Nurse Practitioner/Physician Assistant - Hi-RiSE TVC Clinic

Vanderbilt University Medical Center•Nashville, TN

10h•Onsite

About The Position

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: Hi-RiSE TVC 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. . Position Hours: 8:00am - 6:00pm (4 10 Hour Shifts Per Week) Monday through Friday No Weekends or Holidays Department Summary: The Hi-RiSE clinic is located at The Vanderbilt Clinic, 1301 Medical Center Drive, Nashville, TN 37232. We provide preoperative anesthetic evaluations, including surgical risk stratification, and develop and implement plans of care to optimize medically complex adult individuals in the weeks before they undergo elective surgery. We are looking for a motivated, self-directed advanced practice provider (APP) who is committed to patient care excellence within a collaborative and compassionate environment that promotes teaching and learning for both patients and team members. Each patient’s plan of care is initiated by the APP and supported by registered nurses and support staff. The leadership team is comprised of a medical director (who is also the APP collaborative physician), nursing director, and clinic manager. Clinic support staff is comprised of medical assistants and patient service specialists. The Hi-RiSE clinic shares a unique relationship with the Vanderbilt Preoperative Evaluation Clinic (VPEC) and team members are cross trained to work within both clinic systems. Various interventions and resources are utilized for patient care including laboratory testing, imaging, prescription of medications, collaboration with primary care provider, and medical specialty clinic referrals and testing. We are committed to providing excellent patient centered care while providing a supportive and caring work environment for our team members. Nurse Practitioner (FNP, ANP, AGPCNP, AGACNP) or Physician Assistant (PA) Prior APP Experience Strongly Preferred

Requirements

LIC-Licensed Nurse Practitioner - Tennessee
Relevant Work Experience
Less than 1 year
Master's

Nice To Haves

Prior APP Experience Strongly Preferred
Nurse Practitioner (FNP, ANP, AGPCNP, AGACNP) or Physician Assistant (PA)

Responsibilities

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.
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. (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.
Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations.
Maintains CEUs, and membership in a professional organization.