Advanced Practice Registered Nurses / Physician Assistants
Nurse Practitioner Allergy/Pulmonary
The nurse practitioner (NP) within the Vanderbilt Lung Institute (VLI) outpatient clinics (TVC and OHO locations ) works in collaboration with, and is an integral member of, a multidisciplinary healthcare team. The NP functions primarily in the outpatient setting, managing the care complex chronically-ill patients with pulmonary problems, particularly lung cancer/lung nodules, neuromuscular diseases causing chronic respiratory failure, and general pulmonary issues such as chronic cough, undifferentiated dyspnea, and abnormal chest radiographs. The NP is typically on a service-aligned team managing the patient care in collaboration with VLI physicians. The NP has a strong foundation in evidenced based practice/education and provides an environment of safe quality care. 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.
Assessment of Health Status
* Performs and documents in the medical record a complete history and physical examination for complex chronically ill pulmonary patients.
* Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
* Collaborates with interdisciplinary healthcare team in making diagnoses of complex chronic pulmonary conditions. When appropriate refers patients to the different specialized clinics within the VLI.
* Manages diagnostic tests through ordering, interpretation, performance, and supervision.
* Formulates differential diagnoses by priority.
* Diagnoses complications and orders appropriate interventions.
Formulation of Plan of Care
* Having a working diagnosis, the NP is expected to formulate and document a plan of care to address complex chronic pulmonary healthcare 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.
Communication and Collaboration
* Maintains ongoing communication and collaboration with interdisciplinary healthcare team .
* Facilitates and communicates with patient, family and staff to promote continuity of care across the outpatient continuum of care and the different subspecialty services of the VLI, when applicable.
* Documents/dictates key components of patient's progress via clinic note.
* Documentation is timely, meets acute care compliance standards and captures patient level of complexity.
* 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.
* Maintains CEUs and membership in a professional organization.
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