Alexandria VA, *****
acxry5@r.postjobfree.com
TONYA L. WALSTON
WORK EXPERIENCE
MedOptions of Virginia, LLC
16th Floor, 1111 East Main Street
Richmond, VA 23219
PSYCHIATRIC NURSE PRACTITIONER 10/2016 – CURRENT (PRN)
Provide Behavioral Health consultative and appropriate follow-up care to residents of SNF/ALF facilities.
Green Door Behavioral Health
1221 Taylor St. NW
Washington, DC 20010
202 464- 9200 EXT .416
FAMILY PSYCHIATRIC NURSE PRACTITIONER 5/2016 – 10/2016 (SHORT TERM ASSIGNMENT)
Provides comprehensive care to psychiatric patients based upon the multi-disciplinary treatment plan and the mental, emotional and physical needs of the patient and provides assessment of acute and non-acute clinical problems in an outpatient setting
Perform intake assessments for psychiatric
Provide telephone triage assessments and recommend advice for patients of all ages.
Assess clinical, emotional, and educational health needs of patients.
Collaborate with physicians and other clinical staff members to maintain continuity of care.
Facilitate referral to appropriate specialties, communities’ agencies and hospitals.
Participate in patient education activities.
Proficient in the use of computers and EMR software.
Collaborate with the patient's total treatment team to formulate a total treatment plan.
Perform psychiatric patient observations to identify any significant behavior and reaction patterns.
Screen new patients and take histories, perform health screening, order diagnostic tests and laboratory studies and interpret data obtained from the results.
Utilize various modalities of care, i.e. therapeutic use of individual and group counseling, crisis intervention and medication management.
Prescribe medications according to accepted standards of psychiatric practice in collaboration with onsite psychiatrist.
INOVA Visiting Nursing Association
9900 Main Street
Fairfax VA, 22031
Supervisor: Adrienne Patterson
PSYCHIATRIC MENTAL HEALTH NURSE 02/2016
•Performing psychiatric evaluations
•Respond to patient and pharmacy phone calls concerning medications or other issues
•Conduct patient follow-up appointments in person, provide patient education on medications and disorders
•Act as collaborative liaison between patient and physicians
•Interacts frequently with patients, physicians, other clinic personnel, and outside referral sources by telephone, email, and personal contact.
Fort Belvoir Community Hospital
9300 Dewitt Loop
Fort Belvoir, VA 22060
Dept of Medical Management – (DHA Employee)
NURSE CONSULTANT – BEHAVIORAL HEALTH NURSE CASE MANAGER 04/2009 – 05/2015
ADULT AND PEDIATRIC POPULATION
Responsible for working with the TRICARE Managed Care Support Contractors (MCSC), and other agencies to implement and establish procedures and protocols
Analyze data from in-patient hospital report and present written analysis to management with views on utilization of program services
First level reviewer to approve TRICARE referrals based on benefit plan
Case manage behavioral health referrals and assist with finding TRICARE approved facilities to accept patients experiencing dementia, depression, TBI and patients with substance abuse issues or co-occurring programs,
Case manage patients going through the Medical Evaluations Board process for fit for duty, arrange patient care appointments, review patient chart and lab work, collaborate with Veterans Affairs to facilitate care coordination, brief departmental chiefs on critical issues
Knowledgeable on several electronic health records AHLTA/CHCS/ESSENTRIS/CCS Health Net Federal Services Net Work
Serve as a liaison to physicians regarding clinical issues
Track/coordinate care for patients who are at high risk (chronic disease) and high utilizer to the TRICARE health system
Track patients who are discharged from the emergency department to ensure patients have a follow up appointment with their primary care provider.
Assist patients in coordinating sub-specialty appointments and help them navigate the TRICARE health system
Develop and document new plans of care with patient population
Instruct patient/families on self management, prevention and wellness based on patient goals
Provide support and review of medical claims and utilization practices
Work with internal and external customers to ensure effective use of systems and processes, provide project updates
Serves as the department educator to create educational activities and assist in developing staff member’s knowledge and skills related to the nursing and research process, by designing and implementing learning experiences to help nurses acquire, maintain and increase their competence
Lead a team of professionals to complete departmental tasks and serves as a resource nurse for staff
Contemporary Nursing Staffers
1953 Gallows Rd Ste 630
Vienna, VA
EMERGENCY ROOM /PSYCHIATRIC RN (ADULT AND PEDIATRICS) 12/2008- 4/2009
Acute and Chronic care experience in Adult and Pediatric populations
Directed, planned and implemented nursing care, complete daily staffing assignments, resolving issues in clinic area in the role as charge nurse
Managed wide range of patients receiving long term psychiatric to short term substance abuse programs
Provide initial nursing assessment for acute and chronic patients and mental health assessments on new admissions
Participate in and provide consultation in treatment planning and interventions
Participate in group therapy with patients and provide health education teaching to in- patient population
Documented observations and changes in patient’s condition
Able to recognize physiological and psychological behavioral symptoms
Readily develop rapport with patients, families, staff and physicians
Medical Terminology and medication administration skills: Adult and Pediatric calculations
Assisted and implemented advanced cardiac life support under the direction of the physician
Educate patients and families for discharge planning, EKG’s, evaluations and implementation of the nursing process
Catheter, IV insertion and suction training for Adult and Pediatric population
Assist physicians with procedures: suturing, conscious sedation, collection of specimens such as in out caths on pediatric and adult patients, RSV and Strep test collection in the infant population, medication administration
Strong assessment and triage skills can easily assess conditions and implement appropriate interventions
