:TN-Nashville-Monroe Carell Jr. Children's Hospital at Vanderbilt
:Pediatric Hospital Medicine 104623
Nurse Practitioner Pediatric Complex Care
The Pediatric Complex Care Nurse Practitioner (NP) works in collaboration with a multidisciplinary health care team. The Complex Care NP provides direct medical care, care coordination patients, and on-call coverage for patients in the Program for Children with Medical Complexity under the supervision of Pediatric Complex Care Attendings. 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 billing, and is responsible for professional development and competency validation. The NP has an advanced knowledge of nursing theory and application. The NP reviews and documents history, evaluates the current clinical status, summarizes the clinical findings in comprehensive plan-of-care, places appropriate orders, and collaborates with the attending physician for the plan of care. Using a patient centered approach to preventative and acute management, the NP positively impacts the course of the complex child by forming a comprehensive plan of care, preventing ER visits and hospitalizations, and providing care coordination and case management services.
Obtains and documents interim health history; performs and documents complete physical examination, assessment and comprehensive plan of care.
Collaborates with multiple subspecialities to formulate and document an up-to-date plan-of-care to be used by the children's hospital for each patient.
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 both in-person and via telemedicine.
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; works with community agencies, insurers, and ancillary service providers to navigate barriers to care; coordinates service provision within the medical center
Provides specialty specific consultation services upon request and within specialty scope of practice; performs on-call services for triage of patients outside normal business hours
Facilitates the patient's transition to adult setting as appropriate.
Day Shift/Exempt Position
Master's Degree (or equivalent experience) and < 1 year experience. 12 months of nursing experience preferred; Inpatient acute care advanced practice nursing experience desirable.
Prefer National Specialty Board Certification (Primary Care), TN APN certificate/certificate of fitness to prescribe, eligible for DEA
Tennessee State Licensure, Nurse Practitioner
Board Certification in Pediatric or Family Nurse Practitioner
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* US News & World Report: #1 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally-ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Children's Hospital at Vanderbilt named as one of the Best Children's Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked.
* Healthcare's Most Wired: Among the nation's 100 "most-wired" hospitals and health systems for its efforts in innovative medical technology.
* Becker's Hospital Review: named as one of the "100 Great Hospitals in America", in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.
* The Leapfrog Group: One of only 10 children's hospitals in the to be named a Leapfrog Top Hospital.
* American Association for the Advancement of Science: The School of Medicine has 112 elected fellows
* Magnet Recognition Program: Received our third consecutive Magnet designation.
* National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement
* Human Rights Campaign Healthcare Equality Index: 6th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.
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Occasional: Sitting: Remaining in seated position
Occasional: Standing: Remaining on one's feet without moving.
Occasional: Walking: Moving about on foot.
Occasional: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
Occasional: Push/Pull: Exerting force to move objects away from or toward.
Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles
Occasional: Crawling:Moving about on hands and knees or hands and feet.
Occasional: Reaching below shoulders: Extending arms in any direction below shoulders.
Occasional: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
Occasional: Vision: Clarity of near vision at 20 inches or less and far vision at 20 feet or more with depth perception, peripheral vision, color vision.
Frequent: Noise: May include exposure to occupational noise levels which equal or exceed an 8-hr time-weighted average of 85 decibels, requiring enrollment in VUMC's Hearing Conservation Program which includes training, use of hearing protection, and periodic audiometry.
Continuous: Communication: Expressing or exchanging written/verbal/electronic information.
Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.
Occasional: Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses.
Occasional: Radiation: May be exposed to occupational radiation, requiring enrollment in VUMC's Radiation Safety Program which includes training, use of personal protective equipment with lead shielding, and personal dose monitoring.
Occasional: Climate: Ability to withstand exposure to atmospheric extremes including heat, cold, humidity, and barometric pressure changes.
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 t...he 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.