VMG Nurse Practitioner

JOB CODE INFORMATION: Title: VMG Nurse Practitioner

Job Code: 6673

Job Stream Description: TBD

Title: VMG Nurse Practitioner

Job Code: 6673

Job Stream Description: TBD

JOB SUMMARY:The nurse practitioner (NP) within the Adult Urology clinical setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The NP functions primarily as a provider in an out patient setting, managing the care of patients. The NP has a strong foundation in evidenced based practice/education and provides 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 is responsible for professional development and competency validation.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.

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.

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.

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.

Maintains CEUs, and membership in a professional organization.

CORE ACCOUNTABILITIES: CORE CAPABILITIES: Master's Degree (or equivalent experience) and < 1 year experience. 12 months of nursing experience preferred; Inpatient acute care advanced practice nursing experience desirable.Licensure, Certification, and/or Registration (LCR):Registered Nurse Required

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:MovementOccasional: 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.

SensoryOccasional: 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 ConditionsOccasional: 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: Urology Adult 104810Title: VMG Nurse PractitionerLocation: TN-Nashville-The Vanderbilt Clinic (TVC)Requisition ID: 2010224Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.