Advd Practice Clinician PRN
Discover Vanderbilt Health: With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world‑class care to the people of the Mid‑South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.
Organization
Walgreens Pt Svcs – Hermitage
Job Summary
The Advanced Practice Clinician (NP/PA) is service/physician aligned, managing a distinct patient population. The APC may be required to perform some outpatient and inpatient care and facilitate discharges/outpatient follow‑up. The APC has a strong foundation in evidence‑based practice/education and is responsible for ensuring adherence to clinical pathways/protocols and an environment of safe, quality care. The APC demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgement, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation.
Key Responsibilities
- Perform and document a complete history and physical examination for acute and complex chronically ill patients.
- Order and collect data using appropriate assessment techniques, supporting diagnostic information and procedures.
- Serve as the first responder for nursing and staff during patient status changes, orders, and situations requiring procedural or resuscitative interventions.
- Assess risks associated with care of acute and complex chronically ill patients, including medication side effects, immobility, nutrition, fluid/electrolyte imbalance, immunocompetence, invasive interventions, and diagnostic procedures.
- Coordinate daily clinic schedule with the attending physician team, present patient reports, collaborate on the plan of care, and follow the assigned patient population.
- Manage diagnostic tests through ordering, interpretation, performance, and supervision.
- Identify expected outcomes from diagnosis and formulate/document a plan of care addressing complex acute and chronic health needs.
- Utilize evidence‑based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.
- Prescribe diagnostic strategies and therapeutic interventions (pharmacologic, non‑pharmacologic, surgical) needed to achieve expected outcomes.
- Perform advanced procedures consistent with privileges and competency validation, including minor suturing, complex wound management, line and tube placements and removals.
- Maintain ongoing communication and collaboration with the interdisciplinary health‑care team; facilitate communication with patients, families, and staff.
- Document/dictate key components of patient progress via daily progress notes, transfers, discharge summaries, and clinic notes, ensuring timeliness and compliance with critical‑care standards.
Professional Practice
- Provide preceptoring/mentoring, education, and instruction to students, nursing staff, graduate, and novice APCs.
- Seek opportunities for active engagement in research and the analysis of evidence‑based practice.
- Participate in Grand Rounds, APN council meetings, faculty and unit meetings, and M&M presentations.
- Maintain CEUs and membership in a professional organization.
Core Accountabilities
- Executes job responsibilities with an understanding of how output affects other areas related to the job (Organizational Impact).
- Analyzes moderately complex problems using technical experience and judgment (Problem Solving/Complexity of work).
- Applies expanded knowledge gained through experience within a professional area (Breadth of Knowledge).
- Provides informal guidance and support to team members (Team Interaction).
Core Capabilities
- Supporting Colleagues
- Develops Self and Others: invests time, energy, and enthusiasm in developing self/others to improve performance and gain knowledge.
- Builds and Maintains Relationships: maintains regular contact with key colleagues and stakeholders, expanding and strengthening relationships.