VMG Advanced Practice Fellow - Child and Adolescent Psychiatry
Location: Nashville, Tennessee
Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 2210458
VMG Advanced Practice Fellow - Child and Adolescent Psychiatry
The Vanderbilt Psychiatric Mental Health Nurse Practitioner (PMHNP) Fellowship is a 12-month postgraduate program focused on child and adolescent psychiatry. The PMHNP will be exposed to a variety of experiences within child and adolescent psychiatry, including outpatient services, inpatient services, consult liaison services, the Vanderbilt Center of Excellence consulting for youth in states custody, and structured didactics focused on expanding the Fellow's knowledge base across disciplines in child and adolescent psychiatry. There will be an emphasis on outpatient care.
Job Summary: The Nurse Practitioner Fellow works in collaboration with, and is an integral member of, an interdisciplinary health care team. The NP Fellow should have a basic foundation in evidence-based practice and demonstrate adequate medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, and timely and compliant documentation. The NP Fellow will function in a variety of inpatient and outpatient care settings throughout the fellowship to optimize learning experiences. Focused learning experiences will be provided that enable the NP Fellow to develop and refine essential specialty-specific clinical and critical thinking skills promoting top of license practice. Immersion into an environment of collaborative interdisciplinary care will assure cost-effective, quality, patient-centered care. Additionally, an expanded incorporation of evidenced-based practice into care and utilization of improvement processes will be demonstrated by the completion of a specialty-relevant project.
Assessment of Health Status: a. Performs and documents in the medical record a complete history and physical examination. b. Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. c. Assesses for risks associated with care including: medication side effects, immobility, impaired nutrition. d. Participates in daily huddles or rounds with the interdisciplinary team as applicable and actively collaborates in formulating and evaluating ongoing plan of care across the continuum.
Diagnosis: a. Collaborates with interdisciplinary health care team in making accurate diagnoses of acute and complex chronic conditions. b. Manages diagnostic tests through ordering, interpretation, performance, and supervision. c. Formulates differential diagnoses by priority. d. Diagnoses complications and identifies appropriate interventions.
Formulates Plan of Care: a. Identifies expected outcomes from diagnosis, formulates and documents a plan of care to address acute and complex, chronic health care needs. b. 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: a. Prescribes diagnostic strategies and therapeutic interventions both pharmacologic and non-pharmacologic and surgical (as needed) to achieve expected outcomes. b. Manages further diagnostic tests through ordering, performance and interpretation.
Communication and Collaboration: a. Maintains ongoing communication and collaboration with interdisciplinary health care team members. b. Facilitates communication with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.
Documentation: a. Documents key components of patient's progress via daily progress note, transfer, and discharge summary and/or clinic note, where applicable. b. Documentation will be timely and must meet compliance standards while accurately capturing patient acuity and/or complexity.
Professional Practice: a.Seeks opportunities for active engagement in research and the analysis of evidenced based practice. b. Attends Grand Rounds, AP Council meetings, faculty and unit meetings, MM & I presentations and other education opportunities as available. c. Maintains continuing education to maintain licensure and certification requirements.d. Actively participates in required professional development fellowship curriculum.
Department Summary:The Department of Psychiatry provides inpatient and outpatient services to children, adolescents, and adults with mental illnesses. For more information, please visit https://www.vumc.org/psychiatry/
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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 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Children's Hospital at Vanderbilt named as one of the Best Children's Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked.
* Healthcare's Most Wired: Among the nation's 100 "most-wired" hospitals and health systems for its efforts in innovative medical technology.
* Becker's Hospital Review: named as one of the "100 Great Hospitals in America", in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.
* The Leapfrog Group: One of only 10 children's hospitals in the to be named at Leapfrog Top Hospital.
* American Association for the Advancement of Science: The School of Medicine has 112 elected fellows
* Magnet Recognition Program: Received our third consecutive Magnet designations.
* National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement
* Human Rights Campaign Healthcare Equality Index: 6th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.
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 disease.As t...he 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.Vanderbilt and its employees share a set of mutual expectations that have been created with productivity, legality, fairness and safety always in mind. We believe that our investment in training and compensating employees multiplies in value when we enable individuals to deliver their best performance for the benefit of us all.