Aug 07, 2022

Pediatric Orthopedics- PA or NP with RNFA

  • Vanderbilt Health
  • Nashville, TN, USA
Operating Room Pediatric

Job Description

Beginning of the main content section.
Return to the home page
Printable Format
Job Description - Pediatric Orthopedics- PA or NP with RNFA (2205291)

Job Description
Pediatric Orthopedics- PA or NP with RNFA-2205291


: Advanced Practice Nurse/Clinical Nurse Specialist/Nurse Practitioner

Primary Location

: TN-Murfreesboro-Mufreesboro Children's Surgery and Clinic


: In-Patient Nrs Practnrs 40 209061
Shift: Days


Pediatric Orthopedics - Physician Assistant or Pediatric Nurse Practitioner with Registered Nurse First Assist Certificate

Service Summary:

The Physician Assistant (PA) or Nurse Practitioner (NP) in Pediatric Orthopaedics will assist in the medical and surgical care of pediatric orthopaedic patients in the outpatient and perioperative/surgical clinical settings. The PA/NP works under the supervision of the pediatric orthopaedic team using established and approved protocols as required by state law and institutional policy. The PA/NP demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation.

This role will also include working as a surgical assistant in the perioperative/surgical setting. This is a full-time position, primarily located at Vanderbilt Children’s Specialty Clinics and ambulatory surgery center in Murfreesboro; days may vary.

Principal duties and Responsibilities:

  1. Function as member of a multidisciplinary team that includes Attending Physicians, Resident physicians, Advanced Practice RN/Case Manager, RNs, ortho-cast technicians, social worker, child life specialist, and nurse manager.
  2. Facilitates and guides care in the Pediatric Orthopaedic outpatient setting by performing comprehensive problem-focused patient evaluations; formulates and implements therapeutic plans of care; management of simple and complex fractures to include closed reduction, preoperative education and postoperative management of care, peer-to-peer reviews to ensure proper and timely authorization of tests/surgical procedures.
  3. As needed, provide routine medical management of an inpatient Pediatric Orthopaedic population to include evaluations and consultations in collaboration with the Pediatric Orthopaedic physicians.
  4. This role will also include working as a surgical assistant in the operating room by performing retraction, suturing, tying and cutting suture, stapling, cauterizing, aspirating, and other assistance as requested by the surgeon. This requires the presence of the attending physician for all key portions of the operation.
  5. Perform procedures (under direction and appropriate level of supervision of the Attending Physician) including but not limited to closed fracture reduction and management, splinting and casting, aspiration and/or injection of joints or cysts, wound suturing and dressing, and suture removal.
  6. Complete appropriate documentation of all evaluations, care, and services rendered in the patient electronic medical record per policy.
  7. Provide follow-up care in accordance with established protocols
  8. Attend Pediatric Orthopaedic preoperative and postoperative conference twice each week.

Key Functions and Expected Performances:

  1. Diagnosis
    1. Collaborates with interdisciplinary health care team in making diagnoses of acute and chronic conditions.
    2. Manages diagnostic tests through ordering, interpretation, and collaboration
    3. Formulates differential diagnoses by priority.
    4. Diagnoses complications and orders appropriate interventions
  1. Formulates Plan of Care
    1. Identifies expected outcomes from diagnosis and formulates and documents a plan of care to address complex acute and chronic health care needs.
    2. Utilizes evidenced based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.
  1. Implements and modifies plan of care
    1. Prescribes diagnostic strategies and therapeutic interventions pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes.
    2. Manages further diagnostic tests through ordering, interpretation, performance, and supervision.
    3. May perform advanced procedures consistent with privileges and competency validation
  1. Communication and Collaboration
    1. Maintains ongoing communication and collaboration with interdisciplinary health care team.
    2. Facilitates and communicates with patient, family and staff to promote continuity of care across the continuum of care.
  1. Documentation
    1. Documents/dictates key components of patient's progress via clinic note (H&P, plan of care, problem lists, procedure notes in medical record per specific patient)
    2. Documentation is timely, meets acute care compliance standards and captures patient acuity.
  1. Professional Practice
    1. Demonstrates Professional Practice behaviors including preceptor/mentoring, education and instruction of students, nursing staff, nurses, and graduate and novice nurse practitioners.
    2. Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
    3. Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations.
    4. Maintains CEUs, and membership in a professional organization

Background screens will be performed, and education will be verified prior to employment. Please be prepared to provide required information and/or documentation

Vanderbilt is a smoke-free workplace in compliance with the Non-Smoker Protection Act, Tennessee Code Annotated 39-17-1801-1810. In accordance with that law and Vanderbilt policy, smoking is prohibited in all buildings on Vanderbilt property and on the grounds of the campus with the exception of designated outdoor smoking areas.

Vanderbilt is an equal opportunity, affirmative action employer

Minimum Requirements:

This position requires a Masters Degree in Nursing, Pediatric Acute Care Nurse Practitioner program, or Pediatric Primary Care Nurse Practitioner program completion and certification, minimum of 1 year of experience as a pediatric nurse practitioner strongly preferred.


The position requires a graduate of a physician assistant training program accredited by C.A.H.E.A., C.A.A.H.E.P. or A.R.C.-P.A.; and has successfully completed the examination of the National Commission on the Certification of Physician Assistants.

New graduate candidates with at least 1 year of pediatric surgical care or pediatric intensive care nursing will be considered.

License and Certifications Required:

If APRN Candidate:

1. Current Tennessee Registered Nurse License with Current Tennessee Registered Nurse First Assistant Certificate

2. Current Advanced Practice Registered Nurse License with certification of fitness to prescribe controlled substances

3. Current Pediatric Acute Care Nurse Practitioner Certification (PNP-AC) or Pediatric Primary Care Nurse Practitioner Certification (PNP-PC)

If PA Candidate:

1. Current Tennessee Physician Assistant License with certification of fitness to prescribe controlled substances

2. Current Physician Assistant Board Certification (PA-C)

Position Shift:

  • Day Shift
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.

Basic Qualifications

Master's Degree (or equivalent experience) in Physician Assistant studies, from an accredited institution, with education and clinical training specific to patient population and < 1 year relevant experience

Licensure, Certification, and/or Registration (LCR):

  • Physician Assistant (PA) License Within 3 months

Additional Qualification Information:

  • National Specialty Board Certification (Required). Eligible for NPI and DEA (which will be required withing 3 months of hire)

Physical Requirements/Strengths needed & Physical Demands:

  • Heavy Work category requiring exertion of 50 to 100 lbs. of force occasionally and/or up to 20 to 50 lbs. of force frequently and/or up to 10 to 20 lbs. of force continually to move objects.


  • Occasional: Sitting: Remaining in seated position
  • Occasional: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
  • Occasional: Lifting over 35 lbs: Raising and lowering objects from one level to another, includes upward pulling over 35 lbs, with help of coworkers or assistive device
  • Occasional: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
  • Occasional: Carrying over 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
  • 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.
  • Frequent: Standing: Remaining on one's feet without moving.
  • Frequent: Walking: Moving about on foot.
  • Frequent: Reaching below shoulders: Extending arms in any direction below shoulders.
  • Frequent: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
  • Frequent: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.


  • Frequent: Communication: Expressing or exchanging written/verbal/electronic information.
  • Frequent: 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: Smell: Ability to detect and identify odors.
  • Continuous: Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information
  • Continuous: Feeling: Ability to perceive size, shape, temperature, texture by touch with fingertips.

Environmental Conditions

  • Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.
  • Frequent: Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses.