Nurse Practitioner​/Physician Assistant - Inpatient​/Outpatient

Organization

VUH Advanced Practice Provider

The Nurse Practitioner (NP) / Physician Assistant (PA) within the acute care hospital setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The NP/PA functions primarily as a hospitalist in an inpatient setting, managing the care of acute/complex chronically ill patients. The NP/PA is typically on a service aligned team managing the patient care from step down to discharge.

The NP/PA may have responsibilities for the same patient population during follow up outpatient visits. The NP has a strong foundation in evidence based practice/education and provides an environment of safe quality care. The NP/PA demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation.

• Critical Care (Neuro ICU, Critical Care Float Pool/Rapid Response Team, Surgical CVICU, and Regional Hospitals
  -Vanderbilt Tullahoma-Harton Hospital and Vanderbilt Bedford Hospital)
• General Cardiology (Inpatient)
• Cardiac Surgery (Inpatient)
• Electrophysiology (EP)
• Neurosurgery (Inpatient)
• Trauma
• Liver and Kidney Transplant
• Inpatient Pediatrics (Pediatric Cardiac ICU (PCICU), Pediatric ICU (PICU) Pediatric Hospital Medicine, Pediatric Cardiology, and Neonatal ICU/NICU)

If you are interested in learning more about any of these opportunities, please feel free to complete an application and a recruiter will reach out to you as soon as possible.

• Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) / Acute Care Nurse Practitioner (ACNP) or Physician Assistant (PA) required for all inpatient roles within Vanderbilt Adult Hospital
• Certified Pediatric Nurse Practitioner - Acute Care (CPNP-AC), Neonatal Nurse Practitioner (NP) or Physician Assistant (PA) required for all inpatient roles within Monroe Carell Jr. Children's Hospital at Vanderbilt

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 evidence 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.

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

Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable.

Documentation is timely, meets acute care compliance standards and captures patient acuity.

Professional Practice

Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate and novice nurse practitioners.

Seeks opportunities for active engagement in research and the analysis of evidence based practice.

Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations.

Maintains CEUs, and membership in a…