Vanderbilt University Medical Center VMG Nurse Practitioner – Lymphoma in Nashville, Tennessee
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The Hematology/Oncology Advanced Practice Provider, located in the lymphoma clinic (APP) (NP, PA) works in collaboration with a multidisciplinary health care team. The APP provides healthcare in primary and acute care, critical care and long-term health care settings. The APP has didactic education, clinical competency and national certification in identified areaof clinical practice. The APP demonstrates medical knowledge, clinical judgment, technical competence, professionalism, interpersonal communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. The APP has an advanced knowledge of nursing theory and application. The APP has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. The Hematology/Oncology APP manages the care for patients including general oncology, stem cell transplant, benign or malignant hematology and neuro-oncology. The APP will work collaboratively with the interdisciplinary and physician team in the Division of Hematology/Oncology. The APP may have some responsibility for the after hours clinic and infusion coverage.
• 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.
• 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.
• 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.
• Master's Degree (or equivalent experience) (Required)
• < 1 year experience. 12 months of nursing experience preferred; Inpatient acute care advanced practice nursing experience desirable. (Required)
• Tennessee Registered Nurse License; Tennessee Advanced Practice Nursing License with Certificate of Fitness to Prescribe OR Tennessee Physician Assistant License (Required)
• National Specialty Board Certification in Age-Specific, Specialty Patient Population; Eligible for NPI and DEA
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.
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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
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:
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.
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.
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 Services
Organization: Hematology/Oncology 104379
Title: VMG Nurse Practitioner – Lymphoma
Location: TN-Nashville-Preston Cancer Research Building
Requisition ID: 1810230
Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.