PRN Advanced Practice Provider NICU Bridge to Home

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:

In-Patient Nrs Practnrs 30

Job Summary:

The NICU Bridge to Home Program is seeking an experienced Advanced Practice Provider (APP) to join our team. The Bridge to Home Program was established to support infants discharged from the NICU who continue to require clinical monitoring to ensure optimal health outcomes during the transition from hospital to home.
In this role the APP will conduct in-person clinical consults for patients in the NICU and on acute care floors to assess eligibility for enrollment in the remote monitoring program. Responsibilities include completing a comprehensive clinical evaluation documenting findings in a consult note placing necessary orders for program enrollment and collaborating with the primary medical team to align discharge and followup plans.
After discharge the APP will provide remote patient monitoring and telehealth-based medical care to enrolled infants. This includes ongoing assessment of clinical data virtual visits with families and timely escalation or intervention as needed. Using a patientcentered approach the APP will support efficient patient throughput contribute to reducing length of stay and enhance coordinated discharge planning.
The APP will also deliver family education and support related to medication management feeding and nutrition growth and development and home safety. Collaboration with community resources and services will be essential to ensure continuity of care postdischarge.
Additional responsibilities include maintaining accurate and timely documentation in the electronic medical record participating in quality improvement initiatives and engaging in ongoing professional development to maintain advanced clinical competency.
Overall the APP serving the NICU Bridge to Home Program plays a vital role in providing comprehensive compassionate and continuityfocused care for neonatal patients and their families during the critical transition from the NICU to home.

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Position Hours:

• PRN (As Needed)

• Certified Pediatric Nurse Practitioner - Acute Care (CPNP-AC) or Physician Assistant (PA)

• Prior APP Experience Strongly Preferred

Key Responsibilities:
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 nurse practitioner 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 clinic schedule with the attending physician team presents patient report collaborates in plan of care and follows assigned patient population.
Diagnosis
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 outpatient continuum of care.
Documentation
Documents/dictates key components of patients 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.
Professional Practice
Demonstrates Professional Practice behaviors including: preceptor/mentoring education and instruction of students nursing staff nurses graduate and novice nurse practitioners
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.

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 - Tennessee

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.