Manager Service

Jennifer Pankratz RN, OML, MHCL

**** *. ********** **. *******, Kansas 67209

316-***-****

**.*********@*****.***

CAREER SUMMARY

.

A dynamic RN Executive with over ten years of progressive leadership and

management experience. I am a firestarter and catalyst for change. Hands

on leader, proficient at the bedside and not afraid to get my hands dirty

to make the best decisions possible. Visionary, strategic, innovative,

driven and competitive. Philosophy is to lead by example, to exceed what is

expected. Skills include : Management, ED, Trauma, labor and delivery,

NICU, PACU, HAZMAT and EMS. A proven leader with focus in Emergency

Services. Managed the first Free Standing ED in Kansas. Additional ED

experience throughout Kansas, Missouri, DC and Maryland. Specialties:

assessment, evaluation and implementation of Emergency Department

processes. Throughput, metrics and benchmarks. Development of protocols,

policies and departmental orientation. Mentoring staff, customer

satisfaction, quality metrics, electronic documentation. Development of

Time Critical Diagnosis protocols and Triage for EMS. Throughput modalities

- Immediate Bedding and Door 2 Doc. Proficient in multiple versions of

Meditech, both paper and electronic T-System, CPSI, Epic and Cerner. Studer

Initiatives, team building, and Physician relationships. Marketing, cost

saving initiatives, and budget.

Additional Skills: Knowledge of 3D laser scanning/Building Information

Modeling (BIM) and this application as it applies to Facility Management,

As Built Design/New Construction for Health Care Facilities, Lean Concepts

based on design/redesign and Throughput. This is an Architectural/IT

modality and is an up and coming cost saving alternative for the Health

Care Industry.

EDUCATION

2010 M.S. Health Care Leadership MHCL Friends

University Wichita,KS Program is accredited and is one of two programs

recognized by the Higher Education Network for the American College of

Healthcare Executives. This program is Health Care specific and arranged in

Management Science format.

http://www.ache.org/highereducationnetwork/hendirectory.cfm

2008 B.S. Organizational Management and Leadership OML Friends Univ.

Wichita, KS

1995 A.A.S RN Cloud County Community

College Concordia, KS

1994 Licensed Practical Nurse North Central KS Area Vo-tech

Beloit, KS

1989 C.N.A. Hastings College

Hastings, NE

PROFESSIONAL EXPERIENCE/ACHIEVEMENTS

3/2013 to Present Wesley Medical Center - Galichia Campus Wichita, KS

Assistant Nurse Manager - Emergency Department

Galichia Heart Hospital is a campus of Wesley Medical Center. 82 bed acute-

care facility with Emergency services, Surgical services and Cardiac

services. Galichia is well known for premier cardiac care and ground

breaking technology. The ED is 14 beds with an average daily census of 65.

Volume has increased 18% in the last quarter. 38 FTEs and 5 per diem.

Level 3 Trauma center. Report to the ED Manager, CNO, and CEO.

. Responsible for daily operations of the ED and supervision of ED

staff.

. Led the Immediate Bedding Process team for this facility

. Successfully implemented Immediate Bedding rollout

. Average door to doc time - 8 minutes (down from 15)

. Average LOS - < 120 min.

. Daily patient rounding using Studer initiatives - Whiteboards, AIDET

. Monthly employee rounding using Studer initiatives - Coaching

. Responsible for tracking and meeting all ED metrics

. Preceptor

. Stroke Collaborative representative for this facility

. Proficient in Electronic T Systems and HCA Meditech documentation

. LPT/LPMSE - less than 1%

. Patient Satisfaction - 95%

. Recipient of Studer award

. Division leader in all ED Metrics (9/2014)

. Mass Casuality Drill (9/2014)

. Scheduling - Facility Scheduler

. Kronos Time Keeping

07/2012-03/2013 Providence Medical Center

Kansas City, KS

Clinical Supervisor/RN - Emergency Department

* Recruited to Providence initially as a Traveler. Asked by the Interim

Director to apply for and accept the temporary position as Night Shift

Clinical Supervisor for the ED. I accepted this role and the temporary

position ended 10/28/12. I was offered and accepted a full time day shift

position as Staff RN/Charge RN. Left this organization in good standing

after it was acquired by Prime.

