Advanced Practice Provider (NP or PA) - Pediatric Otolaryngology

Discover Vanderbilt University Medical Center:  Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization:

OTO Admin Leadership

Job Summary:

The Advanced Practice Provider (APP) functions primarily in the outpatient setting working as an independent provider for Pediatric Otolaryngology. In addition, the APP will support the larger Pediatric Service. The APP has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. The APP demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation.

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Department Summary:

Complex pediatric ENT problems require skilled and nuanced solutions. The Vanderbilt Pediatric Otolaryngology-Head and Neck Surgery team works closely with additional experts at Monroe Carell Jr. Children's Hospital at Vanderbilt, spearheading multidisciplinary care in programs like the Complex Aerodigestive Evaluation Team (CADET), and the Velopharyngeal Insufficiency Program (VPI). The Vanderbilt Pediatric Otolaryngology-Head and Neck Surgery team also has experience in treating conditions like cleft lip, cleft palate, vascular anomalies, and refractory obstructive sleep apnea.

We offer clinics at the main Monroe Carell hospital and our locations in Murfreesboro and Spring Hill, where we see more than 25,000 outpatient visitors and perform more than 6,000 surgeries each year.

KEY RESPONSIBILITIES
• Assessment of Health Status
• Performs and documents in the medical record a complete history and physical examination for acute and complex chronically ill patients.
• Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
• The nurse practitioner may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
• Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.
• Coordinates daily rounds with the Attending physician teams, presents 24 hour patient report, collaborates in plan of care, and follows assigned patient population throughout the day.
• Diagnosis
• Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
• Manages diagnostic tests through ordering, interpretation, performance, and supervision.
• Formulates differential diagnoses by priority.
• Diagnoses complications and orders appropriate interventions
• Formulates Plan of Care
• Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.
• Utilizes evidenced based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.
• Implements and modifies plan of care
• Prescribes diagnostic stra