Independently completes thorough evaluations of term and premature newborns primarily in the NICU Level IV tertiary care referral center. Develops and implements informed management plans encompassing complicated and atypical diagnoses, with the ability to modify plans as necessary. Anticipates and triages urgent and emergent issues. Collaborates care and facilitates communication with the supervising physician and the inter-professional team. Coordinates recommendations to optimize patient care and foster collaborative practice. Incorporates a broader organization awareness into decision-making and interpersonal relationships. Medical knowledge Clinical knowledge . Integrates a breadth of medical knowledge that includes complicated and atypical conditions to guide patient care, incorporating evidence-based practice and current literature to support care. Diagnostic Evaluation . Prioritizes and optimizes evaluation based on risks, benefits, indications, and alternatives to clarify the diagnosis(es). Interprets clinical significance of diagnostic study results while considering study limitations. Patient History. Gathers, filters, prioritizes, and synthesizes patient history to develop a differential diagnosis in real-time for complicated or atypical presentations in addition to the uncomplicated or typical. Patient care Clinical reasoning . Integrates clinical facts (e.g., history, exam, tests, consultations, etc.) into a unifying diagnosis(es); reappraises in real time to avoid diagnostic error. Organize and prioritize patient care . Organizes, prioritizes, and collaborates with others on patient care responsibilities even when patient volume approaches the capacity of the individual or facility; anticipates and triages urgent and emergent issues. Patient management . Develops and implements informed management plans for complicated and atypical diagnoses, in addition to common and typical diagnoses, with the ability to modify plans as necessary. Delivery room. Attends deliveries independently. Procedures as defined by clinical department. Applies full competency in core procedures. May assist in mentoring less experienced APPs in the performance of procedures. Please reference the “APP Procedures Listing” for those relevant to the Medical Specialty. Interpersonal and Communication Patient and family centered communication . Establishes a culturally competent and therapeutic relationship in straightforward and complex encounters with patients/families, including those with ambiguity and/or conflict. Elicits patient/family values and incorporates awareness of these in communications with patient/family and in patient care. Uses shared decision making with patient/family to make a personalized care plan. Interpersonal and team communication . Facilitates and maintains communication with supervising physician and inter-professional team. Coordinates recommendations to optimize patient care and foster collaborative practice. Communication within Health Care System . Concisely documents updated, prioritized, diagnostic and therapeutic reasoning, including anticipatory (preventive) guidance, in the patient record. Applies increased ability to identify areas for preventive counseling. Aligns type of communication with message to be delivered (e.g., direct and indirect) based on urgency and complexity. Practice–based learning and improvement Evidence-based and informed practice . Critically appraises data and applies evidence, even in the face of uncertainty and conflicting evidence, to guide care tailored to the individual patient, including integrating patient preference. Contributes to evidence-based practice based on program needs. Reflective practice and commitment to personal growth . Proactively seeks feedback. Designs and implements a learning plan, incorporating feedback and performance data. Professionalism Models professional behavior and maintains composure in all circumstances. Proactively seeks guidance in new or unusually difficult circumstances. Constructively highlights to lead/manager concerns that impact the cohesiveness and well-being of the team. Proactively presents viable solutions for discussion. System-based practice Sys tem navigation for patient centered care-coordination of care. Coordinates inter-professional patient-centered care among different disciplines and specialties actively assisting families in navigating the health care system. Population and community health . Adapts practice to provide for the needs of and reduce health disparities of a specific patient population. Organizational View . Considers divisional impact of own decisions, especially in relation to improving patient care, systems and processes, and the overall culture and well-being of the organization. Constructively and proactively addresses considerations of others related to the same. Minimum Education and Experience Required Minimum education (degree/type of degree). Advanced Practice Nurse Practitioner: Graduate degree in nursing accredited by one of the national certifying bodies in nursing. (Or, on or before December 31, 2004, completion of an advanced nurse practitioner program recognized by a national certifying body for certification as a nurse practitioner.) Or… Physician Assistant: Graduation from a physician assistant program accredited, at the time of graduation, by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). Minimum experience (minimum years & type of experience): At least 5 years of neonatal APP experience. Preferred education & experience: n/a License and/or Certification Required: At time of hire and maintenance at time of appointment or privilege approval: Provider licensing: Current