Critical Care APP (NP or PA) - Surgical ICU (SICU)

**Discover Vanderbilt University Medical Center**: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.**Organization:**VUH Advanced Practice Provider**Job Summary:**The SICU Critical Care Nurse Practitioner (NP) works in collaboration with a multidisciplinary health care team. The Critical Care NP or Critical Care PA provides healthcare in critical care settings, including Surgical ICU. The NP has didactic education, clinical competency and national certification in identified area of clinical practice. The NP demonstrates medical knowledge, clinical judgment, technical competence, professionalism, interpersonal communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. The NP has an advanced knowledge of nursing theory and application. Preferred: 1+ year experience as an AGACNP, ACNP, or Physician Assistant in a Surgical ICU (SICU) or Critical Care environment..### **About the Role**Vanderbilt University Medical Center is seeking a **Critical Care Advanced Practice Provider (NP or PA)** to join our **Surgical Intensive Care Unit (SICU)** team. The SICU cares for critically ill adults recovering from complex surgical procedures, including trauma, liver transplant, vascular surgery, emergency general surgery, thoracic surgery, surgical oncology, orthopedics, and obstetric surgical cases.As an **Advanced Practice Provider (APP)** in our Surgical ICU, you will provide comprehensive assessment, clinical decision‑making, bedside procedures, and ongoing management of critically ill surgical patients.### **Key Responsibilities*** Perform comprehensive assessments and daily evaluations of SICU patients.* Order, interpret, and act on diagnostic tests in collaboration with the multidisciplinary Critical Care team.* Manage acute and complex postoperative conditions within a high‑acuity ICU setting.* Perform bedside procedures appropriate to APP training/scope.* Collaborate with intensivists, surgeons, residents, pharmacists, and nursing teams.* Participate in SICU quality improvement, evidence‑based practice, and continuing clinical education.### **Required Qualifications*** **NP:** Adult‑Gerontology Acute Care Nurse Practitioner (AGACNP) or Acute Care NP (ACNP).* **PA:** Graduation from ARC‑PA accredited program + national certification.* 1+ year of experience in **Critical Care, ICU, or SICU** preferred.* Current Tennessee licensure (or eligibility).### **About the SICU at Vanderbilt**Our SICU is a dynamic 23‑bed unit serving a broad surgical population. APPs partner closely with surgical intensivists to manage critically ill postoperative patients and trauma cases. Providers value the diverse caseload, advanced procedures, and collaborative culture.### **Shift Information*** Nights (3 shifts/week)* Weekend & holiday rotation as required**Relocation available for candidates over 100+ miles from Nashville, TN*** Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) / Acute Care Nurse Practitioner (ACNP) or Physician Assistant (PA) RequiredKEY RESPONSIBILITIES* Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care.* In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patient's overall care, identifying expected outcomes for diagnoses.* Orders, performs, interprets and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.* Forms differential diagnoses and treats acute and chronic conditions.* Prescribes therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes.* Utilizes evidence-based, approved practice protocols in planning and implementing care;* Initiates appropriate referrals and consultations;* Provides specialty specific consultation services upon request and within specialty scope of practice;* Facilitates the patient’s transition between and within health care settings, such as admitting, transferring, and discharging patients.TECHNICAL CAPABILITIES* Professionalism (Advanced): Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice.* Interpersonal and Communication Skills (Advanced): Demonstrates interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams. Communicates practice knowledge effectively both orally and in writing.* Practice-Based Scholarly Inquiry and Integration (Advanced): Demonstrates the use of scientific evidence and methods to investigate, evaluate and improve patient care practices. Anticipates variations in practice and is proactive in implementing interventions to improve quality. Uses best available evidence to continuously improve quality of clinical practice. Generates knowledge from clinical practice to improve practice and patient outcomes. Reviews data and evidences to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science.* Patient and Family Centered Care (Advanced): Demonstrates care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life. Within scope of licensure and certification, manages previously diagnosed and undiagnosed patients. Uses health assessment skills to differentiate between normal, variations of normal, and abnormal findings. Employs screening and diagnostic strategies in the development of diagnoses. Prescribes medications within scope of practice. Manages health/illness status of patients and families over time and across the continuum. Provides patient-centered care recognizing the patient or designee as a full partner in decision making. Creates a climate of patient-centered care to include confidentiality privacy, comfort, emotional support, mutual trust, and respect. Incorporates cultural and spiritual preferences, values and beliefs into health care. Preserves the patient's control over decision making by negotiating a mutually acceptable plan of care. Integrates ethical principles into decision making. Uses electronic health record to capture data on variables for the evaluation and management of patient care. Clearly documents findings, assessment and plan of care.* Clinical Knowledge and Practice (Advanced): Demonstrates established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others. Demonstrates knowledge of population focus but also other sciences that support his/her field of practice. Demonstrates knowledge of common and important health issues affecting society and other societies around the globe. Demonstrates commitment in maintaining current #J-18808-Ljbffr