Vanderbilt Nurse Practitioner-Surgical Oncology

JOB SUMMARY: Vanderbilt School of Medicine is accepting applications for an The Division of Surgical Oncology, within the Department of Surgery and the Section of Surgical Sciences at Vanderbilt University Medical Center, encompasses several multidisciplinary disease management programs including Breast Diseases, Melanoma and Cutaneous Malignancies, Sarcoma and Soft Tissue Tumors, Gastrointestinal Malignancies, and Endocrine Disorders. We are committed to providing the best in patient care. To further support our programs, we seek a specialty nurse practitioner (NP) in the ambulatory care setting to work as a part of an integrated multidisciplinary health care team.

The specialty clinic NP works in collaboration with a multidisciplinary health care team to manage a distinct patient population with an emphasis on Breast Diseases, both benign and malignant, in the outpatient setting. To further support an integrated approach to breast health care, the NP may also be involved in the coordination of care across the care continuum including pre and postoperative periods, inpatient care, discharge/outpatient follow up, and long term management,.The specialty clinic NP has a strong foundation in evidenced based practice/education andwill provide recommendations and serve as a resource for the development of patient care standards, clinical decision-making, protocols and procedures related to nursing practices, and an environment of safe quality care in the Breast Program. The NP demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, quality improvement and responsible for professional development and competency validation. The NP will also exhibit strong customer service skills during all interactions with patients, referring providers, and colleagues. Department/Unit Summary: The Vanderbilt Division of Surgical Oncology and Endocrine Surgery, a part of the Vanderbilt Department of Surgery, has quickly become a national leader in comprehensive surgical care. Our emphasis is placed on the evaluation and treatment of patients with benign and malignant tissue disorders.We use a multidisciplinary approach to patient care and work closely to coordinate our efforts with the Divisions of Radiation Oncology, Medical Oncology, Gynecologic Oncology, Hematology, Surgical Pathology, Radiology and other disciplines.The Division is an integral part of the Vanderbilt-Ingram Cancer Center and the Vanderbilt Breast Center and provides specialized care through our Endocrine Surgery Center and Pancreas Center.Vanderbilt University Medical Center is a leader in our community and region. Our growing reputation, award winning faculty, clinical trainees and well-funded research result in an organization focused on high quality, compassionate, and innovative patient care. Position Shift:

Day Shift/ Exempt PositionClick here to view how Vanderbilt Health employees celebrate the difference they make every day:Celebrate 2019 Click Here To View The VUMC Promise of Discovery Our Nursing Philosophy: We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being.Achieve the Remarkable: Learn more about VUMC Nursing:· Nursing Careers : http://www.vumcnursingcareers.com/index.html · Benefits : http://www.vumcnursingcareers.com/benefits.html · Our Nursing Philosophy : http://www.vumcnursingcareers.com/philosophy.html · Our Nursing Leadership : http://www.vumcnursingcareers.com/leadership.html · Shared Governance : http://www.vumcnursingcareers.com/shared-governance.html · Education & Professional Development : http://www.vumcnursingcareers.com/professional-development.html · Life In Nashville : http://www.vumcnursingcareers.com/nashville.html VUMC Nursing : http://www.mc.vanderbilt.edu/root/vumc.php?site=vanderbilt-nursing VUMC Recent Accomplishments Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:· US News & World Report: #1 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Children’s Hospital at Vanderbilt named as one of the Best Children’s Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked.· Healthcare’s Most Wired: Among the nation’s 100 “most-wired” hospitals and health systems for its efforts in innovative medical technology.· Becker’s Hospital Review: named as one of the “100 Great Hospitals in America”, in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.· The Leapfrog Group: One of only 10 children’s hospitals in the to be named at Leapfrog Top Hospital.· American Association for the Advancement of Science: The School of Medicine has 112 elected fellows· Magnet Recognition Program: Received our third consecutive Magnet designations.· National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement· Human Rights Campaign Healthcare Equality Index: 6 th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality. Additional Key Elements/ Responsibilities: 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 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 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 inpatient 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 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.

Position Qualifications: Master's Degree (or equivalent experience) and < 1 year experience. 12 months of nursing experience preferred; Inpatient acute care advanced practice nursing experience desirable.Registered Nurse License Required CA IND000 NHCN

Additional Qualification Information:

Prefer National Specialty Board Certification, TN APN certificate/certificate of fitness to prescribe, eligible for DEA

Physical Requirements/Strengths needed & Physical Demands:Movement

Occasional: Sitting: Remaining in seated position

Occasional: Standing: Remaining on one's feet without moving.

Occasional: Walking: Moving about on foot.

Occasional: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another

Occasional: Push/Pull: Exerting force to move objects away from or toward.

Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles

Occasional: Crawling:Moving about on hands and knees or hands and feet.

Occasional: Reaching below shoulders: Extending arms in any direction below shoulders.

Occasional: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.

Sensory

Occasional: Vision: Clarity of near vision at 20 inches or less and far vision at 20 feet or more with depth perception, peripheral vision, color vision.

Frequent: Noise: May include exposure to occupational noise levels which equal or exceed an 8-hr time-weighted average of 85 decibels, requiring enrollment in VUMC's Hearing Conservation Program which includes training, use of hearing protection, and periodic audiometry.

Continuous: Communication: Expressing or exchanging written/verbal/electronic information.

Environmental Conditions

Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.

Occasional: Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses.

Occasional: Radiation: May be exposed to occupational radiation, requiring enrollment in VUMC's Radiation Safety Program which includes training, use of personal protective equipment with lead shielding, and personal dose monitoring.

Occasional: Climate: Ability to withstand exposure to atmospheric extremes including heat, cold, humidity, and barometric pressure changes.

Job Other Nursing ServicesOrganization: Surgical Oncology 104709Title: Vanderbilt Nurse Practitioner-Surgical OncologyLocation: TN-Nashville-Vanderbilt Health One Hundred Oaks (OHO)Requisition ID: 2007847Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.