NAME: Jacky Adam Miller DNP, FAWM

HOME ADDRESS/PHONE/EMAIL MAILING ADDRESS BUSINESS ADDRESS/PHONE

*** *. **** **. **** as Home UltiMed Urgent Care

Mancos, CO 81328 707 Paseo De Peralta

C: 828-***-**** Santa Fe, NM 87501 ac3hau@r.postjobfree.com 505-***-****

LICENSES/CERTIFICATIONS

Type Agency Number Expires

Acute Care Nurse American Nurses Credentialing Center 036****-**-**/2021

Practitioner

Nurse Practitioner North Carolina Board of Nursing 5008214 02/2018

RN/Nurse Practitioner Colorado State Board of Nursing 167292/NP-4479 9/2019

Nurse Practitioner New Mexico State Board of Nursing R51146 9/2019

Certified Critical Care American Assoc of Critical Care Nurses 0137780 1/2018

Registered Nurse

Certified Flight Board Certification of Emergency Nursing 010******* expired

Registered Nurse

EDUCATION

Year Degree Awarded Degree/Major Institution-City/State

August 2014 Doctorate of Nurse Practitioner & Brandman University

Post Graduate Acute Care Pediatric Irvine, California

Nurse Practitioner

July 2009 Fellowship of Wilderness Academy of Wildness Medicine

Medicine Salt Lake City, Utah

August 2001 Master of Science in University of Texas at Arlington;

Nursing; Acute Care Arlington, Texas

Nurse Practitioner

May 1999 Bachelor of Science West Texas A&M University;

in Nursing Canyon, Texas

December 1995 Associate of Applied South Plains College;

Science in Nursing Levelland, Texas

PROFESSIONAL EXPERIENCE:

November 2017- Hospice of Montezuma Cortez, CO

Present Acute Care Nurse Practitioner

Advanced Practice Provider for Nonprofit Hospice organization

August 2016- Healthy-e-Schools/Community Rural Health Initiative Spruce Pine, NC

Present Acute Care Nurse Practitioner

Advanced Practice Provider for a TeleMedicine program servicing 35+

schools

November 2012- UltiMed Red River/Angel Fire, NM

Present Acute Care Nurse Practitioner

Advanced Practice Provider for remote mountain resort high acuity urgent care clinics

December 2015- EmCare/Blue Ridge Regional Hospital Spruce Pine, NC

August 2016 Acute Care Nurse Practitioner

Advanced Practice Provider for the Emergency Department of a Critical Access Hospital

October 2010- Southwest Memorial Hospital Cortez, CO

October 2013 Acute Care Nurse Practitioner (PRN status as of Feb 2013)

Advanced Practice Provider for a rural care clinic

August 2007- United States Army

October 2010 Army Nurse Corps Officer

Critical Care Nurse Specialist for Landstuhl Regional Medical Center; tertiary referral

center for military forces in Europe, Africa, and Southwest Asia.

Combat Critical Care Nurse Specialist for 10Th CSH, Ibn Sina Hospital, Baghdad, Iraq

Combat Emergency Room Nurse Specialist for KFOR 12, Camp Bondsteel, Kosovo

January 2004- Med Flight Air Ambulance Inc. Albuquerque, NM

August 2007 Flight Acute Care Nurse Practitioner

Chief Flight Nurse; Education Coordinator; Flight Coordinator

Provide nation-wide and international critical care transport via fixed

wing aircraft

Medical direction with flight crew members

January 2007- Socorro Teen Health Center Socorro, NM

May2007 Acute Care Nurse Practitioner

Advanced Practice Provider for a School-based Teen Health Clinic

May 2004- TriState CareFlight Durango, CO

July 2005 Flight Acute Care Nurse Practitioner

Provide critical care transport for inter-facility transfers and trauma scene

calls via rotary and fixed-wing aircraft

Preceptor for new hire flight crew & Outreach Education Coordinator

October 2002- John Peter Smith Hospital Fort Worth, TX

May 2004 Intensive Care Unit

Registered Nurse

Care for critical med/surg and trauma patients

Adjunct critical care clinical facility for Texas Christian University

PROFESSIONAL EXPERIENCE (cont.):

February 2004- United States Navy Reserve

August 2007 Navy Nurse Corps Officer

Clinical Nurse Specialist, Critical Care; Flight Nurse; ER/Trauma Nurse, Nurse Educator

2006-New Horizons Honduras; MEDRETE (served as an Advanced Practice Provider)

2007-New Horizons Guatemala; MEDRETE (served as an Advanced Practice Provider)

November 2003- New Mexico Life Rescue Santa Fe, NM

January 2004 Flight Acute Care Nurse Practitioner

Provide critical care transport for inter-facility transfers and trauma scene

calls via rotary and fixed wing aircraft

January 2003- Critical Air Medicine San Antonio, TX

September 2003 Flight Acute Care Nurse Practitioner

Provide critical care transport for inter-facility transfers and trauma scene

calls via rotary and fixed-wing aircraft

Preceptor for new hire flight medics

November 2001- Center for Neurological Disorders Fort Worth, TX

October 2002 Acute Care Nurse Practitioner

Inpatient and outpatient clinical duties for neurosurgical patients

Surgical First Assist

Assisted Organ Donation Representative with the donation process

August 1999- University of Texas at Arlington Arlington, TX

August 2001 August 1999-May 2001 Graduate Teaching Assistant

Nursing Skills Educator for undergraduate nursing students

May 2001-August 2001 Clinical Educator

Critical Care Educator for senior level undergraduate nursing students

May 1999- Osteopathic Medical Center of Texas Fort Worth, TX

November 2001 Cardiac Care Unit/ Intensive Care Unit

May 1999-January 2001 Registered Nurse

Cared for critical post-operative patients and critically ill patients

Served as a Critical Care Nurse Intern Preceptor

Served as an Assistant Critical Care Internship Educator

Post Anesthesia Care Unit

January 2001-November 2001 Registered Nurse

Cared for post-operative patients

December 1995- Methodist Hospital Lubbock, TX

May 1999 Surgical Intensive Care Unit

Registered Nurse

Cared for post-operative cardiothoracic, neurosurgical, trauma, and other critical post-operative patients

