Nurse Practitioner​/Physician Assistant - Emergency General Surgery; Trach​/PEG

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VUH Acute Care Surgery

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 an 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.

• Full‑Time
• Days

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‑based 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

• 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.

• 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 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…