NP or PA Rapid Response Team & ICU Support Team

Vanderbilt University Medical Center•Nashville, TN

6d•Onsite

About The Position

The Advanced Practice Provider (APP) (NP or Physician Assistant) is an integral member of the multidisciplinary healthcare team, delivering expert care in the Critical Care setting. This role involves managing high-acuity intensive care unit (ICU) patients with unstable conditions who require intensive oversight, frequent rounding, and specialized care. Patients may include those in medical and surgical ICUs with complex needs requiring advanced interventions. The APP is responsible for managing complex conditions while ensuring delivery of safe, high-quality care. This role requires advanced medical knowledge, clinical judgment, technical proficiency, professionalism, and excellent interpersonal communication skills. The APP is also accountable for timely and compliant documentation, ongoing professional development, and competency validation. With a strong foundation of medical knowledge, the APP combines evidence-based practice with clinical expertise to meet the unique needs of critical care patients. The rapid response NP/PA provides healthcare across the hospital when a patient outside of an ICU has a change in clinical status that requires immediate interventions to evaluate and stabilize their condition. The rapid response team (also known as the Critical Care Outreach Team - CCOT) provides 24 hour coverage across the hospital for episodic care when patients have an acute change in clinical status outside of an ICU. The rapid response/CCOT NP or PA works with the primary team and supervising intensivists to evaluate a patient’s clinical status and identify interventions to stabilize any acute changes while considering moving the patient to a higher level of care. RRT/CCOT is responsible for documentation and data collection related to rapid response and STAT activations as well as education to patients, nurses, and physicians in relation to rapid response and STAT calls. The Critical Care APP works in collaboration with a multidisciplinary health care team. The NP/PA provides healthcare in critical care settings, including surgical and medical ICUs. The APP has didactic education, clinical competency and national certification in identified area of clinical practice. Upon moving to a new ICU, the APP will receive adequate training and support before moving to a more independent role within the ICU for 8 continuous weeks. Each year, the APP will spend blocks of time working on the RRT/CCOT as well as supporting a new ICU for several months where staffing shortages are occurring. The ICU Support Team and Rapid Response team is a dynamic and novel advanced practice provider team who work with physicians across the hospital and the different ICUs to provide care to the most sick and vulnerable patient population. Blocks of several months at a time will be spent staffing either RRT/CCOT or working within a specific ICU.

Requirements

Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) or Physician Assistant (PA) license required
Relevant Work Experience
Master's

Nice To Haves

Critical Care RN or APP experience preferred
Less than 1 year experience

Responsibilities

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 patients’ 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 for 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 a specialty scope of practice.
Facilitates the patient’s transition between and within health care settings, such as admitting, transferring, and discharging patients.
The responsibilities listed are a general overview of the position and additional duties may be assigned.
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.
Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance and gain knowledge in new areas.
Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.
Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences.
Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.
Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.
Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness.
Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.
Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them.
Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring.
Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.
Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.
Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities.
Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.
Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.
Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.