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Nurse Practitioner Management

Location:
Oregon City, Oregon, 97045, United States
Salary:
Negotiable
Posted:
October 19, 2016

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Dean R. Wentworth, MN, FNP-BC

acw47j@r.postjobfree.com

971-***-****

Profile: Independent, collaborative, and communicative Nurse Practitioner with thirty years of diverse and progressive nursing experience.

Qualifications: Family Nurse Practitioner with 30 plus years of experience in the Healthcare Field. Excels in the challenges and rewards of patient care. Values include holistic patient care, with an emphasis on the psychosocial and cultural needs of the patient and family. Skills include a thorough knowledge of patient care, patient teaching, and collaboration with and teaching of nursing staff. Experience ranges from hospital, home health, hospice, aging-in-place long-term care, family practice nursing, and extensive pain management experience.

Philosophy: There are no compromises in providing excellent patient care. As Providers we adapt within a stressed Healthcare System for maximum patient care outcomes supporting Quality of Life.

Professional Experience

MEDXM, Oregon Branch

May 2016 - Present

July 2011 - February 2015

Scope of Practice: Independent Practitioner evaluating new and current Patients with HealthNet Insurance, Medicare and Medicaid as part of a proactive, preventative healthcare system. I provided comprehensive in-home assessments of Patient conditions/comorbidities. The comprehensive in-home or facility assessments included but were not limited to MH evaluations, lab work, and Spirometry/PFT/SaO2 evaluations prn. PMH was verified as active or non-active and new conditions/comorbidities were addressed with evaluation of medications intervention teaching appropriate for Dx. Risk assessments for age, gender and multicultural needs were best practice driven for optimal QOL and ADL outcomes per national guidelines. Mental Health Assessments and Immunizations were also addressed within each assessment with discussion for individualized patient Tx options. Assessment Plan included National Tx and HealthCare Guidelines recommended facilitate/initiate PCP and Multidisciplinary HealthCare Provider Tx Plans. I addressed current conditions/comorbidities as well as prevention and identification of risk factors of potential future health conditions. Of great importance to our HealthCare System is the fact that these assessments often recognize and address immediate and harmful conditions/comorbidity exacerbations that occur between the patients’ normal Wellness Exams or Office Visits that may otherwise result in the need for ER/ED visits and Hospitalizations. This in turn helped to address the patients’ holistic healthcare needs for QOL and decreases the severe financial impact on our HealthCare System for ER/ED Tx while highlighting HealthCare Prevention.

Life Line Community Healthcare, Portland Team, Portland, Oregon

April 2015 - April 2016

Scope of Practice: Independent Family Nurse Practitioner continuing to promote preventative healthcare through annual wellness visits for Medicare and Medicaid. Currently cover the state of Oregon where long-distance travel to provide care is a daily requirement. This preventative healthcare model is needed now more than ever, is long overdue and is a calling that demands dedication to address and improve our Patients’ QOL.

AZ Pain Centers, Phoenix, Arizona

May 2011 - June 2011

Scope of Practice: Worked as part of a Comprehensive Pain Management Team utilizing a proprietary injection therapy for chronic pain otherwise unresponsive to past treatment. Underwent training under guidance of Medical Director /Anesthesiologist to provide Flouroscopy Guided Facet & Transforminal Joint C/S-T/S & L/S and SI Joint Injections prn. Injections also included TPI’s w/prn large joint injections w/condition appropriate analgesia Rx’s. Tx was driven by evidenced based outcomes that facilitated improving QOL and all ADL’s including Sleep Pattern Disturbances for optimum Total Daily Functional Capacity. Head to toe assessments were provided upon initial intake to facilitate the best possible individual pain management care plan. During the initial intake assessment, any other condition/comorbidity Dx’d were forward to the patients PCP or appropriate Multidisciplinary HealthCare Provider prn.

