Donna Fleming
Apt ***
Missouri City, TX 774592
***********@*****.***
Objective
Seeking a position as a Family Nurse Practitioner to obtain a responsible and challenging position with a progressive organization to provide exceptional health care.
License/Education
Work Experience
ADN
Central Texas College 12/2002
TX RN License No: 693468 Exp 12/2016
BSN
Texas Tech Health and Science Center 08/2004
MSN
Texas A&M University at Corpus Christi 05/2011
APRN License No: AP120654
Family Health Center
Waco, TX
March 2012-March 2015
Metroplex Hospital
Killeen, TX
November 2009-March 2015
Family Nurse Practitioner- Elm St Clinic
Deliver a range of acute, chronic and preventive medical care services
Diagnosing and treating illness
Provide preventive care; including routine checkups, health-risk assessments, immunization and screening tests, and personalized counselling on maintaining a healthy lifestyle
Works in an independent and interdependent relationship with members of the medical staff, which allows for consultation, collaboration, or referral.
Maintains legible, accurate, and confidential medical records. Documents all medical evaluations, diagnoses, procedures, treatment, outcomes, education, referrals, and consultations consistent with NCQA (National Committee for Quality Assurance), JCAHO (Joint Commission on Accreditation of Healthcare Organizations), and state regulatory standards.
Analyzes new knowledge gained from conferences, workshops, professional literature, or "hands-on training" and assimilates this knowledge into clinical practice.
Responsible for emergency care in emergency situations
Order appropriate lab tests and prescribe medication for children and adults.
Provide mental health services and medication management until appropriate services where obtained
In office procedures: I&D, skin tag removal, skin biopsy, and knee injections
Interpreting plain films, pulmonary function tests and EKGs
Monitor several medications with close management (ex. Coumadin, Depakote)
Perform various physicals (ex job, pre op, employment
Manage ER/Hospital follow ups
Staff RN- Post Anaesthesia Care Unit
Thorough knowledge of and ability to implement principles of aseptic technique.
Knowledge of surgical procedures, techniques and consequent nursing interventions.
Able to recognize emergency situations and assist in corrective action.
Knowledge of the policies, procedures, philosophies, goals and objectives of ambulatory surgery
Recognize and report hazardous equipment
Monitor patients' vital signs, breathing, alertness, awareness following the surgical procedure.
Administer medications as needed and / or ordered
Educate patients about medications, surgical procedures and disease processes
Jewish Hospital and St Mary’s Healthcare
Louisville, KY
November 2005- July 2009
Staff RN- Intensive Care Unit
Prepare and assist patients for bedside procedures such as tracheotomy, percutaneous endoscopic, gastrostomy tube, electroencephalogram, thoracentesis, bronchocopy, provide post-operative care and esophagogastroduodenoscopy,
Administer medications that require close monitoring and titrating
Observe, monitor, assess, and document patient condition and responses to treatment
Routinely perform nursing procedures including: complex assessment, high-intensity therapies and interventions, and continuous nursing vigilance, help place and maintain arterial lines, pulmonary artery catheters, and central venous lines,
inserting endotracheal tubes and managing
mechanical ventilation, providing cardioversion
and cardiopulmonary resuscitation, placing
enteral tubes and hyperalimentation catheters,
extensive dressing changes, wound vac care,
extensive vital sign monitoring, foley
catheterization, tracheotomy care, colostomy
care, drain care, and naso-gastric and feeding
tubes
Performing sustained low-efficiency daily dialysis and monitor balloon pumps
Collect and prepare specimens for laboratory analysis
Responsible for ensuring that acutely and critically ill patient and their families receive optimal care.
Scott & White Memorial Hospital
Temple, TX
January 2003-
July 2005
Staff RN - Medical Surgical Unit
Also worked as charge nurse and team leader
Prepare patients for procedures and provide post-operative care as prescribed by physicians;
Administer medications orally, by injection, and intravenously according to doctors orders
Observe, monitor, assess, and document patient condition and responses to treatment
Provide clinical training of student nurses and assist in special procedure training for graduate nurses
Routinely perform medical/surgical nursing procedures including: neurological assessments, dressing changes, wound care, vital sign monitoring, foley catheterization, tracheotomy care, colostomy care, drain care, and naso-gastric and feeding tubes
Screen and document patient information; collect and prepare urine, stool, and blood specimens for laboratory analysis
Provide nonjudgmental emotional and physical support, as well as necessary training, education, and information, to patients and family members
Olin E. Teague Veterans Hospital
Temple, TX
May 2001- December 2002
Student Nurse Technician
Assisted patients with daily living routines: meals, baths, dressing, exercises, etc.
