This position will primarily have responsibility for adults with non-malignant hematologic disorders
The nurse practitioner (NP) or physician assistant (PA) will have the following clinical responsibilities after orientation and competency to provide independent care with oversight from a collaborating supervising MD
The NP/PA will have 1 half day clinic per week in the hemostasis clinic. This clinic provides comprehensive multidisciplinary care to patients with bleeding disorders (e.g. hemophilia)
The NP/PA will have 7 half day clinics per week in the benign hematology clinic which is currently located in The Vanderbilt Clinic (TVC). This clinic provides care to patients with clotting disorders and other diagnoses (e.g. iron deficiency anemia, polycythemia, abnormal blood counts)
The NP/PA will be expected to see inpatients on the benign hematology consult service. These are expected to be subsequent visits. Clinics will be adjusted, as needed, to allow time for inpatient work
The NP/PA will provide comprehensive hematologic care, including coordinating transfusion and chelation therapy, coordinating phlebotomy for patients with polycythemia, coordinating factor replacement in conjunction with hemostasis team, coordinating care with anticoagulation clinic, coordinating peri-procedure and peri-operative anticoagulation management, coordinating care with other health care providers within or outside of Vanderbilt Health Systems.
The NP/PA will work independently (after competency is established) but will have oversight from a collaborating physician as per medical center policies.
This position will entail working Monday through Friday. Although there is no expectation to work on weekends, it is possible that from time to time, coverage on inpatient benign hematology consult service will be required. NP/PAs often cross-cover across other hematology-oncology service lines (sickle cell service, malignant hematology, stem cell transplant).This cross–coverage may be needed if there are staffing gaps.
The NP/PA will utilize leadership and analytical skills to coordinate and optimize health care team interventions across the continuum and to develop and meet outcomes management and system improvement goals.
Key Functions and Expected Performances:
Coordinates care of patients across continuum in collaboration with triad and health care team
provides leadership in the development of processes/systems; planning/managing/evaluating care-continuum of care planning
provides coordination of patient care, working with case-managers, consistent with Advanced Practice, VUMC, accrediting and regulatory standards
provides leadership in assuring that resources are optimally used to facilitate patient care goals and appropriate cost and LOS
provides leadership in area of preventive care; educating and stressing the importance of preventive health care to patients and families.
provides leadership in the area of pain management- emphasizing home pain action plan; developing individualized pain order sets; educating patient and families about adverse effects of opiates and opiate weaning; supportive role for the inpatient team and emergency department; education of other Advanced Practice Providers (APP) and emergency department staff
provides support for hospitalized patients in a consultative role; ensuring timely clinic follow-up for discharged patients; advice and education for other inpatient MLP on patient care pathways
provides leadership in area of best transfusion practices; maintain database for simple transfusion and apheresis procedures; catheter management and coordination with blood bank.
acts as a liaison between the patient, primary care provider, and specialists.
Participates in clinical research activities after appropriate training that will include Vanderbilt IRB Boot Camp.
enrolls participants in clinical studies, and coordinate care with the research team.
Leads Patient Care Center (PCC)/triad/health care team in outcomes based practice in accordance with VUMC/PCC/APP strategic initiatives
leads in the development of processes/systems to measure/monitor practice
identifies/collects/analyzes appropriate data and assesses against service, PCC and clinical goals
utilizes data/research to develop, implement and evaluate programs/systems and improvement plans
shares outcomes data with the PCC to help drive planning/use of resources
Leads interdisciplinary team in development, use and maintenance of collaborative pathways
leads in identification of paths to be developed
leads in development of pathways, teaching records and order sets
assists in implementation of new and revised pathways
guides nurses and health care team in use of pathways, teaching records and order sets
Maintains consistent collaborative focus in all activities
assures the individual and team goals are consistent with goals of APP/PCC
understands and respects roles and responsibilities of others
establishes credible relationship with health care team members
manages differences of opinion/conflict constructively
provides education to nurses/health care team in best care practices, clinical areas of expertise and changes in health care environment
assists in orienting case managers
Continuously improves knowledge/skills of self and others
obtains/evaluates/synthesizes new knowledge/research that is applicable to practice and leads others in applying findings
adds to knowledge of others via professional activities--presentations, publication, research, policy development/change, and/or professional/community boards
Maintains timely oral and written communication
maintains clinical documentation per APP/VUMC and accrediting standards
communicates information in a timely fashion to assure that patient care and/or projects move forward
Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period.
Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties.
Vanderbilt University Medical Center is world renowned because of the innovation, work ethic and collegiality of its employees. From our health care advances to our compassionate care, Vanderbilt owes its accomplishments and reputation to staff and faculty who bring skill and drive and innovation to the medical center day after day. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries and transformational educational and clinical advances across the entire spectrum of health and disea...se.
As the largest employer in middle Tennessee, we welcome those who are interested in ongoing development in a caring, culturally sensitive and professional atmosphere. Most of us spend so much of our lives at work, we want to be part of maintaining a workplace in which people support one another and encourage reaching for excellence. Many high-achieving employees stay at Vanderbilt because of the professional growth they experience and because of their appreciation of Vanderbilt’s benefits, public events and discussions, athletic opportunities, beautiful setting and, above all, sense of community and purpose.
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