The Department of Neurology at Vanderbilt University is seeking a Family or Adult Board Certified Nurse Practitioner or Physician Assistant to provide care to patients with a wide variety of neurodegenerative conditions that present with cognitive and motor dysfunction. The successful candidate would preferably possess a minimum of 2 years Nurse Practitioner (NP) or Physician Assistant experience and must be licensed as an APN/RN or PA in Tennessee. Our NP or PA staff position is considered full-status (1.0 FTE/40 hours per week) with Vanderbilt faculty benefits. Ideal start date would be early in 2019. Daily work activities involve evaluating, educating, and managing adult patients with various neurological disorders in the outpatient setting.
Additionally, our NP or PA has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. The NP or PA should 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.
Key Functions and Expected Performances:
1. Assessment of Health Status
a. Performs and documents in the medical record a complete history and physical examination for general neurology patients.
b. Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
c. Assesses for risks associated with the care of the patient including: medication side effects, mobility, impaired nutrition, and fluid and electrolyte imbalance.
d. Coordinates care and collaborates with the Attending/Supervising physician as needed throughout the day.
e. Can perform a brief cognitive assessment, using a mini mental status exam, or similar screening tool.
a. Manages diagnostic tests through ordering, interpretation, performance, and supervision.
b. Formulates differential diagnoses by priority.
c. Diagnoses complications and orders appropriate interventions.
3. Formulates Plan of Care
a. Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex and chronic health care needs.
b. Utilizes evidenced based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.
4. Implements and modifies plan of care
a. Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic, and surgical, needed to achieve expected outcomes.
b. Manages further diagnostic tests through ordering, interpretation, performance, and supervision.
5. Communication and Collaboration
a. Maintains ongoing communication and collaboration with interdisciplinary health care team.
b. Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.
a. Documents/dictates key components of patient's progress via daily progress note, and clinic note where applicable. (H&P, progress notes, plan of care, problem lists, in medical record per specific patient).
b. Documentation is timely, meets care compliance standards and captures patient acuity.
7. Professional Practice
a. Demonstrates Professional Practice behaviors including but not limited to: preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate and novice nurse practitioners.
b. Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
c. Actively participates in Grand Rounds, APN council meetings, faculty and clinic meetings, and MM&I presentations.
d. Maintains CEUs, and membership in a professional organization.
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.