PA Medical ICU

Vanderbilt University Medical Center • Nashville, TN • 2h ago

Job Summary:

The Physician Assistant) works in collaboration with a multidisciplinary health care team. The PA provides healthcare in critical care settings, including surgical and medical ICUs. The PA has didactic education, clinical competency and national certification in identified area of clinical practice. The PA demonstrates medical knowledge, clinical judgment, technical competence, professionalism, interpersonal communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. The PA has an advanced knowledge of nursing theory and application.

POSITION SHIFT

Nights

7p-9a

Two-three shifts per week

Some weekend shifts required

DEPARTMENT SUMMARY

The environment on this brand-new unit will be upbeat and challenging with strong team collaboration among providers and nurses. APPs will have a large amount of autonomy and support.

APPs will manage patient care for patients being treated for:

Acute Respiratory Failure

Acute Respiratory Distress Syndrome (ARDS)

Multisystem Organ Failure

Sepsis

Drug Overdoses

Gastrointestinal Bleeds

Diabetic Ketoacidosis

Hypertensive Crisis

Acute/Chronic Renal Failure

Liver Failure/Cirrhosis

NP Qualifications -12 months of nursing experience preferred. -12 months of nurse practitioner experience in critical care preferred. -Tennessee Advanced Practice Nursing License with Certificate of Fitness to Prescribe -National Specialty Board Certification in Acute or Critical Care, specific to age population; Eligible for NPI and DEA

PA Qualifications -Tennessee Physician Assistant License -National Specialty Board Certification -Eligible for NPI and DEA

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 patients transition between and within health care settings, such as admitting, transferring, and discharging patients.

TECHNICAL CAPABILITIES

Professionalism (Advanced): Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice.

Interpersonal and Communication Skills (Advanced): Demonstrates interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams. Communicates practice knowledge effectively both orally and in writing.

Practice-Based Scholarly Inquiry and Integration (Advanced): Demonstrates the use of scientific evidence and methods to investigate, evaluate and improve patient care practices. Anticipates variations in practice and is proactive in implementing interventions to improve quality. Uses best available evidence to continuously improve quality of clinical practice. Generates knowledge from clinical practice to improve practice and patient outcomes. Reviews data and evidences to improve advanced practice. Integrates knowledge from the humanities and sciences within the @context of nursing science.

Patient and Family Centered Care (Advanced): Demonstrates care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life. Within scope of licensure and certification, manages previously diagnosed and undiagnosed patients. Uses health assessment skills to differentiate between normal, variations of normal, and abnormal findings. Employs screening and diagnostic strategies in the development of diagnoses. Prescribes medications within scope of practice. Manages health/illness status of patients and families over time and across the continuum. Provides patient-centered care recognizing the patient or designee as a full partner in decision making. Creates a climate of patient-centered care to include confidentiality privacy, comfort, emotional support, mutual trust, and respect. Incorporates cultural and spiritual preferences, values and beliefs into health care. Preserves the patient's control over decision making by negotiating a mutually acceptable plan of care. Integrates ethical principles into decision making. Uses electronic health record to capture data on variables for the evaluation and management of patient care. Clearly documents findings, assessment and plan of care.

Clinical Knowledge and Practice (Advanced): Demonstrates established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others. Demonstrates knowledge of population focus but also other sciences that support his/her field of practice. Demonstrates knowledge of common and important health issues affecting society and other societies around the globe. Demonstrates commitment in maintaining current evidence based knowledge through continuous learning. Educates patients, families, students and other members of the healthcare team in clinical topics and

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