This research will begin with the statement that neonatal nurse practitioners are registered nurses who have advanced qualifications in neonatal care and nursing. They provide care and assess the neonates who are acutely ill and are admitted in the NICU-neonatal intensive care unit- for any reason. A neonatal nurse requires very high standards of competencies for the care of the newborns. Educational eligibility criteria for this certification are registered nurse practice and Masters in Science in Nursing. These programs are usually affiliated with medical centers and extend over a period of two years. This particular designation in the nursing field was introduced in 1980s after the certification by the National Certification Corp. Nowadays a total of 46 programs for Nurse practitioners also offer training courses for Neonatal nurse practitioners (NNPs). The role of the neonatal nurses extends from physical examination of the newborns, their assessments to the critical care of the acutely ill neonates and their follow-up. The role of the neonatal nurse is conspicuous and her expertise is needed in various aspects regarding the neonate. The neonatal nurse should have command over regulating ventilators, hemodynamic monitoring, transfusion methods, blood sampling, newborn examination and assessment, management of acutely ill neonates in NICU. ... Neonatal nurse has to make sure that she assesses the underlying problem and provides immediate resuscitation to the neonate. Assessment of the
baby includes noting the baby’s color, tone, heart rate and respiratory rate. These should be ensured by a neonatal nurse that they are within the normal ranges. Thermoregulation, glucose monitoring, fluid balance and feeding regulations are to be monitored regularly by the neonatal nurses, especially for the neonates in the intensive care unit. Pre-term babies require intense care routine from the time of birth till the time that they remain admitted in the NICU. Neonatal nurse plays an important role in reducing the heat loss at the time of birth and in creating an environment that suits the thermal requirements of the neonate. Neonatal nurses also play an important role in the neonatal transport procedure. This transport is indicated in circumstances when the medical expertise of a particular health center is found to be inadequate for the neonate. The transport is indicated in conditions like premature babies, respiratory distress, seizures, hypoxia, congenital heart diseases and other medical emergencies of neonates. Neonatal nurse practitioners are an important part of the transport team along with two or three more medical professionals. The Neonatal Nurse Practitioner replaces a doctor in the transport team in many areas. These nurses lead the whole transport teams and carry out the complete neonatal transfer procedure. The nurse qualifies in not only intensive neonatal care but also in neonatal care.