PRN Neonatal Advanced Practice Provider- Vanderbilt Off Site Nurseries

Discover Vanderbilt Health : With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.

Organization

In-Patient Nrs Practnrs 30

Job Summary

Works in collaboration with a multidisciplinary healthcare team to provide advanced neonatal care in Level II NICUs across the Vanderbilt Regional Affiliate Nursery (VRAN) network. Functions independently as the in-house advanced practice provider, responsible for the assessment, diagnosis, and management of neonatal patients while collaborating with attending neonatologists who may provide remote support. Includes management of admitted patients, consults from various in-house departments, delivery attendance, and acceptance of acute transports from area hospitals. Provides clinical coverage at current and future contracted VRAN NICU locations as needed.

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Position Hours

• PRN (As Needed)

Requirements

• Neonatal Nurse Practitioner NNP , Acute Care Pediatric Nurse Practitioner CPNP-AC , or Physician Assistant PA (NICU Experience or NICU PA Fellowship Required)

Key Responsibilities

• Assessment of health status
• Obtains and documents a comprehensive neonatal history and physical examination, assessment, and plan of care.
• Independently assesses, diagnoses, and manages neonatal patients in Level II NICU settings.
• Orders, performs, interprets, and evaluates diagnostic studies and laboratory data.
• Diagnosis
• Develops differential diagnoses and implements evidence-based treatment plans.
• Manages diagnostic tests through ordering, interpretation, performance, and supervision.
• Diagnoses complications and orders appropriate interventions.
• Formulates plan of care
• Prescribes therapeutic interventions and medications consistent with scope of practice and clinical privileges.
• Serves as first responder for both nursing and house staff in the event of patient status changes, orders and in situations requiring procedural and resuscitative interventions.
• Delivery room attendance for high-risk deliveries including leading resuscitation when needed.
• 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 both 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 intubation, UAC/UVC placement/removal, Lumbar punctures, ePIV placement, PIV placement, Chest tube placement/removal (Pigtail and Trocar), Needle decompression, Circumcisions (when applicable), PAL placement.
• Communication and Collaboration
• Stabilizes and manages neonates requiring escalation of care and coordinates transfers, discharges, and transitions of care when indicated.
• Collaborates effectively with attending neonatologists, nursing staff, respiratory therapists, and other multidisciplinary team members.
• Provides clinical support, education, and consultation to nursing staff and other healthcare professionals.
• Maintains ongoing communication and collaboration with interdisciplinary health care team.
• Rotates among all current and future contracted VRAN NICU locations as operationally required.
• Documentation
• Documents/dictates key components of patient 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.
• Professionalism
• Demonstrates Professional Practice behaviors including preceptor/mentoring, education and instruction of students
• Participates in required meetings, educational offerings, competency assessments, and professional development activities.
• Maintains current knowledge of Vanderbilt and affiliate site-specific policies, clinical protocols, and practice guidelines.
• 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.
• 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:

• Affordable High Quality Health Plan Options
• Dental and /or vision plan
• 403 (b) retirement plan
• Paid Time off (flex PTO)
• Tuition Reimbursement and adoption assistance (maximums applied)
• Short-Long term disability
• Subsidized backup childcare
• And many more... Ask us about our current inpatient nursing supplemental Pay Program!

Achieve the Remarkable:

Learn more about VUMC Nursing here .

Core Accountabilities:

Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members.

Core Capabilities :