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Implementing Nurses for Newborns®

Prerequisites for Implementation

Last Updated

June 2015


Type of Implementing Agency

Nurses for Newborns is a nonprofit, community-based organization.


Staffing Requirements

Program staff include registered nurses who conduct home visits, an on-site nursing supervisor, an intake coordinator, a billing and contracts coordinator, and an executive director. Additional staff, such as a director of nursing to oversee the nurse supervisors, may be needed depending on the numbers of home visitors and families served. Volunteers help maintain the organization’s donation bank, which includes items such as baby clothes and supplies.

In areas where funding is available, CHWs and an LCSW are also available to support families.


Staff Education and Experience

The home visitors must be registered nurses from a National League of Nursing–accredited program and have five years of experience in maternal and child health or three years of experience in a neonatal intensive care unit or special care nursery.

Nursing supervisory staff must be registered nurses, with a Bachelor of Science in Nursing preferred, and have a minimum of five years of maternal and child health clinical experience, and three years of management experience. Regarding the intake coordinator and billing and contracts coordinator, a bachelor’s degree or equivalent experience in their field is preferred. NFN recommends the executive director have a minimum of a bachelor’s degree, with a master’s degree preferred, and five years of experience working in nonprofit management or maternal and child health. The director of nursing should have, at minimum, the same experience as a nurse supervisor and a Bachelor of Science in Nursing, with a Master of Science in Nursing preferred.

In the enhanced model, CHWs must have a high school diploma or equivalent, and those providing interpretation must have a language certification. LCSWs are required to have a Master of Social Work from an accredited program and be licensed.


Supervision Requirements

During weekly case reviews, leadership from intake, contracts, and nursing meet to review all referrals from the previous week to ensure that they have scheduled all upcoming visits and completed the required elements of initial visits. A nursing supervisor meets with each nurse home visitor for reflective supervision monthly and observes the nurse quarterly during a home visit. During monthly case management meetings, nurse home visitors present complex cases, reviewing problems, risk factors, family strengths, resources needed, and the plan of care. NFN recommends a ratio of one supervisor to five or six home visitors and one director of nursing for 9 or 10 supervisors or home visitors as needed.


Staff Ratio Requirements

A nurse home visitor typically has a caseload of 25 to 40 families.


Data Systems/Technology Requirements

NFN creates an electronic patient record for each family in its customized database. Nurses use laptop computers to document education provided, assessments and screenings completed, and case notes from each visit.



The information contained on this page was last updated in June 2015. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by Nurses for Newborns on May 7, 2015. HomVEE reserves the right to edit the profile for clarity and consistency.