Nurse Practitioner/Physician Assistant - Hi-RiSE TVC Clinic

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:

Hi-RiSE TVC

Job Summary:

The specialty nurse practitioner (NP) in the ambulatory care setting works in collaboration with a multidisciplinary health care team. The specialty NP is generally service/physician aligned, managing a distinct patient population in the outpatient setting. The NP functioning primarily in a clinic setting may be required to perform some coordination of inpatient care and facilitate discharges/outpatient follow up. The specialty clinic NP has a strong foundation in evidenced based practice/education and is responsible for ensuring adherence to clinical pathways/protocols and ensures an environment of safe quality care. The NP demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and responsible for professional development and competency validation.

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Position Hours:

• 8:00am - 6:00pm (10 Hour Shifts)

• No Weekends or Holidays

Department Summary:

At Vanderbilt University Medical Center’s High-Risk Surgical Encounter (Hi-RiSE) Clinic, patients at higher risk of developing complications are comprehensively evaluated and interventions are efficiently coordinated and completed in the weeks leading up to surgery.

• Nurse Practitioner (FNP, ANP, AGPCNP, AGACNP) or Physician Assistant (PA)

• Prior APP Experience Strongly Preferred

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 clinic schedule with the attending physician team, presents patient report, collaborates in plan of care, and follows assigned patient population.

• 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 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