VMG Nurse Practitioner, Pediatric Emergency Medicine

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Organization:

Peds Emergency Medicine

Job Summary:

The Pediatric Emergency Medicine in the Department of Pediatrics at Vanderbilt University School of Medicine is accepting applications for a full-time acute care nurse practitioner.

Pediatric Emergency Medicine is an exciting specialty that offers exposure to a wide variety of patient pathology in a fast paced setting. Pediatric Emergency Medicine practitioners need to be prepared to care for medical and surgical patients of variable severity. Practitioners will be expected to obtain a history and perform a physical exam on pediatric patients from newborn to adolescence. Under the supervision of attending physicians, they will exercise critical thinking and develop differentials diagnosis, management plans and deposition for pediatric patients presenting to the pediatric emergency department. Communication with families, consultants, community providers and emergency medicine staff will be expected. The practitioner will also participate in common procedures in pediatric emergency medicine such as suturing, abscess drainage, and splinting of extremity injuries. The clinical expectation is fourteen 10 hour shifts which include weekends. Practitioners have the opportunity to participate in weekly fellow conferences as well as journal clubs, procedure workshops and simulation scenarios provided by the division.

Eligible to participate in department’s clinical faculty incentive compensation plan.

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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 which can be applied across the continuum.
• Implements and modifies plan of care.
• Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes.
• Manages further diagnostic tests through ordering, interpretation, performance, and supervision.
• May perform advanced procedures consistent with privileges and competency validation including minor suturing, complex wound management, line and tube placements and removals.
• Communication and Collaboration
• Maintains ongoing communication and collaboration with interdisciplinary health care team.
• Facilitates and communicates with patient, family, and staff to promote conti