Neonatal Nurse Practitioner licensure in the State of Connecticut. OR… Certified by the National Commission on Certification of Physician Assistants, Inc. (NCCPA). Current Physician Assistant licensure in the State of Connecticut. Neonatal Resuscitation Provider (NRP) certification required within 3 months of hire. Additionally: Depending on privileges for role, federal DEA and CT controlled substance registration may be required. Please reference the document: “APP: Certifications by Specialty.” Knowledge, Skills, and Abilities Medical knowledge and procedures: A breadth of medical knowledge sufficient to independently develop a differential diagnosis and management plan for a range of presentations – through uncommon or atypical presentations and/or where clinical evidence is not straightforward. Ability to evaluate patient outcomes and implement new procedures and policies, as needed. Fully competent in performing the core procedures of the department. Communication: Exemplary written and verbal communication skills with the ability to modify communication strategy/method for the audience and circumstance. Highly organized in the presentation of essential information. Ability to tactfully and proactively address concerns and propose solutions. Interpersonal: Ability to maintain composure in complex and stressful situations and in the midst of ambiguity or uncertainty. Skilled at effectively and proactively engaging patients/families in developing a care plan. Ability to facilitate and coordinate care across all levels of professionals and specialties. Professionalism, Organizational view: Understands and demonstrates in one’s decision-making and interrelationships a sensitivity to the considerations of the broader team
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Works under the supervision of the Nurse Manager/Clinical Coordinator. The Registered Nurse (RN) assesses, plans, implements, evaluates and supervises individual patient care on a nursing unit/department according to unit policies and procedures. Provides supervision of non-RN personnel on the assigned unit. When assuming the charge role, delegates and supervises unit activities. May be requires to work on other nursing units according to distribution of staff and patients. Performs other duties as assigned or requested in order to maintain a high level of service. EEO/AA/Disability/Veteran Responsibilities 1. Assesses the patient's physical and psychosocial condition on an ongoing basis throughout the continuum of care. 2. Develops, communicates and documents a plan of care reflecting individualized patient problems and interventions to achieve desired outcomes, involving the patient, family and healthcare team in this process. 3. Implements and coordinates this plan of care in collaboration with the healthcare team. 4. Evaluates the effectiveness of the plan of care, patient's response to care, and readiness for discharge. Revises the plan of care as needed and makes referrals where indicated. 5. Plans for education after assessing the individual learning needs and readiness of the patient and family. Provides educational opportunities and documents outcomes. 6. Functions as a preceptor to new staff. 7. Functions as a charge nurse. 8. Meets performance expectations for Customer Service, Teamwork, Resource Utilization, and Staff and Self Development as outlined in performance review. 9. Performs other duties as assigned or directed to ensure smooth operation of the department/unit. 10. Demonstrates competency in insertion and maintenance of neonatal peripheral intravenous lines, obtaining neonatal lab samples and maintenance of central intravenous lines. 11. Demonstrates competency in management of neonates requiring respiratory system support, e.g. suctioning, chest PT. 12. Demonstrates competency in initial care and stabilization of neonates at high-risk deliveries 13. Demonstrates competency when functioning as RN for neonatal transport. 14. Incorporates principles of developmentally supportive and family centered care. 15. Supports breast feeding in the NICU through assistance, instruction and collaboration with Lactation Consultant when indicated. Qualifications EDUCATION Graduate of an accredited school of nursing; BSN Preferred. Proficient in use of computer software to include electronic patient records. Must have ability to use internet for literature searches regarding care for patients. EXPERIENCE Recent level 2 or 3 experience preferred LICENSURE Valid State of Connecticut Registered Nurse license SPECIAL SKILLS BLS required. NRP required within six months of hire. NICU Certification required within two years after completion of orientation. For those employed as of edit date, NICU certification required by 4/1/17. YNHHS Requisition ID 183073
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Unit Policies And Procedures. Provides Supervision Of Non-Rn Personnel On The Assigned Unit. When Assuming The Charge Role, Delegates And Supervises Unit Activities. May Be Requires To Work On Other Nursing Units According To Distribution Of Staff And Patients. Performs Other Duties As Assigned Or Requested In Order To Maintain A High Level Of Service. EEO/AA/Disability/Veteran Responsibilities Assesses The Patient’s Physical And Psychosocial Condition On An Ongoing Basis Throughout The Continuum Of Care. Develops, Communicates And Documents A Plan Of Care Reflecting Individualized Patient Problems And Interventions To Achieve Desired Outcomes, Involving The Patient, Family And Healthcare Team In This Process. Implements And Coordinates This Plan Of Care In Collaboration With The Healthcare Team. Evaluates The Effectiveness Of The Plan Of Care, Patient?S Response To Care, And Readiness For Discharge. Revises The Plan Of Care As Needed And Makes Referrals Where Indicated. Plans For Education After Assessing The Individual Learning Needs And Readiness Of The Patient And Family. Provides Educational Opportunities And Documents Outcomes. Functions As A Preceptor To New Staff. Functions As A Charge Nurse. