Registered Nurse (RN) – Level III NICU

Position Overview

We are seeking an experienced Registered Nurse (RN) for a Level III Neonatal Intensive Care Unit (NICU). This specialized unit provides comprehensive care for critically ill and premature newborns who require advanced respiratory support, intensive monitoring, medication management, and complex neonatal interventions. The NICU serves a diverse urban population from a wide range of cultural and socioeconomic backgrounds.

Unit Information

• Specialty: Neonatal Intensive Care Unit (NICU)
• NICU Level: Level III
• EHR: Epic
• Unit Size: 41-bed NICU consisting of single, double, and triple occupancy rooms
• Scrub Color: Royal Blue
• Ancillary Support: Patient Care Technicians
• Float Requirement: Well Baby Nursery
• Call Requirement: None

Scheduling Requirements

• Weekend Requirement: Preferred but not required
• Holiday Requirement: Yes; approximately 1-2 weekends per month, based on unit staffing needs

Nurse-to-Patient Ratios

• 1:1 for critically ill or unstable neonates
• 1:2 for higher-acuity patients
• 1:3 for lower-acuity assignments

Clinical Responsibilities

The RN is responsible for providing comprehensive nursing care to neonatal patients and their families, including:

• Assessment, planning, implementation, and evaluation of patient care
• Continuous monitoring of critically ill and premature infants
• Participation in high-risk deliveries and neonatal stabilization
• Administration of medications, blood products, and specialized therapies
• Management of advanced respiratory support equipment
• Care and maintenance of invasive lines and feeding devices
• Family education and support throughout hospitalization
• Accurate documentation within Epic
• Collaboration with physicians, respiratory therapists, and multidisciplinary teams to achieve optimal outcomes

Respiratory & Airway Management Experience

Candidates should be experienced with neonatal patients requiring:

• Conventional mechanical ventilation
• High-frequency jet ventilation (HFJV)
• High-frequency oscillatory ventilation (HFOV)
• Oscillator ventilators
• CPAP/BiPAP
• High-flow nasal cannula
• Inhaled nitric oxide therapy
• Breathing treatments
• Chest tube setup and management
• Procedural sedation support

Vascular Access & Equipment

Experience with the following is preferred:

• PICC lines
• Central lines
• Feeding tubes
• Syringe pumps

Medication Administration Experience

Experience administering and monitoring:

• Titrated Medications
• Dopamine
• Insulin

Additional Therapies

• Blood and blood product administration
• Stable insulin infusions

Critical Care Experience

Candidates should demonstrate experience in:

• Neonatal critical care nursing
• Management of unstable premature infants
• Advanced respiratory support modalities
• Emergency neonatal interventions
• Attendance at high-risk deliveries

Qualifications

• Active RN license
• Minimum 2 years of NICU experience

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