Rachel Sweat NP-C

Hendersonville, TN ***** ● 615-***-****● actetb@r.postjobfree.com

WORK EXPERIENCE

Indian Lake Surgery Center, Hendersonville, TN, 03/2015- Present

Nurse Practitioner, Ambulatory Surgery

Obtain initial complete history on all patients seen.

Teach pre-operative education and give instructions to patients and family.

Be up to date and knowledgeable of all evidence based guidelines for care of patients in the ambulatory surgical setting.

Provide prescriptions and medication instructions necessary for the pre-operative period.

Coordinator for all pre-operative testing center needs including ancillary services and the anesthesia team.

Responsible for QA initiatives for tissue implants and implanted medical devices according to Joint Commission Standards, FDA regulations, and state and federal laws including developing, implementing, and teaching staff on new policies and procedures.

Responsible for enrolling and implementing the CMS Ambulatory Surgical Center Quality Reporting (ASCQR) Program for the center.

oReported to CMS the required quality measures 6-10 to avoid a 2% deduction in payments for claims in FY2017.

oDeveloped SOP for center regarding Quality Measures during data collection and reporting periods.

oUpdated electronic charting and billing system to be able to capture all CMS data codes for ASC quality measures 1-5 to fulfill the reporting criteria.

oChanged the SOP for Vaccinations and declinations to ensure all reporting data required by CMS is captured during data collection period.

Proficient with Joint Commission Standards, Intracycle monitoring, and renewal process.

Responsible for the center’s Joint Commission Intracycle Monitoring Process and submission. Evaluating current policies and procedures in comparison to Joint Commission Standards and updating as necessary. Coordinating and Collaborating with OR and QI nurses to ensure compliance from all departments and make necessary changes.

HealthSource Global, Fremont, CA, 03/2010- 04/2010

Registered Nurse, Neurosurgical ICU Temple University 2 week emergency staff replacement assignment

Parallon Workforce Management Solutions, Nashville, TN, 08/2008- Present

Registered Nurse, CCU, MSICU, NICU, Psych, hurricane relief

Vanderbilt University Medical Center, Nashville, TN, 08/2007- 2/2008

Registered Nurse, SICU

Hendersonville Medical Center, Hendersonville, TN 07/2004- 07/2008

Registered Nurse, Critical Care Unit

Heartland Regional Medical Center, St. Joseph, MO 07/2002- 07/2004

Registered Nurse, Neurosurgical ICU Temple University 2 week emergency staff replacement assignment

Provide nursing care to critically ill patients who recently experienced a neurological, respiratory, and/or cardiac emergency at an accredited chest pain center and TN’s first accredited Comprehensive Stroke Center. Extensive experience with respiratory and cardiac failure and arrest, AMI, PTCA, post CABG, CVA, SAH, SDH, TIA, acute CHF, drug overdose, Diabetic Ketoacidosis, Sepsis, MODS, GI bleed, ARDS, organ donation, and DIC.

Extensive experience including, but not limited to Code Blue team, vasopressors, sedation protocols, ventilators, tracheostomies, VADs, Hypothermia protocol, EVDs, and ICP monitors.

Extensive experience preparing patients for and assisting with the insertion, care, and discontinuation of central lines, PICC lines, arterial lines, Swan-Ganz Catheters, and chest tubes, as well as other common ICU procedures.

Extensive experience preparing patients for test and procedures outside CCU including interventional radiology, cardiac cath lab, MRI, CT, and Special Procedures.

Consultation and Collaboration with Tennessee Donor Services when patients GSC meets criteria.

Consult and collaborate with critical care specialists, surgeons, attending physicians, and ancillary services as part of a multidisciplinary team to assess, plan, implement, and evaluate patient care.

Be up to date on the most recent guidelines and Standards of Care as defined by the American Nurses Association and American Heart Association.

Be knowledgeable of all evidence based guidelines for AMI/ stroke treatment, nursing care, and follow up treatment and therapy for AMI and stoke patients.

Patient education including home care practices and lifestyle modifications to optimize patient health outcomes upon discharge.

Provide nursing care, as part of a multidisciplinary team, for Behavioral Health patients experiencing a mental health crisis at Skyline Medical Center- Madsion Campus including work in the Adolescent, Acute Adult, Mood and Stress, Geriatric units.

Perform duties as a Charge Nurse that include managing staff assignments, necessary paperwork, and team lead for Code Blue Team.

Perform a thorough and accurate physical assessment on all patients and interpret those findings.

Effectively communicate with and relay vital information to cardiologist, neurologists, neurosurgeons or other attending physician concerning the condition of their patients.

Recognize, monitor, and/or report changes in patients' conditions that warrant intervention by physician, including change in level of consciousness, cardiac rhythm, and respiratory status.

Recognize early symptoms and trends of physiological events and disease processes, and respond with appropriate medical intervention to lessen negative impacts and foster good patient outcomes.

