our Role:

Assists the surgeon in the operative procedure. Initiates appropriate intra operative behaviors unique to first assisting. Applies knowledge of surgical anatomy, physiology, and operative technique relative to operative procedures. Conducts pre-operative assessment of patient needs, and family education. Maintains a sterile environment.

KEY RESPONSIBILITIES:

• Applies the nursing process in all facets of the nurse assistant role.
• Provides technical first assistance to the primary surgeon in the operating room and throughout the perioperative period.
• Analyzes comprehensive information pertinent to the patient's care and management to determine nursing diagnosis.
• Continually utilizes the nursing process to evaluate patient's progress towards goals and applies appropriate interventions to ensure effective outcomes.
• Employs strategies to promote health and a safe and healthy environment.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.

Department Summary:

Monroe Carell Jr. Children's Hospital at Vanderbilt is one of the nation's leading children's hospitals. We treat and help prevent all health issues ranging from colds and broken bones to heart disease and cancer.

The world-class facilities at Children's Hospital are a testament to our community's dedication to the health of children. Constructed in 2004 and expanded in 2012, our 271-bed hospital is a child-friendly place built on the science of healing.

A building alone does not make a great hospital. Our exceptional medical teams and the generous support of people like you enable us to provide every child who comes to us with the hope of improved health. Children's Hospital is a nonprofit facility. No child who needs our services is denied care on the basis of limited ability to pay.

Many of our doctors and surgeons are nationally recognized researchers who are finding new ways to cure and prevent childhood diseases. Their work preventing and treating premature birth, cancer, heart disease, spina bifida, and many other conditions is an investment in the future. We are at an important crossroads in child health. Our commitment to research and advocacy positions us to bring the promise of good health to children and families in our community and to share that hope with the world.

Position Shift:

• 7:00 am-3:30pm, 5 days a week with oncall requirements

Click here to view how Vanderbilt Health employees celebrated the difference they make each and every day: Celebrate 2019

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.

Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and to the principles of equal opportunity and affirmative action. EOE/AA/Women/Minority/Vets/Disabled

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

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.
• 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.
• Coordinates daily clinic schedule with the attending physician team, presents patient report, collaborates in plan of care, and follows assigned patient population.
• 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 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)
• Maintains CEUs, and membership in a professional organization.
• Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations.
• Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
• Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate and novice Physician Assistants,
• Professional Practice
• Documentation is timely, meets critical care compliance standards and captures patient acuity.

Qualifications - External

Graduate of an approved discipline specific program (or equivalent experience) and < 1 year experience. 12 months of physician assistant experience preferred. Cardiac OR experience highly preferred.

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

Graduate of an approved discipline specific program (or equivalent experience) and 3 years relevant experience

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

• Registered Nurse Required
• CNOR Required

Additional Qualification Information:

• Successfully completed an Accredited RNFA program Tennessee RNFA Certificate

Sign On Terms:

• $20,000 (taxable) within 60 days of hire
• The sign-on bonus is not applicable to current VUMC staff or former staff who have worked for VUMC in the past two years.

Relocation Terms:

• $15,000 (taxable) within 45 day of hire
• Must relocate from greater than 100 miles

Graduate of an approved discipline specific program (or equivalent experience) and 3 years relevant experience

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

• Registered Nurse Required
• CNOR Required

Additional Qualification Information:

• Successfully completed an Accredited RNFA program Tennessee RNFA Certificate

Physical Requirements/Strengths needed & Physical Demands:

• Medium Work category requiring exertion up to 50lbs of force occasionally and/or up to 20 of force frequently and/or up to 10 of force continually to move objects.

Movement

• Occasional: Sitting: Remaining in seated position
• Occasional: Lifting over 35 lbs: Raising and lowering objects from one level to another, includes upward pulling over 35 lbs, with help of coworkers or assistive device
• Occasional: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
• Occasional: Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms.
• Occasional: Kneeling:Bending legs at knees to come to rest on knee or knees.
• Occasional: Crouching/Squatting: Bending body downward and forward by bending legs and spine.Reaching above shoulders: Extending arms in any direction above shoulders.
• Occasional: Reaching above shoulders: Extending arms in any direction above shoulders.
• Occasional: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.
• Frequent: Standing: Remaining on one's feet without moving.
• Frequent: Walking: Moving about on foot.
• Frequent: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
• Frequent: Push/Pull: Exerting force to move objects away from or toward.
• Frequent: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles
• Frequent: Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching or maneuvering self, patient and equipment simultaneously while working in large and small spaces
• Frequent: Reaching below shoulders: Extending arms in any direction below shoulders.
• Frequent: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
• Frequent: Bimanual Dexterity: Requiring the use of both hands.

Sensory

• Frequent: Communication: Expressing or exchanging written/verbal/electronic information.
• Continuous: Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information
• Continuous: 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.
• Continuous: Smell: Ability to detect and identify odors.
• Continuous: Feeling: Ability to perceive size, shape, temperature, texture by touch with fingertips.

Environmental Conditions

• Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.
• Frequent: Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses.

INDTR

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