VMG Nurse Practitioner (Murfreesboro Child/Adolescent Outpatient 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:

Psychiatry - Child-Adolescent

Job Summary:

JOB SUMMARY
The psychiatric outpatient nurse practitioner (NP) works in collaboration with a multidisciplinary health care team in the Vanderbilt University Medical Center Outpatient Clinic.

The psychiatric outpatient NP functions in collaboration with psychiatrist and therapists in the clinic to provider diagnostic assessment and medication management for children and teens with a variety of psychiatric conditions including depression, anxiety, PTSD, ADHD, Autism, and other mental health conditions. The NP demonstrates an advanced level of medical and nursing knowledge, clinical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation.

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Basic Qualifications: This position requires a Master's degree in Nursing, board certification as a Psychiatric Mental Health Nurse Practitioner, and twelve months of relevant experience with Children and Adolescents.

License Required: Current Tennessee RN license and TN APN certificate with certificate of fitness to prescribe.

Must be eligible for DEA license.

Additional Information: This is a full-time position; primary duties are Monday through Friday 8AM-5PM, with the possibility of on-call duty in rotation with other staff. Position will be hybrid, approximately 60% on-site (Murfreesboro) & 40% remote (work from home eligible).

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 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 continuity of care across the inpatient and outpatient continuum of care.
• Documentation
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