The Nurse Practitioner (NP) in Pediatric Orthopaedics will assist in the medical and surgical care of pediatric orthopaedic patients in the clinical setting. This includes both new referrals and established patients. The NP works under the supervision of the pediatric orthopaedic team using established and approved protocols as required by state law and institutional policy. 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. This is a full-time position; days may vary, including weekends and holidays
Principal duties and Responsibilities:
Function as member of a multidisciplinary team that includes: Attending Physicians, Resident physicians, Advanced Practice RN/Case Manager, RNs, ortho-cast technicians, social worker, child life specialist, and nurse manager.
Facilitates and guides care in the Pediatric Orthopaedic outpatient setting by performing comprehensive problem-focused patient evaluations; formulates and implements therapeutic plans of care; management of simple and complex fractures to include closed reduction, preoperative education and postoperative management of care, peer-to-peer reviews to ensure proper and timely authorization of tests/surgical procedures.
As needed, provide routine medical management of an inpatient Pediatric Orthopaedic population to include evaluations and consultations in collaboration with the Pediatric Orthopaedic physicians.
Perform procedures (under direction and appropriate level of supervision of the Attending Physician) including but not limited to: closed fracture reduction and management, splinting and casting, aspiration and/or injection of joints or cysts, wound suturing and dressing, and suture removal.
Complete appropriate documentation of all evaluations, care, and services rendered in the patient electronic medical record per policy.
Provide follow-up care in accordance with established protocols
Attend Pediatric Orthopaedic preoperative and postoperative conference twice each week.
Key Functions and Expected Performances:
Collaborates with interdisciplinary health care team in making diagnoses of acute and chronic conditions.
Manages diagnostic tests through ordering, interpretation, and collaboration
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 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
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 continuum of care.
Documents/dictates key components of patient's progress via clinic note (H&P, plan of care, problem lists, procedure notes in medical record per specific patient)
Documentation is timely, meets acute care compliance standards and captures patient acuity.
Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of students, nursing staff, nurses, and 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
Master's Degree (or equivalent experience) and < 1 year experience. 12 months of nursing experience preferred; Advanced practice nursing in the ambulatory or acute care setting desirable.
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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.
Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period.Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties. Vanderbilt University Medical Center is world renowned because of the innovation, work ethic and collegiality of its employees. From our health care advances to our compassionate care, Vanderbilt owes its accomplishments and reputation to staff and faculty who bring skill and drive and innovation to the medical center day after day. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries and transformational educational and clinical advances across the entire spectrum of health and disease.As th...e largest employer in middle Tennessee, we welcome those who are interested in ongoing development in a caring, culturally sensitive and professional atmosphere. Most of us spend so much of our lives at work, we want to be part of maintaining a workplace in which people support one another and encourage reaching for excellence. Many high-achieving employees stay at Vanderbilt because of the professional growth they experience and because of their appreciation of Vanderbilt’s benefits, public events and discussions, athletic opportunities, beautiful setting and, above all, sense of community and purpose.Vanderbilt and its employees share a set of mutual expectations that have been created with productivity, legality, fairness and safety always in mind. We believe that our investment in training and compensating employees multiplies in value when we enable individuals to deliver their best performance for the benefit of us all.