Observed patients, measured and recorded vital signs and intake and output, reported changes or problems to primary nurse
Applied and changed dressings; assisted in emergency situations
U.S. Army
September 1997-June 1999
Private First Class
Drawing blood from patients for analysis
Labelling and storing blood samples, and transporting them to laboratories.
Computer data entry and record keeping, entering patient information and blood testing results.
Clerical duties, such as reception work, answering the telephone, and scheduling appointments.
Clinical Related Experience
Mrs C. Baltrum, FNP
West Fort Hood Clinic
Ft Hood, TX
Mrs L. Smith, FNP
18th Street Clinic
Waco, TX
Advance Health Assessment & Differential Dx
(136 hours)
Effectively provided direct outpatient primary care and consultative care to a military population, support personnel, and family members utilizing the current evidence-based medicine standards.
Promote and teach health care education
Take histories and provide complete physical examinations
Evaluated patient’s health conditions, acute and chronic, for pediatric and adult populations in a collaborative practice environment.
Assist in developing individual treatment plans for acutely ill
Assisted in providing health education, nutrition counselling, disease management, immunizations, sexually transmitted disease treatment
Infant and school age physicals per Texas health steps protocols
Medical documentation per computer charting maintaining HIPPA/JACHO standards
Mrs M. Tice, PNP Thomas Moore Clinic
Ft Hood, TX
Col. P. Kelly, FNP
Family Medical Residency Clinic
Ft Hood, TX
Acute and Chronic I
(141 hours)
Provide care to infants, children, and young adults encouraging valuable positive health behaviours, as well as addressing childhood illness
Taking detailed medical histories and performing school and well baby/child examinations
Provide diagnoses and recommend treatment plans
Prescribe immunizations and medications
Participated in post school fair approx. 250 kids attended (help provided physicals to school age patients)
Medical documentation per computer charting maintaining HIPPA/JACHO standards
Taking detailed medical histories and performing complete physical exams
Providing diagnoses and recommending treatment plans
Prescribing limited medications
Counselling patients and families
Effectively provided direct outpatient primary care and consultative care to a military population, support personnel, and family members utilizing the current evidence-based medicine standards.
Performed shave biopsy
Medical documentation per computer charting maintaining HIPPA/JACHO standards
Dr R. McCown
Thomas Moore Clinic
Ft Hood, TX
Dr A. Romeo
Office of Dr. Lobaugh & Romero
Killeen, TX
Acute and Chronic II
(100 hours)
Effectively provided direct outpatient primary care and consultative care to a military population, support personnel, and family members utilizing the current evidence-based medicine standards.
Attended asthma in service
Performed procedures: hip & knee injections, shave biopsy and toenail removals using digital blocks
Interpretation of EKG, and assisted in emergent management of care
Medical documentation per computer charting maintain HIPPA/JACHO standards
Providing prenatal care, family planning services, and screening services
Counselling and educating patients about preventive measures and surgical procedures
Help diagnosis and treat female patients with acute and chronic illnesses
Conduct annual women exams and interpret medical history
Dr C. Mitchell
Clear Creek Urgent Care Clinic
Killeen, TX
Dr L. Sukumar
Office of Dr Sukumar & Sukumar
Killeen, TX
Integrated Clinical
(273 hours)
Work with four providers, managing care for patients of all different age ranges
Saw patients independently and formulating treatment plans, ordering diagnostic tests, interpreting plain films, pulmonary function tests and EKGs
Obtain health and medical histories of patients
Execute age based physical examinations including employment physicals for various organizations
Identify any risks the patient may have and outline their needs
Maintains legible, accurate, and confidential written medical records. Documents all medical evaluations, diagnoses, procedures, treatment, outcomes, education, referrals, and consultations
Prescribe immunizations and medications
Dispense medications
Diagnose and manage minor mental health
Provided a wide range of ambulatory care services including: acute and preventative care, women health, and deployment-related
Refer and consult with other speciality providers as need for patient care
Plan therapeutic regimens for patients that require treatment of acute illnesses and provide appropriate follow-up.
Performed procedures including incision & drainage or abscess and skin tag removal
Coumadin management and patients with multiple chronic illnesses
Diagnosed mental health and pain disorders in adults and managing psychotropic medications
Responsible for the diagnosis and treatment of the more complex internal medicine patients referred to the clinic by other providers
Perform health risk assessments with full physical exams to an elderly population with multiple chronic illnesses.
Coumadin management
Perform disability physicals for applicants
Assist in emergent transfer of appropriate patients to ER or inpatient care
References
Seresea Mitchell-Smith, RN, FNP-C
***************@*********.***
Dr Chase Thebault
Andrew & Michelle Tennett
Allette Williams, RN, BSN
Brenda Sterling, RN, FNP-BC
**********@*******.***
Tommora Jackson FNP-C
*********@*****.***