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Neonatal Nurse Practitioner


The Neonatal Nurse Practitioner concentration is designed to prepare the Registered Nurse with specialized knowledge and skills to provide care for pre-mature and critically ill newborns through the first two years of life. Coursework and supervised clinical experiences assist students to develop expertise in assessment, diagnosis, and management of acute and chronic illnesses in these children across healthcare settings. Health promotion and development, family support, interprofessional collaborations, and evidence-based practice are emphasized throughout the program. Graduates are expected to contribute to the development of policies and practice models that promote evidence-based care for neonates and their families.

DNP degree concentrations include pathways for initial Neonatal Nurse Practitioner certification and for APRNs with or without current Neonatal Nurse Practitioner certification. Graduates are eligible to write the national certification examinations for Neonatal Nurse Practitioners. 

Admission to the DNP Neonatal Nurse Practitioner concentration requires a minimum of one year full-time, practice experience within the last 5 years as a registered nurse in the care of critically ill newborns, infants, or children in an acute inpatient setting.

Accreditation: The University of Tennessee Health Science Center is accredited by the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC) to award baccalaureate, master’s, and doctorate degrees. Questions about the accreditation of the University of Tennessee Health Science Center may be directed in writing to the Southern Association of Colleges and Schools Commission on Colleges at 1866 Southern Lane, Decatur, Georgia 30033-4097, by calling 404.679.4500, or by using information available on SACSCOC’s website (www.sacscoc.org).

The Doctor of Nursing Practice (DNP) program at The University of Tennessee Health Science Center is accredited by the Commission on Collegiate Nursing Education,  655 K Street NW, Suite 750, Washington DC 20001, 202.887.6791, http://www.ccneaccreditation.org, through December 31, 2024, and approved by the Tennessee Board of Nursing.

DNP Neonatal Nurse Practitioner Concentration Course Requirements

Post-BSN DNP Courses

Core Courses

Course ID Title Credits
NSG 876 Leadership and Health Policy  3
NSG 877 Healthcare Economics  3
NSG 824 Advanced Health Assessment and Diagnosis 3
NSG 827 Epidemiology for Clinical Practice 3
NSG 855 DNP Advanced Practice Role Development 2
NSG 910 Philosophy of Science & Theory in Nursing 4
NSG 831 Advanced Clinical Pathophysiology 3
NSG 830 Advanced Pharmacology 3
NSG 947 DNP Project Seminar I 1
NSG 948 DNP Project Design and Methods 2
NSG 949 DNP Project Implementation and Evaluation 2
NSG 950 DNP Project Seminar II 1
  Total 30

 

Concentration-Specific Courses

Course ID Title Credits
NNP 818 DNP Neonatal Nursing I: Pathophysiology 4
NNP 819 DNP Neonatal Nursing II Clinical 4
NNP 827 DNP Neonatal Nursing I: Clinical 4
NNP 828 DNP Neonatal Nursing II: Pathophysiology 4
NNP 831 Maternal Risk and Neonatal Health Promotion 0-2 Yrs. of Age 6
NNP 832 Pharmacology II: Neonatal 3
NSG 926 DNP Synthesis Practicum: NNP 6
  Total  31
  Post-BSN DNP Total Credits:  61

 

Post-MSN DNP Courses

Core Courses

Course ID Title Credits
NSG 876 Leadership and Health Policy 3
NSG 877 Healthcare Economics 3
NSG 827 Epidemiology for Clinical Practice 3
NSG 910 Philosophy of Science & Theory in Nursing 4
NSG 947 DNP Project Seminar I 1
NSG 948 DNP Project Design and Methods 2
NSG 949 DNP Project Implementation and Evaluation 2
NSG 950 DNP Project Seminar II 1
  Total 19

 

Concentration-Specific Courses

Course ID Title Credits
NNP 831 Maternal Risk and Neonatal Health Promotion 0-2 Yrs. of Age 6
NNP 832 Pharmacology II: Neonatal 3
NSG 926 DNP Synthesis Practicum: NNP 6
   Total  15
  Post-MSN DNP Total Credits:   34

 

Technical and Performance Standards

All students in the DNP Neonatal Nurse Practitioner Concentration Program must meet the Technical and Performance Standards for admission and progression.

View standards.