Providence Medical Center is a non-union, community hospital affiliated

with Prime Healthcare. Recipient of The Joint Commission's Gold Seal of

Approval, Saint John Top Performers on Key Quality MeasuresTM for 2011,

Chest Pain Accreditation (Gold Standard) and the 2012 ACTION Registry -

GWTGTM Platinum Performance Achievement Award). Reported to the CNO.

Responsible for the oversight of 48 FTEs. ED is 24 beds with an RME and an

average daily census of 110.

. Provided emergency care for ED patients across the lifespan - trauma,

critical care, conscious sedation, minor care

. Immediate Bedding

. Implementation of Studer Initiatives to increase patient satisfaction

- rounding, white boards, and AIDET

. Evaluation of ED statistics and metrics

. Evaluated, revised and submitted operating budget for 2012

. Responsible for night shift/mid shift staffing schedule

. Assisted with ED Specific Skills Fair

. Precepted KCK Paramedic Students and Nursing Students from various

programs throughout Kansas City

. Prepared and completed evaluations for ED Staff

. Addressed and resolved patient complaints

. Proficient in EPIC documentation system

10/2011-06/2012 Fort Washington Medical Center

Fort Washington, MD

Director of Emergency Department and Emergency Preparedness

Fort Washington Medical Center is a non-union, 37 bed hospital near the

National Harbor. The hospital is owned by Nexus Health and was rated one

of the safest hospitals in DC by Consumer Reports in 2014. Reported to the

CNO. Responsible for the oversight of the Emergency Department and

Emergency Preparedness program. 42 FTEs and 36 Per Diem Employees (Total

78) ED is 18 beds with an average daily census of 150. This is the busiest

and most crowded ED in the State of Maryland based on patient to bed ratio.

Emergency Department

. Provided emergency care for ED patients across the lifespan - trauma,

critical care, conscious sedation, minor care

. Averaged 48,000 patients annually

. 12 bed surge capacity

. Averaged 250 Transfers per month

. Evaluation and revision of staffing matrix (based on data - PHPU)

. Evaluation and revision of construction plans for ED expansion

. Evaluation of data for ED - Arrival to Triage, Triage to Bed, Arrival

to Bed, Door to Doc, Arrival to Discharge, Disposition to Leave,

Overall Length of Stay, Transfers, Admits

. Evaluation of hold hours and disposition to transfer or admit

. Evaluation of revenue - created an ED specific Billing/Coding position

which include Milliman Criteria training

. Revision and implementation of Triage process (ESI)

. Revision of paper documentation in preparation for EMR ( CPSI)

. Creation and implementation of ED Culture Tool "The Front Door

Philosophy"

. Preparation for implementation of Immediate Bedding Process ( January)

. Implemented bedside registration

. Environment of Care survey and evaluation with creation and

implementation of 30 day action plan

. LWBS - less than 2%

. Average LOS - 140 min

. Customer Satisfaction - 99%

. Created ED Protocols

. Revision of orientation checklists

. Operated Department within budget

. Evaluation and submission of Capital Budget for 2012

. Purchased equipment as needed

. Evaluation of Physician Staffing Matrix

. Requested and implemented "Heads Up" notification for all EMS patients

. Reviewed and resolved all patient complaints

. Led preparation for the implementation of Door to Doc Throughput

Modality in March included Team Assessment

Emergency Preparedness

. Working knowledge of HC Standard

. Capital Shield Drill

. Attended InfraGuard Presentations

. Sustainability Grant (Water) - HPP

. Maintained supplies, hand held scanners and equipment

. Formed Hazmed team

. "Hot Off Load" Training with Andrews Air Force Base 04/10/12

. Successfully planned and executed Sysiphus Mass Casualty Drill - City

wide drill with Andrews Air Force Base 04/26/12

07/2011-10/2011 MedStar Georgetown University Hospital

Washington, DC

RN - Emergency Department - Travel Assignment through MedStaff

MedStar Georgetown University Hospital is a not-for-profit, Magnet, acute-

care teaching and research hospital with 609 beds located in Northwest

Washington, D.C. Georgetown's centers of excellence include neurosciences,

transplant, cancer and gastroenterology. It is iinternationally recognized

for it's physicians, advanced research, and cutting-edge technologies.

Level 2 Trauma Center and Teaching Hosptial. specialties for this ED are

Neuro, Stroke, and Transplant patients.

