VMG Physician Assistant/Nurse Practitioner - Center for Human Nutrition
Location: Nashville, Tennessee
Internal Number: 2110448
JOB SUMMARY: The Physician Assistant (PA) within the acute care hospital setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The PA functions primarily as a hospitalist in an iPAatient setting, managing the care of acute/complex chronically ill patients. The PA is typically on a service aligned team managing the patient care from step down to discharge. The PA may have responsibilities for same patient population during follow up outpatient visits. The PA has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. The PA demonstrates 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 goals of the Gastroenterology Division are to provide outstanding medical care to persons with diseases of the gastrointestinal tract and liver, to train gastroenterology and to perform cutting-edge biomedical research to improve our understanding of digestive diseases. We have 40 full time faculty in the division including research and clinical faculty.
There are three strong goals that define the GI Division. The first component is a strong biomedical research with faculty that is focused on innovative discovery-based research. The second is the education and training of medical students, residents, postdoctoral fellows, GI research and GI Clinical fellows. Third the clinical and endoscopic practice at Vanderbilt is focused on compassionate and outstanding patient care.
Day Shift/ Exempt Position
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 Physician Assistant 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, immunocompetence, invasive interventions and diagnostic procedures.
Coordinates daily rounds with the Attending physician teams, presents 24 hour patient report, collaborates in plan of care, and follows assigned patient population throughout the day.
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 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 minor suturing, complex wound management, 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 iPAatient and 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 acute care compliance standards and captures patient acuity.
Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate and novice Physician Assistants.
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.
Graduate of an approved discipline specific program (or equivalent experience) and < 1 year experience. 12 months of physician assistant experience preferred; Inpatient acute care advanced practice nursing experience desirable.
Prefer National Specialty Board Certification, TN license through Board of Medical Examiners Committee on Physician Assistants, Eligible for DEA within 3 months
Additional Qualification Information:
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