Toni Parolisi, MSN, FNP-BC

** ******* ****** ******, ** 03064 978-***-**** ac8dl6@r.postjobfree.com

PROFESSIONAL SUMMARY

Experienced Registered Nurse practitioner with over 35 years in the medical field. Dedicated to providing the best patient care possible through listening to patients and employing motivational interviewing techniques. Passionate about whole body wellness and preventative care, and trained in functional medicine. Practiced in a variety of health care settings, treating patients with a variety of illnesses and injuries. Team player ready to provide seamless collaborative care for patients.

EDUCATION

Doctorate in Nursing Practice, Healthcare Systems Leadership Chamberlain University Tentative Graduation: 06/2019

Doctorate in Health Administration University of Phoenix 2018

Certificate in Family Nurse Practitioner St. Joseph College of Maine 2017

Master of Science in Nursing University of Phoenix 2002

Bachelor of Science in Nursing University of Phoenix 1994

Diploma in Licensed Practical Nursing St. Joseph Hospital School of Nursing 1982

LICENSURE and CERTIFICATION

Registered Nurse (RN) New Hampshire Board of Nursing Exp. 04/24/2020

Registered Nurse (RN) Massachusetts Board of Nursing Exp. 04/24/2020

Family Nurse Practitioner – Board Certified (FNP-BC) American Nurses Credentialing Center Exp. 11/26/2023

Advanced Cardiac Life Support (ACLS) American Heart Association Exp. 08/2019

Pediatric Advanced Life Support (PALS) American Heart Association Exp. 08/2019

Basic Life Support (BLS) American Heart Association Exp. 11/2019

NURSE PRACTITIONER CLINICAL ROTATIONS

Young Adult Rotation Gall Spellman, FNP, DNP, Lahey Clinic (Burlington, MA) 220 Hours

Adult Rotation Amanda Sanderson, FNP, DNP, CVS Minute Clinic (Andover, MA) 88 Hours

Specialty Rotation Amanda Sanderson, FNP, DNP, CVS Minute Clinic (Andover, MA) 35 Hours

Pediatric Rotation Preceptor’s Name & Credentials, Salmon Falls Family Health (Somersworth, NH) 88 Hours

Women’s Health Rotation Amanda Alba, CNM, Beverly Hospital Birthing Center (Beverly, MA) 115.2 Hours

Geriatric Rotation Heather McKenney, NPs, Glen Ridge Nursing Care Center (Medford, MA) 115 Hours

Specialty Rotation Evin Parker, MSN, FNP, Mass Lung & Allergy PC (Leominster, MA) 88.5 Hours

PROFESSIONAL EXPERIENCE

Staff RN, Operating Room (OR) St. Joseph Hospital (Nashua, NH) 04/2018 – Present

Assist in the preparation of patients for surgery, obtain blood work, review records for surgical consent, and reassure patients

Monitor vital signs (heart rate, blood pressure, temperature and respiratory rate), treat symptoms of postoperative nausea and vomiting, manage post-operative pain, treat post-anesthetic shivering, and monitor surgical sites for excessive bleeding, discharge, swelling, hematoma, redness, etc

PROFESSIONAL EXPERIENCE CONTINUED

RN, Post-Anesthesia Care Unit (PACU) North Atlantic Surgical Suites (Salem, NH) 01/2018 – 03/2018

Assisted in the preparation of patients for surgery, obtained blood work, reviewed records for surgical consent, reassured patients, and started IVs

Monitored vital signs (heart rate, blood pressure, temperature and respiratory rate), treated symptoms of postoperative nausea and vomiting, managed post-operative pain, treated post-anesthetic shivering, and monitored surgical sites for excessive bleeding, discharge, swelling, hematoma, redness, etc.

