**** ******* ***** ***** 720-***-****
Midlothian, VA 23114 ***********@*****.***
RN, BSN, BA, CPEN
Misty R. Vivian,
Objective Enhancing my leadership skills and knowledge in an ever changing, fast
paced environment. With the key goal of effective team work, and patient
safety and satisfaction.
Professional 2012 2013 CJW Johnston Willis Hospital Midlothian, VA
experience Director of Emergency Services
Director of a 28 bed Emergency Department in a Stroke accredited
community hospital. With an average daily volume of 85 patients with
35,000 annual visits.
Managed 60 direct reports with 38 FTE’s including Registered Nurses,
contract RN’s, EMT’s, Unit Secretary and support personnel.
Responsible for hiring into and providing orientation for 17 positions that
were vacant upon my arrival.
Played an integral part in increasing Customer Service scores from 44%
to 63% for rational loyalty. Through the implementation of White Boards,
Hourly Rounding, Huddles, Discharge callbacks and Bedside Handoff.
Bringing Johnston Willis to number 1 in the division for Q3 2013.
Collaborated with Senior Management and other department Directors to
implement a plan to decrease ED hold hours from 600+ hours per month
to 200 hours per month.
Developed strategies to meet various metrics including; Length of Stay
(LOS) for admitted and discharged patients to less than 240 minutes and
140 minutes. Arrival to bed from 15minutes in 2012 to 9 minutes in 2013.
Revised an existing ED Saturation tool to involve all departments to
prevent ED wait times of greater than 45 minutes and “wait time alerts.”
Collaborated with the Medical Director to reach and maintain goals and
evaluate educational needs.
Worked with the EMS liaison to increased EMS volumes by building
relationships and joining with a Pharmaceutical company to provide
CEU’s with Dinner, to the EMS community.
Ensured ongoing compliance of the Emergency Department to The Joint
Commission’s standards.
2003 2012 The Children’s Hospital Aurora, CO
Emergency Department, Clinical Resource Nurse
A key player on the emergency department Leadership team.
Functioned as a Resource and Charge Nurse, in a 48 bed, Level I Regional Pediatric
Trauma Center. With an average patient volume of 160 patients per day and 65,000
annually.
Coordinated patient care with ancillary staff and other departments through effective
communication, to provide optimal patient care.
Provided and educated safe and effective care to complicated medical patients such as:
DKA, Sickle Cell, and GI.
Responded appropriately to trauma patients by following TNCC guidelines including;
Closed Head, Blunt Abdominal and Non-accidental trauma’s.
Involved in department and hospital wide committees including; Scheduling, Flow,
ESI, and hospital wide moc-code simulations.
Worked with department manager for innovative ideas on staffing: 9month positions,
up staff and down staffing, staffing according to work hours per unit of service.
Active member of the flow committee where we implemented geographic staffing
which improved our customer service scores the first month.
Lead team member for the main emergency department and networks of care with the
implementation of ESI and continued evaluation and education.
Assisted peers through education and support by empowerment.
Managed patient flow by assisting where needed.
Provided internal and external customer service through the Studer model by
“rounding.”
2008-2010 Denver Health Denver, CO
Pediatric Emergency Department, Charge Nurse
Manage the flow and staff in a 19 bed, county pediatric emergency department.
Provide patient care to all acuity of patients.
2004-2006 Platte Valley Medical Center Brighton, CO
Emergency Department, Clinical Nurse
Provided direct patient care to all age groups with various injuries and illnesses.
Responded appropriately to adult cardiac patients by following
ACLS guidelines.
Education 2002 University of Colorado Health Sciences Center Denver, CO
Bachelors of Science in Nursing (BSN)
2000 University of Colorado at Denver Denver, CO
Bachelors of Liberal Arts and Sciences (BA), Biology
1995 Cottonwood School of Massage Therapy Aurora, CO
Certified Massage Therapist (CMT)
Certifications Registered Nurse, State of Virginia, Expires: September 2014
Acute Cardiac Life Support (ACLS), Expires: September 2015
Basic Life Support (BLS), Expires: November 2013
Pediatric Acute Life Support (PALS) Instructor, Expires: July 2014
Certified Pediatric Emergency Nurse (CPEN), Expires:
December 2013
Volunteer Played an instrumental role in assembling a team for medical relief in
Haiti 5days after the 2010 earthquake. Organized and ran a field
hospital, provided mobile healthcare to tent cities and organized
transport of higher acuity patients.