Progressive Nursing
5531 Hempstead Way Ste B
Springfield, VA 22151
AGENCY REGISTERED NURSE 11/1998 – 12/2008
Acute and Chronic care experience in Adult and Pediatric populations various specialties to include Behavioral health, Emergency Room, Urgent Care Clinics, Telemetry and Step Down Units
Direct, plan and implement nursing care, complete daily staffing assignments, resolving issues in clinic area in the role as charge nurse
Readily develop rapport with patients, families, staff and physicians
Medical Terminology and medication administration skills: Adult and Pediatric calculations
Assisted and implemented advanced cardiac life support under the direction of the physician
Educate patients and families for discharge planning, perform patient assessments, EKG’s, evaluations and implementation of the nursing process
Catheter, IV and suction training for Adult and Pediatric population
Assist physicians with procedures: suturing, conscious sedation, collection of specimens such as in out catheters on pediatric and adult patients, RSV and Strep test collection in the infant population
Strong assessment and triage skills can easily assess conditions and implement appropriate interventions
Immigration Health Services
Washington, DC
NURSE CASE MANAGEMENT COORDINATOR 12/2006 - 12/2007
Perform as case manager and utilization reviewer for adult/children detainee's in Immigration Customs Enforcement/US Marshall Service
First level reviewer to determine medical necessity and appropriateness of requested services from facilities
Assist in facilitating transfers of detainees to higher level of care and to rehabilitative sites
Evaluate program policy procedures and manuals for federal and state compliance with Medicaid services
Review all appeal claims and forward as necessary for payment through the Veteran’s Administration
Adjudicate treatment authorization requests (TARS) from jails, SPC's for offsite medical care for children and adults
Patient education on the management of hypertension and diabetes Wound care instruction after surgical procedures Manage and coordinate the care for the Office of Refugee Resettlement Program in the absence of the program manager
Worked with sites to evaluate services available to behavioral health patients for placement in correction facilities
Collaborate with over 50 different contracted correctional facilities as the program manager to give support and provide information for field operations on policy and procedures, placement for detainee's, and to locate medical facilities to provide medical assistance when needed
Update supervisors and co-workers on program objectives and initiatives taking place currently in the field to keep everyone informed
Make recommendations to improve program goals
Provide written documentation for different types of reports, correspondences, standard operations for program procedures and request for legal advice for problems that may occur in the field
Work directly on projects with senior officials
Acting MCC manager in absence of supervisor Assist with referral for medical escorts for designated detainee's in the special operations program
Washington Hospital Center
110 Irving St North West
Washington, DC
NURSE MANAGER 3/2004 - 12/2006
Supervised a team of 35 employees on a 34 bed medical /telemetry/ventilator step down unit
Responsible for unit operations such as biweekly payroll and budgeting
Maintain DCRA/JACHO accreditation standards FTE reports to include productivity and staffing effectiveness and reviewing variance analysis reports
Writing correspondences, evaluated Press Ganey reports for patient satisfaction scores and made recommendations for improvements Establishing unit goals enforced policy and procedures
Assisted in negotiation of union contracts
Attended executive staff meetings
Participated on committees with peers
Presented staff meetings and performed educational in-services to educate staff on evidenced based practice medicine
Responsible for employee quarterly and annual evaluations
Monitoring daily staffing patterns, scheduling RN/LPN's, unit clerks and patient care technicians
Responsible for orienting new employees as well as hiring and terminating staff
Enhanced staff development by working along side each nurse/staff member with a hands on approach to management in order to learn the staff’s strengths and weaknesses
Conducted weekly meetings with utilization review nurses to assist with patient discharges
Mediated conflicts on unit between staff members
Respond to patient complaints
Broward County Women’s Correctional Institution
Fort Lauderdale, FL
FAMILY NURSE PRACTITIONER 7/2002 - 7/2003
Supervised a team of 3 Registered Nurses and Licensed Practical Nurses in an ambulatory care setting
Maintain NCHC accreditation standards for correctional settings
Perform suturing and orthopedic casting
Managed acute and chronic care patients admitted to the infirmary
Actively participated in the development and implementation of individual treatment plans with a broad range of Axis II diagnosis to include personality/paranoid disorders, borderline personality and antisocial disorders
Managed the treatment for substance abuse, sexually transmitted diseases, psychotic outbreaks, rape victims, HIV/AID’s patients, heart failure and hypertensive crisis and kidney failure patients
Completed patient assessments and evaluations including well women/prenatal and post partum visits
Patient education
Review daily laboratory and diagnostic results for abnormalities and initiate a treatment plan
EDUCATION
George Mason University – Doctor Nursing Practice (DNP)
Fairfax, VA
Major: Psychiatric Family Nurse Practitioner Program –May 2015
Minor: Nursing Education and Curriculum Development
76 Semester Hours
Marymount University
Arlington VA
Master’s Degree – 9/1999 - 5/2002
47 Semester Hours
Master of Science Nursing
Adelphi University
Garden City, NY
Bachelor's Degree - 9/1992- 5/1997
130 Semester Hours
Major: Nursing
Bachelor of Science Nursing
LICENSING
VA License # 002*******
NPI # 126*******
DEA#
CERITIFICATIONS
American Nurses Credentialing Center, Primary Mental Health Nurse Practitioner 5/2021
American Heart Association Basic Life Support 5/ 2017
American Heart Association Advanced Cardiac Life Support 5/ 2017
American Heart Association Pediatric Life Support 5/ 2017