Nurse Practitioner/Physician Assistant - Emergency General Surgery (Trach/PEG)

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:

VUH Acute Care Surgery

Job Summary:

The Surgical Advanced Practice Provider (APP) works in collaboration with a multidisciplinary health care team. The APP provides healthcare in ambulatory and acute health care settings. Including management of surgical patients from pre-operative, peri-operative and post operative phases of care. The  APP has didactic education, clinical competency and national certification in identified area of clinical practice. The APP demonstrates medical knowledge, clinical judgment, technical competence, professionalism, interpersonal communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. The APP has an advanced knowledge of nursing theory and application.

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Position Hours:

• Full-Time

• Days

Department Summary:

As a service under the Division of Trauma and Surgical Critical Care, Emergency General Surgery (EGS) serves a patient population who requires a timely assessment and surgical intervention in many cases. These patients may have a new issue like an infected or ruptured appendix or a complication from a previous procedure.

The primary mission of the EGS service is to provide timely surgical assessment and operative management of the patient with an acute general surgical problem. The development of an EGS Service at Vanderbilt University Medical Center concentrates the care of the patient onto one service. This allows for the development of evidence-base medicine / management guidelines to care for patients.

• Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) / Acute Care Nurse Practitioner (ACNP) or Physician Assistant (PA) Required

• Prior APP Experience Required

• Trach/PEG Experience Preferred

KEY RESPONSIBILITIES

• Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care.

• In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patient's overall care, identifying expected outcomes for diagnoses.

• Orders, performs, interprets and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.

• Forms differential diagnoses and treats acute and chronic conditions.

• Prescribes therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes.

• Utilizes evidence-based, approved practice protocols in planning and implementing care;

• Initiates appropriate referrals and consultations;

• Provides specialty specific consultation services upon request and within specialty scope of practice;

• Facilitates the patient’s transition between and within health care settings, such as admitting, transferring, and discharging patients.

TECHNICAL CAPABILITIES

• Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice.

• Clinical Knowledge and Practice (Advanced): Demonstrates established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others. Demonstrates knowledge of population focus but also other sciences that support his/her field of practice. Demonstrates knowledge of common and i