collaboratively with coworkers, other team members and staff in a respectful, courteous, and timely fashion appropriate to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of one?s work. Shares responsibility for overall workload with team members.
5. Quality/Research- Engages in daily continuous quality improvement by identifying and implementing processes for improvement. Consults with management in assessment, problem-solving, decision-making, and evaluating clinical/system issues and models of care. Leads interdisciplinary teams to provide integrated delivery of patient care services. Initiates and revises protocol(s) or guideline(s) to reflect evidence-based changes in care management Works to influence policy-making bodies to improve patient care. Develops new clinical programs or services within the department/unit/clinic to improve patient care.

MAJOR RESPONSIBILITIES:

A. Evaluates, plans, manages, and implements outpatient developmental clinic patient care. Acquires patient history and performs physical examination. Establishes differential diagnosis and institutes diagnostic workup to confirm diagnosis. 

A. Coordinates care plan. 

B. Writes orders for tests, procedures, and implementation and management of therapies in accord with standards. 

C. Provides parents (and other family members) with information regarding the infant’s physiologic/developmental status and needs and psychological support on a continuous basis that is congruent with the multi-disciplinary health care team objectives. 

D. Communicates in verbal and written report (the latter in the medical daily record) information that relates to care planned and delivered to the patient. 

E. Participates in the education of nursing staff, nurse practitioner students, medical residents, nursing medical students, and other in the planning for and performance of continuing education and research on the unit. Includes self-directed continuing re-education. 

F. Assists the Medical Director, Head Nurses, Nurse Educator (s), Care Coordinators and Discharge Coordinators in the development and evaluation of standards of care, unit objectives, patient care programs, and continuing education programs. 

G. Assumes other duties and responsibilities that are appropriate to the position and area. 

H. Exemplifies professional relations and demonstrates leadership within the Center. 

The above responsibilities are a general description of the level and nature of the work assigned to this classification and are not to be considered all-inclusive. 

Other Information

Other information:
Education Requirements:
● Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.

  • Prefer BSN in Nursing from an accredited School of Nursing and NAACOG (Nurse Association of the American College of Obstetrics and Gynecology) certification as a Pediatric Nurse Practitioner (PNP) including successful completion of a Master’s and/or Doctorate degree Pediatric Nurse Practitioner university-based program whose curriculum has been approved by the North Carolina Medical Board.

Licensure/Certification Requirements:

● Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Certified Nurse Midwife) in the state of North Carolina. Board certification if required by the Department. DEA.

  • The incumbent must maintain a current North Carolina licensure as a Registered Professional Nurse (RN). The incumbent must also maintain national as a Pediatric Nurse Practitioner (PNP) and must continuously maintain licensure by the NC Boards of Nursing and Medicine as an PNP. Exceptions may be allowed for nurse practitioners approved prior to January 8, 1981 (see Subchapter 32E.003 of Regulations regarding Approval of Registered Nurse Performing Medical Acts).

Professional Experience Requirements:

● No prior experience required.

  • Prefer a minimum of two years of work experience as an RN in a Neonatal Intensive Care Unit and/or Pediatric Intensive Care Unit with experience in care of infants with complex medical problems. 

Knowledge/Skills/and Abilities Requirements:

● Demonstrated clinical competency. Effective leadership skills. Strong interpersonal skills. Ability to work independently and collaboratively. Demonstrated written and verbal communication and strong analytical skills. Effective interaction to ensure the successful care of patients in the clinical setting. Documentation in the medical record to substantiate accurate billing.


  • Expert neonatal/pediatric clinical skills.


ADDITIONAL REQUIREMENTS: 

WORKING SCHEDULE 

The practitioner will normally work 8-12 hour shifts on weekdays. An average of 40 hours/week duty time will be maintained over any given scheduling period. 

PHYSICAL REQUIREMENTS 

Physical and emotional health sufficient to meet the criteria for the annual physical examination and specific job demands which are inclusive of, but not limited to; extensive standing, walking, bending, lifting, and moving equipment, considerable fine motor dexterity and manual coordination. 

LEVELS OF SUPERVISION REQUIRED

The practitioner should be able to function independently as defined in the job description. 


Job Details

Legal Employer: STATE

Entity: UNC Faculty Physicians

Organization Unit: UNC FP Peds Neonatology 

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: Yes



This is a State position employed by UNC Health Care System.
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