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.
Monroe Carell Jr. Children's Hospital at Vanderbilt is one of the nation's leading children's hospitals. We treat and help prevent all health issues ranging from colds and broken bones to heart disease and cancer.
The world-class facilities at Children's Hospital are a testament to our community's dedication to the health of children. Constructed in 2004 and expanded in 2012, our 271-bed hospital is a child-friendly place built on the science of healing.
A building alone does not make a great hospital. Our exceptional medical teams and the generous support of people like you enable us to provide every child who comes to us with the hope of improved health. Children's Hospital is a nonprofit facility. No child who needs our services is denied care on the basis of limited ability to pay.
Many of our doctors and surgeons are nationally recognized researchers who are finding new ways to cure and prevent childhood diseases. Their work preventing and treating premature birth, cancer, heart disease, spina bifida, and many other conditions is an investment in the future. We are at an important crossroads in child health. Our commitment to research and advocacy positions us to bring the promise of good health to children and families in our community and to share that hope with the world.
Your Role :
The Vanderbilt Pediatric Cardiac Cath Nurse Practitioner (NP) or Physician Assistant (PA) provides healthcare in a variety of settings and has didactic education, clinical competency and national certification in pediatric clinical practice. The NP/PA demonstrates medical knowledge, clinical judgment, technical competence, professionalism, interpersonal communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. The NP/PA works in collaboration with a multidisciplinary health care team.
The NP/PA will round on the inpatient pediatric cardiac cath census Monday – Friday, assess patients, write progress notes, follow-up on diagnostics, communicate with consulting services and write discharge summaries.
Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care.
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 including pharmacologic, non-pharmacologic and surgical, treatments needed to achieve expected outcomes.
Utilizes evidence-based, approved practice protocols in planning and implementing care;
Provides support for pre-operative H&Ps for pediatric cardiac cath patients, peer to peer reviews
Billing provider to serve as point person for post-procedural clinical concerns, admission process, inpatient medical management and discharge process.
Provides specialty specific consultation services upon request and within specialty scope of practice;
Facilitates the patient's transition between and within health care settings, such as admitting, transferring, and discharging patients.
Consult on clinical prioritization for cardiac cath schedule (including proactively ordering services required for cases such as TEE or ECMO) as well as coordinating and prioritizing urgent add-on cases.
Patient and Family Education:
Conduct and/or coordinate education to increase the knowledge of patient, patient family, and others. Providing appropriate instruction based on patient needs to support the continuum of care.
Train other staff in areas of clinical expertise. Provides teaching of students as appropriate to increase their clinical knowledge and ensure safe patient care.
Stay abreast of current trends in healthcare practice and participate in continuing medical education to ensure optimal clinical knowledge and effective patient care skill.
Coordinates and collaborates patient care efforts with other care providers.
Communicates clinical information timely, accurately, thoroughly, and appropriately to other providers of patient care.
Collaborate with other care providers in the effective sharing of practice expertise.
Coordinate with the Quality Improvement Coordinator to facilitate research and utilize evidence-based practice to promote quality patient care, protocol development, care process
Patient and Family Centered Care
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. Employs 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 cultural diversity and 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
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
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. Reviews data and evidences to improve advanced practice.
Interpersonal and Communication Skills
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.
Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and sensitivity to diversity and a responsible attitude toward patients, the profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice and/or health outcomes of a population focus.
Health Systems and Policy Management
Demonstrates both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve and optimize health care. Understands the importance of advocacy for improved access, quality and cost-effective care. Minimizes risk to patients and providers at the individual and system level. Collaborates in planning for transitions across the continuum of care. Understands organizational practice and complex systems to contribute to improving health care delivery. Demonstrates commitment to systems improvement such as serving on medical center committees.
"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.
Sitting: Remaining in seated position,
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,
Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device,
Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles ,
Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms,
Kneeling: Bending legs at knees to come to rest on knee or knees,
Crouching/Squatting: Bending body downward and forward by bending legs and spine.
Reaching above shoulders: Extending arms in any direction above shoulders,
Standing: Remaining on one's feet without moving.
Walking: Moving about on foot.
Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another,
Raising and lowering objects under 35 lbs from one level to another,
Push/Pull: Exerting force to move objects away from or toward. ,
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,
Reaching below shoulders: Extending arms in any direction below shoulders,
Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.
Communication: Expressing or exchanging written/verbal/electronic information.
Continuous: Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information,
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,
Smell: Ability to detect and identify odors.
Feeling: Ability to perceive size, shape, temperature, texture by touch with fingertips.
Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.
Frequent: Pathogens: Risk of exposure to blood borne pathogens and other contagious illnesses.
Master's degree in nursing, from an accredited institution, with education and clinical training specific to patient population (Required)
> 1 year relevant experience (Required). 12 months of nursing experience preferred. 12 months of nurse practitioner experience with specific patient population preferred.
Tennessee Registered Nurse License or Physician Assistant License and Tennessee Advanced Practice Nursing License with Certificate of Fitness to Prescribe;
National Specialty Board Certification in Age-Specific, Specialty Patient Population; Eligible for NPI and DEA (which will be required within 3 months of hire)
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 Hospital in Tennessee, #1 Health Care Provider in Nashville, #1 Audiology ( Bill Wilkerson Center ), 12 adult and 10 pediatric clinical specialties ranked among the nation's best, #15 Education and Training
· Truven Health Analytics: among the top 50 cardiovascular hospitals in the U.S.
· Becker's Hospital Review: one of the "100 Greatest Hospitals in America"
· The Leapfrog Group: grade "A" in Hospital Safety Score
· National Institutes of Health: among the top 10 grant awardees for medical research in the US
· Magnet Recognition Program: Vanderbilt nurses are the only group honored in Tennessee
· Nashville Business Journal: Middle Tennessee's healthiest employer
· American Hospital Association: among the 100 "Most Wired" medical systems in the US
Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period.Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties. Vanderbilt University Medical Center is world renowned because of the innovation, work ethic and collegiality of its employees. From our health care advances to our compassionate care, Vanderbilt owes its accomplishments and reputation to staff and faculty who bring skill and drive and innovation to the medical center day after day. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries and transformational educational and clinical advances across the entire spectrum of health and disease.As th...e largest employer in middle Tennessee, we welcome those who are interested in ongoing development in a caring, culturally sensitive and professional atmosphere. Most of us spend so much of our lives at work, we want to be part of maintaining a workplace in which people support one another and encourage reaching for excellence. Many high-achieving employees stay at Vanderbilt because of the professional growth they experience and because of their appreciation of Vanderbilt’s benefits, public events and discussions, athletic opportunities, beautiful setting and, above all, sense of community and purpose.Vanderbilt and its employees share a set of mutual expectations that have been created with productivity, legality, fairness and safety always in mind. We believe that our investment in training and compensating employees multiplies in value when we enable individuals to deliver their best performance for the benefit of us all.