Technical and Performance Standards: All DNP Concentrations

In addition the technical and performance standards expected of all students in educational programs in the College of Nursing, students in the DNP program are also expected to possess the mental, auditory, visual, sensory, strength, manual dexterity, and communication skills to:

  1. Perform a systematic and complete history and physical examination on a client.
  2. Communicate significant examination findings to other professionals and client/family.
  3. Appropriately assess and record subjective and objective findings.
  4. Maintain effective relationships and interact appropriately with other professionals and clients/families, demonstrating skills of leadership collaborations and decisiveness.
  5. Accurately analyze alterations in functional patterns.
  6. Demonstrate advanced use of the nursing process: assess, develop, implement, educate and counsel clients, prescribe appropriate therapy, demonstrate self-care skills and evaluate appropriate plans of action for diagnosed problems.
  7. Maintain flexibility and emotional stability in response to novel, unique situations and stress.

Additional Technical and Performance Standards Specific to Neonatal Nurse Practitioner Concentration

  1. Anticipate potential common, acute self-limiting, and selected chronic problems.
  2. Develop insight into own emotional functioning to evaluate the ability to provide therapeutic intervention for a client.

If a student cannot fulfill these Technical and Performance Standards, with or without accommodations, at any time in the program, the student will be ineligible for admission or continued progression in the DNP Program. In addition to assuring that students can meet the intellectual, emotional, and physical criteria for the DNP Program, it is of utmost importance that students have the ability to provide for the safety and welfare of their patients and others. Reasonable accommodations will be provided, when appropriate, to help student meet these Technical and Professional Standards. Determination of eligibility and recommendations of accommodations must be made by Student Academic Support Services and Inclusion https://www.uthsc.edu/sassi/. Any student wishing accommodations must contact the university’s Office of Student Academic Support Services and Inclusion at 901-448-5056 (email: SASSI@uthsc.edu).

