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Job Summary:

Provides direct patient care including assessment, diagnosis, treatment and technical procedures to a group of normal-to-high risk infants. Manages neonatal caseload with physician consultation and collaboration. Serves as patient and family advocate in identifying healthcare needs and actions for neonatal cases. Coordinates pre- and post-operative care activities for normal-to-high risk infants. Supports neonatal units during crisis situations. Utilizes planning, implementation, and evaluation in formulating neonatal diagnosis and intervention.

Essential Responsibilities:

• Interprets antenatal/perinatal health history. Assesses gestational age.

• Performs resuscitation of newborns in delivery room and in Neonatal Units with use of bag and mask, laryngoscopy, endotracheal intubation, cardiac compressions, intravenous access and emergency medications.

• Performs physical exams and evaluations on infants in the Delivery, Neonatal and Mother-Baby Units.

• Performs specialized procedures on high-risk infants to include umbilical artery and vein catheterization, endotracheal intubation, suprapubic bladder tap, lumbar puncture, peripheral central venous catheterization, peripheral artery catheterization, needle aspiration of pneumothorax, sepsis work-ups and other procedures following clinical competencies for advanced practice.

• Orders/interprets lab tests, radiographs and routine diagnostics to include routine Newborn Screening, head ultrasounds, ophthalmic retinal, and outpatient evaluation.

• Prescribes phototherapy, antimicrobial therapy and enteral/parenteral nutrition and supplements.

• Makes rounds on designated patients. Evaluates care and progress. Develops plan and writes orders.

• Documents admission history and physicals, resuscitations, assessments, procedures, progress notes and discharge summaries.

• Collaborates with attending MD regarding treatment plan of assigned infants.

• Develops, implements, reviews and revises standards/procedures/protocols for Neonatal Care. Develops practice guidelines that reflect current research, trends, and technology in the Neonatal Units.

• Keeps current with standards/issues/implications for advanced practice nursing. Provides educational programs for staff to support QI activities. Participates in Perinatal Quality Management Program.

• Serves as clinical resource to staff. Identifies learning needs of staff. Implements formal and informal educational programs. Maintains current knowledge and skills to the Neonatal area.

• Utilizes cost effective resources.

• Provides input to Hospital/Regional Committees for planning, policy development, patient care and quality improvement issues and activities.

• May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.

• Provides direct patient care on an as needed basis. Provides services that are within scope of license and in compliance with all legal, regulatory, and policy requirements relevant to clinical role performed.

• Incorporates the KP Nursing Vision, Model and Values through out their Nursing Practice.

Job Summary:

Provides variety of ambulatory behavioral health services including evaluation, diagnosis, treatment planning, case management and psychotherapeutic intervention to individuals, families, groups and/or Intensive Outpatient Programs.

Essential Responsibilities:

• Interviews member and evaluates their psychological and mental status. Utilizes the latest Diagnostic and Statistical Manual of Mental Disorders (DSM) to diagnose patients. Determines if member is in crisis, at-risk, or suicidal/homicidal. Refers members in need of immediate or urgent care to appropriate level of services.

• Provides psychotherapy and counseling for individuals, families, groups and/or Intensive Outpatient Programs. Utilizes a wide range of latest evidence based interventions and modalities. Provides services such as crisis intervention, brief therapy, cognitive and behavioral therapies, skills training, supportive therapy, stress management, and family therapy.

• Assesses urgent or high-risk clinical situations and makes appropriate interventions. Coordinates referral of patient to psychiatrist or other clinician. Assists with admission to hospital or other specialized facilities. Plans and provides  services in the appropriate level of care. Assesses needs for  mental health treatment and makes appropriate referrals as needed.

• Plans, develops, implements, and leads therapeutic and educational groups to address needs of patient. Evaluates outcomes and effects of treatment for patients and programs.

• Researches, collects and records data and information relating to diagnosis. Formulates evidence based treatment interventions and approaches for identified diagnosis. Assists in establishing clinical best practices and guidelines for delivery of service.

• Assists and empowers patients to participate in their treatment plan. Engages patients in therapeutic relationship. Educates patients regarding mental health services. Makes recommendations and referrals for patients to obtain information, support, services and assistance they may need from Kaiser or community resources related to their behavioral health needs.

• Collaborates and consults with physicians and other interdisciplinary clinical team members to support assessments and decision making. Reviews difficult cases or quality assurance concern with clinical team. Acts as consultant to team members and others in organization.

• Acts as liaison between behavioral health services and primary care, emergency department and other outpatient clinics.

• Maintains high level of clinical expertise. Is knowledgeable of current clinical conditions, methods, medications, theoretical frameworks and interventions. Utilizes best practices in delivery of behavioral health services in accordance with professional and clinical guidelines established by professional bodies. Understands rationale and theory for interventions. Utilizes evidence based interventions and modalities with sound theoretical base, which are clinically feasible and have demonstrated clinical effectiveness.

• Maintaining clinical records by documenting clinical assessments, treatment plans, interventions and all pertinent information in patient medical record according to Regional and departmental guidelines.

• Provides and arranges for psychological testing for Integrated Behavioral Health Services when appropriate. Develops and conducts specialized treatment programs and services.

• Participates in clinical team meetings, departmental planning and quality management activities.

• Supervises and mentors residents and intern students as assigned.

• Assesses patients in Emergency Departments on after hours and as needed basis in service areas where Kaiser Permanente has privileges to provide mental health assessments and crisis intervention.

• Other clinical duties as assigned.