Vanderbilt Nurse Practitioner, Weight Loss Center
Vanderbilt School of Medicine is accepting applications for an Advanced Nurse Practitioner in our Division of General Surgery, Vanderbilt Center for Weight Loss.
The Vanderbilt Center for Weight Loss includes both surgical and non-surgical options for patient care. Our multispecialty team includes obesity medicine specialists, bariatric surgeons, mid-level practitioners, nurses, dietitians, exercise physiologist, psychologists, and support staff. We work together to provide the comprehensive care needed to address all aspects of weight management.
We are committed to providing the best in patient care. To further support our programs, we seek a specialty nurse practitioner in the ambulatory care setting to work as a part of an integrated health care team.
The specialty NP is a full-time billing provider and will work with faculty to manage a wide variety of patients, including pre and post-operative patients, and a distinct non-surgical patient population in the outpatient setting independently and through collaboration with our multidisciplinary team.
The specialty clinic NP has a strong foundation in evidenced based practice and is responsible for adherence to clinical pathways and protocols providing safe, quality care in a welcoming environment. The NP will demonstrate 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. The NP will participate in further improving and refining clinical pathways to serve our patients. The NP will also exhibit strong customer service skills during all interactions with patients, referring providers, and colleagues.
Key Functions and Expected Performances:
- 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, wound care and management, 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.
- 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 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 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, gastric band management, fluoroscopy, 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.
- Professional Practice
- 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.
Should participate in clinical research as available and appropriate
Master's Degree (or equivalent experience) and < 1 year experience. 12 months of nursing experience preferred; Inpatient acute care advanced practice nursing experience desirable.
Registered Nurse Required
Tennessee State Licensure, Nurse Practitioner
Prefer National Specialty Board Certification, TN APN certificate/certificate of fitness to prescribe, eligible for DEA (which will be required w/in 3 months of hire). Board Certification - Family Nurse Practitioner (FNP), Acute Care Nurse Practitioner (ACCNP) or Adult Nurse Practitioner (ANP).
Day Shift/Exempt Position
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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.
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
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
Physical Requirements/Strengths needed & Physical Demands:
- Occasional: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
- Occasional: Reaching below shoulders: Extending arms in any direction below shoulders.
- Occasional: Crawling:Moving about on hands and knees or hands and feet.
- Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles
- Occasional: Push/Pull: Exerting force to move objects away from or toward.
- Occasional: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
- Occasional: Walking: Moving about on foot.
- Occasional: Standing: Remaining on one's feet without moving.
- Occasional: Sitting: Remaining in seated position
- 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.
- Occasional: Climate: Ability to withstand exposure to atmospheric extremes including heat, cold, humidity, and barometric pressure changes.
- Occasional: Radiation: May be exposed to occupational radiation, requiring enrollment in VUMC's Radiation Safety Program which includes training, use of personal protective equipment with lead shielding, and personal dose monitoring.
- Occasional: Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses.
- Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.
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