Nurse Practitioner/Physician Assistant - Interventional Pain

Vanderbilt Health-posted about 1 month ago
Full-time • Entry Level
Onsite • Nashville, TN
5,001-10,000 employees
Hospitals
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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: Interventional Pain NP's Job Summary: The specialty nurse practitioner (NP) in the ambulatory care setting works in collaboration with a multidisciplinary health care team. The specialty NP is generally service/physician aligned, managing a distinct patient population in the outpatient setting. The NP functioning primarily in a clinic setting may be required to perform some coordination of inpatient care and facilitate discharges/outpatient follow up. The specialty clinic NP 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 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. . Outpatient/Clinic Position Position Hours Days Department Summary Vanderbilt Pain Management offers a range of proven and modern approaches to manage chronic, cancer-related and pre- and post-surgical pain. Our practice includes a comprehensive team of experts. This offers you convenient and coordinated access to the full pain management experience. Family Nurse Practitioner (FNP), Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) / Acute Care Nurse Practitioner (AGACNP/ACNP) or Physician Assistant (PA)

  • 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 clinic schedule with the attending physician team, presents patient report, collaborates in plan of care, and follows assigned patient population.
  • 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 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 critical 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.
  • Family Nurse Practitioner (FNP), Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) / Acute Care Nurse Practitioner (AGACNP/ACNP) or Physician Assistant (PA)
  • LIC-Licensed Nurse Practitioner - Tennessee
  • Master's
  • Less than 1 year
  • Relevant Work Experience
  • Prior APP Experience Strongly Preferred
  • Affordable High Quality Health Plan Options
  • Dental and /or vision plan
  • 403 (b) retirement plan
  • Paid Time off (flex PTO)
  • Tuition Reimbursement and adoption assistance (maximums applied)
  • Short-Long term disability
  • Subsidized backup childcare
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