OverviewThe NICU RN will provide specialized care to critically ill newborns, including infants requiring advanced respiratory support and specialized monitoring. Responsibilities include comprehensive patient assessment, development and implementation of individualized care plans, medication and IV therapy, blood and blood product administration, neonatal catheter care, feeding and hygiene, and operation of specialized equipment such as ventilators, CPAP/SiPAP systems, oxygen delivery systems, infusion pumps, and hypothermic units.
The RN must be able to recognize changes in an infant's condition and respond quickly to emergency and neonatal resuscitation situations. NICU nurses may participate on the Neonatal Resuscitation Team, attend high-risk deliveries, and initiate neonatal resuscitative measures as directed. The position also requires collaboration with physicians and other healthcare professionals, patient/family education, breastfeeding support, and participation in quality improvement and research activities.
This role requires a dependable nursing professional who can meet government qualification, credentialing, security, and onboarding requirements while working under a personal services arrangement. The ideal candidate will have recent NICU nursing experience, a current unrestricted RN license, strong clinical judgment, and the ability to independently manage the complex needs of critically ill neonates in a high-acuity environment.
- Duty Location: Madigan Army Medical Center, Joint Base Lewis McChord, Tacoma, WA 98431. No Telework allowed.
- Duty Hours:
- Day Shift Duty Hours: 0700 - 1930; 0700 – 1730; 0700-1530; 0900-1930, 1100-1930; 0600-1630; 0900-1730; 0900-2130; 1100-2130;1200-2030; 0800-1630; 0830-1700; 0900-1730; 0930-1800; 1030-1900; 0530-1800
- Evening Shift Duty Hours: 1100-2330; 1500-2330; 1500-0330; 1000-2230; 1200-0030;1500-0330; 1300-2330; 1300-2130; 1700-2330
- Night Shift Duty Hours: 1900-0330; 1900-0730; 2300-0730; 2100-0730
- 4-hour shifts may be implemented into the duty hours if needed by the unit.
Essential Functions and Job Responsibilities
- Provide age-specific critical care to critically ill neonatal patients throughout the assigned shift.
- Assess, plan, implement, and evaluate individualized neonatal nursing care plans.
- Perform physical assessments and health histories while monitoring changes in condition.
- Manage infants requiring ventilators, oscillators, iNO, CPAP, SiPAP, nasal cannula, and tracheostomy support.
- Monitor IV fluids, blood and blood products, including rates, volumes, and insertion sites.
- Perform neonatal catheter care and identify and correct potential complications.
- Administer medications safely through various routes, including IV, IM, SQ, oral, and topical.
- Provide routine infant care, including positioning, transportation, hygiene, feeding, and NG/OG/G-tube care.
- Support and educate breastfeeding mothers to promote appropriate infant nutrition.
- Set up and operate specialized equipment, including ventilators, oxygen delivery systems, suction/drainage devices, hypothermic units, and infusion pumps.
- Recognize adverse signs and symptoms and respond appropriately to emergencies and neonatal resuscitation situations.
- Serve as a resource to other critical care nurses and healthcare professionals when complex neonatal care issues arise.
- Participate on the Neonatal Resuscitation Team, including attending high-risk deliveries and initiating neonatal resuscitative measures as directed.
- Collaborate with physicians and other healthcare professionals to ensure quality, safe, and cost-effective patient care.
- Maintain compliance with MTF policies, procedures, standards of care, and scope of practice.
- Participate in quality improvement, research, patient/family education, referrals, and coordination of specialty care.
Minimum Requirements
- Experience: Minimum one year experience within the last two years as a registered nurse assistant working in a Neonatal Intensive Care Unit (NICU).
- Legal Authorization to Work in the United States: The contract worker performing under this contract must be a U.S. Citizen.
- Licensure: Current, full, active and unrestricted license as a registered nurse.
- Certification(s):
- Neonatal Resuscitation Program (NRP) certification.
- Basic Life Support (BLS) from the American Heart Association or the American Red Cross. Certification cards must display the American Heart Association or the American Red Cross. Web-based (on-line) classes are not acceptable by the Government.
- Degree/Education: Minimum of Associate’s degree in nursing. The school must be accredited by the Accreditation Commission for Education in Nursing (ACEN) and/or the Commission on Collegiate Nursing Education (CCNE). For education outside the United States, only the Commission on Graduates of Foreign Nursing School reports are accepted (CGFNS), for overseas degree verification.
Physical Demands
- Must pass TB Test
- Subject to a background/security investigation
- Willingness to comply with DHA vaccination requirements
- Pre-employment drug screening
- Contract workers shall maintain good personal hygiene and present a well-groomed and professional appearance IAW the policy at the place of performance.
Company Benefits
PSI offers full-time, benefits eligible employees a competitive total compensation package that includes paid leave, and options for employer sponsored group medical, dental, vision, short-term and long-term disability, life insurance, AD&D coverage, legal services, identity theft, and accident insurance. Flexible spending account and health saving account options offer pre-tax savings for qualified medical, dental, and vision expenses. The company sponsored 401(k) retirement plan has an employer contribution match that is immediately vested. We invest in the professional growth of our employees through professional courses, certifications, and tuition reimbursement programs.