Nurse Practitioner, PRN - Emergency Medicine (Wilson County)-2109794
:Advanced Practice Nurse/Clinical Nurse Specialist/Nurse Practitioner
:TN-Lebanon-Vanderbilt Wilson County Hospital (VWCH)
:Emergency Medicine 104790
Nurse Practitioner, PRN
The specialty nurse practitioner (NP) in the respective setting works in collaboration with a multidisciplinary health care team. The specialty NP is generally service/physician aligned, managing a distinct patient population. The NP may be required to perform some coordination of outpatient and inpatient care and facilitate discharges/outpatient follow up. The specialty NP has a strong foundation in evidenced based practice/education and is responsible for ensuring adherence to clinical pathways/protocols and ensures 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 responsible for professional development and competency validation.
VUMC’s Department of Emergency Medicine is a leader in clinical care, education and research. The Department has over 40 staff and 60 faculty across seven divisions: airway management; emergency medicine services; global emergency medicine; medical photography; emergency medicine research; simulation; and ultrasound. As the only adult and pediatric Level 1 trauma center in Central Tennessee, VUMC’s combined emergency departments see over 130,00 patients annually. The Department of Emergency Medicine physicians currently provide services at Vanderbilt University Hospital, the Emergency Department of the Nashville Veterans Administration Medical Center, and Vanderbilt Wilson County Hospital’s (VWCH). The department is ranked tenth nationally by NIH funding. With an extensive research infrastructure, the department is a leader in designing innovative department-based research and garners high accolades in both its industry and federally funded studies. Faculty and researcher’s in the department produce numerous peer-reviewed publications and are well regarded by their peers nationally and globally. Recently, in partnership with the Institute for Medicine and Public Health (IMPH) and the Center for Health Services Research, the Department established a Center for Emergency Care Research and Innovation (CERI) to help determine the best care for patients who experience trauma or require emergency services even before going to a hospital. CERI’s goal is to provide the infrastructure and resources to further develop collaborations of clinical investigators and to recruit and to mentor junior and mid-career investigators and research staff. CERI is expanding existing collaborations between and among investigators in the Divisions of Emergency Medicine; Trauma and Surgical Critical Care; Allergy, Pulmonary and Critical Care; as well as other divisions in the Departments of Medicine, Pediatrics, Biostatistics and Health Policy. Education is a priority for the department. There are currently 39 residents in this highly regarded and sought-after program. Much of the residency program’s stellar reputation rests on the efforts of faculty members and upper level residents who view excellent teaching as a core component of their responsibilities. The fourth-year medical student rotation is the highest rated required clinical rotation in the medical school. Currently, the Department offers fellowships in emergency medicine services and event medicine; ultrasound; simulation; global emergency medicine; sports medicine; and emergency medicine education.
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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. It is a place where your diversity — of culture, thinking, learning and leading — 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.
VUMC Recent Accomplishments
Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:
· US News & World Report: #1 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Children’s Hospital at Vanderbilt named as one of the Best Children’s Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked.
· Healthcare’s Most Wired: Among the nation’s 100 “most-wired” hospitals and health systems for its efforts in innovative medical technology.
· Becker’s Hospital Review: named as one of the “100 Great Hospitals in America”, in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.
· The Leapfrog Group: One of only 10 children’s hospitals in the to be named at Leapfrog Top Hospital.
· American Association for the Advancement of Science: The School of Medicine has 112 elected fellows
· Magnet Recognition Program: Received our third consecutive Magnet designations.
· National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement
· Human Rights Campaign Healthcare Equality Index: 6th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.
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 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 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 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 critical care compliance standards and captures patient acuity.
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.
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.
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.
About Vanderbilt Health
Discover Vanderbilt Health: Located in Nashville, TN, and operating at a global crossroads of teaching, discovery and patient care, Vanderbilt Health 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. It is a place where diversity – of culture, thinking, learning and leading – 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.
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