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Physician Assistant – Department of Plastic Surgery1911623Discover 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 JOB SUMMARY:The Department of Plastic Surgery of Vanderbilt’s Section of Surgical Sciences is seeking a nurse practitioner or physician assistant to join the Department as a full-time VMG provider. This position will collaborate with other APPs, surgeons and residents in the Department of Plastic Surgery and would be involved in clinic, resident education and research. The focus is outpatient clinical care. This role will involve sub-specialization within Plastic Surgery, specifically within hand surgery, wound surgery, and microsurgery.The advanced practice provider (APP) works in collaboration with, and is an integral member of, a multidisciplinary health care team. The APP functions primarily as an outpatient clinician, managing the care of acute/complex chronically ill patients. The APP is typically on a service aligned team managing the patient care. The APP has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. The APP demonstrates an advanced level of medical knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation.KEY RESPONSIBILITIES:
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 Physician Assistant 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.
Diagnosis
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 inpatient and outpatient continuum of care.
Documentation.
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 acute 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 Physician Assistants.
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.
Benefits: In addition to offering a lively community that encourages learning and celebrates diversity, Vanderbilt University Medical Center provides its faculty and staff members with a benefits package that is comprehensive and flexible. Components for benefits-eligible employees include:· PTO· Health Plan· Parental Leave· Life Insurance· Retirement· Short-Term Disability· Long-term Disability· Accidental Death & Dismemberment (AD&D)· Dental Insurance· Group Discounts· Flexible Spending Accounts (FSAs)· Vision Minimum Qualifications Required Graduate of an approved discipline specific program (or equivalent experience) and < 1 year experience. Certified Physician Assistant Required Preferred Experience 12 months of physician assistant experience preferred; Inpatient acute care advanced practice nursing experience desirable. Additional Qualification Information:Prefer National Specialty Board Certification, TN license through Board of Medical Examiners Committee on Physician Assistants, Eligible for DEAVUMC 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 Hospital in Tennessee, #1 Health Care Provider in Nashville, #1 Audiology ( Bill Wilkerson Center at http://www.vanderbilthealth.com/billwilkerson/ ), 12 adult and 10 pediatric clinical specialties ranked among the nation's best, #15 Education and Training· Truven Health Analytics: among the top 50 cardiovascular hospitals in the U.S.· Becker's Hospital Review: one of the "100 Greatest Hospitals in America"· The Leapfrog Group: grade "A" in Hospital Safety Score· National Institutes of Health: among the top 10 grant awardees for medical research in the US· Magnet Recognition Program: Vanderbilt nurses are the only group honored in Tennessee· Nashville Business Journal: Middle Tennessee's healthiest employer· American Hospital Association: among the 100 "Most Wired" medical systems in the USCAOur 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 : http://www.vumcnursingcareers.com/index.html · Benefits : http://www.vumcnursingcareers.com/benefits.html · Our Nursing Philosophy : http://www.vumcnursingcareers.com/philosophy.html · Our Nursing Leadership : http://www.vumcnursingcareers.com/leadership.html · Shared Governance : http://www.vumcnursingcareers.com/shared-governance.html · Education & Professional Development : http://www.vumcnursingcareers.com/professional-development.html · Life In Nashville : http://www.vumcnursingcareers.com/nashville.html · VUMC Nursing : http://www.mc.vanderbilt.edu/root/vumc.php?site=vanderbilt-nursing Physical Requirements/Strengths needed & Physical Demands:Movement
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: Reaching below shoulders: Extending arms in any direction below shoulders.
Occasional: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
Sensory
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 ConditionsJob Allied HealthOrganization: Plastic Surgery 104770Title: Physician Assistant - Department of Plastic SurgeryLocation: TN-Nashville-Medical Center North (MCN)Requisition ID: 1911623Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.
