Job Description - Advanced Practice Clinician (Bedford Rural Health Clinics) (2109642)
Advanced Practice Clinician (Bedford Rural Health Clinics)-2109642
Job: Advanced Practice Nurse/Clinical Nurse Specialist/Nurse Practitioner
Primary Location: TN-Shelbyville-Shelbyville Clinic
Organization: VBCH Rural Health Clinics 361240
Shift: First Shift
Advanced Practice Clinician (Rural Health Clinics)
The Advanced Practice Clinician (NP/PA) is service/physician aligned, managing a distinct patient population. The APC may be required to perform some outpatient and inpatient care and facilitate discharges/outpatient follow up. The APC 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 APC demonstrates advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgement, professional communication skills, timely and compliant documentation, and responsible for professional development and competency validation.
- 1. Assessment of Health Status
- a. Performs and documents in the medical record a complete history and physical examination for acute and complex chronically ill patients
- b. Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
- c. The APC may serve as the first responder for both nursing and staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
- d. 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.
- e. Coordinates daily clinic schedule with the attending physician team, presents patient report, collaborates in plan of care, and follows assigned patient population.
- f. Manages diagnostic tests through ordering, inter
- 2. Formulates Plan of Care
- a. Identifies expected outcomes from diagnosis and formulates and documents a plan of care to address complex acute and chronic health care needs.
- b. Utilizes evidenced based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.
- c. Implements and modifies plan of cared. Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic, and surgical, needed to achieve expected outcomes.
- d. Manages further diagnostic tests through ordering, interpretation, performance, and supervision.
- e. May perform advanced procedures consistent with privileges and competency validation, including minor suturing, complex wound management, line and tube placements and removals
- f. Communication and Collaboration
- g. Maintains ongoing communication and collaboration with interdisciplinary health care team.
- h. Facilitates and communicates with patient, family, and staff to promote c
- 3. Documentation
- a. 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)
- b. Documentation is timely, meets critical care compliance standards and captures patient acuity.
- 4. Professional Practice
- a. Demonstrates Professional Practice behaviors including preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate, and novice APCs
- b. Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
- c. Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations.
- d. Maintains CEUs, and membership in a professional organization.
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.
Vanderbilt Bedford County Hospital:
Vanderbilt Bedford Hospital is your community healthcare provider: a 60-bed facility with a comprehensive range of inpatient, outpatient, medical, and surgical services.
Acquired by Vanderbilt Health in 2021, the hospital is the sole provider of inpatient medical services for Bedford County. We believe in the power of people to create great care. With more than 32 doctors and 250 hospital staff, Vanderbilt Bedford Hospital delivers personalized, high-quality health care close to home, in a modern, patient-friendly environment.
Click here for more information: www.VanderbiltBedfordHospital.com
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.
Achieve the Remarkable:
Learn more about VUMC Nursing:
- Nursing Careers: http://www.vumcnursingcareers.com/index.html
- Benefits: http://www.vumcnursingcareers.com/benefits.html
- Our Nursing Philosophy: http://www.vumcnursingcareers.com/philosophy.html
- 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 relevant experience
Licensure, Certification, and/or Registration (LCR):
- BLS Required
- Physician Assistant (PA) License Required, or
- Advanced Practice Registered Nurse Required
Additional Qualification Information:
- DEA Certification, requiredAccepts personal responsibility for the promotion of teamwork, professional conduct, communication, organizational commitment, work habits, job knowledge, attendance, and appearance. Possesses the ability to handle conflict and adapt to change. Knowledge of general health and related diagnostic and treatment modalities.
Physical Requirements/Strengths needed & Physical Demands:
- Medium Work category requiring exertion up to 50lbs of force occasionally and/or up to 20 of force frequently and/or up to 10 of force continually to move objects.
- Occasional: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
- Occasional: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
- 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: Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms.
- Occasional: Kneeling:Bending legs at knees to come to rest on knee or knees.
- Occasional: Crouching/Squatting: Bending body downward and forward by bending legs and spine.Reaching above shoulders: Extending arms in any direction above shoulders.
- Occasional: Reaching above shoulders: Extending arms in any direction above shoulders.
- Frequent: Sitting: Remaining in seated position
- Continuous: Standing: Remaining on one's feet without moving.
- Continuous: Walking: Moving about on foot.
- Continuous: Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching or maneuvering self, patient and equipment simultaneously while working in large and small spaces
- Continuous: Reaching below shoulders: Extending arms in any direction below shoulders.
- Continuous: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
- Continuous: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.
- Continuous: Bimanual Dexterity: Requiring the use of both hands.