Neonatal Nurse Practitioner FAQs

What skills do NNPs have?
Neonatal Nurse Practitioners (NNPs) perform all standard procedural skills unique to managing an ill or preterm neonate, including (but not limited to) umbilical arterial and venous catheterization, endotracheal intubation, chest tube insertion, lumbar punctures, exchange transfusions, and percutaneous venous and arterial line placement. NNPs also possess the skills necessary to make differential diagnoses, order and interpret diagnostic tests, prescribe medications and manage nutritional needs.
Where can I work after graduation?
Although education and scope for NNPs encompass 0-2 years of age, most NNPs work in Neonatal Intensive Care Units (NICUs). NNPs may work in follow-up clinics managing babies and infants less than 2 years old. Individual state legislation determines the scope of practice; rules and regulations vary. Scope of practice is based on education and experience. The best place to explore individual scope of practice issues is the State Board of Nursing, not the physician or office manager in a practice. Contact information for individual state boards of nursing is at https://www.ncsbn.org/index.htm.
What salary can a NNP expect to earn?
Compensation rates vary regionally. The Bureau of Labor Statistics indicates nurse practitioners generally start around $72,000 with a maximum salary estimated near $150,000. The median salary is around $100,000.
What makes the NNP program at UTHSC different?
The UTHSC NNP program is fortunate to be in close proximity to the highest level of neonatal intensive care units located in several cities in Tennessee. Along with a dynamic and challenging didactic program, our clinical program requires a minimum of 600 hours of clinical time in a level III or level IV NICU and involves direct, hands-on patient care. The UTHSC program has built in 1020 clinical hours to allow for additional, broad experiences encompassing prenatal to chronic care for the NICU graduate.
How long is the program?
The length of the program varies depending on whether the applicant is applying as a BSN DNP or MSN DNP student. Additionally, the length of the program may vary based on completion of previous graduate courses at another university and/or having previously completed an APRN program. Please see the links to the various program plans of study.
Can I go part time/full time?
Full-time and part-time plans of study are available. Students should consult with the concentration coordinator about how to proceed with his/her respective program needs.
Can I work while going to school?
The UTHSC NNP program is a rigorous, full-time program. The program requires a significant commitment for successful completion of didactic and clinical course experiences. For this reason, students are strongly discouraged to maintain full-time employment while enrolled in the program. Each student has his/her own individual responsibilities. If employment is essential, students are encouraged to explore flexible part-time employment and utilize saved vacation or other leave that can afford more time to commit to the program. 
How much will this program cost?
Tuition costs are determined by in-state or out-of-state status and may change during the program. Tuition and fee information is located on the UTHSC Bursar Fees webpage. Additionally, the Academic Common Market may be available for some out-of-state students. Information on this program is available through the Office of Financial Aid. Many employers also offer tuition reimbursement for full-time and part-time employees. Students should also consider the costs incurred for travel and hotel accommodations during the on-campus experiences. Students are encouraged to explore the many private scholarship funds available for graduate study in their communities as well as regional, state, and national financial aid. An internet search of graduate nursing scholarships can unmask various opportunities. Many diverse groups offer scholarship programs; some states and organizations have loan repayment programs for nursing education. There are also federal government grants for nursing students.
What books, equipment and supplies will I need?
Book purchases will vary by semester. Many books specific to the NNP program will be used in consecutive semesters. Textbooks are supplemented with electronic media, much of which is available in the library for the students at no cost. Students need adequate computer hardware and internet access. Basic health assessment equipment including an otoscope, ophthalmoscope and a high-quality stethoscope are required. Students generally do not have clinical their first semester and are encouraged to wait to purchase this equipment closer to their first clinical course. Requirements change as the quality of equipment continually advances. Lab coats are mandatory for clinical experiences, but the specifications periodically change.
Where/when do I do my clinical experiences?
Clinical experiences are interspersed throughout the program and differ based on concentration and student background. Clinical hour requirements are identified in the plan of study. One credit of clinical experience equates to 60 clinical clock hours. To determine the number of clinical clock hours, multiply the clinical credits in the plan of study by 60. Clinical hours do not include on-campus experiences, conferences, travel or mealtime. Please remember that these are minimum hours. Clinical proficiency may be individualized, which means minimum requirements can vary.
How do I find a clinical site?
Faculty are integrally involved in the selection of highly qualified preceptors and the placement process in order for students to have opportunities that will meet course outcomes. Students who live outside of the Memphis area will collaborate with the clinical course faculty to identify appropriate clinical sites. Relatives may not serve as preceptors for students. Clinical contracts are required for all clinical sites; development of a new clinical contract can be tedious, so it is important to start this process early in the program.
Do I have to come to campus?
Required on-campus experiences are scheduled occasionally as a part of specific courses to provide structured experiences such as with simulation. In the NNP program, students will be required to be on-campus 4 times during the first semester for the advanced health assessment course. Intensive skill's lab and simulation occur immediately before starting NICU clinical rotations. On-campus experiences may last 1-3 days and are identified 6 months in advance. A published schedule is located on the CON academic calendar page.
How is a primarily online education different?
Online education is very popular as it offers the student greater flexibility with location of learning sites. This flexibility can be more accommodating to your style of learning and lifestyle. Some online educational experiences are synchronized for classes to occur at a designated time. Online education takes discipline and self-motivation; it is not for everyone. Online education requires participative learning with much less traditional lecture-style teaching. Graduate course work entails significant quantities of reading and discussions among learners with guidance from the faculty.  Good computer skills are essential. Strong grammar and writing skills are important.  While online learning can be somewhat isolated, there are opportunities both online and during the on-campus weeks to be acquainted with your colleagues and develop strong professional relationships.  Some students struggle with online learning and may find that it is not for them. The Faculty at UTHSC CON are highly skilled in online education and are leaders in using distance technology in teaching/learning.
What are some tips to enhance my educational experience?

Students are encouraged to "shadow" a NNP for a day or two. Learn as much as you can about the role by meeting APRNs, attending professional meetings, and/or reviewing the local and national websites. The National Association of Neonatal Nurses (NANN) is the primary organization that represents NNPs. The NANN website  at www.nann.org offers much information about NNP education and practice.

Find and visit your local NP group meetings. The Greater Memphis Area APN group web page is https://gmaapn.enpnetwork.com.

Obtain a diagnostic evaluation of your learning style. Numerous online engines offer this service at no cost. Simply enter "learning style assessment" into a search engine to locate these services.  Students admitted to the DNP Program have their learning style assessed prior to beginning classes.  We will also offer an intensive review of health assessment skills prior to class beginning.

Evaluate your family, community and work commitments and prioritize, prioritize, prioritize. The program requires a full commitment. All students will have to make adjustments in their personal and professional lives.

Feb 5, 2024