Job Summary
Job Description
Nurse Practitioner – Neonatal/Pediatric Hospitalist, Naval Hospital Guam (NHG)
Scope:
The objective is to stabilize and treat neonates requiring specialized care beyond the capabilities of a standard newborn nursery for an estimated duration of 10 days, provided they are medically stable. In the case of severely decompensating neonates, Aeromedical evacuation of eligible beneficiaries within 24 to 96 hours is feasible for critically ill or severely compromised neonates.
The available resources and equipment include: HFJV, Drager Babylog ventilators, Bubble CPAP, VapoTherm, GlideScope, blood warming devices, Philips monitoring systems, GE Giraffe beds and Panda Warmers, phototherapy units, human donor milk, and fortification to 22 kcal with Neosure.
The workload expectation is to deliver approximately 30 babies per month, with the team providing neonatal care to any infant in need, aligning with the national average of 10-12%.
Place of Performance:
Newborn Nursery, Neonatal Intensive Care Unit (NICU), Department of Pediatrics, Naval Hospital Guam
Expected Schedule: This requirement is to provide 24-hour coverage for the Neonatal Intensive Care Unit (NICU). The Contractor shall comply with all DHA and MTF shift duration restrictions. This is a 24-hour coverage performance-based requirement, coverage is determined by contractor solution in conjunction with the specific hours and days listed herein. The specified hours and days of the week are essential for successful performance. It is the contractor’s responsibility to propose and manage staffing, coverage, and hours as they deem appropriate.
On-Call/Call Back Service. On-call services are required. Carrying a command duty phone shall qualify as being on-call. Call-back service is defined as actual patient care performed in the hospital when the Contractor is called back to provide care at the MTF. The Contractor is required to perform on-call services on a rotating basis with government military participating in the NSU On-call schedule during hours other than routine duty hours, Monday through Friday, including weekends, legal federal holidays, and locally declared training holidays scheduled by the Department Head of Pediatrics or Government designee. When the Contractor is on-call, he or she is required to carry the government furnished duty phone. The Contractor is not required to remain at a place of residence while on-call but shall respond telephonically within 10 minutes of a call or text being sent and shall be prepared to provide telephone consultation and/or return to the MTF to provide on-site assistance within 30 minutes of notification. The on-call/call back duty services may include but not limited to inpatient or emergency room consultation, emergent simulation and treatment. Shall provide a secondary telephone number that is available 24-hours a day.
As a condition of employment, you confirm that you are able to perform the essential functions of the position as outlined in the job description with or without reasonable accommodations. If you require accommodations to perform the job duties, please notify us so that we can discuss and provide any necessary accommodations in accordance with applicable laws and regulations.
Job Responsibilities
Shall attend monthly onsite meetings for complicated obstetric patients (COB), the Perinatal Advisory Board (PAB), and Code Purple drill planning meetings.
Be fully prepared to provide all emergency neonatal services required without assistance or supplementation by other MTF physicians.
Adequately diagnose and treat diseases/injuries; perform medical procedures/tasks to include, but not limited to the following:
Provide acute and chronic inpatient medical care for neonatal patients in the NSU. Expedite care and facilitate consultation of complex patients to multiple specialties as needed.
Indicate responsibility for the content and correctness of all prepared and transcribed reports by affixing physician signature with appropriate physician stamp to the documents and validating their contents.
Provide immediate evaluation and management of emergent problems as they occur. Write patient progress notes and/or consultation notes at appropriate intervals as determined by local MTF policy.
Provide and document history, physical examinations, required or recommended laboratory and imaging examinations and diagnoses. Ensure all information is entered in the patients' medical records. These procedures should normally be completed prior to the performance of any treatment. However, when it is deemed necessary to save life, limb, or vision through emergency treatment, the above procedures shall be accomplished as soon as possible after treatment.
Submit prepared documents within 24 hours.
Act as a consultant to the Emergency Department, Pediatric Clinic, Multi-Service Ward pediatric patients, and Newborn Services.
Qualifications
Advanced Practitioner shall maintain a valid, current, full and unrestricted license to practice in any state within the United States, District of Columbia or the Common-Wealth of Puerto Rico, throughout the term of this contract (with no limitations, disciplinary actions, etc)
Master's degree in nursing. Graduate from an academic program, within the nursing specialty field of study that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE). Certified in the specialty required as a Nurse Practitioner by the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners (AANP) or the recognized national nursing certification organization for the specialty area of practice as appropriate (for example, National Certification Board of Pediatric Nurse Practitioners and Nurses, American Nurses Association, National Certification Corporation for the Obstetric, Gynecologic and Neonatal Specialties)
NCC - Board Certified or Board Eligible Neonatal Nurse Practitioner in good standing
NRP - Neonatal Resuscitation Program; Basic Life Support (BLS); Pediatric Adv Life Support (PALS)
Working Hours
On-Call/Call Back Service. On-call services are required. Carrying a command duty phone shall qualify as being on-call. Call-back service is defined as actual patient care performed in the hospital when the Contractor is called back to provide care at the MTF. The Contractor is required to perform on-call services on a rotating basis with government military participating in the NSU On-call schedule during hours other than routine duty hours, Monday through Friday, including weekends, legal federal holidays, and locally declared training holidays scheduled by the Department Head of Pediatrics or Government designee. When the Contractor is on-call, he or she is required to carry the government furnished duty phone. The Contractor is not required to remain at a place of residence while on-call but shall respond telephonically within 10 minutes of a call or text being sent and shall be prepared to provide telephone consultation and/or return to the MTF to provide on-site assistance within 30 minutes of notification. The on-call/call back duty services may include but not limited to inpatient or emergency room consultation, emergent simulation and treatment. Shall provide a secondary telephone number that is available 24-hours a day.
Skills