Administrative Nursing Supervisor, Per Diem Steward Merrimack Valley Hospital (Haverhill, MA) 09/2016 – Present

Provided clinical support and serves as advisor and resource person for staff as needed

Validated care provided to patients is consistent with nursing care plan, medical treatment and is responsive to patient and family expectations

Advised and supported nursing staff collaboratively to problem-solve clinical and administrative issues

Facilitated multidisciplinary care to ensure the best possible outcome for patients

Assured effective and appropriate utilization of all available resources to assure quality, effective patient care

Ensured that clinical nursing practice is consistent with current standards, regulations, and government standards of care

Assumed overall responsibility in a disaster situation

Assumed responsibility situations that include; but not limited to: Code Blue, Code Red, mortuary surveillance, infection control, emergency surgery, pharmacy matters and disposition of patients' valuables to the safe

Endoscopic RN Lawrence General Hospital (Lawrence, MA) 06/2017 – 12/2017

Provided patient and family education and discharge planning

Assessed and cared for the pre-op, intra procedure and phase II recovery endoscopy patients

Safe medication administration including use of venous access devices

Proficient in IV insertion and moderate sedation administration

Utilized all equipment required for procedures

Assisted physician with endoscopic and outpatient procedures using aseptic technique; and utilizes all computer systems required for job function

IV Therapy RN Lawrence General Hospital (Lawrence, MA) 04/2016 – 06/2017

Maintained PICC/midline catheters, and peripheral IV insertion

Resource for phlebotomy for patients with limited venous access

Adjunct Professor University of Phoenix (Online) 04/2009 – 12/2016

Instructional and academic facilitator for undergraduate courses in the Health Administration

Evaluated students for retention, assess student work and abilities and to facilitate the learning experience

Travel Nurse, Supplemental Healthcare Global Brigham and Women’s Hospital (Boston, MA) 01/2016 – 03/2016

Post-Anesthesia Recovery Nurse responsible for assisting in the preparation of patients for surgery, obtaining blood work, reviewing of records for surgical consent, reassure patients, and start IVs.

Monitored vital signs (heart rate, blood pressure, temperature and respiratory rate), treated symptoms of postoperative nausea and vomiting, managing post-operative pain, treating post-anesthetic shivering, and monitoring surgical sites for excessive bleeding, discharge, swelling, hematoma, redness, etc.

IV Therapy, Per Diem Lahey Clinic Medical Center (Burlington, MA) 01/2006 – 01/2016

Maintenance of PICC/midline catheters, blood administration and peripheral IV insertion

Resource for phlebotomy for patients with limited venous access

Staff Nurse, Emergency Department (ED) Lahey Clinic Medical Center (Burlington, MA) 05/2000 – 04/2011

Recognition of cardiac dysrhythmias and institute appropriate intervention; intravenous therapy and maintenance of intravenous access for emergent medication administration

Assess physiological data and symptoms, identify and interpret data and symptoms, determine the significance and communicates this to the physician. Critical/Telemetry nursing practice, e.g.: 12 lead EKG testing, cardiac monitoring, cardiac pacing, and emergency/resuscitative measures for unstable/critical patients

PROFESSIONAL EXPERIENCE CONTINUED

Staff Nurse, Operating Room (OR) Lahey Clinic Medical Center (Burlington, MA) 04/2007 – 03/2009

Assist in the preparation of patients for surgery, obtain blood work, review records for surgical consent, and reassure patients.

Monitoring vital signs (heart rate, blood pressure, temperature and respiratory rate, treating symptoms of postoperative nausea and vomiting, managing post-operative pain, treating post-anesthetic shivering, and monitoring surgical sites for excessive bleeding, discharge, swelling, hematoma, redness, etc.

Travel Nurse, Innovent Global Bay State Medical Center (Springfield, MA) 01/2015 – 04/2015

Post-Anesthesia Recovery Nurse responsible for assisting in the preparation of patients for surgery, obtaining blood work, reviewing records for surgical consent, reassuring patients, and starting IVs

Monitoring vital signs (heart rate, blood pressure, temperature and respiratory rate, treating symptoms of postoperative nausea and vomiting, managing post-operative pain, treating post-anesthetic shivering, and monitoring surgical sites for excessive bleeding, discharge, swelling, hematoma, redness, etc.

Perioperative Services, Staff Nurse—Preop, OR, PACU Cambridge Hospital (Cambridge, MA) 12/2010 – 07/2014

Assist in the preparation of patients for surgery, obtain blood work, review records for surgical consent, reassure patients, and start IVs

Monitoring vital signs (heart rate, blood pressure, temperature and respiratory rate, treating symptoms of postoperative nausea and vomiting, managing post-operative pain, treating post-anesthetic shivering, and monitoring surgical sites for excessive bleeding, discharge, swelling, hematoma, redness, etc.

