Vanderbilt Bariatric Nurse Practitioner Fellow, General Surgery
Location: Nashville, Tennessee
Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 2111455
Start date: January 1, 2022
Duration: 12 months
The Vanderbilt Bariatric Nurse Practitioner Fellowship is a 12-month postgraduate program focused on the field of bariatric medicine and surgery. The Nurse Practitioner (NP) will be exposed to all areas of bariatric medicine, including outpatient services and procedures, inpatient services, and the operating room. There will be special emphasis on the outpatient clinics. The NP fellow will receive training and mentorship from obesity medicine specialists, bariatric surgeons, and advance practice providers. The Nurse Practitioner Fellow works in collaboration with and is an integral member of a 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, timely and compliant documentation. The NP 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 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 completion of a specialty-relevant project.
The largest division within the Department of Surgery, the Division of General Surgery encompasses expertise in several areas of general surgery concerned with the care of abdominal disorders involving emergency general surgery, advanced laparoscopy, bariatric surgery, colorectal surgery, and esophageal and pancreatic procedures. The Division of General Surgery at Vanderbilt is committed to providing medical students, residents and fellows with a wide array of surgical training including laparoscopic and open general surgery procedures in the treatment of morbid obesity, gastroesophageal reflux disease, pancreatic and biliary diseases, hernias and colorectal diseases with the focus of providing the best in patient care.
Day Shift/ Exempt Position
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, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.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 and 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, non-pharmacologic and surgical (as needed) to achieve expected outcomes.b. Manages further diagnostic tests through ordering, performance and interpretation.c. May perform advanced procedures consistent with privileges and competency validation.
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. Provides preceptor/mentoring, education and instruction of students and nursing staff as needed. b. Seeks opportunities for active engagement in research and the analysis of evidenced based practice.c. Attends Grand Rounds, AP Council meetings, faculty and unit meetings, MM & I presentations and other education opportunities as available.d. Maintains continuing education to maintain licensure and certification requirements.e. Actively participates in required professional development fellowship curriculum.
Master's Degree (or equivalent experience) and < 1 year experience. 12 months of nursing experience preferred; Inpatient acute care advanced practice nursing experience desirable.
Registered Nurse License Required
Certified Nurse Practitioner Within 3 months
Additional Qualification Information:
Prefer National Specialty Board Certification, TN APN certificate/certificate of fitness to prescribe, eligible for DEA
**Interest in working in the field of weight loss and bariatric surgery **
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