Nurse Practitioner - General Psychiatry

Your Role:

We are looking for a professional psychiatric nurse practitioner with an interest in women's mental health who can deliver quality psychiatric care to a variety of adult women (ages 18 and 65 years) within a consultative / collaborative outpatient setting at an academic center. The successful candidate will work as part of a team of nurses and physicians delivering premium psychiatric care to each patient. They will be exposed to disorders specific to females within the above age group (primarily perinatal issues, but also other conditions across the female life-cycle). Responsibilities will include performing initial assessments, formulation of treatment plans with timely of followup appointments, appropriate referral to and consultation / liaison with other providers on mutual patients, medication management and brief psychotherapeutic interventions. Qualifications include a nurse practitioner degree, experience working in an outpatient psychiatric clinic, experience / interest in OB/Gyn population, experience / interest in women's mental health, comfort with medication management in the context of pregnancy, comfort treating those with a history of substance use disorder, ability to work within both a standard and collaborative care outpatient clinic model, strong written and verbal communications skills, experience using an Electronic Medical Record. Academic interests are optional but welcomed.

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 nurse practitioner 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 rounds with the Attending physician teams, presents 24 hour patient report, collaborates in plan of care, and follows assigned patient population throughout the day.
• 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 nurse practitioners.
• 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.
• Position will work with adult patients in our outpatient psychiatry clinics.

Position Qualifications:

• Master's Degree
• RN License

• 12 months of nursing experience preferred; Inpatient acute care advanced practice nursing experience desirable.
• Prefer National Specialty Board Certification, TN APN certificate/certificate of fitness to prescribe, eligible for DEA

• M-F/8a-5p

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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.

VUMC Recent Accomplishments

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VUMC 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 ), 9 adult and 9 pediatric clinical specialties ranked among the nation's best, #15 Education and Training
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• 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
• American Association for the Advancement of Science: 12 faculty members elected fellows in 2014
• Magnet Recognition Program: Vanderbilt nurses are the only group honored in Middle Tennessee
• Nashville Business Journal: Middle Tennessee's healthiest employer
• American Hospital Association: among the 100 "Most Wired" medical systems in the US