Debra A. Guitz, ARNP-C

*** ******** **. # ***

Fort Dodge, Iowa 50501

Objective:

Seeking permanent employment as an Adult Nurse Practitioner utilizing the formal education I received as well as the knowledge I’ve acquired as an ARNP-C in a Hospital environment over the last decade.

Qualifications:

Graduated with a Masters in Nursing December 2007, Fl license: 9169250 ANCC-BC certified in February 2008, and in 2013 number: 200701084 Board Certified in Medical Surgical Nursing, 2003 number: 0382516-04 Proficiency in viewing Diagnostic Imaging in Cross Section as well as Plain films in diagnostic radiography

Employment:

December 2016 November 2017

Employed as full time nurse practitioner in an outpatient clinic on a Monday

-- Friday appointment basis. Evaluation of the patient performed with a focus on the Gastroenterological issue / patient complaint. Responsibilities: Physical exam from which plan of care is developed, the patient is scheduled for endoscopic, diagnostic procedures, laboratory test when indicated. Prescriptions are provided or refilled. Patient is scheduled followed up appropriately after work up is ordered when diagnostic data results are available. Further therapeutic plan is directed according to clinical and diagnostic data.

January 2016---December 2016

Health First, Holmes Regional Medical Center. Staff Privileges. Independent relationship with an Internal Medicine Hospitalist. Responsibilities include: Daily rounds, assessment and physical exam, developing plan of care, reviewing results of procedures and diagnostic testing and laboratory results, clinically reviewing the progress of the patient, generating consults when necessary. Responsible for pager calls. I perform discharges / dictate discharges, and pick up new admissions and do the History and Physicals. 9/ 2013-12/ 2015

Health-First, Holmes Regional Medical Center, Gastroenterology Hospitalist as a rounding Nurse Practitioner. Responsibilities: New consults are evaluated the same day as admission thus increasing the efficiency in patient care reducing length of stay are evaluated, plan of care developed, orders written. Consult is dictated

4/2009- 9/ 2013

Health-First, Holmes Regional Medical Center, Hospitalist/Nocturnist in the role of Nurse Practitioner: Responsibilities: Physical exam, interview, assessment and plan of care developed, orders placed in the Emergency Department resulting in admission to the hospital. Progress note written and history and physical is dictated.

10/2008 - 2/2009

Mima Cardiac Testing Center

We Performed Treadmill stress test, MRI cardiac testing, and Nuclear Medicine Stress test. The Nurse Practitioners worked closely with the testing team and cardiologist. We were responsible for the documentation of the testing. 6/2008 - 10/2008

Dr. Jay Olsson Rehabilitative Medicine at Sea Pine Hospital, Melbourne Dr. Olsson and myself with his other two nurse practitioners admitted patients to Sea Pine Rehabilitation Hospital who had traumatic brain injury. We rounded on the patients and followed their progress. Reviewed charts, wrote orders, and did documentation. Saw patients in the pain clinic in the afternoons. 1/2008 - 6/2008

Dr. Hilbert Zeballos & Dr. Rajiv Chandra Practice

I was the Internal Medicine Nurse practitioner for Dr. Zeballos with staff privileges at Health First Holmes Regional Medical Center. Responsibilities: We rounded on the patients we admitted from the office practice: physical exam, assessment, provided plans of care, medication orders and documentation. We followed the patients through their hospitalization and as well as out patients..

9/2005-11/2007

Health-First RN on a Progressive Care Telemetry Unit: 12 lead EKG certified. Responsibilities: Providing medical and cardiac care to our patients. I educated patients as to their unique admission diagnosis as well as the required unique treatment and plan of care. Also explained how the diagnostic and therapeutic process works.

4/2002--11/2005

Health-First RN on an Oncology Unit: Chemotherapy Certified, Responsibilities: Providing oncology patients with care, education and compassion. The patients’ families often accompanied them to the hospital so as nurses we extended our care to include the families special needs as well. Chemotherapy was administered and the patient is closely monitored. The treatment for specific types of cancer is explained as well as the entire therapeutic process. 9/2000- 4/2002

My first position was PCU step down unit (from MICU / SICU), respiratory floor with ventilator capacity. We worked closely with the Respiratory Therapist as they managed the ventilators and taught the RNs how to care for tracheostomies. We also worked closely with the nutritionist, wound care nurses, physical therapist and the pulmonologist.

Education:

University of Central Florida,

Masters of Science in Nursing 2007

University of Central Florida

Bachelors of Science in Nursing 2005

Brevard Community College

Associate Degree in Nursing 2000

Pima Community College

Radiologic Technology 1984

Special Interest Experience

Prior to my nursing education I was employed in diagnostic imaging. I had the privilege of being awarded a teaching position in New South Wales, Australia with a temporary work visa from 1990-1991. My employer was Health Education Unit in Tamworth. I taught Diagnostic Medical Sonography in the rural towns. We were successful as the majority of the students continued to work in Diagnostic Sonography when my work Visa was completed. Several students sat for Diploma in Medical Ultrasound Boards (DMU) which is the Australian Certifying Body. Accomplishments

On return to the United States 1991, I gained employment with Department of Defense at Patrick Air force Base as a Diagnostic Medical Sonographer. The radiology department had a dated Siemens ultrasound unit which was not in use. After purchasing new equipment, I organized the department, established protocols for examinations, placed special preparations for each type of examination, and built a teaching file. Documentation sonographic results accompanied the films to the radiologist. I continued to work in this capacity from 1991 full time and then part-time while I pursued my Associate Degree in Nursing in 1998-2000 Scholarly Project:

Required research during my last semester of graduate school, allowed me to pursue a greater understanding of Diabetes Type II and the growing numbers of our society who are being diagnosed with this disease. The research and presentation of Diabetes Type II revealed the significant sequela that accompanies uncontrolled disease. It was clear that RNs had the greatest opportunity to teach education and management of Diabetes to prevent future complications. Also of great importance was the revelation of the percentage of the health care dollar that is expended on uncontrolled disease.

Personal preference in the clinical role:

It has always been my preference to remain in clinical care rather than pursue a management avenue in my nursing role and in my nurse practitioner role. My greatest contribution as a nurse and nurse practitioner is the potential to help others make positive changes in their lives.

Electronic Medical Records

Familiarity with: E-Clinical, Logician, SCM (Sunrise Clinical Medical Record) Epic medical record

License and Certifications:

Florida RN, ARNP-C 9169250

ANCC board certification 200701084

ANCC Medical Surgical Board Certification: 0382516-04 American Registry of Radiography Technologist : Credentialed in: Radiographic & Fluoroscopic procedures, Mammography # 195337

American Registry of Diagnostic Medical Sonographers Credentialed in: Abdominal, Obstetric, Pelvic, Breast, Thyroid, Scrotal, Popliteal fossa sonography # 022601

Advanced Cardiac Life Support (ACLS)

Basic Cardiac Life Support (BLS)

Professional / Personal references provided on request