Nurse Practitioner/Physician Assistant - Vanderbilt Perioperative Services

Vanderbilt University Medical Center•Nashville, TN

1d•Onsite

About The Position

Vanderbilt University Medical Center (VUMC), located in Nashville, Tennessee, is a global crossroads of teaching, discovery, and patient care, committed to an environment where individuals can thrive and their expertise is valued. VUMC's mission is to advance health and wellness through preeminent programs in patient care, education, and research. This specialty Nurse Practitioner (NP) or Physician Assistant (PA) role is in an ambulatory care setting, collaborating with a multidisciplinary healthcare team. The NP/PA will manage a distinct patient population in an outpatient setting, potentially coordinating some inpatient care and facilitating discharges/outpatient follow-up. The role requires a strong foundation in evidence-based practice/education, ensuring adherence to clinical pathways/protocols and safe, quality care. The NP/PA must demonstrate an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, and timely, compliant documentation, while also being responsible for professional development and competency validation. The VPEC clinic, located at Vanderbilt Health at One Hundred Oaks, provides preoperative anesthetic evaluations for adults undergoing elective surgery. The clinic is a growing environment with a collaborative team including Attending Anesthesiologists, Resident Physicians, Nurse Practitioners, and a Leadership Team comprising a Medical Director, Administrative Director, Clinic Manager, and a lead Clinical NP. Support staff includes Registered Nurses, Licensed Practical Nurses, Patient Services Representatives, social work, referral specialists, laboratory, and radiology. The clinic is dedicated to excellent patient service and a supportive work environment.

Requirements

Nurse Practitioner (FNP, ANP, AGPCNP, AGACNP) or Physician Assistant (PA)
1 or more years of APP experience required
LIC-Licensed Nurse Practitioner - Tennessee
Master's degree

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.
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.
May perform advanced procedures consistent with privileges and competency validation, including minor suturing, complex wound management, line and tube placements and removals.
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.
Ensures 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.
Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations.
Maintains CEUs, and membership in a professional organization.
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.
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.