MARION L MORENO MSN, RN, FNP-BC

**** *********** ** ********* ** 53015

920-***-****

ac1d6i@r.postjobfree.com

Objective

To provide high quality, cost-effective care to patients/clients and their families while continuing to grow as a professional Nurse Practitioner. To work in a cohesive team environment in a multi-disciplined medical setting that patients will proudly return to for all of their medical needs. PROFESSIONAL SUMMARY

● Excellent communication skills and rapport with clients of all ages

● Maintain highest level of professionalism upholding and adhering to HIPAA and privacy, identity and health information protected.

● Education of anatomy, health, illness, therapies-medications, vitamins and supplements, use physical, occupational and speech therapies, wellness and nutrition, importance of preventative care and compliance with therapies throughout interaction for optimal understanding and results

● Policy development and program design for surveillance and reduction of psychotropic medications in geriatric population

● Policy development and program design for surveillance and monitoring use and distribution of adult incontinence supplies, skin monitoring for pressure ulcer/tissue damage due to incontinence

● Extensive experience collaborating with physicians, registered nurses and ancillary staff for prompt assignment, admission and initiation of care

● Twenty-seven year career utilizing training, education and practical experience providing cares for clients in inpatient, long term care, post-acute rehab,hospital supervision, casual call emergency room nursing, private duty home care, palliative and end of life care for a variety of clients ages 2 months to 104 years of age

● 20 years of experience in leadership skills collaborating with physicians, registered nurses and ancillary staff as a House Supervisor, Assistant Director of Nursing, Charge Nurse, Preceptor and Evening Supervisor in the past twenty years in the varied care environments listed CREDENTIALS

AANP-Board Certified

License, State of Wisconsin APNP

07/2018

10/2016

License, State of Wisconsin Registered Nurse

License, State of Illinois Registered Nurse

License, State of Indiana Registered Nurse

NPI and DEA

2000-2016

1991-2000

1989-2000

2013

EXPERIENCE

Advanced Practice Nurse Practitioner –United Health /Optum CIP United Healthcare Baltimore, Maryland

Perform in home assessment with focus on preventative screening and early intervention of health related issues such as chronic and acute illnesses, medication adherence, medical compliance, assess and evaluate current therapies and make recommendations utilizing current standards of practice . –January 2015 to July 2017 Advanced Practice Nurse Practitioner (HCR-Manor Care East & West) Manor Care East & West

Green Bay, Wisconsin

Daily assessments, stability visits, discharge visits and visits when change in patient noted. Specializing in gerontology, Diabetes Mellitus, CHF, AFib, DVT, Hypertension, COPD, Pain management and comfort/end of life cares. Acute care providing interventions such as wound care, simple orthopedics after falls, decision making to promote care remaining in facility versus sending to acute care facility, i.e. hospital or ER with the support of collaborative physician (s). Staff support and cohesive teamwork to provide the most current, appropriate plan and treatment for patient improvement and satisfaction. March 2014 to January 2015

Locum Tenens Advanced Practice Nurse Practitioner (Maxim Staffing)- 2013-2014 Waupun Correctional Institution

Waupun, Wisconsin

As Advanced Practice Nurse Practitioner working in Corrections since November of 2013 working with a cohesive team of professionals providing care for inmates with chronic health care needs ranging from Diabetes, Hypertension, Hyperlipidemia, Asthma, COPD, Hypothyroidism, Neuropathy and Chronic Pain to name a few. Acute care also provided such as wound care i.e. lacerations, dermal conditions, condition changes as a result of falls, strains, illness, and more. Care provided with staff nurses, ancillary staff, corrections staff and physician in a maximum security environment that houses laboratory, dentistry, psychiatric services, eye care as well as access to specialty clinics and hospitals. Perform health assessments, order and interpret lab and radiologic results, plan of care, prescribe, wound care and closure, evaluate, adjust care needs as needed, etc. using current, evidence-based practices core care competencies in chronic illnesses such as Hypertension, Diabetes, Hyperlipidemia and Asthma/COPD.

Registered Nurse, Hospital Supervisor-2 002-2013

Ministry Door County Medical Center

Sturgeon Bay, Wisconsin

As the House Supervisor assisting in staffing with MESH acuity system, after-hours surgery recovery, patient placement/admission facilitation, staff resource, experienced in Meditech documentation, CPOE, EMR, eMAR, after-hours pharmacy, Pyxis, Microsoft Word, and more . Cross-trained in multiple modalities and units such as emergency room, intensive care, post-operative recovery, outpatient medical and obstetric department. Casual Call worked in emergency room and medical surgical unit.

Primarily assumes administrative responsibility for the overall functioning of hospital operations when Department Directors or designees are not on duty. Supervises and coordinates the operations of the organization necessary for the attainment of quality standards. Assures the coordination and delivery of quality patient care and maintains appropriate staffing for all departments in accordance with hospital and nursing standards. Provides staff support and attends all changes in patient conditions, patient and/or family concerns, equipment function and operation, procedure and policies of facility, falls prevention and investigation, attend and calm hostile situations and directs staff response to all codes and mock codes as well as many more functions far too numerous to list. Staff Nurse-2 000-2004

