Nurse Practitioner Medical
Resume:
TRACY L MICHALSKI
MSN FNP-BC ANP
FAMILY NURSE PRACTITIONER
***** ******* ***** *****, ***** RIVER, AK 99577
907-***-**** E-mail: ************@*****.***
PROFILE
Create implement and supervise treatment plans and education for chronic diseases.
Provide collaborative and independent comprehensive and therapeutic health care services which integrate the Art and Science of Nursing into medical practice.
Educate the patients and families regarding disease processes and diagnostic tests.
Assist with goals of disease prevention and health promotion through education. This allows for the wholestic approach in attaining physical, mental, and social wellbeing.
Provide medical management functions to include assessment of acute, nonacute, and chronic clinical and psychological diagnosis, intake/screening and performing history and physicsl examinations.
Conduct lab and diagnostic studies to include interpretation, ordering appropriate medications and treatments, while providing staff education and the initiation of a therapeutic plan in accordance with medical practice.
Include follow up care and dietary recommendations.
EDUCATION
1996 - 1998 Saint Louis University St. Louis, MO
Master of Science in Nursing
Family Nurse Practitioner - May 1998
1995 - 1996 Arkansas Tech University Russellville, AR
Bachelor of Science in Nursing - May 1996
1981 - 1984 Deaconess College of Nursing St. Louis, MO
Diploma - May 1984
1979 - 1981 Bellville Area College Belleville, IL
Associate of Science – May 1981
CERTIFICATIONS AND LICENSURE
AANC Board Certification – Family Nurse Practitioner; expires December 1, 2018
Alaska State Nursing License since 2001; expires November 2018
Current BLS certification; expires October 2018
Certified in Performing Sphenopalatinte Ganglian Blocks for treatment of headaches
PROFESSIONAL EXPERIENCE
June 2016 – MAY 2018 SGS (Contracted to 673rd Medical Group JBER, AK ( supervisor
Lt Col Darrell Zaugg DO medical director 907-***-****) (40 hours per week, $121K
annual salary)
Performed duties and responsibilities of a health care provider for Active Duty, Military Dependent and VA patients, at the Mild Traumatic Brain Injury Clinic at the 673rd Medical Group at JBER, AK. Sole provider for busy tbi clinic with 2 RN case managers on staff. Provided direct and indirect patient care. Provided independent and collaborative specialty,using comprehensive and therapeutic health care services integrating the art and science of nursing into medical practice.
Obtained & evaluated health & medical history through the use of nursing theories to arrive at nursing diagnosis and treatment plans indicated by the individual’s needs. Performed physical exams based on age & history and the advanced knowledge of human anatomy and phisology. Identified health & medical risk factors through the assessment of the patient’s needs, thereby establishing a relationship with the patient. Made referrals to other federal facilities and approved non-VA care based on the patient’s conditions. Synthesized, analyzed & collected data and formulated differential diagnosis based on history, physical exams & diagnostic test results. Selected appropriate pharmacological and non-pharmacological interventions appropriate for the patients’ needs and conditions. Became familiar with hospital formulary and prescribed pharmaceuticals according to availability of those drugs listed therein. Worked in conjunction with the physician team leader. Planned and scheduled complete patient management through the entire continuum of care per hospital guidelines. Prepared all records and reports as required in support of services rendered and as required by the medical treatment facilitity thus meeting the standards of the Joint Commission as delineated in the performance improvement program. Attended and participated in the patient care reports, patient care conferances, team conferences and professional staff meetings. Reported and advised the CDR of any problems encountered or which may be encountered in connection with meeting the patients needs. Familarized myself, with the goal of being competent with, the EMR, AHLTA and CHCS operating systems. Coded and accurately documented care in a timely manner according to the medical and legal classification standards. Initiation of new treatment for acute and chronic migraine headaches which was successful 95% of the treatments. Worked with physician in Pain Management clinic to establish protocol for the Sphenopalatine Ganglion Block. Saved USAF thousands of dollars over referring to outside facilities for treatment.
Provide primary care to those patients who did not have a primary care provider and continue to address acute and chronic disease states such as asthma, hypertension and diabetes mellitus and other endocrine disorders. Make appropriate referrals to federal facilities as indicated. Provide consultations and advise to the patients and there families in support of the treatment plan. Maintain all documentation of all treatment provided in accordance with the hospital directives. Foster relationships with other providers to ensure continuity of care. Acted as a positive team player as part of the tbi clinic and Air Force mission.
