Advanced Practice Provider - Pancreas

Vanderbilt University Medical Center•Nashville, TN

33d•Hybrid

About The Position

A staff level Nurse Practitioner (NP) or Physician Assistant (PA) position is available in the Digestive Disease Center at Vanderbilt University Medical Center. Practice focuses on Gastroenterology and Digestive Disease. As a member of the Division of Gastroenterology, Hepatology and Nutrition, this individual will provide direct care to patients, collaborate with physicians for optimum patient care, and participate in patient teaching. The specialty Nurse Practitioner (NP) or Physician Assistant (PA) in the ambulatory care setting works in collaboration with a multidisciplinary health care team. The specialty NP or PA is generally service/physician aligned, managing a distinct patient population in the outpatient setting. The care is focused for patients with pancreatic disease, including acute and chronic pancreatitis, pancreatic cysts, and exocrine pancreatic insufficiency. The NP or PA functioning primarily in a clinic setting with no weekend or after hours call schedule and no inpatient responsibilities. The specialty clinic NP or PA has a strong foundation in evidenced based practice/education and is responsible for ensuring adherence to clinical pathways/protocols and ensures an environment of safe quality care. The NP or PA demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and responsible for professional development and competency validation. Ability to work collaboratively with a multidisciplinary team is essential, including participation in twice monthly multidisciplinary pancreas conference.

Requirements

LIC-Licensed Nurse Practitioner - Tennessee
LIC-Physician's Assistant Certified - Tennessee
LIC-Registered Nurse - Tennessee
Relevant Work Experience
Master's

Nice To Haves

GI experience (preferred)
Pancreas experience (preferred)

Responsibilities

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 NP or PA 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 clinic schedule with the attending physician team, presents patient report, collaborates in plan of care, and follows assigned patient population.
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.
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.
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.
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 outpatient continuum of care.
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 critical care compliance standards and captures patient acuity.
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.
PRN council meetings, staff and unit meetings, M&M presentations.
membership in a professional organization.
Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and a responsible attitude toward their patients, their profession and society.
Participates in professional organizations and activities that influence advanced practice.
Demonstrates care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life.
Within scope of licensure and certification, manages previously diagnosed and undiagnosed patients.
Uses health assessment skills to differentiate between normal, variations of normal, and abnormal findings.
Employes screening and diagnostic strategies in the development of diagnoses.
Prescribes medications within scope of practice.
Manages health/illness status of patients and families over time and across the continuum.
Provides patient/centered care recognizing the patient or designee as a full partner in decision making.
Creates a climate of patient/centered care to include confidentiality privacy, comfort emotional support, mutual trust, and respect.
Incorporates cultural and spiritual preferences, values and beliefs into health care.
Preserves the patient’s control over decision making by negotiating a mutually acceptable plan of care.
Integrates ethical principles into decision making.
Uses electronic health record to capture data on variables for the evaluation and management of patient care.
Clearly documents findings, assessment and plan of care.
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 important health issues affecting society and other societies around the globe.
Demonstrates commitment in maintaining current evidence-based knowledge through continuous learning.
Educates patients, families, students and other members of the healthcare team in clinical topics and application of clinical knowledge.
Demonstrates the use of scientific evidence and methods to investigate, evaluate and improve patient care practices.
Anticipates variations in practice and is proactive in implementing interventions to improve quality.
Uses best available evidence to continuously improve quality of clinical practice.
Generates knowledge from clinical practice to improve practice and patient outcomes.
Reviews data and evidence to improve advanced practice.
Integrates knowledge from the humanities and sciences within the context of nursing science.
Demonstrates interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams.
Communicates practice knowledge effectively both orally and in writing.
Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society.
Participates in medical center committees, professional organizations and activities that influence advanced practice.
Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance.
Analyzes moderately complex problems using technical experience and judgment.
Has expanded knowledge gained through experience within a professional area.
Provides informal guidance and support to team members.
Invests time, energy, and enthusiasm in developing self/others to help improve performance and gain knowledge in new areas.
Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.
Recognizes group interactions and modifies one's own communication style to suit different situations and audiences.
Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.
Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.
Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness.
Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.
Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them.
Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring.
Demonstrates a sense of ownership, focusing on and driving critical issues to closure.
Applies understanding of the departmental work to effectively manage resources for a department/area.
Demonstrates strong understanding of the information or data to identify and elevate opportunities.
Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.
Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.
Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.