Advanced Practice Provider - Critical Care Float Pool / Rapid Response Team

Discover Vanderbilt University Medical Center: Located in Nashville Tennessee and operating at a global crossroads of teaching discovery and patient care VUMC is a community ofindividuals 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. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniquenessis 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. Vanderbilts mission is to advance health and wellness through preeminent programs in patient care education and research.

Organization:

VUH Advanced Practice Provider

Job Summary:

The Critical Care Nurse Practitioner (NP) works in collaboration with a multidisciplinary health care team. The NP provides healthcare in critical care settings including surgical and medical ICUs. The NP has didactic education clinical competency and national certification in identified area of clinical practice. The NP 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 has an advanced knowledge of nursing theory and application.

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Position Hours

• Full-Time

• Night Shift (7pm - 7am)

• 3 - 13 Hour Shifts

$15000 Sign On Bonus for Candidates with 1 or More Years of Critical Care Nurse Practitioner or Physician Assistant Experience*

*The sign-on bonus is not applicable to current VUMC staff or former staff who have worked for VUMC in the past twelve months. The sign-on bonus is only available for full-time positions.

• Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) or Physician Assistant (PA) license required

• Critical Care RN or APP experience preferred

Department Summary

Rapid Response Team/CCOT

The rapid response NP/PA provides healthcare across the hospital when a patient outside of an ICU has a change in clinical status that requires immediate interventions to evaluate and stabilize their condition. The rapid response team (also known as the Critical Care Outreach Team - CCOT) provides 24 hour coverage across the hospital for episodic care when patients have an acute change in clinical status outside of an ICU. The rapid response/CCOT NP or PA works with the primary team and supervising intensivists to evaluate a patients clinical status and identify interventions to stabilize any acute changes while considering moving the patient to a higher level of care.

RRT/CCOT is responsible for documentation and data collection related to rapid response and STAT activations as well as education to patients nurses and physicians in relation to rapid response and STAT calls

ICU Float Pool

The Critical Care APP works in collaboration with a multidisciplinary health care team. The NP/PA provides healthcare incritical care settings including surgical and medical ICUs. The APP has didactic education clinical competency and national certification in identified area of clinical practice. Upon moving to a new ICU the APP will receive adequate training and support before moving to a more independent role within the ICU. Each year the APP will spend blocks of time working on the RRT/CCOT as well as floating to a new ICU for several months where staffing shortages are occurring.

The ICU Float Pool and Rapid Response team is a dynamic and novel advanced practice provider team who work with physicians across the hospital and the different ICUs to provide care to the most sick and vulnerable patient population. Blocks of several months at a time will be spent staffing either RRT/CCOT or working within a specific ICU.

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 specialty scope of practice;
• Facilitates the patients transition between and within health care settings such as admitting transferring and discharging patients.

TECHNICAL CAPABILITIES

• 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.
• 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.
• 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 evidences to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science.
• 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. 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 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 patients 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.
• Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development ethical practice and a responsible attitude toward their patients their profession and society. Participates in 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 Centers 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 :

Supporting Colleagues:- Develops Self and Others: Invests time energy and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies ones own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies tools and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.

Position Qualifications:

Responsibilities:

Certifications:

LIC-Licensed Nurse Practitioner - TennesseeTennessee

Work Experience:

Relevant Work Experience

Experience Level:

Less than 1 year

Education:

Masters

Vanderbilt Health is committed tofosteringan environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.