Maintain accurate, detailed reports and records.

Collect and record patient's medical information, vital signs, and lab values and accurately interpret the

meaning of these findings.

Order, interpret, and evaluate diagnostic tests to identify and assess patient's condition.

Modify patient treatment plans as indicated by patients' responses and conditions.

Supervise and teach assistive nursing or healthcare personnel.

Monitor all aspects of patient care, including diet, swallowing evaluations, and instruct on appropriate

physical activity.

Assess the needs of individuals, families, or communities, including assessment of individual's home or work

environments, to identify potential health or safety problems.

Conduct specified laboratory tests as ordered by the physician or as warranted by patient’s condition before physician notified with patient’s condition and current applicable labs.

FAMILY NURSE PRACTITIONER CLINICAL

North Clinic Hendersonville, TN 09/2012- 01/2013

Provided comprehensive primary, geriatric, women’s health, and pediatric care to low-income and culturally diverse patient populations, including a complete history and physical assessment.

Collaborated with the office nurse practitioners in managing acute and chronic illnesses

including but not limited to hypertension, diabetes mellitus, hyperlipidemia, orthopedic ailments, anxiety/

depression, COPD, obesity, heart disease, endocrine problems/diseases, menopausal related problems,

geriatric related conditions and illnesses, seasonal allergies, viral illnesses, STDs, bacterial infections of

varying locations and types, URI, Asthma, Influenza, Strep pharyngitis, UTI, and sinus infections. Gynecological evaluations and treatment for adolescent, child bearing, and post-menopausal women. Screened and provided patient education on STIs, cervical cancer, and birth control.

Provided medication management and Lifestyle teaching to patients to optimize patient outcomes.

Interpreted PFT and allergy tests. Created individual asthma action plans.

Remote Area Medical (RAM) Knoxville/ Pigeon Forge, TN 02/2013, 03/2013

Provided comprehensive free medical care to low income, homeless, and culturally diverse patient population in a temporary setting by identifying and treating chronic health conditions including hypertension, diabetes, and hyperlipidemia.

Educated patients regarding disease prevention, treatment, and health promotion concepts on an individual basis.

Operation Stand Down Nashville, TN Fall 2012

Addressed the medical needs of homeless veterans. Obtained medical history, immunization status, and current medication regimen. Provided treatment in collaboration with onsite physician for various chronic medical conditions including diabetes and hypertension, as well as chronic skin and foot problems common to the homeless population. Coordinated appointments for follow-up medical care at the VA Medical Center.

Nashville Cares Nashville, TN 01/2013- 04/2013

Conducted rapid HIV screening and client education on safer sex and lifestyle practices to minimize exposure to HIV and STIs.

Meharry Pediatric Clinic Nashville, TN 09/2012- 02/2013

Provided pediatric care to low income, uninsured, and culturally diverse patient populations.

Conducted well-child evaluations for newborns, infants, children, and adolescents.

Assessed and treated acute conditions including upper respiratory infections, dermatologic conditions, and acute injuries. Referrals made as needed for WIC, Families First, TN Early Intervention, among others.

PROFESSIONAL AFFILIATIONS

Honor Society of Nursing, Sigma Theta Tau International

American Association of Nurse Practitioners (AANP)

Tennessee Nurses Association (TNA)

RESEARCH

Graduate project, Children and Post Traumatic Stress Disorder, presented at Tennessee State Universities Annual Research Day, 04/2013

Graduate Selected Topics presentation, Healthcare Practitioners: Assessing and Intervening in Domestic Violence, presented to graduate FNP/education students, 11/2012

EDUCATION

Master of Science in Nursing/ Family Nurse Practitioner

Tennessee State University- Nashville, TN 05/2013

Bachelor of Science in Nursing

Missouri Western State University- St. Joseph, MO 05/2002

LICENSURE/CERTIFICATIONS

AANP certified DEA eligible

TN APN license, exp 03/31/2016

TN RN license, exp 03/31/2016

ACLS, BLS, PALS certified

SKILLS

14 years nursing experience in high acuity ICU’s including coronary, neuro, neurosurgical, and med-surg.

Over 600 hands-on clinical hours as a student Family Nurse Practitioner.

Proficient at obtaining thorough H&P, ordering diagnostic tests, referring for other services or specialty care, diagnosing medical conditions, and prescribing medications that are evidenced based and best practice.

Coordination of care with supportive services including dietician, ST/OT/PT, home health, case management, and government agencies.

Actively participated in Grand rounds as part of the multidisciplinary team.

Proficient in MS Office suite, EHR, EMAR, CPOE, eClinicalworks, Vision, Meditech, and Cerner.

Exceptional ability to teach patient/family regarding disease process, prevention, treatment, and health promotion concepts on an individualized basis.

Completion of the NIH Stroke Scale (NIHSS) courses through the AHA/ASA

Proficient in sterile technique, injections, and suturing.

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