Medical Registered Nurse

KAREN C. MARSHALL, RN

***** ********* ****, ********, ** 80465

Home-303-***-****; Cell-303-***-****

Email: ********@***.***

QUALIFICATIONS PROFILE

Clinical Informatics (CI) Nurse Educator with 18 years of hospital based nursing experience. I provide Epic

Clinical and Optime training as well as IT support to all who deliver patient care at Lutheran Medical Center. Epic

Optime subject matter expert to Perioperative Services serving on the OR Advisory and Clinical Production

Councils seeking to optimize clinical workflows and standardize documentation within the Exempla eSummit

network. I possess a sound understanding of electronic medical record acquisition having participated in three

implementation Go Lives with Littleton Adventist Medical Center in Littleton, CO (2007), Exempla St. Joseph’s

Medical Center in Denver (2009), and Exempla Lutheran Medical Center in Wheatridge, CO (2009). I have a

strong grasp of clinical inpatient, outpatient and ADT workflows, standardized health care terminologies, the

importance of interoperability and merging disparate systems, the need to maintain legacy data and the need for

these systems to support health care delivery in an intuitive, user friendly design.

I also have experience in:

Developing and mapping codified clinical content for EMR applications

Writing documentation for user guides and a content development life cycle.

Nursing languages (NIC, NOC, NANDA and ICNP)

SNOMED CT nurse work group

Trainer and super user in Meditech PCS, Magic and Client/Server

I have attended the Summer Institute of Nursing Informatics (SINI) at the University of Maryland and enjoyed

networking with others in the field. In 2007, I was the lead Meditech PCS trainer for the intensive care and

progressive care units at Littleton Adventist Hospital in Colorado. I tailored training sessions to meet departmental

needs and developed additional training materials to assist nurses. I also participated in trouble shooting work

flow issues and revised the Meditech user guide for ICU specific content. Additionally, I provided support to end

users during the Meditech PCS Go Live and worked with the command center to provide feedback and assist

where needed.

Capacity to multi task and manage numerous, often competing priorities.

Demonstrated team player with effective interpersonal and communication skills.

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Excellent computer literacy skills; proficient in Microsoft Word, Works, Excel, Power Point, Snag it, email

and the internet.

Superior verbal, written skills with curriculum writing experience.

LICENSES AND CERTIFICATIONS

Registered Nurse in the state of Colorado without restriction, valid through 09/2010.

Basic, Advanced and Pediatric Life Support which is current through 02/2010.

12 Lead EKG interpretation and advanced IV skills.

Educational Background

• Associate of Applied Science Degree, Nursing, ADN (1992) South Plains College, Levelland, Texas

• University of Phoenix, Distance Education, BSN coursework (1998 99)

• Red Rocks Community College, Online (2006 present)

• Liberty University RN to BSN completion program online (due to graduate Dec 2010).

PROFESSIONAL EXPERIENCE

Lutheran Medical Center, WHEAT RIDGE, COLORADO 05/11/2009 present

8300 W. 38th Avenue Wheat Ridge, CO 303-***-****

Educator, Clinical Informatics Systems

Provides computer based application (EPIC) Clinical and OpTime education in clinical IT workflows

supporting electronic medical record (EMR), Optio Medex printing, BDI (Bedside Device Integration), ADT

(Admission, Discharge and Transfer) support, EMR enhancement requests, new roll outs and upgrades, downtime and

generating trouble shooting tickets through the use of HEAT.

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Assist with developing competency tools, curriculum, tip sheets and other materials as needed for current

and new eSummit functionality. Serve as clinical resource to CI team. Communicate issues and resolutions to IST

EPIC team, management, clinical staff and organization.

Participate in two inpatient councils: CPC (Clinical Production Council) and the OR Advisory Council on

behalf of Lutheran Medical Center to discuss current and upcoming issues relative to Epic and validate changes coming

into production.

Presently preparing Optime curriculum for November 2010 CPOE (Computerized Physician Order Entry)

launch.

Swedish Medical Center, ENGLEWOOD, COLORADO 09/2002 05/04/2009

501 East Hamden Ave. Englewood, CO 303-***-****

RN Resource, PACU

Provide pre and postoperative care for patients, pediatric through adult, undergoing general, trauma

orthopedic, neurological, thoracic surgery, as well as those following interventional radiology procedures

such alcohol embolization, ERCP, cerebral coiling and angiograms.

Stabilize patients post operatively with continuous monitoring of hemodynamic indicators through arterial

lines and CVP. Manage chest tube drains, Hemovac, Jackson Pratt and Stryker drains. Set up, monitor and

administer epidural and Patient Controlled Analgesia (PCA) infusions. Provide patient teaching. Assist

anesthesiologist with re intubation of patients as needed. I possess excellent IV skills and exceptional

coordination of care with physicians. Act as a lead resource for new staff. Assist manager with creation of

staff schedule and assumed additional duty by managing inventory and ordering supplies for the unit.

Littleton Adventist Hospital

02/2007 10/2007

7700 S Broadway Littleton, CO 80122 303-***-****

ICU Staff, Lead Meditech PCS Trainer

Staff RN in Littleton’s Level II Trauma facility new 16 bed ICU caring for acutely ill patients who were in

need of specialized nursing care. I, along with two other critical care nurses as super users, began training

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ICU and PCU nurses in a six week course program in Meditech Patient Care System (PCS), Medication

Administration Record (MAR) and the Enterprise Medical Record (EMR). I included in these presentations

an overview of nursing informatics and the value of an interoperable electronic healthcare record. I was a

super user during Go live by providing ICU operational feedback to the command center, assisted in

pharmacy operations and fielded nursing workflow and technical questions. I spurred the creation of and

worked with the nurse educator on an ICU specific Meditech PCS manual; and authored and edited

sections to guide critical care provider documentation needs.

