Locum Neonatal APP Nurse Practitioner, Physician Assistant

**Shifts:** Two options available: 07:00-19:00 or 19:00-07:00.

**Shift Requirement:** A minimum of 3-5 shifts per month per candidate is expected.

**Unit Details:** - **Capacity:** 25-30 bed unit, including 5 designated for newborn/intermediate care.

• **Patient Focus:** Primarily on premature births and standard care; the unit utilizes oscillators but does not provide ECMO services. - **Transfers:** Complex cases are predominantly transferred to OHSU.

**Census Stats:** - Average daily census stands at 18.5 patients.

• Acuity Levels: 65% at Level II, 35% at Level III, and fewer than 10% at Level IV acuity. - Annually, the NICU admits around 500 patients, with 135 being external transfers.

**Transport Services:** - The unit offers transport services where respiratory therapists (RT) and NICU nurses accompany patients. - For night transports, an on-call physician can be summoned to cover the hospital.

• Future plans entail having a Neonatal Nurse Practitioner (NNP) and RT on the transport team, replacing the current

Neonatal Nurse position.

**MD Coverage:** - Resident MDs are present from 07:00 to 16:00, followed by an offsite night call system.

• NNPs provide 24/7 in-house coverage, with shifts from 07:00-19:00 and 19:00-07:00. - There is no residency program in place at this facility.
• MDs conduct histories and physicals as well as intake processes; however, NNPs are expected to operate with a significant degree of autonomy thereafter.
• NNPs must be proficient in PIC line placements.

**RT Coverage:** - RTs are available 24/7, with cross-training protocols established for night coverage in pediatrics, women’s health, and children’s services; only those cross-trained are present overnight.

**Systems:** - EMR is managed through EPIC.

**Travel Arrangement:** - Full travel accommodations are covered, including airfare, hotel, and rental vehicles.