PRN Neonatal Advanced Practice Provider- Vanderbilt Off Site Nurseries

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: In-Patient Nrs Practnrs 30 Job Summary: Works in collaboration with a multidisciplinary healthcare team to provide advanced neonatal care in Level II NICUs across the Vanderbilt Regional Affiliate Nursery (VRAN) network. Functions independently as the in-house advanced practice provider, responsible for the assessment, diagnosis, and management of neonatal patients while collaborating with attending neonatologists who may provide remote support. Includes management of admitted patients, consults from various in-house departments, delivery attendance, and acceptance of acute transports from area hospitals. Provides clinical coverage at current and future contracted VRAN NICU locations as needed. . Position Hours: PRN (As Needed) Requirements : Neonatal Nurse Practitioner NNP , Acute Care Pediatric Nurse Practitioner CPNP-AC , or Physician Assistant PA (NICU Experience or NICU PA Fellowship Required) Key Responsibilities: Assessment of health status Obtains and documents a comprehensive neonatal history and physical examination, assessment, and plan of care. Independently assesses, diagnoses, and manages neonatal patients in Level II NICU settings. Orders, performs, interprets, and evaluates diagnostic studies and laboratory data. Diagnosis Develops differential diagnoses and implements evidence-based treatment plans. Manages diagnostic tests through ordering, interpretation, performance, and supervision. Diagnoses complications and orders appropriate interventions. Formulates plan of care Prescribes therapeutic interventions and medications consistent with scope of practice and clinical privileges. Serves as first responder for both nursing and house staff in the event of patient status changes, orders and in situations requiring procedural and resuscitative interventions. Delivery room attendance for high-risk deliveries including leading resuscitation when needed. 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 intubation, UAC/UVC placement/removal, Lumbar punctures, ePIV placement, PIV placement, Chest tube placement/removal (Pigtail and Trocar), Needle decompression, Circumcisions (when applicable), PAL placement. Communication and Collaboration Stabilizes and manages neonates requiring escalation of care and coordinates transfers, discharges, and transitions of care when indicated. Collaborates effectively with attending neonatologists, nursing staff, respiratory therapists, and other multidisciplinary team members. Provides clinical support, education, and consultation to nursing staff and other healthcare professionals. Maintains ongoing communication and collaboration with interdisciplinary health care team. Rotates among all current and future contracted VRAN NICU locations as operationally required. Documentation Documents/dictates key components of patient 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. Professionalism Demonstrates Professional Practice behaviors including preceptor/mentoring, education and instruction of students Participates in required meetings, educational offerings, competency assessments, and professional development activities. Maintains current knowledge of Vanderbilt and affiliate site-specific policies, clinical protocols, and practice guidelines. 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. The responsibilities listed are a general overview of the position, and additional duties may be assigned. TECHNICAL CAPABILITIES Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice. 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