The nurse practitioner (NP) will have a multifaceted role, caring for patients in all locations within Wentworth-Douglass Hospital's (WDH) Newborn Medicine Service, including its growing Newborn Nursery and in the delivery room.
Wentworth-Douglass Hospital is a community hospital located in Dover, New Hampshire, about 70 miles north of Boston and is an MGH clinical affiliate. WDH Women & Children's Center currently has around 1200 deliveries per year. This per diem NP will have all of his/her clinical work take place at WDH.
Clinical coverage of the WDH Newborn Medicine Service will be entirely in-hospital and this per diem position will include a mix of daytime, weeknight, weekend and holiday hours. Delivery Room Services
The NP will provide delivery room (DR) coverage at WDH. DR coverage responsibilities include attending high risk deliveries upon request, providing neonatal resuscitation, evaluating newborns in the DR and Newborn Nursery. The NP will provide all necessary in-house and outpatient prenatal neonatology consultations requested by Obstetric staff. The NP will work collaboratively with a supervising physician who will generally not be on-site. In addition, the program will be supported with the 24/7 availability of telemedicine consultation from neonatologists based in the MGH Neonatal Intensive Care Unit. Newborn Nursery
The NP will manage infants in the Newborn Nursery as a primary provider in a collaboration with a supervising physician. This involves daily rounding, daily comprehensive assessments, review of patient data, and development of plans for all patients. Diagnoses are varied and include those infants who are experiencing delayed transition, mild respiratory distress, hypoglycemic infants, late preterm infants, convalescing preterm infants, and infants born to mothers with substance use disorder. The NP will be responsible for daily care, coordinating and planning discharge home, supporting and updating families, and conducting family meetings.
PRINCIPAL DUTIES AND RESPONSIBILITIES
The current position includes shift rotation with day, night, weekend and holiday coverage available.
- Manages the health care of patients within Newborn Medicine Services through advanced health assessment, diagnosis, intervention, and evaluation in a collaborative practice agreement with a physician.
- Develops treatment plans, orders and interprets laboratory and diagnostic tests, treats patients with acute problems including illnesses and minor injuries following a predetermined protocol in a collaborative practice agreement with a physician.
- Coordinates the care of select patient populations to ensure promotion of health and wellness through education of patients and families, coordination of services and placing referrals.
- Coordinates patient transfers and admissions within Newborn Services.
- Participates in professional development and lifelong learning, including participation in resident medical education and training. Participates in continuing education, quality improvement initiatives, clinical outcome evaluation and monitoring as well as medical and nursing research.
- Professional NP licensure in New Hampshire in good standing required.
- Current NP certification granted by a Board-recognized certifying organization required.
- NH DEA required.
- Master's degree in Nursing required.
- Minimum of 2 years of NP experience in a Neonatal Intensive Care Unit/Special Care Nursery and Delivery Room is required.
- Maintains competency in procedures necessary to care for neonates including: intubation, surfactant administration, ventilator management, needle thoracotomy, chest tube placement, umbilical line placement, PIV insertion, PICC insertion and arterial line placement.
- Strong communication and collaboration skills.
- Strong organizational and project management skills; ability to set priorities.
- Identifies own learning needs and develops a plan to meet them.
- Adheres to annual retraining requirements.
- Writes prescriptions in accordance with patients' needs and regulatory and practice guidelines.