Nurse Practitioner/Physician Assistant - Neuro ICU

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 of diverse individuals 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 recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and where your diversity of culture, thinking, learning, and leading is 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. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization:

Job Summary:

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Position Hours

• Full-Time

• Nights

• 3 13 Hour Shifts Per Week

Department Summary

The Vanderbilt Neurological ICU is one of the largest in the country with 23 ICU beds and 12 step-down beds. Our large referral base ensures we are consistently treating a full range of neurology and neurosurgical patients. Patients travel from all over the Southeastern region of the United States to receive the specialized care that we provide. As a Comprehensive Stroke Center, we provide top level care and unique services to give our patients the best chance at recovery. Our specially trained Critical Care team is on site 24 hours a day, 7 days a week, providing quick access to expert care. Using a multidisciplinary approach helps promote team learning, group dynamics, and excellent patient care. Our patient care focus includes: monitoring the neurological status of our patients; detecting cues of neurological decline; early intervention; quick return to optimal health; and maintenance of ideal neurological status.

Our ICU specializes in providing critical care to patients with: brain tumors; strokes; spinal cord injury; neuromuscular disorders; and many other diseases of the brain, peripheral nerves, and spinal cord. The neurological patient population often has extreme deficits, which require the bedside staff to have excellent neurological assessment skills - thus, our team prides themselves on their teamwork and ever-evolving skill-sets. Our excellence in patient care was recognized at a unit level in 2014, when we were awarded the AACN Beacon Award and the Professional Research Consultants, Inc Excellence in Healthcare award for Overall Quality of Care.

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
* 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.
* 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.
* 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.
* 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.
* 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.

Our Nursing Philosophy:

We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center's 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:

• Nursing Careers: http://www.vumcnursingcareers.com/index.html
• Benefits: http://www.vumcnursingcareers.com/benefits.html
• Our Nursing Philosophy: http://www.vumcnursingcareers.com/philosophy.html
• Our Nursing Leadership: http://www.vumcnursingcareers.com/leadership.html
• Shared Governance: http://www.vumcnursingcareers.com/shared-governance.html
• Education& Professional Development: http://www.vumcnursingcareers.com/professional-development.html
• Life In Nashville: http://www.vumcnursingcareers.com/nashville.html
• VUMC Nursing: http://www.mc.vanderbilt.edu/root/vumc.php?site=vanderbilt-nursing

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Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and to the principles of equal opportunity and affirmative action. EOE/AA/Women/Minority/Vets/Disabled