Provide care and support to patients before, during, and after surgery, maintain a sterile environment in the operating room, monitor the patient during surgery, and coordinate care throughout surgery

Experience in EPIC medical record documentation

Healthcare Investigator Department of Public Health (Boston, MA) 01/2004 – 07/2006

Monitors for compliance purposes, various activities, services and/or functions for regulated professions and professionals licensed by the Division of Health Professions Licensure

Reviews complaints, documents pertinent information concerning alleged violations of laws, rules and regulations

Maintains liaison with assigned agency personnel

Obtains evidence and establishes facts concerning complaints and cases of alleged noncompliance with laws, rules and regulations

Conducts investigations and confers with parties to complaints; conducts interviews; prepares reports; and testifies at hearings and performs related work as required

Clinical Reviewer Office of Clinical Affairs/Center for Health Care Finance (Boston, MA) 08/2002 – 12/2003

Responsible for developing and overseeing care management plans for the implementation and maintenance of individual plans of care for a caseload of pediatric or adult members as well as ongoing prior authorization responsibilities within community long term care areas

Develop and maintain care management plans for assigned pediatric or adult caseload. Coordinate insurance benefits with other responsible third party entities

Project Manager, Client Services TRAP Systems/HOPS International (Boston, MA) 06/2001 – 08/2002

Evaluate and analyze claims using algorithm software to access provider compliance with Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPC) coding guidelines as well as Medicare, Medicaid, and third party regulations

Monitor inpatient and outpatient coding activities to assess for potentially fraudulent or improperly submitted claims

Evaluate and assess medical care and/or services delivery by providers to determine the appropriateness of claims and to establish if services were medically necessary and fully documented in the medical record

Clinical Specialist Tufts Health Plan (Waltham, MA) 06/1998 – 05/2001

Perform timely and accurate reviews to ensure appropriate utilization of inpatient, home care, skilled nursing, and rehabilitation facilities

Verify accuracy of Diagnosis Related Group (DRG) payments

Provide clinical support in case disposition, report and data review for continuous quality improvement efforts

Utilization of review programs, management of a caseload of cases pending medical necessity and preadmissions and/or utilization review

Examination of medical claims/discrepancies; Clinical liaison for physician medical directors

Utilization Review Analyst Allmerica Medical Management (Worcester, MA) 11/1997 – 01/1999

Interqual criteria; Preadmission review; concurrent review; determine length of stays; International Classification of Diseases (ICD-9) coding; Current Procedural Terminology (CPT) coding; Medical claims review; Appeals process per Utilization Review Accreditation Commission (URAC) standards

Staff Nurse, Emergency Department (ED) Southern New Hampshire Medical Center (Nashua, NH) 12/1994 – 08/2001

Recognition of cardiac dysrhythmias and institute appropriate intervention; intravenous therapy and maintenance of intravenous access for emergent medication administration

Assesses physiological data and symptoms appropriately and promptly. Identify and interpret data and symptoms, determines their significance and communicates this to the physician

Critical/Telemetry nursing practice, e.g.: 12 lead EKG testing, cardiac monitoring, cardiac pacing, and emergency/resuscitative measures for unstable/critical patients

Staff Nurse, Emergency Department (ED) Lowell General Hospital (Lowell, MA) 08/1988 – 12/1994

Recognition of cardiac dysrhythmias and institute appropriate intervention; intravenous therapy and maintenance of intravenous access for emergent medication administration

Assesses physiological data and symptoms appropriately and promptly

Identify and interpret data and symptoms, determines their significance and communicates this to the physician

Critical/Telemetry nursing practice, e.g.: 12 lead EKG testing, cardiac monitoring, cardiac pacing, and emergency/resuscitative measures for unstable/critical patients

Staff Nurse, Medical-Surgical Unit Anna Jaques Hospital (Newburyport, MA) 08/1982 – 08/1988

Administration of medication

Transcription of physician’s orders

Supervision of patient care by other staff members

Initiation of IV therapies

Nursing home referrals

AFFILIATION

Sigma Theta Tau International Honor Society of Nursing 2017 – Present

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