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other Duties As Assigned Or Directed To Ensure Smooth Operation Of The Department/Unit. Demonstrates Competency In The Care Of The Neuro Patient Demonstrates Skill And Knowledge In Neuro Assessment Demonstrates Skill And Knowledge In The Airway Management Of The Neuro Patient Demonstrates Skill And Understanding In Caring For A Trached Patient Demonstrates Skill And Understanding In Assisting The Physician And Caring For The Patient During Special Neuro Procedures Demonstrates Knowledge And Understanding Of Our 'Tia' Teaching Program Performs Pharynaeal, Endotracheal, Tracheostomy Suctioning According To Established Policy And Procedure: Pharynaeal, Endotracheal, Tracheastomy Demonstrates Skill And Understanding In The Use Of Equipment And Care Of Patient In A Halo Brace Demonstrates Skill And Understanding Of Nursing Responsibilities And Interventions For The Patient On A Ventilator Qualifications EDUCATION Graduate Of An Accredited School Of Nursing; BSN Preferred. Proficient In Use Of Computer Software To Include Electronic Patient Records. Must Have Ability To Use Internet For Literature Searches Regarding Care For Patients. EXPERIENCE 1 Year Acute RN experience required. NNICU experience preferred. LICENSURE Valid State Of Connecticut Registered Nurse License SPECIAL SKILLS BLS Required Position Overview November 3, 2025 Cohort Start Date.
Work Location Orange, California Work Shift Night – 12hrs (United States of America) Why CHOC? At CHOC, we strive to be the leading destination of children’s health by providing exceptional and innovative care. We are responsible for the overall health of our community’s pediatric population in our hospitals, clinics, and practices. And because of our breadth of care, your career at CHOC can be as diverse and fulfilling as you determine. CHOC’s compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals. Apply now to see where your career at CHOC can take you. Environmental Sustainability Statement Driven by the connection between children's health and a healthy environment, we commit to creating a healthcare model that incorporates environmental sustainability aligned with our mission to protect children's health and patient safety. Job Summary Are you interested in joining CHOC’s mighty brigade of nurses in our small baby unit? This is a unit that specializes in premature babies born at 28 weeks or less. In addition to nurturing a meaningful career for nurses, CHOC also offers an excellent salary and benefits package including an education reimbursement program (up to $10,000 per year). Pay Range Minimum $56.96 Midpoint $74.05 Maximum $91.14 Rate of pay is determined by various factors, including but not limited to knowledge, skills, competencies, experience, education, as well as position requirements. Why join our Mighty Brigade? · Magnet recognized nursing team · Career enrichment including a clinical ladder program · We’re consistently growing offering new programs and services · Personal fulfillment in a supportive, team-focused environment · Highly competitive salary levels and benefits · Generous night shift differential · Free parking for employees NICU RN Qualifications · Registered Nurse-California · Ped. Advanced Life Support · Basic Life Support · NRP · 1 year of nursing experience in a level III or IV NICU (preferably within the last 3 years) · Bachelor's of Science in Nursing from an accredited school within 2 years of hire · RNC-NIC certified (preferred) Work Environments - Functional Demand: Light - Moderate energy level Lift and carry 25-35 lbs. Push/pull 50-100 lbs. (ie. empty bed, stretcher). Physical Activity Requirements: Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation Physical Activity Lifting Lifting (Floor to waist level) - Constant 67 or more%, Lifting (Floor to waist level) - Frequent 36-66%, Lifting (Floor to waist level) - Occasional 0-35%, Lifting (Waist level and above) - Constant 67 or more%, Lifting (Waist level and above) - Frequent 36-66%, Lifting (Waist level and above) - Occasional 0-35% Sensory Requirements: Color Discrimination, Depth Perception, Far Vision, Hearing, Near Vision Environment Requirements: Airborn Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations Non-Discrimination Statement: CHOC does not discriminate on the basis of age, race, color, religion, national origin, ancestry, marital status, genetic information, disability, sex, gender (including pregnancy, breastfeeding, childbirth, lactation or related medical conditions), gender identity or expression, medical condition, sexual orientation, veteran status, military or uniformed service member status, or other protected characteristics in accordance with state and federal laws. CHOC will consider for employment qualified applicants with criminal histories, in accordance with the Fair Chance Initiative for Hiring. We encourage individuals from all backgrounds to apply for positions at CHOC, even if your experience doesn’t align perfectly with the listed qualifications for a particular role, as your unique experience may be a great addition to our culture for another one of our opportunities. If you desire support or accommodations throughout the Talent Acquisition process, please inform your Talent Acquisition Partner.