March 2014 – June 2016 Quarterline (Contracted to JBER 673rd Medical Group) JBER, AK
$56.00 per hour at 40 hours per week. Supervisor Capt Kelton Oliver medical director for TBI 907-***-**** . Retired from service.
Perform duties identical to those described above in the same clinic under a different contractor.
November 15, 2012 - December 31, 2014 CRA Associates (Contracted to 673rd Medical Group) $55.00 per hour at 40 hours per week . Located in Family Practice 907-***-**** Major David Delange supervisor of family health JBER,AK Provider for Active Duty Deployment Health
Provided comprehensive history and physical exams to clear active duty members for deployment. Prescribed medicatiions for preventable conditions proactively preventing illness during deployment.
Supervised assisting nurse in contacting members for their deployment physicals in a timely and efficient manner.
October 1, 2011 - December 1, 2012 Family Diabetes Clinic Anchorage, AK
(this clinic was not financially viable and had to close, therefore I did not earn any wages)
Fulfilled duties and responsibilities of a medical provider: Obtain & evaluate health & medical history. Perform physical exams based on age & history. Identify health & medical risk factors. Synthesize & analyze collected data and formulate a differential medical diagnosis based on history, physical exam & diagnostic test results. Select appropriate pharmacological and non-pharmacological interventions. Perform EKG’s, and use other equipment such as cardiac monitors, pulse ox, perform Hemoglobin A1C, blood draws, IV starts and infusions. Certifications in starts of insulin pumps and continuous glucose monitors. Provide education regarding diabetes to patients and their families and the community throughout the continum. Using nursing theories and knowledge to effect change. Reconizing normal grow and development according to anatomy and phisology. Intertwined nursing diagnosis with the nursing and medical care of the patient.
Supervised assisting nurse with all aspects of nursing care.
Provide primary care to those patients who did not have a primary care provider and continue to address acute and chronic disease states such as asthma, hypertension and diabetes mellitus. Provide school physicals, DOT physicals, and address all areas of preventative care.
Provided patient education: Establish priorities to meet wellness & medical needs of the individual, family & community. Develop patient education plans and seek appropriate consultations & referrals as indicated.
Volunteered the entire week at Alaska diabetes camp for children with type 1 diabetes mellitus. This included taking over management of their insulin pumps and treating any and all episodes of hyper and hypoglycemia. Work with ADA camp physicans and other providers to facilitate the best experience for the campers. Being a team member as well as a leader in my assigned group.
August 2009-2011 Diabetes and Lipid Clinic of Alaska Anchorage, AK Dr Ross Tanner owned the practice and supervised on an as needed basis. 40hrs+/week. Salary $90,000 annually. May contact 907-***-****
Fulfilled duties and responsibilities of a medical provider: Obtain & evaluate health & medical history. Perform physical exams based on age & history, including obstetrical patient referrals. Identify health & medical risk factors. Synthesize & analyze collected data and formulate a differential diagnosis based on history, physical exam & diagnostic test results. Select appropriate pharmacological and non-pharmacological interventions. Address primary care/family practice needs when appropriate as several patients depended on our office for their primary care/family practice health care needs. This included treatment of both acute and chronic health care problems.
Provided patient education: Establish priorities to meet wellness & medical needs of the individual, family & community. Develop patient education plans and seek appropriate consultations & referrals as indicated.
May 2007-July 2009 Diabetes and Lipid Clinic of Alaska – Kodiak Kodiak, AK
Owned and operated the above clinic as a sole proprietor. Provided individualized primary care to pediatric and adults with various family practice problems as well as treat diabetes mellitus and lipid disorders. Provided annual exams to women ages 14-64 through the Alaska breast and cervical program. Preformed pelvic exams an treated gynecologic disorders. Provided breast exams and ordered mammograms as indicated. Supervised office staff and followed business plan and budget.
Collaborated with Dr Tanner when necessary and assisted with patient care when he would visit the clinic and see patients as referrals. Active team member of the diabetes and lipid clinic of Alaska.
Participated in community events to raise awareness of chronic disease states in the community by working with school nurses and community members.
Presented educational lectures at the Kodiak Senior Citizens Center and Kodiak
College to student nurses and students in the nursing assistant program.
I owned this clinic and did not receive wages for this 2 year period of time.
December 2003 – March 2007 (annual salary 60,000. Medical director was supervisor and has left the island returned to lower 48 states)40+ hours per week. Kodiak Community Health Center Kodiak AK
Family Nurse Practitioner
Fulfilled duties and responsibilities of a medical provider: Obtain & evaluate health & medical history. Perform physical exams based on age & history, including obstetrical patients. Identify health & medical risk factors. Synthesize & analyze collected data and formulate a differential diagnosis based on history and physical & diagnostic test results. Select appropriate pharmacological and non-pharmacological interventions.