. Average Volume 120 patients/day.

. RN staffing ratio 1:3 up to 1:5.

. ESI Triage

. Cerner Informatics

. Azyxxi patient tracking system

. * Elite Secret Service Pin - Secret Service Washington DC

Pin was given to me personally for providing excellent nursing care in the

ED to the Secret Service Agent assigned to President Obama's eldest

daughter.

08/2010-07/2011 Golden Valley Memorial Healthcare

Clinton, MO

RN Director of Emergency Services - Emergency Department, Emergency

Preparedness and EMS

GVMH is a not-for-profit, modern healthcare organization consisting of an

84-bed hospital, a home health service, and physician and outpatient

clinics located in west central Missouri. Awards include: Becker's list of

"150 Great Places to Work in Healthcare" for 2014, recipient of the 2013

Missouri Quality Award, named to the 2013 HomeCare Elite list, Excellence

in Patient Care award given by outcomes firm Studer Group , and The

LifeFlight Eagle "Life Saver Award" Reported to the VP of Patient Services

and the CEO. Responsible for the oversight of the Emergency Department,

Emergency Preparedness program, and the hospital based 3 ambulance EMS

service. 43 FTEs and 5 Per Diem Employees. ED is 11 beds with an average

daily census of 50. Average 180 emergency calls per month and an average

of 42 EMS transfers per month.

Emergency Department and Emergency Preparedness

. Averaged 13,000 patients annually with additional surge due to tourist

population

. Instrumental in identifying, selecting and transitioning new ED

Medical Director

. Presented quarterly to the Hospital Board of Directors

. Part of application process for Missouri Quality Award

. Active participant in Strategic Plan for the Hospital - ED Improvement

was a top priority

. Collaborative relationship with Midwest Emergency Physicians (MEP) out

of Kansas City - provided education for physicians new to the

department. Evaluated practice standards and worked with MEP Risk

Manager.

. Participated in Departmental Risk Assessment conducted by MEP

. Participated in research study for Medication Reconciliation- one of

13 hospitals in the Nationwide research initiative reporting to CMS

. Key participant in ARRA and Meaningful Use Initiatives

. Revised capital and operating budget to include critical process

improvements and equipment for ED and EMS

. Presented proposal for Patient Centered Medical Home to senior

management

. Assessed critical thinking and competencies for all RNs

. Completed all performance evaluations

. Clinical site for local educational programs ; Med techs, LPNs, RNs,

EMTs and Paramedics

. Representative for GVMH at all Region A Emergency Management Meetings

. Successfully implemented Immediate Bedding

. Preparing to Implement Door 2 Doc throughput modality

. Decreased overall length of stay by 20 min - average is 180 min

. Decreased LPT/LPMSE/LWOBE from 3.7% to < 1.5 %

. Press Ganey - increased scores from 75.5 (August) to 83.5 (March)

. Clinical expert for both departments

. Investigated all patient complaints and evaluated standards of care

. Instrumental in the installation of a trackable and reportable Hill

Rom nurse call system

. Revised orientation process and checklists for ED and EMS service

lines

. Revised schedule to reflect staffing needs based on patient arrival

per hour

. Created and Implemented protocols for chest pain, trauma, pediatric

asthma, abdominal pain, extremity injury and Helicopter Early Launch.

. Implemented ED staff obtained phlebotomy and EKG

. Kronos timekeeping

. Build Operator for Meditech, Client Server, Documentation System

(Trained in Boston) - EMAR, POE, POM and BMV

. Provided direct patient care as needed and rounded in unit daily

EMS

. Averaged 13,000 patients annually with additional surge due to tourist

population

. Instrumental in identifying, selecting and transitioning new ED

Medical Director

. Presented quarterly to the Hospital Board of Directors

. Part of application process for Missouri Quality Award

. Active participant in Strategic Plan for the Hospital - ED Improvement

was a top priority

. Collaborative relationship with Midwest Emergency Physicians (MEP) out

of Kansas City - provided education for physicians new to the

department. Evaluated practice standards and worked with MEP Risk

Manager.

