1911870- Pediatric Orthopedic Nurse Practitioner, Ambulatory

Job

: Advanced Practice Nurse/Clinical Nurse Specialist/Nurse Practitioner

Primary Location

: TN-Nashville-Monroe Carell Jr. Children's Hospital at Vanderbilt

Organization

: In-Patient Nrs Practnrs 20 209058

Shift: Variable

Description

Pediatric Orthopedic Nurse Practitioner, Ambulatory

Your Role: 

The Nurse Practitioner (NP) in Pediatric Orthopaedics will assist in the medical and surgical care of pediatric orthopaedic patients in the clinical setting.  This includes both new referrals and established patients.  The NP works under the supervision of the pediatric orthopaedic team using established and approved protocols as required by state law and institutional policy.  The NP demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. This is a full-time position; days may vary, including weekends and holidays

Principal duties and Responsibilities:

1. Function as member of a multidisciplinary team that includes: Attending Physicians, Resident physicians, Advanced Practice RN/Case Manager, RNs, ortho-cast technicians, social worker, child life specialist, and nurse manager.
2. Facilitates and guides care in the Pediatric Orthopaedic outpatient setting by performing comprehensive problem-focused patient evaluations; formulates and implements therapeutic plans of care; management of simple and complex fractures to include closed reduction, preoperative education and postoperative management of care, peer-to-peer reviews to ensure proper and timely authorization of tests/surgical procedures.
3. As needed, provide routine medical management of an inpatient Pediatric Orthopaedic population to include evaluations and consultations in collaboration with the Pediatric Orthopaedic physicians.
4. Perform procedures (under direction and appropriate level of supervision of the Attending Physician) including but not limited to: closed fracture reduction and management, splinting and casting, aspiration and/or injection of joints or cysts, wound suturing and dressing, and suture removal.
5. Complete appropriate documentation of all evaluations, care, and services rendered in the patient electronic medical record per policy.
6. Provide follow-up care in accordance with established protocols
7. Attend Pediatric Orthopaedic preoperative and postoperative conference twice each week.

Key Functions and Expected Performances:

1. Diagnosis
1. Collaborates with interdisciplinary health care team in making diagnoses of acute and chronic conditions.
2. Manages diagnostic tests through ordering, interpretation, and collaboration
3. Formulates differential diagnoses by priority.
4. Diagnoses complications and orders appropriate interventions

1. Formulates Plan of Care
1. Identifies expected outcomes from diagnosis and formulates and documents a plan of care to address complex acute and chronic health care needs.
2. Utilizes evidenced based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.

1. Implements and modifies plan of care
1. Prescribes diagnostic strategies and therapeutic interventions pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes.
2. Manages further diagnostic tests through ordering, interpretation, performance, and supervision.
3. May perform advanced procedures consistent with privileges and competency validation

1. Communication and Collaboration
1. Maintains ongoing communication and collaboration with interdisciplinary health care team.
2. Facilitates and communicates with patient, family and staff to promote continuity of care across the continuum of care.

1. Documentation
1. Documents/dictates key components of patient's progress via clinic note (H&P, plan of care, problem lists, procedure notes in medical record per specific patient)
2. Documentation is timely, meets acute care compliance standards and captures patient acuity.

1. Professional Practice
1. Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of students, nursing staff, nurses, and graduate and novice nurse practitioners.
2. Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
3. Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations.
4. Maintains CEUs, and membership in a professional organization

Position Qualifications:

Required:

Master's Degree (or equivalent experience) and < 1 year experience. 12 months of nursing experience preferred; Advanced practice nursing in the ambulatory or acute care setting desirable.  Licensure, Certification, and/or Registration (LCR): Registered Nurse Required

Position Shift:

Variable