As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own. 

Located in Orlando, Fla., Nemours Children’s Hospital is the newest addition to the Nemours integrated healthcare system. Our 100-bed pediatric hospital also features the area’s only 24-hour Emergency Department designed just for kids as well as outpatient pediatric clinics including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children’s Hospital blends the healing power of nature with the latest in healthcare innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve, we also provide specialty outpatient care in several clinics located throughout the region

Patient Care Management

• Manages and provides care for the patient requiring neonatal intensive care utilizing collaborative consultation with team members, under the direction and supervision (direct and indirect) of an attending neonatologist.
• Performs a complete newborn physical examination and assessment of gestational age, discriminating between normal and abnormal findings.
• Conducts parent interviews and takes family history.
• Collaborates with neonatologists concerning pertinent historical events, physical findings, diagnostic and therapeutic measures initiated on all admissions.
• Orders appropriate laboratory tests and procedures.
• Performs diagnostic and therapeutic procedures necessary and appropriate for the care of the patient. Procedures carried out by the NNP may include:
• Insertion of intravenous catheters
• Insertion of umbilical artery and vein catheters
• Insertion of percutaneous arterial lines
• Insertion of PICC lines
• Artery puncture
• Lumbar puncture
• Venipuncture
• Ordering daily fluids and medications
• Suprapubic bladder tap/bladder catheterization
• Laryngoscopy and tracheal suctioning Interpretation of routine lab studies
• Interpretation of neonatal radiographs
• Abdominal paracentesis (with physician assistance)
• Remove sutures, arterial catheters, central catheters, and chest tubes
• Pass nasojejunal tube (with radiology assistance)
• Nasotracheal intubation
• Endotracheal intubation
• Ventilator management
• Thoracentesis (needle decompression of pneumothorax)
• Chest Tube Placement (with physician assistance)
• Pericardiocentesis
• Exchange transfusion
• Newborn hearing screening
• Order vasoactive drug(s) infusion(s)
• Advanced cardiopulmonary resuscitation of neonates, including drug therapy.
• Reviews and provides general care items involved in neonatal care, such as temperature stabilization, hyperalimentation therapy, feeding management, and phototherapy.
• Participates in daily rounds in NICU
• Intervenes appropriately to assist in meeting the emotional needs of the families
• Collaborates with attending physician, social worker, nursing staff, and other health care members in planning follow-up care
• Actively participates in counseling and educating parents and family members
• Facilitates the transfer of patients to/from other hospitals
• Attends transport of critically-ill infants to/from referring hospitals, to include ground, helicopter and fixed-wing modes of transport.  Necessity of attendance to be determined by attending neonatologist                               
• Fosters a spirit of inquiry, identifies nursing problems, and participates in research endeavors
• Disseminates nursing research findings and incorporates these findings into nursing practices for patient care within the specialty area

Verifies that the quality of care is documented in the medical records

• Elicits, records and interprets the past medical, psychosocial and obstetrical history of the neonate’s family.
• Documents total plan for delivery of care, writes orders for accomplishing that plan and implements the plan personally or through collaboration with medical and nursing staff. Orders will be co-signed by a neonatologist or attending physician according to facility medical staff bylaws and regulation
• Evaluates and revises plan of care on an ongoing basis and reviews revisions with Neonatologist
• Assists with discharge planning/teaching. Assists with completion of discharge summary
• Participates in quality assurance and improvement programs and works with department management to improve the services provided

Position Requirements

• Master's degree is required; Graduate of an accredited Neonatal Nurse Practitioner program 
• Active Florida Advanced  Registered Nurse Practitioner or Physician Assistant Licensure Required                  
• National Certification via NCC, BLS and NRP Certification required upon hire
• Neonatal Nurse Practitioner experience preferred

Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.