Advanced Practice Provider; PA​/NP; Pediatric Emergency Medicine

Discover Vanderbilt University Medical Center

Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated.

It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Peds Emergency Medicine

The Pediatric Emergency Medicine in the Department of Pediatrics at Vanderbilt University School of Medicine is accepting applications for a full-time acute care Nurse Practitioner or Physician Assistant.

• Nurse Practitioner - 3 years minimum clinical nursing experience in Emergency Department or ICU preferred
• Physician Assistant - graduated from an accredited program
• Prefer National Specialty Board Certification (Acute Care), TN APN certificate/certificate of fitness to prescribe, eligible for DEA.

• Average of three 12 hour shifts per week
• Includes evenings and weekends

Pediatric Emergency Medicine is an exciting specialty that offers exposure to a wide variety of patient pathology in a fast paced setting. Pediatric Emergency Medicine practitioners need to be prepared to care for medical and surgical patients of variable severity. Practitioners will be expected to obtain a history and perform a physical exam on pediatric patients from newborn to adolescence. Under the supervision of attending physicians, they will exercise critical thinking and develop differentials diagnosis, management plans and deposition for pediatric patients presenting to the pediatric emergency department.

Communication with families, consultants, community providers and emergency medicine staff will be expected. The practitioner will also participate in common procedures in pediatric emergency medicine such as suturing, abscess drainage, and splinting of extremity injuries. The clinical expectation is an average of three 12 hour shifts per week which include weekends. Practitioners have the opportunity to participate in weekly fellow conferences as well as journal clubs, procedure workshops and simulation scenarios provided by the division.

• 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…