Nurse Practitioner/Physician Assistant- Float Critical Care- FT Nights- VUMC

JOB CODE INFORMATION:

Title: NP Critical Care

Job Code: 6401

Job Stream Description: Professional

Title: NP Critical Care

Job Code: 6401

Job Stream Description: Professional

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.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 patient's 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 patient’s transition between and within health care settings, such as admitting, transferring, and discharging patients.

TECHNICAL CAPABILITIES: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 cultural diversity and 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 patient's 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.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.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.PROFESSIONALISM (ADVANCED): - Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice and/or health outcomes of a population focus.HEALTH SYSTEMS AND POLICY MANAGEMENT (ADVANCED): - Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice and/or health outcomes of a population focus. CORE ACCOUNTABILITIES:

Organizational Impact: Delivers projects/assignments that have a direct impact on goals/objectives of the unit/department that the job is in.

Problem Solving/ Complexity of work: Conducts extensive analysis of situations or data to resolve numerous, complex issues; may involve the input/work of others.

Breadth of Knowledge: Has in-depth level of knowledge within a professional area and working knowledge of other areas.

Team Interaction: May lead mid-sized projects; coaches and guides team members.

CORE CAPABILITIES: SUPPORTING COLLEAGUES (P4):

Develops Self and Others: Invests time, energy and enthusiasm in developing self/others to help improve performance 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 one's own communication style to suit different situations and audiences.

DELIVERING EXCELLENT SERVICES (P4):

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 (P4):

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 (P4):

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 (P4):

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.

Master's Degree (or equivalent experience) Nursing and < 1 year relevant experienceLicensure, Certification, and/or Registration (LCR):

Advanced Practice Registered Nurse Required

Registered Nurse Required

Additional Qualification Information:

12 months of nursing experience preferred. 12 months of nurse practitioner experience with specific patient population preferred. National Specialty Board Certification in Acute or Critical Care, specific to age population; Eligible for NPI and DEA (which will be required withing 3 months of hire)

Physical Requirements/Strengths needed & Physical Demands:

Heavy Work category requiring exertion of 50 to 100 lbs. of force occasionally and/or up to 20 to 50 lbs. of force frequently and/or up to 10 to 20 lbs. of force continually to move objects.

Movement

Occasional: Sitting: Remaining in seated position

Occasional: Lifting over 35 lbs: Raising and lowering objects from one level to another, includes upward pulling over 35 lbs, with help of coworkers or assistive device

Occasional: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.

Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles

Occasional: Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms.

Occasional: Kneeling:Bending legs at knees to come to rest on knee or knees.

Occasional: Crouching/Squatting: Bending body downward and forward by bending legs and spine.Reaching above shoulders: Extending arms in any direction above shoulders.

Occasional: Reaching above shoulders: Extending arms in any direction above shoulders.

Frequent: Standing: Remaining on one's feet without moving.

Frequent: Walking: Moving about on foot.

Frequent: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another

Frequent: Push/Pull: Exerting force to move objects away from or toward.

Frequent: Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching or maneuvering self, patient and equipment simultaneously while working in large and small spaces

Frequent: Reaching below shoulders: Extending arms in any direction below shoulders.

Frequent: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.

Frequent: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.

Sensory

Frequent: Communication: Expressing or exchanging written/verbal/electronic information.

Continuous: Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information

Continuous: 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.

Continuous: Smell: Ability to detect and identify odors.

Continuous: Feeling: Ability to perceive size, shape, temperature, texture by touch with fingertips.

Environmental Conditions

Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.

Frequent: Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses.

Job Advanced Practice Nurse/Clinical Nurse Specialist/Nurse PractitionerOrganization: VUH Nurse Practitioners 201052Title: Nurse Practitioner/Physician Assistant- Float Critical Care- FT Nights- VUMCLocation: TN-Nashville-Vanderbilt Hospital (VUH)Requisition ID: 2008101Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.