PRN Advanced Practice Provider – ICU – Wilson County Hospital Position Available In Wilson, Tennessee

Job Description:

Discover Vanderbilt University Medical Center:

Located inNashville, Tennessee, and operating at a global crossroads ofteaching, discovery, and patient care, VUMC is a community ofindividuals who come to work each day with the simple aim ofchanging the world. It is a place where your expertise will bevalued, your knowledge expanded, and your abilities challenged.

Vanderbilt Health is committed to an environment where everyone hasthe chance to thrive and where your uniqueness is sought andcelebrated. It is a place where employees know they are part ofsomething that is bigger than themselves, take exceptional pride intheir work and never settle for what was good enough yesterday.

Vanderbilt’s mission is to advance health and wellness throughpreeminent programs in patient care, education, andresearch.

Organization:

VUH Advanced Practice ProviderJob Summary:

Thespecialty nurse practitioner (NP) in the respective setting worksin collaboration with a multidisciplinary health care team. Thespecialty NP is generally service/physician aligned, managing adistinct patient population. The NP may be required to perform somecoordination of outpatient and inpatient care and facilitatedischarges/outpatient follow up. The specialty NP has a strongfoundation in evidenced based practice/education and is responsiblefor ensuring adherence to clinical pathways/protocols and ensuresan environment of safe quality care. The NP demonstrates anadvanced level of medical and nursing knowledge, clinical/technicalcompetence, sound clinical judgment, professional communicationskills, timely and compliant documentation, and responsible forprofessional development and competency validation.

PositionHours PRN (As Needed)

Location:

Vanderbilt Wilson County Hospital•Lebanon, TN Acute Care Nurse Practitioner (AGACNP/ACNP) or PhysicianAssistant (PA) One Year APP Experience RequiredKey Responsibilities Assessment of Health Status Performs and documents in the medical record a complete historyand physical examination for acute and complex chronically illpatients Orders and collects data using appropriate assessmenttechniques, relevant supporting diagnostic information anddiagnostic procedures where indicated. The nurse practitioner may serve as the first responder forboth nursing and house staff in the event of patient statuschanges, orders, and in situations requiring procedural andresuscitative interventions. Assesses for risks associated with the care of the acute andcomplex chronically ill patient including medication side effects,immobility, impaired nutrition, fluid and electrolyte imbalance,immunocompetence, invasive interventions and diagnosticprocedures. Coordinates daily clinic schedule with the attending physicianteam, presents patient report, collaborates in plan of care, andfollows assigned patient population. Diagnosis Diagnosis Manages diagnostic tests through ordering, interpretation,performance, and supervision. Formulates differential diagnoses by priority. Diagnoses complications and orders appropriateinterventions. Formulates Plan of Care Identifies expected outcomes from diagnosis, and formulates anddocuments a plan of care to address complex acute and chronichealth care needs. Utilizes evidenced based practice guidelines or protocols in anindividualized, dynamic plan of care that can be applied across thecontinuum. Implements and modifies plan of care Prescribes diagnostic strategies and therapeutic interventionsboth pharmacologic, non-pharmacologic, and surgical, needed toachieve expected outcomes. Manages further diagnostic tests through ordering,interpretation, performance, and supervision. May perform advanced procedures consistent with privileges andcompetency validation, including minor suturing, complex woundmanagement, line and tube placements and removals Communication and Collaboration Maintains ongoing communication and collaboration withinterdisciplinary health care team. Facilitates and communicates with patient, family and staff topromote continuity of care across the outpatient continuum ofcare. Documentation Documents/dictates key components of patient’s progress viadaily progress note, transfer, and discharge summary, and/or clinicnote where applicable. (h&p, daily progress notes, plan ofcare, problem lists, procedure notes, acute event note, dischargesummaries in medical record per specific patient unit or service,death summary) Documentation is timely, meets critical care compliancestandards and captures patient acuity. Professional Practice Demonstrates Professional Practice behaviors including:preceptor/mentoring, education and instruction of students, nursingstaff, nurses, graduate and novice nurse practitioners, Seeks opportunities for active engagement in research and theanalysis 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 professionalorganization.

Technical CapabilitiesOur Nursing Philosophy:

Webelieve highly skilled and specialized nursing care is essential toVanderbilt University Medical Center’s mission of quality inpatient care, education and research. We believe nursing is anapplied art and science focused on helping people, families andcommunities reach excellent health and well-being.

As a VanderbiltUniversity Medical Center employee, you make a difference to ourpatients and their families by bringing compassion and care tothose in need of hope and healing. Please see our current employeebenefits offered: 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 (maximumsapplied) Short-Long term disability Subsidized backup childcare And many more… Ask us about our current inpatient nursingsupplemental Pay Program!

Achieve the

Remarkable:

Learn more aboutVUMC Nursing here.

Core Accountabilities:

Organizational Impact:

Executes job responsibilities with the understanding of how outputwould affect and impact other areas related to own job area/teamwith occasional guidance.

Problem Solving/ Complexity of work:

Analyzes moderately complex problems using technical experience andjudgment.

Breadth of Knowledge:

Has expanded knowledge gainedthrough experience within a professional area.

Team Interaction:

Provides informal guidance and support to team members.

CoreCapabilities :

Supporting Colleagues•

Develops Self and Others:

Invests time, energy, and enthusiasm in developing self/others tohelp improve performance e and gain knowledge in new areas•

Buildsand Maintains Relationships:

Maintains regular contact with keycolleagues and stakeholders using formal and informal opportunitiesto expand and strengthen relationships•

Communicates Effectively:

Recognizes group interactions and modifies one’s own communicationstyle to suit different situations and audiences. DeliveringExcellent Services•Serves Others with

Compassion:

Seeks tounderstand current and future needs of relevant stakeholders andcustomizes services to better address them•

Solves ComplexProblems:

Approaches problems from different angles; Identifies newpossibilities to interpret opportunities and develop concretesolutions•

Offers Meaningful Advice and Support:

Provides ongoingsupport and coaching in a constructive manner to increaseemployees’ effectiveness.

Ensuring High Quality:

•

PerformsExcellent Work:

Engages regularly in formal and informal dialogueabout quality; directly addresses quality issues promptly•

EnsuresContinuous Improvement:

Applies various learning experiences bylooking beyond symptoms to uncover underlying causes of problemsand identifies ways to resolve them.•

Fulfills Safety andRegulatory Requirements:

Understands all aspects of providing asafe environment and performs routine safety checks to preventsafety hazards from occurring.

Managing Resources Effectively:

•

Demonstrates Accountability:

Demonstrates a sense of ownership,focusing on and driving critical issues to closure•

StewardsOrganizational Resources:

Applies understanding of the departmentalwork to effectively manage resources for a department/area•

MakesData Driven Decisions:

Demonstrates strong understanding of theinformation or data to identify and elevate opportunities.

Fostering Innovation•

Generates New Ideas:

Proactively identifiesnew ideas/opportunities from multiple sources or methods to improveprocesses 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 forimprovement; actively embraces change instead of emphasizingnegative elements.

PositionQualifications:

Responsibilities:

Certifications:

LIC-Licensed NursePractitioner•

TennesseeWork Experience:

Relevant WorkExperienceExperience Level:

Less than 1year

Education:

Master’sVanderbilt Health is committed to fosteringan environment where everyone has the chance to thrive and iscommitted to the principles of equal opportunity.

EOE/Vets/Disabled.