Vanderbilt University Medical Center Nurse Practitioner/Physician Assistant- MICU- FT Nights- VUMC in Nashville, Tennessee

JOB CODE INFORMATION:

  1. Job Code: 6635

JOB SUMMARY:

The critical care nurse practitioner (NP) works in collaboration with a multidisciplinary health care team. The critical care NP generally functions as an intensivist within a designated intensive care unit and manages the critical care aspects of the assigned patient's intensive care stay from admission to transfer. The critical care NP has a strong foundation in evidenced based practice and education and has a responsibility for ensuring adherence to critical care pathways and protocols and ensures an environment of safe quality care. The NP demonstrates an advanced level of medical and nursing knowledge, clinical and technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. This job is a 24/7 position and requires days, nights and weekends.

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.

  • 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 immediate critical care needs.

  • Utilizes evidenced based practice guidelines, pathways 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 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 critical 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.

TECHNICAL CAPABILITIES:

CORE ACCOUNTABILITIES:

CORE CAPABILITIES:

Master's Degree (or equivalent experience) and 1 year nursing experience required; 12 months of critical care nursing experience preferred; Advanced practice critical care nursing experience desirable.

Licensure, Certification, and/or Registration (LCR):

  • Registered Nurse Required

Additional Qualification Information:

  • Requires Acute Care Specialty Board Certification and TN APN certificate with certificate of fitness to prescribe. Eligible for DEA license.

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: 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

Job Advanced Practice Nurse/Clinical Nurse Specialist/Nurse Practitioner

Organization: VUH Nurse Practitioners 201052

Title: Nurse Practitioner/Physician Assistant- MICU- FT Nights- VUMC

Location: TN-Nashville-Medical Center North (MCN)

Requisition ID: 1807370

Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.