NP or PA - Vascular Surgery

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Organization:

VUH Inpatient Cardiac Stepdown

Job Summary:

The Advanced Practice Provider (APP) is a key member of the multidisciplinary healthcare team, collaborating closely with physicians and other care providers to manage a distinct patient population in the inpatient acute care setting. Working with hospitalized patients, the APP provides specialized care and supports the delivery of high-quality, evidence-based medical services. This role requires a strong foundation in evidence-based practice and clinical education, with the APP responsible for adhering to established clinical pathways and protocols to ensure safe and effective patient care. The APP will demonstrate advanced medical knowledge, clinical and technical competence, sound clinical judgment, and professional communication skills. In addition, the APP is accountable for timely and compliant documentation and actively participates in professional development and competency validation to maintain high standards of care. .

SHIFT

Days

Three 12-hour shifts per week

Covers weekends and holidays on a rotation with the team (usually every third to fourth weekend).

No nights

No call

Department Description

Each year, the Department of Vascular Surgery provides comprehensive care to approximately 6,000 patients who suffer from vascular diseases and conditions. We treat peripheral arterial disease, carotid disease and visceral and renovascular disorders, as well as aneurysm disease of the thorax, abdomen and extremities. Minimally invasive techniques are routinely applied in the management of peripheral interventions, as well as in the management of aneurysms. As part of the Vanderbilt Heart and Vascular Institute, we provide care in a single location for our patients with cardiovascular disease.

-No OR work in this role

-This is an Acute Care NP role. AGACNP or ACNP certifications required.

KEY RESPONSIBILITIES

• •Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care.
• •In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patients’ overall care, identifying expected outcomes for diagnoses.
• •Orders, performs, interprets and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
• •Forms differential diagnoses and treats acute and chronic conditions.
• •Prescribes therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes.
• •Utilizes evidence-based, approved practice protocols in planning and implementing care.
• •Initiates appropriate referrals and consultations
• •Provides specialty specific consultation services upon request and within a specialty scope of practice.
• •Facilitates the patient’s transition between and within health care settings, such as admitting, transferring, and discharging patients.
• •The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES

• •Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice.
• •Patient and Family Centered Care (Advanced): Demonstrates care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life. Within scope of licensure and certification, manages previously diagnosed and undiagnosed patients. Uses health assessment skills to differentiate between normal, variations of normal, and abnormal findings. Employes screening and diagnostic strategies in the development of diagnoses. Prescribes medications within scope of practice. Manages health/illness status of patients and families over time and across the continuum. Provides patient/centered care recognizing the patient or designee as a full partner in decision making. Creates a climate of patient/centered care to include confidentiality privacy, comfort emotional support, mutual trust, and respect. Incorporates cultural and spiritual preferences, values and beliefs into health care. Preserves the patient’s control over decision making by negotiating a mutually acceptable plan of care. Integrates ethical principles into decision making. Uses electronic health record to capture data on variables for the evaluation and management of patient care. Clearly documents findings, assessment and plan of care.
• •Clinical Knowledge and Practice (Advanced): Demonstrates established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others. Demonstrates knowledge of population focus but also other sciences that support his/her field of practice. Demonstrates knowledge of common and important health issues affecting society and other societies around the globe. Demonstrates commitment in maintaining current evidence-based knowledge through continuous learning. Educates patients, families, students and other members of the healthcare team in clinical topics and application of clinical knowledge.
• •Practice-Based Scholarly Inquiry and Integration (Advanced): Demonstrates the use of scientific evidence and methods to investigate, evaluate and improve patient care practices. Anticipates variations in practice and is proactive in implementing interventions to improve quality. Uses best available evidence to continuously improve quality of clinical practice. Generates knowledge from clinical practice to improve practice and patient outcomes. Reviews data and evidence to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science.
• •Interpersonal and Communication Skills (Advanced): Demonstrates interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams. Communicates practice knowledge effectively both orally and in writing.
• •Professionalism (Advanced): Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice.

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.

As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered:

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