Page * of *

LORA LEE GRUTKOWSKI

January *, ****

MSN RN FNP-BC ACNS-BC PHN CNOR CRNFA MICN RHIT

Furnishing Nurse Practitioner and Clinical Nurse Specialist P.O. Box 1923

Certified Operating Room Nurse and Certified Registered Nurse First Assistant Sebastopol, California 95473

Federal Taxpayer Identification Number: 68-0313100 Direct 707-***-**** Fax

NPI #113******* 707-***-****

Medicare and Medi-Cal Provider E mail abpmhn@r.postjobfree.com

EDUCATION

Sutter Roseville Medical Center (MICN) March 2010

Mobile Intensive Care Nurse Course

Sonoma State University May 2008

Post Masters Family Nurse Practitioner (FNP) Certificate Program.

Case Western Reserve University January 2000

The Frances Payne Bolton School of Nursing, Masters of Science in Nursing (MSN)

Advanced Practice Clinical Specialist Medical-Surgical Nursing.

California State University Dominguez Hills Statewide Nursing Program December 1995

Bachelor of Science in Nursing (BSN) and Public Health Nurse (PHN).

University of California at Los Angeles September 1993

UCLA Extension School of Nursing

Registered Nurse First Assistant Training Program.

D and D Associates in Nursing Inc. March 1989

Operating Room Course for Registered Nurses

Mt. Zion Hospital and Medical Center.

University of the State of New York June 1983

Associate of Applied Science in Nursing (AAS).

Santa Rosa Junior College January 1979

Associate of Science School of Vocational Nursing.

American Medical Record Association (RHIT) Registered Health Information Technician December 1978

Certificate Program.

WORK EXPERIENCE

Family Nurse Practitioner- providing Frontier, Emergency and Trauma, Urgent Care and Primary Care at the Western Sierra

Medical Clinic and the Mobile Clinic in Downieville and Camptonville California and the Miner s Family Health Center in Grass

Valley, California.

October 2008 to Present.

Nurse Practitioner Clinical Nurse Specialist and Registered Nurse First Assistant First Assistant to the Surgeon.

Active staff privileges at most Sonoma County Hospitals and Surgery Centers.

1994 to Present

Instructor and Program Coordinator for the Registered Nurse First Assistant (RNFA) Training Program,

University of California at Los Angeles Extension offered through the School of Nursing

2001 to Present

Nursing Consulting Expert for legal nurse consulting, medical records review, expert witness reports, summations of

medical records, deposition and testifying expert, legislative and regulatory issues.

2000 to Present

Registered Nurse Work Experience

Healdsburg District Hospital: Operating Room

June 1985 to June 2009

Sutter Medical Center of Santa Rosa: Operating Room

June 2001 to October 2003

Santa Rosa Memorial Hospital: Operating Room Nursing, Supervisor, Circulating and scrub nurse for General and Trauma

Surgery

November 1996 to June 2001

Santa Rosa Memorial Hospital: Critical Care-Special Care Telemetry Unit and in the Angiocardiography Unit.

May1981 to January 1987

Licensed Vocational Nurse

Community Hospital of Sonoma County: Medical Surgical Unit and Telemetry. Santa Rosa Memorial Hospital: Medical Surgical

Unit and Telemetry. January 1977 to November 1981 (employed simultaneously at both hospitals).

Registered Health Information Technician (RHIT) and Medical Records Clerk

Administration Santa Rosa Memorial Hospital, and The Medical Records Department.

June 1973 to January 1982

Page 2 of 2

LORA LEE GRUTKOWSKI

MSN RN FNP-BC ACNS-BC PHN CNOR CRNFA RHIT January 1, 2010

Furnishing Nurse Practitioner and Clinical Nurse Specialist P.O. Box 1923

Certified Operating Room Nurse and Certified Registered Nurse First Sebastopol, California 95473

AssistantNPI #113******* Direct 707-***-**** Fax 707-***-****

Medicare and Medi-Cal Provider E mail abpmhn@r.postjobfree.com

LICENSURE AND CREDENTIALS

California Furnishing Nurse Practitioner (NP) #18178 2008

California Clinical Nurse Specialist (CNS) #1381 2000

State of California, Public Health Nurse (PHN) #55461 1996

California Registered Nurse (RN) #365-***-****

Registered Health Information Technician (RHIT) #17378 1979

CERTIFICATIONS

American Nurses Credentialing Center - Advanced Practice RN

Board Certified Family Nurse Practitioner - #200-***-**** 2008-2013

American Nurses Credentialing Center Advanced Practice RN

Board Certified Clinical Nurse Specialist Adult Health #347-***-****-2015

Competency and Credentialing Institute (CRNFA) - #072***-****-****

Competency and Credentialing Institute (CNOR) - #072***-****-****

Certified Legal Nurse Consulting Certification (CLNC) Medical-Legal Consulting Institute October 2011

Advanced Cardiac Life Support (ACLS) July 2012

Pediatric Advanced Life Support (PALS) November -2011

Mobile Intensive Care Nurse Certification (Sierra-Sacramento Valley EMS Agency) March 2012

PROFESSIONAL AFFILIATIONS

American Academy of Nurse Practitioner s (AANP) 2010

National Association of Clinical Nurse Specialists (NACNS) 2002

National Alliance of Certified Legal Nurse Consultants 2000

Association of Perioperative Registered Nurses (AORN) 1990

Clinical Nurse Specialist - Educator and RN First Assistant Specialty Assemblies 1993

Registered Nurse First Assistant Specialty Assembly Committee (AORN) 2004-2006

Vice Chair of the National Legislative Committee and State Legislative Coordinator - National Legislative 1998-2004

Committee

COMMUNITY SERVICE: Keynote Speaker Presentations

The Role of the Registered Nurse First Assistant - Contra Costa County, California

Association of Perioperative Registered Nurses October 28, 1995

Contracting and Reimbursement Issues - Association of Perioperative Registered Nurses

Registered Nurse First Assistant Forum, San Francisco, California June 24-27, 1998

Legislative Issues-Barriers to Practice - American Academy of Orthopaedic Surgeons

The National Association of Orthopaedic Nurses, San Francisco, California February-March 2001

Advanced Practice Opportunities & The Registered Nurse First Assistant

Association of Perioperative Registered Nurses, AORN Congress, Anaheim, California. April 22, 2002

PUBLICATIONS

Contributor to the Association of Perioperative Registered Nurses (AORN) 2005 publication The RN First Assistant Guide to Practice,

second edition Chapter 1, The Standards for RN First Assistant Education Programs.

AWARDS

Johnson and Johnson Award Registered Nurse First Assisting - Nursing Excellence, Williamsburg, Virginia 1996

The Nurse in Washington Internship Award Community Scholarship Winner

National Federation of Specialty Nursing Organizations (NFSNO), Washington, DC. 2000

The Perioperative Nursing Educational Award - Nursing Excellence

Operating Room Nursing Council of California (ORNCC). 2000

References are available upon request.

Contact this candidate