. Participated in Departmental Risk Assessment conducted by MEP

. Participated in research study for Medication Reconciliation- one of

13 hospitals in the Nationwide research initiative reporting to CMS

. Key participant in ARRA and Meaningful Use Initiatives

. Revised capital and operating budget to include critical process

improvements and equipment for ED and EMS

. Presented proposal for Patient Centered Medical Home to senior

management

. Assessed critical thinking and competencies for all RNs

. Completed all performance evaluations

. Clinical site for local educational programs ; Med techs, LPNs, RNs,

EMTs and Paramedics

. Representative for GVMH at all Region A Emergency Management Meetings

. Successfully implemented Immediate Bedding

. Preparing to Implement Door 2 Doc throughput modality

. Decreased overall length of stay by 20 min - average is 180 min

. Decreased LPT/LPMSE/LWOBE from 3.7% to < 1.5 %

. Press Ganey - increased scores from 75.5 (August) to 83.5 (March)

. Clinical expert for both departments

. Investigated all patient complaints and evaluated standards of care

. Instrumental in the installation of a trackable and reportable Hill

Rom nurse call system

. Revised orientation process and checklists for ED and EMS service

lines

. Revised schedule to reflect staffing needs based on patient arrival

per hour

. Created and Implemented protocols for chest pain, trauma, pediatric

asthma, abdominal pain, extremity injury and Helicopter Early Launch.

. Implemented ED staff obtained phlebotomy and EKG

. Kronos timekeeping

. Build Operator for Meditech, Client Server, Documentation System

(Trained in Boston) - EMAR, POE, POM and BMV

. Provided direct patient care as needed and rounded in unit daily

2003-2010 Wesley Medical Center - multiple positions

Wichita, KS

Wesley Medical Center is an acute -care center licensed for 760 beds and

102 bassinets. Level 1 trauma center and the largest emergency department

in Kansas. Wesley also owns two additional campuses, Wesley West Free

Standing ED and Outpatient Diagnostic Center and Galichia Heart Hospital.

Wesley is a Stroke center and a Chest Pain center. Wesley is a recipient

of too many awards to name here.

Emergency Department Manager (1/2009-7/2010) Wesley West Emergency

Department and Outpatient Diagnostic Center

Reported to the ED Director, CNO and COO. Responsible for the oversight

of the Emergency Department and Outpatient Diagnostic Center. This

included the facility, ED Staff, Out Patient Staff, Ancillary Staff and ED

West Transport Team members. 32 direct FTEs and 6 Per Diem Employees. ED

is 11 beds with an average daily census of 65. 33% pediatrics.

. 1600 pt/month average - ED

. Average of 15 Outpatients/day

. 32 FTEs PHPU - 3.95

. LPT/LPMSE -at or below 1.5%

. ED Hold hours average 90-250 per month

. Employee Engagement Survey- department participation - 94%

. Employee Turnover rate < 3% for the year - Waiting List For Applicants

. End of Year Average 2009 - 0.70 Under budget for Productivity

. ED wait times 0-20 min. average.

. Successfully planned and implemented Immediate Bedding - decreased

overall LOS by 39 minutes

. Successfully planned and implemented Bedside Report

. Developed Self Scheduling Model - decreased ill calls to 2-3 per

month.

. Oversight of ED West Type V Transport Service staff

. Clinical Expert for unit

. Kronos for timekeeping

. Plus for productivity

. Studer Initiatives

. Best Practices based on Evidence Based Medicine and Protocols

. Actively participated in Marketing and Strategic Planning for

Facility.

. Developed survey tool to monitor patient population/Market Share

. Audits - Sullivan, Documentation, Narcotic, EMTALA, Throughput,

Universal Protocol, Adult and Pediatric Sedation.

. Participated in Chest Pain and Stroke Accreditation

. Core Measures - Chest Pain, Pneumonia, CHF, Stroke.

. Ordered all supplies and equipment for department

. Assumed Accountability for Main ER and Pediatric ER in the absence of

the Manager and Director

Committees: Clinical Practice Council, Surge, Throughput, Mission and

Vision, ED Collaborative, Oversight Always.

Assistant Nurse Manager (2006-2009) Wesley West Emergency Department and

Outpatient Diagnostic Center

. Selected as a Core Team Leader when the campus opened

. Preceptor

. Responsible for the daily operation of the Emergency Department

. Scheduling

. Payroll

. Clinical Practice Council representative.

