Advanced Practice Fellow - Primary Care

NFP Provider Team

The Advanced Practice Fellow works in collaboration with and is an integral member of a interdisciplinary health care team. The Advanced Practice 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, timely and compliant documentation. The Advanced Practice Fellow may 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 Advanced Practice 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 completion of a specialty-relevant project.

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• Family Nurse Practitioner (FNP) or Physician Assistant (PA) Required

KEY RESPONSIBILITIES

• Assessment of Health Status:
  • Performs and documents in the medical record a complete history and physical examination.
  • Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
  • Assesses for risks associated with care including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.
  • 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:
  • Collaborates with interdisciplinary health care team in making accurate and diagnoses of acute and complex chronic conditions.
  • Manages diagnostic tests through ordering, interpretation, performance, and supervision.
  • Formulates differential diagnoses by priority.
  • Diagnoses complications and identifies appropriate interventions.

• Formulates Plan of Care:
  • Identifies expected outcomes from diagnosis, formulates and documents a plan of care to address acute and complex, 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 (as needed) to achieve expected outcomes.
  • Manages further diagnostic tests through ordering, performance and interpretation.
  • May perform advanced procedures consistent with privileges and competency validation.
• Communication and Collaboration:
  • Maintains ongoing communication and collaboration with interdisciplinary health care team members.
  • Facilitates communication with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.

• Documentation:
  • Documents key components of patient's progress via daily progress note, transfer, and discharge summary and/or clinic note, where applicable.
  • Documentation will be timely and must meet compliance standards while accurately capturing patient acuity and/or complexity.

• Professional Practice:
  • Provides preceptor/mentoring, education and instruction of students and nursing staff as needed.
  • Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
  • Attends Grand Rounds, AP Council meetings, faculty and unit meetings, MM & I presentations and other education opportunities as available.
  • Maintains continuing education to maintain licensure and certification requirements.
  • Actively participates in required professional development fellowship curriculum.

Responsibilities:

Certifications:

Work Experience:

Relevant Work Experience

Experience Level:

Less than 1 year

Education:

Master's

This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity.  EOE/Vets/Disabled.

Supporting Colleagues: - Develops Self and Others: Continuously improves own skills by identifying development opportunities.- Builds and Maintains Relationships: Seeks to understand colleagues priorities, working styles and develops relationships across areas. - Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner. Delivering Excellent Services: - Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service. - Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns to supervisors in a timely manner. - Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support. Ensuring High Quality: - Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards.- Ensures Continuous Improvement: Shows eagerness to learn new knowledge, technologies, tools or systems and displays willingness to go above and beyond. - Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department. Managing Resources Effectively :- Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service. - Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources. - Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error. Fostering Innovation: - Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them.- Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action. - Adapts to Change: Embraces changes by keeping an open mind to changing plans and incorporates change instructions into own area of work.