Nurse Practitioner/Physician Assistant - Walk-In Clinic (Hendersonville)

Vanderbilt University Medical Center•Hendersonville, TN

15h•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: WIC Providers Job Summary: The Nurse Practitioner (NP) or Physician Assistant (PA) within the the walk-in/urgent care outpatient setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The NP/PA functions in an outpatient setting, managing the care of patients presenting with acute illness and injury as well as chronic illness. The NP/PA has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. The NP/PA demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. . Position Hours: Full-Time (40 Hours Per Week) Weekdays - 12 Hour Shifts Rotating Weekends Required - 9 Hour Shifts Location: Vanderbilt Health Walk-in Clinic Hendersonville 129 N Anderson Lane Hendersonville TN 37075 Department Summary: Our walk-in clinics are open seven days a week with evening and weekend hours. With 12 locations in Cheatham, Davidson, Sumner, Williamson and Wilson counties. Nurse Practitioner (PA) or Physician Assistant (PA) 1 or more years of prior APP experience required KEY 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 Physician Assistant 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 rounds with the Attending physician teams, presents 24 hour patient report, collaborates in plan of care, and follows assigned patient population throughout the day. • 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 iPAatient and 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 acute 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 Physician Assistants. • 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.

Requirements

Nurse Practitioner (PA) or Physician Assistant (PA)
1 or more years of prior APP experience required
Certifications: LIC-Physician's Assistant Certified - Tennessee
Work Experience: Relevant Work Experience
Experience Level: Less than 1 year
Education: Master's

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 Physician Assistant 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 rounds with the Attending physician teams, presents 24 hour patient report, collaborates in plan of care, and follows assigned patient population throughout the day.
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 iPAatient and 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 acute 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 Physician Assistants.
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.