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The Neonatal Nurse Practitioner

The Neonatal Nurse Practitioner Abstract The development of a neonatal nurse practitioner can be accomplished, using a nursery nurse as the beginning student. Twenty-four hours of crib-side teaching and approximately two months of practical experience were necessary to achieve our stated objectives. Through a discussion of the problems encountered as well as benefits and satisfactions of the program, we hope to encourage other pediatricians to develop similar programs. References 1. Casterline RS (ed): Nurse Clinician and Physician's Assistant: The Relationship Between Two Emerging Practitioner Concepts . The National Commission for the Study of Nursing and Nursing Education, 1971. 2. Nurses trained to give neonatal intensive care . Stethoscope 22:3, 1967. 3. A nurse by any other name... . Medical World News Jan 14, 1972, p 73. 4. Andrews P, Yankauer A: The pediatric nurse practitioner: II. Examining the role . Am J Nurs 71:507-508, 1971.Crossref 5. Kibrick A: Why collegiate programs for nurses? N Engl J Med 278:765-772, 1968.Crossref 6. Shannon FL: Parental acceptance of delegated pediatric services . Pediatrics 41:1003-1004, 1968. 7. Desmond MM, Rudolph AJ, Phitaksphraiwan P: The transitional care nursery: A mechanism for preventive medicine in the newborn . Pediatr Clin North Am 13:651-668, 1966. 8. Lees JH: Cyanosis of the newborn . J Pediatr 77:484-498, 1970.Crossref 9. Oski FA, Naiman JL: Hematologic Problems in Newborn , ed 2. Philadelphia, WB Saunders Co, 1972, p 54. 10. Lubchenco LO, Brazie JV: Current Pediatric Diagnosis and Treatment . Los Altos, Calif, Lange Medical Publications, 1970, pp 61-67. 11. Barnett HL, Einhorn AH: Pediatrics , ed 14. New York, Appleton-Century-Crofts Inc, 1968, p 66. 12. Silverman WA, Anderson DH: A controlled clinical trial of water mist on obstructive respiratory signs, death rate and necropsy findings among premature infants . Pediatrics 17:1-10, 1956. 13. Harrison VC, Heese HdeV, Klein M: The significance of grunting in hyaline membrane disease . Pediatrics 41:549-559, 1968. 14. Shapiro LR, Hsu LYF, Hirschhorn K: Extra posterior cervical skin: A possible sign of chromosomal aberration in infancy . J Pediatr 77:690-691, 1970.Crossref 15. Eller E, et al: Prognosis in newborn infants with X chromosomal abnormalities . Pediatrics 47:681-688, 1971. 16. Solomon LM, Esterly NB: Neonatal dermatology . J Pediatr 77:888-894, 1075-1088, 1970.Crossref 17. Illingworth RS: Common Symptoms of Disease in Children , ed 3. Oxford, England, Blackwell Scientific Publications, 1971, p 292. 18. Froehlich LA, Fujikura T: Significance of single umbilical artery: Report from collaborative study of cerebral palsy . Am J Obstet Gynecol 94:274-279, 1966. 19. Silverman A, Roy CC, Cozzetto FJ: Pediatric Clinical Gastroenterology . St. Louis, CV Mosby Co, 1971, p 47. 20. Rowe RD, Mehrizi A: The Neonate With Congenital Heart Disease . Philadelphia, WB Saunders Co, 1968, p 43. 21. Museles M, Gaudry CL Jr, Bason WM: Renal anomalies in newborn found by deep palpation . Pediatrics 47:97-100, 1971. 22. Sherwood DW, et al: Abnormalities of genitourinary tract discovered by palpation of abdomen of newborn , in Gellis SS (ed): Year Book of Pediatrics, 1956-1957 to 1957-1958 . Chicago, Year Book Medical Publishers Inc, 1957, p 229. 23. Schaffer AJ, Avery ME: Disease of the Newborn , ed 3. Philadelphia, WB Saunders Co, 1971, p 364. 24. Siffert RS: Orthopedic checklist for neonates and infants . Hospital Practice 5:66-70, 1970. 25. Chemke J, Robinson A: The third fontanelle . J Pediatr 75:617-622, 1969.Crossref 26. Shillito J Jr, Matson DD: Craniosynostosis: A review of 519 surgical patients . Pediatrics 41:829-853, 1968. 27. Thaler S, Smith HW: Submucous cleft palate . Arch Otolaryngol 88:184-189, 1968.Crossref 28. Liebman SD, Gellis SS: The Pediatrician's Ophthalmology . St. Louis, CV Mosby Co, 1966. 29. Koenigsberger MR: Judgment of fetal age: I. Neurological evaluation . Pediatr Clin North Am 13:823-833, 1966. 30. Usher R, McLean F, Scott KE: Judgment of fetal age: II. Clinical significance of gestational age and an objective method for its assessment . Pediatr Clin North Am 13:835-848, 1966. 31. Rabe EF: The hypotonic infant . J Pediatr 64:422-440, 1964.Crossref 32. Downs M, Stern HG: A guide to newborn screening program . Arch Otolaryngol 85:15-22, 1967.Crossref 33. Battaglia FC, Todd MF, Hellegers AE: Obstetric and pediatric complications of juvenile pregnancy . Pediatrics 32:902-910, 1963. 34. Zackler J, Andelman SL, Bauer F: The young adolescent as an obstetric risk . Am J Obstet Gynecol 103:305-312, 1969. 35. Nesbitt REL Jr, Aubry RH: High-risk obstetrics . Am J Obstet Gynecol 103:972-985, 1969. 36. Cooke RE (ed): The Biologic Basis of Pediatric Practice . New York, McGraw-Hill Book Co Inc, 1968, p 1427. 37. Eastman NJ, Hellman LM: Williams Obstetrics , ed 13, New York, Appleton-Century-Crofts Inc, 1966. 38. Cohen SN, Olson WA: Drugs that depress the newborn infant . Pediatr Clin North Am 17:835-850, 1970. 39. Swiatek K, Luebben G, Cornblath M: Screening method for determining glucose in blood and cerebrospinal fluid . Am J Dis Child 117:672-677, 1969. 40. Drage JS, Berendes H: Apgar scores and outcome of the newborn . Pediatr Clin North Am 13:635-643, 1966. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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References (43)

Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1974.02110280040005
Publisher site
See Article on Publisher Site

Abstract

Abstract The development of a neonatal nurse practitioner can be accomplished, using a nursery nurse as the beginning student. Twenty-four hours of crib-side teaching and approximately two months of practical experience were necessary to achieve our stated objectives. Through a discussion of the problems encountered as well as benefits and satisfactions of the program, we hope to encourage other pediatricians to develop similar programs. References 1. Casterline RS (ed): Nurse Clinician and Physician's Assistant: The Relationship Between Two Emerging Practitioner Concepts . The National Commission for the Study of Nursing and Nursing Education, 1971. 2. Nurses trained to give neonatal intensive care . Stethoscope 22:3, 1967. 3. A nurse by any other name... . Medical World News Jan 14, 1972, p 73. 4. Andrews P, Yankauer A: The pediatric nurse practitioner: II. Examining the role . Am J Nurs 71:507-508, 1971.Crossref 5. Kibrick A: Why collegiate programs for nurses? N Engl J Med 278:765-772, 1968.Crossref 6. Shannon FL: Parental acceptance of delegated pediatric services . Pediatrics 41:1003-1004, 1968. 7. Desmond MM, Rudolph AJ, Phitaksphraiwan P: The transitional care nursery: A mechanism for preventive medicine in the newborn . Pediatr Clin North Am 13:651-668, 1966. 8. Lees JH: Cyanosis of the newborn . J Pediatr 77:484-498, 1970.Crossref 9. Oski FA, Naiman JL: Hematologic Problems in Newborn , ed 2. Philadelphia, WB Saunders Co, 1972, p 54. 10. Lubchenco LO, Brazie JV: Current Pediatric Diagnosis and Treatment . Los Altos, Calif, Lange Medical Publications, 1970, pp 61-67. 11. Barnett HL, Einhorn AH: Pediatrics , ed 14. New York, Appleton-Century-Crofts Inc, 1968, p 66. 12. Silverman WA, Anderson DH: A controlled clinical trial of water mist on obstructive respiratory signs, death rate and necropsy findings among premature infants . Pediatrics 17:1-10, 1956. 13. Harrison VC, Heese HdeV, Klein M: The significance of grunting in hyaline membrane disease . Pediatrics 41:549-559, 1968. 14. Shapiro LR, Hsu LYF, Hirschhorn K: Extra posterior cervical skin: A possible sign of chromosomal aberration in infancy . J Pediatr 77:690-691, 1970.Crossref 15. Eller E, et al: Prognosis in newborn infants with X chromosomal abnormalities . Pediatrics 47:681-688, 1971. 16. Solomon LM, Esterly NB: Neonatal dermatology . J Pediatr 77:888-894, 1075-1088, 1970.Crossref 17. Illingworth RS: Common Symptoms of Disease in Children , ed 3. Oxford, England, Blackwell Scientific Publications, 1971, p 292. 18. Froehlich LA, Fujikura T: Significance of single umbilical artery: Report from collaborative study of cerebral palsy . Am J Obstet Gynecol 94:274-279, 1966. 