NURSE PRACTIONER OR PHYSICIAN ASSISTANT - NOCTURNIST, Acute Care Certification Required

JOB SUMMARY:

The Division of Hematology/Oncology at Vanderbilt University Medical Center is seeking a qualified Acute Care NP or PA for an open Nocturnist position. The shift is 5pm to 7am with 12 to 13 shifts per month.

Works in collaboration with a multidisciplinary health care team. Provides healthcare in primary and acute care, critical care and long-term health care settings. Has didactic education, clinical competency and national certification in identified area of clinical practice. Demonstrates medical knowledge, clinical judgment, technical competence, professionalism, interpersonal communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. Has an advanced knowledge of nursing theory and application. Has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. Manages the care for patients including general oncology, stem cell transplant, benign or malignant hematology and neuro-oncology. Will work collaboratively with the interdisciplinary and physician team in the Division of Hematology/Oncology. May have some responsibility for the after hours clinic and infusion coverage.


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.

Department Summary:

The Division has over 20 faculty and over 50 staff members, who participate in a wide-range of clinical programs and clinical and basic science research. Training the next generation of physicians and scientists is a major part of our mission and involves an Endocrinology Training Program and a Medical Student Research Program.

The Division provides in-patient and out-patient care at two hospitals, Vanderbilt University Hospital and the Nashville Veterans Administration Hospital. We strive for excellence in patient care, and this has been recognized by our ranking as one of the best programs in Diabetes and Endocrinology by the US News and World Report.

Investigators in the Division conduct biomedical research ranging from laboratory-based to clinical investigation to outcomes and quality research. Research in the Division is supported by the National Institutes of Health, the American Diabetes Association, the Juvenile Diabetes Foundation International, the Research Service of the Veterans Association as well as private foundations and pharmaceutical companies.

View how Vanderbilt Health employees celebrate the difference they make every day:

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 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. It is a place 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.

VUMC Recent Accomplishments

Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:

* 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 at 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 designations.

* National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement

* Human Rights Campaign Healthcare Equality Index: 6^th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.

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Master's Degree (or equivalent experience) in Nursing, from an accredited institution, with education and clinical training specific to patient population and < 1 year relevant experience; 12 months of nursing experience preferred. 12 months of nurse practitioner or physician assistant experience with specific patient population preferred. Acute Care Certification Required

Licensure, Certification, and/or Registration (LCR):

• Registered Nurse Required
• Advanced Practice Registered Nurse Within 3 months

OR

• Physician Assistant License Required

Additional Qualification Information:

• National Specialty Board Certification in Age-Specific, Specialty Patient Population; (Required within 3 months of hire) Eligible for NPI and DEA (which will be required within 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.
• Frequent: Feeling: Ability to perceive size, shape, temperature, texture by touch with fingertips.
• 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.

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.

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