Advd Practice Clinician PRN

Job Summary

The Advanced Practice Clinician (NP/PA) is service/physician aligned, managing a distinct patient population. The APC may be required to perform outpatient and inpatient care and facilitate discharges/outpatient follow up. The APC has a strong foundation in evidence-based practice/education and is responsible for ensuring adherence to clinical pathways/protocols and ensuring an environment of safe quality care. The APC demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgement, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation.

• 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
• Serves as the first responder for nursing and staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions
• Assesses risks associated with the care of acute and complex chronically ill patients including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures
• Coordinates daily clinic schedule with the attending physician team, presents patient report, collaborates in plan of care, and follows assigned patient population
• Manages diagnostic tests through ordering, interpretation, performance, and supervision
• 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 evidence-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
• May perform advanced procedures consistent with privileges and competency validation, including minor suturing, complex wound management, line and tube placements and removals
• Maintains ongoing communication and collaboration with interdisciplinary health care team
• Facilitates and communicates with patient, family, and staff to promote continuous improvement
• Documents/dictates key components of patient’s progress via daily progress note, transfer, and discharge summary, and/or clinic note where applicable
• Demonstrates Professional Practice behaviors including preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate, and novice APCs
• Seeks opportunities for active engagement in research and the analysis of evidence-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

• Affordable high quality health plan options
• Dental and/or vision plan
• 403(b) retirement plan
• Paid Time off (flex PTO)
• Tuition Reimbursement and adoption assistance (maximums applied)
• Short- and long-term disability
• Subsidized backup childcare
• Additional inpatient nursing supplemental pay program

• Licenses:
  Licensed Nurse Practitioner – Tennessee, Physician’s Assistant Certified – Tennessee
• Relevant
  
  Work Experience:
  
  1 year
• Education:
  
  Master’s degree

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.