Provided patient education: Establish priorities to meet wellness & medical needs of the individual, family & community. Develop patient education plans and seek appropriate consultations & referrals as indicated.
Address specialized needs of the uninsured in a vulnerable population
Works collaboratively with Medical Director and other members of the health care team.
Provided technical assistance in writing 2006 federal grant renewal.
July 2002 – August 2003 Kodiak Island Ambulatory Care Clinic Kodiak, AK
Family Nurse Practitioner worked 3 days per week for a daily rate of $350.00 per day worked. Work day consisted of 8 hour day. Dr John Koller was owner and operater of the clinic and supervisor. 907-***-****
Fulfilled duties & responsibilities of a medical provider as described above.
Provided patient education as described above.
Shared practice/patient load equally with physician as sole provider three days per week in walk-in/urgent care clinic.
March 2002 – July 2003 Eastern Aleutian Tribes Sand Point, AK
Kodiak Area Native Association Kodiak, AK
Yakutat Community Health Center Yakutat, AK
Locum Family Nurse Practitioner (worked for a daily rate of $350.00 per day)
Sole medical provider on a locum basis for the villages of Sand Point, Old Harbor and Yakutat, AK. Performed duties and responsibilities of a medical provided as described above.
Provided 24-hour on-call emergency services for the communities listed above.
Worked interdependently with members of community Response Team.
Worked interdependently with on-call physician on a telemedicine basis as needed.
Facilitated Medevac response and provided in-flight emergency care as indicated.
Provided patient education as described above.
Provided ongoing education and acted as collaborative resource for Community Health Aids.
August 1999 – June 2001 Litchfield Family Practice Center Litchfield, IL
Family Nurse Practitioner
Fulfilled duties & responsibilities of a medical provider as described above.
Provided patient education as described above.
Including newborn exams
July 1998 – August 1999 Lonnie Laughlin, MD Litchfield, IL
Family Nurse Practitioner
Fulfilled duties & responsibilities of a medical provider as described above.
Provided patient education as described above.
Including newborn exams.
Directly employed by clinic partner who retired in 1999.
1995 - 1996 Mercy Medical Services Inc Waldron, AR
Registered Nurse
Fulfilled duties & responsibilities of a Staff RN at DBA Scott Co Medical Clinic: Assist physicians with exercise stress testing, endoscopy, initial nursing assessment and evaluation of all clients presenting to clinic. Assist physician with emergency room clients and emergency transport per ambulance on a pm basis. Assist with ICU procedures and general medical floor (insertion of Swan Gantz catheters, bone marrow biopsies, paracentesis and thoracentesis.
Part time position while attending ATU full time.
1990 - 1994 Mercy Medical Services Inc Waldron, AR
Office Manager & Staff RN
Fulfilled duties & responsibilities of a Clinic RN as outlined above.
Performed Office Management Duties: Assessment & evaluation of billing & collection practices, supervision of clinic personnel. Maintain a working knowledge of each position. Accountable for all clinic receipts and expenditures. Maintain cooperative working relationship with physicians and hospital staff & administration. Develop implement short term, intermediate and long term organizational goals. Monitor overall quality of patient care.
1986 - 1990 Internal Medicine Clinic Waldron, AR
Office Manager & Staff RN
Fulfilled duties & responsibilities of a Clinic RN as outlined above for Nathan Bennett, D.O. Additionally, assisted with outpatient care and in-patient procedures including endoscopy and cardiac exercise stress testing.
Planned & outfitted Special Care intensive care unit at Mercy Hospital of Scott County.
Performed Office Management Duties as outlined above and implemented ICU billing practices.
Started and managed satellite clinic in Weiner, AR.
1988 - 1990 St Bernard’s Regional Medical Center Waldron, AR
CCU/ICU Staff Nurse
Cared for patients immediately following open-heart surgery, craniotomy, and multiple traumas.
Performed insertion & maintenance of intra-aortic balloon pump.
1984 - 1986 Deaconess Hospital St. Louis, MO
CCU Charge Nurse
Provided care for critically ill patients.
Member of “Code Blue Team”.
ALASKA VOLUNTEER WORK
Volunteered one full week each year at Alaska American Diabetes Camp for children with type 1 and type 2 diabetes mellitus 2012, 2013, 2014 and 2015. This involves management of blood sugars of the children attending the week-long camp. Both physiologically and psychologically. Involves many long hours and multiple blood sugar checks.
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