19. Silverman A, Roy CC, Cozzetto FJ: Pediatric Clinical Gastroenterology . St. Louis, CV Mosby Co, 1971, p 47. 20. Rowe RD, Mehrizi A: The Neonate With Congenital Heart Disease . Philadelphia, WB Saunders Co, 1968, p 43. 21. Museles M, Gaudry CL Jr, Bason WM: Renal anomalies in newborn found by deep palpation . Pediatrics 47:97-100, 1971. 22. Sherwood DW, et al: Abnormalities of genitourinary tract discovered by palpation of abdomen of newborn , in Gellis SS (ed): Year Book of Pediatrics, 1956-1957 to 1957-1958 . Chicago, Year Book Medical Publishers Inc, 1957, p 229. 23. Schaffer AJ, Avery ME: Disease of the Newborn , ed 3. Philadelphia, WB Saunders Co, 1971, p 364. 24. Siffert RS: Orthopedic checklist for neonates and infants . Hospital Practice 5:66-70, 1970. 25. Chemke J, Robinson A: The third fontanelle . J Pediatr 75:617-622, 1969.Crossref 26. Shillito J Jr, Matson DD: Craniosynostosis: A review of 519 surgical patients . Pediatrics 41:829-853, 1968. 27. Thaler S, Smith HW: Submucous cleft palate . Arch Otolaryngol 88:184-189, 1968.Crossref 28. Liebman SD, Gellis SS: The Pediatrician's Ophthalmology . St. Louis, CV Mosby Co, 1966. 29. Koenigsberger MR: Judgment of fetal age: I. Neurological evaluation . Pediatr Clin North Am 13:823-833, 1966. 30. Usher R, McLean F, Scott KE: Judgment of fetal age: II. Clinical significance of gestational age and an objective method for its assessment . Pediatr Clin North Am 13:835-848, 1966. 31. Rabe EF: The hypotonic infant . J Pediatr 64:422-440, 1964.Crossref 32. Downs M, Stern HG: A guide to newborn screening program . Arch Otolaryngol 85:15-22, 1967.Crossref 33. Battaglia FC, Todd MF, Hellegers AE: Obstetric and pediatric complications of juvenile pregnancy . Pediatrics 32:902-910, 1963. 34. Zackler J, Andelman SL, Bauer F: The young adolescent as an obstetric risk . Am J Obstet Gynecol 103:305-312, 1969. 35. Nesbitt REL Jr, Aubry RH: High-risk obstetrics . Am J Obstet Gynecol 103:972-985, 1969. 36. Cooke RE (ed): The Biologic Basis of Pediatric Practice . New York, McGraw-Hill Book Co Inc, 1968, p 1427. 37. Eastman NJ, Hellman LM: Williams Obstetrics , ed 13, New York, Appleton-Century-Crofts Inc, 1966. 38. Cohen SN, Olson WA: Drugs that depress the newborn infant . Pediatr Clin North Am 17:835-850, 1970. 39. Swiatek K, Luebben G, Cornblath M: Screening method for determining glucose in blood and cerebrospinal fluid . Am J Dis Child 117:672-677, 1969. 40. Drage JS, Berendes H: Apgar scores and outcome of the newborn . Pediatr Clin North Am 13:635-643, 1966.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Sep 1, 1974

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