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Nurse Practitioner/ Physician Assistant - Vanderbilt Breast Cent
Category: Other
  • Your pay will be discussed at your interview

Job code: lhw-e0-90672725

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Vanderbilt University Medical Center

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  Job posted:   Thu Jun 7, 2018
  Distance to work:   ? miles
  5 Views, 0 Applications  
Nurse Practitioner/ Physician Assistant - Vanderbilt Breast Cent
**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.

Click Here To View The VUMC Promise of Discovery

**Vanderbilt Breast Center Medical Oncology Nurse Practitioner/ Physician Assistant: Position Description and Expectations**


**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 clinic schedule with the attending physician team, presents patient report, collaborates in plan of care, and follows assigned patient population.




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 outpatient continuum of care.




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 critical 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.


**Clinic Template**


8 half-day clinics (~ 8-10 patients/ half-day + part-time coverage of chemotherapy infusion room's unexpected medical events)


2 half-days for care coordination


Once every 6 weeks coverage of chemotherapy infusion room's unexpected medical events from 5 - 7PM


Main clinic location: One Hundred Oaks Breast Center


Off-site location(s): Cool Springs Breast Center may be a future need depending on the growth and expansion plans of the Breast Medical Oncology Program


**Patient Population**


Breast cancer patients stages 0 - IV


Breast cancer patients on clinical trials






Leadership or educational involvement is not required, but if present, NP/PA will be considered Faculty


If leadership or educational involvement is not present, NP/PA will be considered billing Staff (non-Faculty)

**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.

**Achieve the Remarkable:**

Learn more about VUMC Nursing:

+ **Nursing Careers** :

+ **Benefits** :

+ **Our Nursing Philosophy** :

+ **Our Nursing Leadership** :

+ **Shared Governance** : -governance.html

+ **Education & Professional Development** : -development.html

+ **Life In Nashville** :

+ **VUMC Nursing** :

Master's Degree (or equivalent experience) and < 1 year experience. 12 months of nursing experience preferred; Inpatient acute care advanced practice nursing experience desirable.

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

+ Registered Nurse Required

**Additional Qualification Information:**

+ Prefer National Specialty Board Certification, TN APN certificate/certificate of fitness to prescribe, eligible for DEA

**Physical Requirements/Strengths needed & Physical Demands:**


+ Occasional: Sitting: Remaining in seated position

+ Occasional: Standing: Remaining on one's feet without moving.

+ Occasional: Walking: Moving about on foot.

+ Occasional: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another

+ Occasional: Push/Pull: Exerting force to move objects away from or toward.

+ Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles

+ Occasional: Crawling:Moving about on hands and knees or hands and feet.

+ Occasional: Reaching below shoulders: Extending arms in any direction below shoulders.

+ Occasional: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.


+ Occasional: 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.

+ Frequent: Noise: May include exposure to occupational noise levels which equal or exceed an 8-hr time-weighted average of 85 decibels, requiring enrollment in VUMC's Hearing Conservation Program which includes training, use of hearing protection, and periodic audiometry.

+ Continuous: Communication: Expressing or exchanging written/verbal/electronic information.

**Environmental Conditions**

+ Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.

+ Occasional: Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses.

+ Occasional: Radiation: May be exposed to occupational radiation, requiring enrollment in VUMC's Radiation Safety Program which includes training, use of personal protective equipment with lead shielding, and personal dose monitoring.

+ Occasional: Climate: Ability to withstand exposure to atmospheric extremes including heat, cold, humidity, and barometric pressure changes.

**Job** _Other Nursing Services_

**Organization:** _Hematology/Oncology 104379_

**Title:** _Nurse Practitioner/ Physician Assistant - Vanderbilt Breast Center Medical Oncology_

**Location:** _TN-Nashville-Preston Cancer Research Building_

**Requisition ID:** _1805390_

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