Neonatal nurse practitioners (NNPs) are advanced practice registered nurses (APRNs) who are responsible for providing primary, acute, chronic, and critical care to ill neonates, infants, and toddlers under the age of two in the neonatal intensive care unit (NICU). These nurses have undergone graduate-degree training in nursing at either the master's or doctoral level, and are board-certified in neonatology. Commonly encountered medical issues that NNPs must be able to deal with in a clinically effective manner include congenital heart abnormalities, prematurity, infections, respiratory problems, low birth weights, and more. In this specialty, advanced skills in physical and psychosocial assessments of newborns are an absolute must. Although NNPs technically work under the instruction of a neonatologist M.D. or fellow, they do hold what's known as ‘prescriptive authority' which allows them to prescribe medications to their patients.
Although the specific duties that NNPs are tasked with will vary depending on the level of neonatal care they're working in, some duties that are common include:
NNPs can typically be found working in the following settings:
Entering a career that's as highly regarded as that of a neonatal nurse practitioner is certainly attainable, although it requires a lot of education. For those who are secure in their conviction of wanting to become an NNP, a graduate degree is required, along with some clinical experience in neonatology. RNs can choose to become nurse practitioners (NPs) or clinical nurse specialists (CNS) - both of which are perfectly acceptable for advanced practice licensure and national certification in the NNP field.
To become a critical care nurse, the following educational requirements must be met:
*Advanced programs should contain core curricula in neonatal physiology, embryology, and advanced neonatal assessment, among others. Prior to enrolling in a graduate-level program, make sure the program meets the requirements for certification via the National Certification Corporation.
Not only do NNPs need to hold active and unrestricted RN licenses, but they're also required to possess graduate degrees in nursing science (MSN, DNP, etc.) and have board certifications in neonatology.
Following the completion of a graduate or post-graduate education program, prospective neonatal nurse practitioners can acquire national certification - the certification that's required by most states for NNP licensure - through the National Certification Corporation.
Before an RN pursues a particular certification, it's wise to first consult with the state's board of nursing to see which neonatal nurse practitioner specializations it acknowledges.
The following certifications for NNPs are offered by National Certification Corporation:
Core Certifications (RNCs):
To be eligible for any of the above core neonatal nursing certifications, individuals we need to have met the following requirements prior to applying:
Nurse Practitioner Certification:
To be eligible for the neonatal nurse practitioner certification, individuals need to have met the following requirements prior to applying:
The millennial generation - a population totaling 76 million people - has now reached the age where they will begin to get married and have children. For this reason, we can expect more childbirths in the coming years, and with that an increased demand for neonatal nurse practitioners.
According to PayScale.com, the average annual salary for neonatal nurse practitioners is approximately $98,312. Factors that will contribute to the earning potential of an NNP include things like the geographical location of employment, type of employer, certifications/credentials held, level of education, and experience. In addition to this, NNPs receive employee benefits packages which are likely to include extensive medical insurance, retirement plans, and annual paid time off - usually two to four weeks.