Nurse Practitioner - Addiction and Mental Health
Company: Vanderbilt Health
Location: Nashville
Posted on: May 27, 2023
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Job Description:
Organization:
Psychiatry - Addiction
Job Summary:
JOB SUMMARY
The nurse practitioner (NP) within the acute care hospital setting
works in collaboration with, and is an integral member of, a
multidisciplinary health care team. The NP functions primarily as a
hospitalist in an inpatient setting, managing the care of
acute/complex chronically ill patients. The NP is typically on a
service aligned team managing the patient care from step down to
discharge. The NP may have responsibilities for same patient
population during follow up outpatient visits. The NP has a strong
foundation in evidenced based practice/education and provides an
environment of safe quality care. The NP demonstrates an advanced
level of medical and nursing knowledge, clinical/technical
competence, sound clinical judgment, professional communication
skills, timely and compliant documentation, and is responsible for
professional development and competency validation.
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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 rounds with the Attending physician teams,
presents 24 hour patient report, collaborates in plan of care, and
follows assigned patient population throughout the day.
--- Diagnosis
--- Collaborates with interdisciplinary health care team in making
diagnoses of acute and complex chronic conditions.
--- 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 inpatient and outpatient
continuum of care.
--- Documentation
--- Documents/dictates key components of patient's 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 acute 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.
TECHNICAL CAPABILITIES
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:
Achieve the Remarkable:
Learn more about VUMC Nursing:
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 one's 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:
Master's
For a copy of the physical requirements of this position to
determine if you can perform the duties with or without an
accommodation or to request an accommodation, please contact VUMC
Employee Relations at or .
Keywords: Vanderbilt Health, Nashville , Nurse Practitioner - Addiction and Mental Health, Healthcare , Nashville, Tennessee
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