PRN Neonatal Advanced Practice Provider- Vanderbilt Off Site Nurseries

Vanderbilt University Medical Center•Nashville, TN

22h

About The Position

Works in collaboration with a multidisciplinary healthcare team to provide advanced neonatal care in Level II NICUs across the Vanderbilt Regional Affiliate Nursery (VRAN) network. Functions independently as the in-house advanced practice provider and is responsible for assessing, diagnosing, and managing neonatal patients while collaborating with attending neonatologists, who may provide remote support. The role includes managing admitted patients, responding to consults from in-house departments, attending deliveries, and accepting acute transports from area hospitals. Provides clinical coverage at current and future contracted VRAN NICU locations as needed. This is a PRN, as-needed position. The provider stabilizes and manages neonates requiring escalation of care, coordinates transfers, discharges, and transitions, and collaborates with neonatologists, nurses, respiratory therapists, and other team members. The provider also offers clinical support, education, and consultation to healthcare professionals; maintains timely, compliant documentation; participates in professional development and educational activities; and maintains knowledge of Vanderbilt and affiliate-site policies, protocols, and practice guidelines. Additional duties may be assigned.

Requirements

Must hold one of the following: Neonatal Nurse Practitioner (NNP), Acute Care Pediatric Nurse Practitioner (CPNP-AC), or Physician Assistant (PA).
Physician Assistants must have NICU experience or have completed a NICU PA fellowship.
Master's-level education.
Applicable Tennessee certification/licensure listed: Licensed Nurse Practitioner, Physician's Assistant Certified, or Registered Nurse.

Responsibilities

Obtain and document comprehensive neonatal histories and physical examinations, assessments, and plans of care.
Independently assess, diagnose, and manage neonatal patients in Level II NICU settings.
Order, perform, interpret, and evaluate diagnostic studies and laboratory data.
Develop differential diagnoses and implement evidence-based treatment plans and appropriate interventions.
Prescribe therapeutic interventions and medications within scope of practice and clinical privileges.
Respond to patient status changes and situations requiring procedural or resuscitative interventions as a first responder for nursing and house staff.
Attend high-risk deliveries and lead neonatal resuscitation when needed.
Use evidence-based guidelines and individualized plans of care across the continuum.
Prescribe and manage diagnostic strategies and pharmacologic, non-pharmacologic, and surgical interventions to achieve expected outcomes.
Perform advanced procedures as permitted by privileges and validated competency, including intubation; UAC/UVC placement or removal; lumbar puncture; ePIV and PIV placement; chest tube placement or removal; needle decompression; circumcision when applicable; and PAL placement.
Stabilize and manage neonates requiring escalation of care and coordinate transfers, discharges, and transitions of care.
Collaborate with attending neonatologists, nursing staff, respiratory therapists, and multidisciplinary team members.
Provide clinical support, education, and consultation to nursing staff and other healthcare professionals.
Rotate among current and future contracted VRAN NICU locations as operationally required.
Document patient progress and care, including histories and physicals, progress notes, plans, problem lists, procedure and acute-event notes, transfer and discharge summaries, and death summaries as applicable.
Maintain timely documentation that meets critical-care compliance standards and captures patient acuity.
Precept and mentor, and educate and instruct students.
Participate in required meetings, educational offerings, competency assessments, professional development, Grand Rounds, APN council, faculty and unit meetings, and M&M presentations.
Maintain current knowledge of Vanderbilt and affiliate-site policies, clinical protocols, and practice guidelines.
Seek opportunities for research and evidence-based practice analysis; maintain CEUs and membership in a professional organization.
Educate patients, families, students, and healthcare team members; use the electronic health record and clearly document findings, assessments, and plans of care.
Use scientific evidence and data to evaluate and improve patient care practices and outcomes.

Benefits

Affordable high-quality health plan options
Dental and/or vision plan
403(b) retirement plan
Paid time off (flex PTO)
Tuition reimbursement
Adoption assistance (maximums applied)
Short- and long-term disability
Subsidized backup childcare
Inpatient nursing supplemental pay program (ask about current offering)
Health, disability, retirement, and/or wellness offerings may be included in the benefits package