Advanced Practice Provider (NP or PA) - Urology

Vanderbilt University Medical Center•Nashville, TN

10d

About The Position

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: Urology Adult Job Summary: The advanced practice provider (APP) within the acute care clinical setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The APP functions primarily in an outpatient setting, managing the care of acute/complex chronically ill patients. The APP has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. The APP 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. . Position Locations: Main Campus (TVC) Spring Hill Cool Springs Department Summary: As one of the busiest hospitals in the country for adult and pediatric urologic surgical procedures, the Department of Urology at Vanderbilt provides a comprehensive approach to patient care. We blend our innovative diagnostic, treatment, and research capabilities to deliver the best care possible while working to advance surgical approaches, including: Robotics Image-guided surgery Minimally invasive approaches At the Vanderbilt Urology Clinic we treat a wide range of conditions, including: Urologic cancers, such as: Prostate cancer Bladder cancer Kidney cancer Incontinence and other bladder-control problems Kidney stones Sexual health conditions, such as: Erectile dysfunction Our team invests in the most advanced technologies – such as a 3D MRI prostate biopsy system – that enables the most precise biopsies and facilitates personalized treatment plans. The large volume of procedures we perform each year ensures our patients receive the best care. Our teams are highly experienced. Milestones include: Performing more than 10,000 robotic-assisted urologic surgeries such as radical prostatectomies Completing more than 2,200 pediatric urologic surgeries a year at the Monroe Carell Jr. Children’s Hospital at Vanderbilt, including: Innovative robotic surgeries Complex urologic reconstructions

Requirements

LIC-Licensed Nurse Practitioner - Tennessee
Relevant Work Experience
Experience Level: Less than 1 year
Education: Master's

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
Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary , and or clinic note where applicable. (h&p, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary)
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 evidenced based practice.
Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations.
Maintains CEUs, and membership in a professional organization.