Health Language Inc (HLI), aurora, COLORADO

09/2005 01/2007

3950 Lewiston Street Aurora, CO 80011 303-***-****

Clinical Content Analyst

Analyzed, modeled, mapped and validated clinical data of controlled medical terminologies which

included SNOMED CT, CPT, ICD 9, HCPCS and APC along with nursing terminologies, NIC (nursing

interventions), NOC (nursing outcomes) and NANDA (nursing diagnoses). Created unidirectional maps to

SNOMED CT and ICD 9 using the proprietary LE (Language Engine) middleware technology, a software

infrastructure comprised of terms, concepts and relations.

Authored and update content documentation (for new releases and user guides) which included writing

detailed sections in the Content Development Life Cycle (CDLC) in the form of content descriptions and

pertinent metadata. Introduced the innovative International Classification of Nursing Process (ICNP)

codified language to HLI and evaluated it for business use cases. I presented this information to the

company and customers in a Power Point presentation using the Web Ex medium.

Participate in nursing informatics groups, e.g. SNOMED CT (Systematized Nomenclature of Medicine,

Clinical Terms) Nursing Working Group in Chicago to identify business opportunities and processes.

Attended the University of Maryland’s Summer Institute of Nursing Informatics (SINI).

UNIVERSITY OF COLORADO MEDICAL CENTER, Denver, Colorado

1997 2000

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4200 East Ninth Avenue Denver, CO 303-***-****

RN, Medical Intensive Care Unit.

Delivered primary care services to adult patients with primary organ failure (e.g. heart, lung, liver, or

kidney) and those suffering from multi system organ failure due to drugs, alcohol or disease. Participated

in COR resuscitations as needed.

Cared for clients awaiting organ transplants whose conditions rapidly deteriorated and required ventilator

support, intra aortic balloon pump assist, hemodialysis (CVVH), or Swan Ganz hemodynamic monitoring.

Maintained central lines.

Routinely monitored fluid and electrolyte statuses and delivered treatments to correct imbalances through

continual collaboration with physicians. Assisted with central line insertions as required. Administered all

blood products including FFP and cryoprecipitate, and platelets.

VETERAN’ ADMINISTRATION MEDICAL CENTER, VAMC

1995 1997

2615 East Clinton Avenue Fresno, CA 93703 559-***-****

RN, Cardiology Research Coordinator

Managed and facilitated up to four cardiac studies which complied with the Food & Drug Administration

protocols and standards for medical research. Maintained research records, conducted physical

assessments and distributed study medication in double blind trials. Coordinated study regimens with the

principal investigator.

Administered and supervised study testing which included 12 lead EKG’s, Holter ambulatory monitor

application, 12 lead EKG’s, exercise treadmill testing, echocardiograms and phlebotomy.

Provided patient and family education regarding heart disease, medication, study protocols and follow up.

Screened and enrolled patients into studies and reported adverse event findings as defined by study

protocols.

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PRO NURSES, Lubbock, Texas

1993 1994

COMPANY NO LONGER ACTIVE

RN, Home Health

Provided skilled nursing visits including IV therapy to geriatric patients who were homebound in rural

areas. Provided physical assessments and patient/family diabetic teaching in accordance with Medicare

guidelines. Administered glucose testing, IV antibiotics and insulin injections as needed.

METHODIST HOSPITAL, Lubbock, Texas

1993 1995

Covenant Health System Medical Center, Heart Institute, Patient Information, Children's Hospital

3610 21st Street, Lubbock, TX 79401

RN, NICU and Newborn Nursery; Relief Charge Nurse Pediatrics

Provided care to low birth weight, high risk premature neonates. Assisted in weaning patients off

ventilator support and transitioning them to low flow oxyhoods in isolettes which were regulated to a

neutrothermic environment. Started and maintained IV’s, administered oral gastric tube feedings and

medications as ordered. Provided physical assessments, infant care and parental education for patients in

Newborn Nursery.

Provided care to children and adolescents post operatively following tonsillectomy, arterial venous shunt

revisions, internal fixation of bone fractures maintained in Buck’s 90/90 traction.

Cared for children with septic arthritis and provided wet to dry dressings; cared for patients with

Respiratory Syncytial Virus, brain and spinal cancers.

Chemotherapy certified; cared for Broviac catheters and Omega port vascular access devices. Cross

trained to PICU and served as an educational liaison.

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ST. MARY’S HOSPITAL, LUBBOCK, TEXAS

1992 1993

Covenant Health System - Medical Center, Heart Institute, Patient Information, Children's Hospital

3610 21st Street, Lubbock, TX 79401

RN, Coronary Care Unit

Upon graduation from nursing school, provided primary care to adult cardiac patients presenting with

complications of heart disease such as Coronary Artery Disease, Acute Coronary Syndrome, Myocardial

Infarction and Congestive Heart Failure. Cared for those recovering from post cardiac catheterization,

cardiac surgery with chest window, stent placement, and angioplasty. I managed patients on ventilators,

central lines and arterial sheaths. Provided end of life care as required and educated patients and families

on coronary disease and care.

Personal: Protestant. Married 28 years, three adult children, and one amazingly calm Boston Terrier. I enjoy

Colorado living and the out of doors.

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