Performed Charge Nurse duties

Served as a Graduate Nurse Preceptor & Student Representative

October 1997- University Medical Center Lubbock, TX

March 1998 Emergency Center

Registered Nurse

Provided emergent care at a Level 1 trauma center

PROFESSIONAL EXPERIENCE (cont.):

October 1992- Methodist Hospital Lubbock, TX

December 1995 Surgical Intensive Care Unit

Nursing Technician

Provided basic nursing care for post-operative cardiothoracic, neurosurgical, trauma, and other critical post-operative patients

June 1986- United States Army

June 1989 Airborne Combat Medic

Provided “front-line” emergency medical support to an Airborne Infantry Company

Served in an Advanced Trauma Life Support squad under the command of an Airborne Medical Battalion

VOLUNTEER SERVICES/ORGANIZATIONS:

2017-Present Project Hope; Hurricane Harvey relief (2017)

2016-Present Refuge International, Guatemala

2014-Present Team Rubicon

2016-2017 SWAT team medic, Mitchell County Sheriff’s Department, North Carolina

2014 (Nov-Dec) Partners in Health; Monrovia, Liberia: Ebola Outbreak

2012-2015 Montezuma County Search and Rescue Team; Colorado

2004-2005 Mountain Safety Patrol; Durango Mountain Resort, Colorado

SCHOLARLY ACTIVITIES:

Publications:

2004 - Miller, J. & Gray, J. Migraines and High Altitude Headaches., Wilderness and Environmental

Medicine Journal, Vol. 14, 4: 286-287.

Presentations:

March 2017 “Understanding PTSD” Mayland Community College, Spruce Pine, North Carolina

July 2016 “Acute Mountain Sickness in the Urgent Care Setting” Sigma Theta Tau International Research Congress, Cape

Town, South Africa

April 2008 “Flight Physiology of the Medically Evacuated Patient” Spring Medical Surgical - Behavioral Science

Conference, Europe Regional Medical Command, Germany

September 2004 “Air Transport Tips & Tools”, Trauma Perspectives Conference, Mercy Medical

Center, Durango, Colorado.

CONTINUING EDUCATION:

Basic Training for Medicolegal Death Investigator 10/2017

Advanced Trauma Life Support 10/2015

Center for Disease Control training for Healthcare Workers going to Ebola Treatment Units 11/2014

S130/S190 Introduction to Wildland Fire Fighting 04/2014

Customs of the World: Using Cultural Intelligence to Adapt, Wherever You Are 02/2014

Joint Forces Combat Trauma Management Course: AMEDD Center and School 11/2008

Trauma Nurse Core Curriculum: AMEDD Center and School 10/2007

Emergency War Surgery Course: DMTRI, Fort Sam Houston, TX 4/2007

Fundamentals of Critical Care Support: Society of Critical Care Medicine 3/2006

Tactical Operational Medical Support 4/2005

Avalanche Safety Level I 1/2005

Wilderness Advanced Life Support 9/2004

MILITARY:

U.S. Army (officer):

Dates Rank/Discharge

8/07-10/10 0-4/Honorable

Training Awards:

Officer Basic Leadership Course – 2007 Army Commendation Medal -2009

Captain Career Course – 2008 Army Achievement Medal (3rd award) - 2009

Combat Action Badge – 2009

Air Medal - 2009

Army Commendation Medal (2nd award)-2010

Danish Contingent March-2010

Army Commendation Medal (3rd award)-2010

U.S. Navy Reserve (officer):

Dates Rank/Discharge

2/04-7/07 0-3 (LT)/ Honorable

Awards Annual Training

MILITARY (cont.):

U.S. Navy Reserve (officer)(cont.)

Expert Pistol & Rifle-10/2006 3Jan05-14Jan05 Direct Commission Officer Indoctrination Course

Military Outstanding Volunteer Service Medal-03/2007

6Jun05-17Jun05

Navy Achievement Medal-06/07 Navy Hospital Corpsman Instructor Training

22Apr06-06May06

Specialties Annual Training (cont.)

New Horizons Honduras - MEDRETE

(served as an Advanced Practice Provider)

0925-Clinical Nurse Specialist, Critical Care

0904-Critical Care Nurse 17Mar06-31Mar07

0906-ER/Trauma Nurse New Horizons Guatemala - MEDRETE

3251-Nurse Educator (served as an Advanced Practice Provider)

6AJ -Flight Nurse

U.S. Army (enlisted):

Dates Rank/Discharge

6/86-6/89 Specialist 4/ Honorable

Training Awards

1987-Emergency Medical Technician-A 1989-Good Conduct Medal

1986-Airborne Training 1989-Expert Field Medical Badge

1986-Combat Medic Training 1989-Army Achievement Medal

1987-Army Achievement Medal (2nd award)

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