. Performance Evaluations of ED staff

RN/ Relief Assistant Nurse Manager/Preceptor/Trauma Nurse (2003-2006)

Wesley Main Campus Emergency Department and Level 1 Trauma Center

Emergency Department

. Charge of 42 Bed Unit/Level 1 Trauma Center with Fast Track and

Pediatric ED - average visits 80,000/year.

. Preceptor

. RME in Triage

. Provide Level 3 Trauma and Critical Care to patients across the

lifespan.

. As high as 1:5 Staffing ratio

. Mass Casualty Trained - Drilled regularly with McConnell Air Force

Base

. EMSystems for MCI

. Member of Unit Based Counsel

. Member of Hazmat Team

Trauma Unit

. Preceptor

. 4 bed Trauma bay with flex to 8

. 1:2 Level 2 staffing or 1:1 for Level 1 Traumas

. Rapid Fetal Assessment - Level 3 NICU

. Basic Toco Fetal Monitoring Interpretation

. Massive Blood Transfusion Protocols - Auto Infusion

. Collection of Statistics for Trauma Registry

. Participated in ACS accreditation process

. Attended monthly Trauma Review with surrounding EMS services

2006 Mulvane Emergency Services

Mulvane, KS

RN Volunteer

. Functioned as an RN governed by Nurse Protocols

. Type 1 - ALS Service (one Paramedic or RN and one EMT)

. Sumner County District Population 4000, coverage of 53 sq. miles,

Including 8 mile contract with the Kansas Turnpike. Also assists with

calls for Bell Plain EMS

2002 Kansas Department of Corrections - Lansing Prison

Lansing, KS

Charge RN - Infirmary

. Full Time Charge Nurse - Maximum Security Prison Infirmary/Clinic/ED

. Responsible for the assessment and medical care of 1100 maximum

security inmates, 800 medium security inmates and 500 minimum security

inmates.

. FT care for patients in the infirmary - 11 beds with 4 lock down

rooms.

. Sick call patients and emergency response calls through out the

facility.

. Oversight of ancillary departments - lab, Xray, and a 4 bed dialysis

unit.

. Supervision of KDOC staff - 2 RNs, 2 LPNs and 3 CNAs

. Supervision of inmates assigned to the Clinic and Infirmary.

. Security Clearance

2002 Maxim Health Care Services

Kansas City, KS

Per Diem RN

Worked per diem in Emergency Departments/Trauma Departments throughout

Kansas City, Kansas and Kansas City, Missouri. Hospitals - Truman Medical

Center East, Research Medical Center, Independence Medical Center.

Expected to function as a member of the team after limited 4 hour

orientation at each facility.

1996 - 2001 Salina Regional Health Center - multiple positions

Salina, KS

Salina Regional Health Center is an acute -care regional hospital licensed

for 198 beds. Was a level 2 Trauma center when I was employed with them,

it is currently a level 3. Has a level 2 NICU.

Interim Emergency Department Manager/RN/Preceptor (1998-2001)

Reported to three consecutive Interim ED Directors. Shared responsibility

for the oversight of the Emergency Department and Trauma center. 54 direct

FTEs and 8 Per Diem Employees. ED is 26 beds with an annual volume of

27,000.

. ED metrics

. Scheduling

. Chart Review, Documentation and Policy and Procedure Revision

. Preceptor - Performance Based Development System (PBDS)

. Prticipant in first TPA study

. Employee Performance Evaluations

1989-1995 Various Health Care and Nursing Positions.

Worked as a CNA from 1989 until 1994 in both acute-care and LTC settings.

1994-1995 L.P.N. in a small rural acute care hospital while completing my

RN degree. 1995-1996 Full time night shift Charge Nurse in the same rural

hospital for the Surgical Unit. Also responsible for any ED patients and

or Labor and Delivery patients. Also floated to PACU, ICU, Endo and

circulated in the OR as needed.

CERTIFICATIONS

BLS

ACLS

PALS

TNCC

TriageFirst

ESI

Fema 100, 200, 700 and 800

NIH

HERT

PROFESSIONAL AFFILIATIONS, HONORS, PUBLICATIONS

Wesley Star Award

2013

Elite Secret Service Pin - Secret Service Washington DC

2011

Pin was given to me personally for providing excellent nursing care in the

ED to the Secret Service Agent assigned to President Obama's eldest

daughter.

Nominated for the Frist Humanitarian Award (HCA)

2008 Wesley Star Award

2007

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