Ministry Door County Medical Center

Sturgeon Bay, Wisconsin

4 years as staff nurse on medical-surgical floor providing post-operative, acute and chronic illness, wound and other nursing care according to EBP and facility policy and standards. Provided wound care, patient and family education, patient/family advocate, assistance with ADLs, medication administration and instruction, instruction for self-cares and family assistance, comfort cares as well as Hospice inpatient care, utilizing multidisciplinary plan of care and therapies for each patient. HIPAA maintenance as well as standards set by JCAHO, WHA, etc. Patient/family care providing assessment, planning, implementing and evaluating treatments or therapies, patient/family advocate, interdisciplinary team approach to caring for patients of all ages. Care planning, implementation of nursing care, skin protection, fall prevention, non-pharmacological interventions for management of pain, insomnia, anxiety, skin/bone health following EBP approaches and Nursing Standards of Care

Implementation of medical care/therapy-wound care, post-operative care, acute illness, care for chronically ill, health/safety prevention, planning and teaching patients from ages 2 weeks to over 100 years of age in Critical Access Hospital

Clinical/Practicum experience in Family Practice, Internal Medicine, Walk-in/Urgent Care, Women’s Health, Community/Public Health-

Ministry Door County Medical Center/North Shore Clinic Algoma Ministry Door County Medical Center/North Shore Clinic Fish Creek/Sturgeon Bay Holy Family Medical Center-Woodland Clinic Manitowoc Holy Family Medical Center-Harbor Town Clinic Manitowoc Over 700 hours of clinical experience performing advanced health assessments, critical thinking, pelvic exams, wound care, chronic health conditions such as diabetes, hypertension, hyperlipidemia, atrial fibrillation, arthritis, etc., acute health conditions such as middle ear infection, pharyngitis, strep throat, rhinitis, sinus infections, abdominal pain, dysmenorrhea, STDs, rash, cellulitis, venous stasis ulcers, etc. with emphasis on assessment, planning, implementation and evaluation of treatment under supervision of precepting physician, FNP-BC, Physician Assistants, APNP

Assistant Director of Nursing - 1 997-2000

Windsor Manor Nursing and Rehabilitation Center

Palos Hills, Illinois

A ssistant to Director of Nursing in 205 med long-term care and rehabilitation facility located in large Chicago suburb. Assist with interviewing, hiring, disciplining and rewarding employees Psychotropic Medication monitoring, rounding with psychiatrist reducing psychotropic medication use in geriatric population, documentation of planning, implementation and evaluating reduction efforts per facility and state policy/protocol. Behavioral interventions, programming to maintain anxiolytic, hypnotic and antipsychotic medication use at lowest effective dose or eliminating when possible

Policy review/writing, Incontinence and Use of Disposable versus Cloth Incontinence Garments study performed to initiate change in use of cloth incontinence supplies resulting in reducing skin irritation/breakdown, reducing laundry demand (i.e. water supply, staffing, electricity, etc) resulting in elimination of night shift laundry without loss of staff, skin improvement and maintenance of modesty.

Evening Supervisor-1 994-1997

Windsor Manor Nursing and Rehabilitation Center

Palos Hills, Illinois

Resident, family and staffing needs resource. Injury/falls investigation, cost-effective solutions to resident/staff/family needs and interventions. Direct communication and rounding with medical staff, residents and director for acute changes in resident condition, reporting of abnormal laboratory/diagnostic imaging/etc results and receipt and follow through of new orders. Psychotropic Medication Program monitoring, reducing, documenting, maintaining off medications with supportive interventions including behavior modification, reducing environmental stress, etc. Staff/resident/family education regarding medication use, adverse effects, monitoring and documentation of supportive behaviors for maintenance and reduction of medications. Rounding and direct communication with psychiatrist. P olicies and monitoring tools created following state and federal guidelines to ensure appropriate diagnosis and use of psychotropic medication at lowest therapeutic dosing, compliance, drug holidays and reduction in safe and appropriate manner.

Unit Coordinator/MDS Coordinator-1 991-1994

Windsor Manor Nursing and Rehabilitation Center

Palos Hills, Illinois

MDS, Care Plan coordination on 120-bed skilled and Medicare Unit. Documentation audits for skilled and Medicare residents reviewing therapy modalities, nursing and all areas of treatment for resident care standards, supportive documentation, preventative care and documentation, wound care and skin breakdown documentation and intervening. Provided sole coordination of MDS assessments for all residents in facility (population 204 residents) from 1991 to mid-1994 Staff Nurse/Part-time Charge Nurse/Preceptor-1 989-1991 St. Margaret Hospital

Hammond, Indiana

General inpatient, acute care area specializing in Nephrology, Acute hemodialysis, continuous peritoneal dialysis

(CAPD). Responsible for planning, implementing, documenting and evaluating patients hospitalized with end-stage renal disease, polycystic kidney disease, peritonitis, hepatitis, lupus, HIV, AIDs, sickle-cell disease, poorly controlled hypertension, diabetes, pre-transplantation patients, pre- and post-operative care after surgeries including but not limited to: catheter placement for CAPD, exploratory laparotomies, nephrectomy, AV Shunt placement, Quinton Catheter placement, arterial line placement, etc. Wound care, catheter care, reporting of lab or other diagnostic abnormalities, patient/family teaching and ongoing support. Care plan conferencing, discharge planning, CEU in-services, numerous learning opportunities provided and utilized. Education

MSN, Concordia University-Mequon, Wisconsin –May 2013 BSN, University of Wisconsin-Green Bay, Wisconsin-December 2009 ADN, South Suburban Community College-South Holland, Illinois-May 1989 References Upon Request

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