FNP, Metro Center Health Care, Phoenix, Arizona

November 2010 – April 2011

Scope of Practice: Sole Medical Practitioner providing holistic acute and chronic Pain Management care with an emphasis on TPI’s, Joint Injections, topical NSAIDs and oral medications to break and manage acute and chronic pain cycles. Practice merges Medical Model with CAM Treatments, including Chiropractic Care with use of Manipulations, Physical Therapy, Physiotherapy and Therapeutic Massage. This approach is a unique model of co-modality care. A large portion of my patient population is an at-risk population either with or without health care insurance or who have neglected their conditions. Therefore, I evaluate all patients for any/all system comorbidity issues per assessment and refer either to their existing PCP’s, find a new PCP or any other Specialist needed for current and preventative treatment and care. Cost containment is more than ever at the forefront of health care. Effective utilization of assessment resources and timely, competent health care action are the keys to ensure best care outcomes over the health continuum.

FNP, Private Contract Pain Management, Houston, Texas

March 2009 – November 2009, April 2010 – November 2010

Scope of Practice: Medical assessment and management anchored by Family Practice Guidelines over a life continuum for acute pain, chronic pain and any/all age related comorbidities with particular attention to the multimodal health care management including CAM’s (Complimentary and Alternative Medicine) and all Pharmacologic methods with a primary focus on utilizing the lowest effective levels of all medications including opiates in order to avoid sedation and problems associated with over medication while facilitating and enhancing Activities for Daily Living and achieving maximum pain relief for an optimal Quality of Life. The use of resources include when needed: Psychiatric evaluations and Cognitive Behavioral Therapy, Smoking Cessation, minimizing or eliminating ETOH use, Physical Therapy, Occupational Therapy and Massage Therapy. Strict attention to all pertinent diagnostics including Urine Drug Screens (UDS) is a necessary component in the management of patient compliance, reinforced by a Pain Management Contract and Material Risk Notice.

Medical Associates of Manhattan, Manhattan, Kansas

Pain Management

November 2009 – March 2010

Scope of Practice: Medical management of acute pain, chronic pain and any/all age related comorbidities with particular attention to the multimodal health care management including CAM’s (Complementary and Alternative Medicine) and all Pharmacologic methods with a primary focus on utilizing the lowest effective levels of all medications including opiates in order to avoid sedation and problems associated with over medication while facilitating and enhancing Activities for Daily Living and achieving maximum pain relief for an optimal Quality of Life. The use of resources included when needed: Psychiatric evaluations and Cognitive Behavioral Therapy, Smoking Cessation, minimizing or eliminating ETOH use, Physical Therapy, Occupational Therapy and Massage Therapy. Strict attention to Urine Drug Screens (UDS) was a necessary component in the management of patient compliance, reinforced by a Pain Management Contract and Material Risk Notice.

Pain Relief Specialists Northwest, Gresham, Oregon

Pain Management

2008 - 2009

Scope of Practice: Medical management of acute pain, chronic pain and any/all age related comorbidities with particular attention to the multimodal health care management including CAM’s ( Complimentary and Alternative Medicine) and all Pharmacologic methods with a primary focus on utilizing the lowest effective levels of all medications including opiates in order to avoid sedation and problems associated with over medication while facilitating and enhancing Activities for Daily Living and achieving maximum pain relief for an optimal Quality of Life. The use of resources included when needed: Psychiatric evaluations and Cognitive Behavioral Therapy, Smoking Cessation, minimizing or eliminating ETOH use, Physical Therapy, Occupational Therapy and Massage Therapy. Strict attention to Urine Drug Screens (UDS) was a necessary component in the management of patient compliance, reinforced by a Pain Management Contract and Material Risk Notice.

Assessed, managed and scheduled procedure algorithms for four physicians (two Anesthesiologists and two Physiatrists.)

Management of patient conditions included a variety of Neurological and Musculoskeletal conditions that created radicular and neuropathic pain along with paresthesia, numbness and tingling. These conditions were managed with injection procedures that included pain management with Intrathecal Pump Implants- Trial and then Permanent, Spinal Cord Stimulators (SCS) Trial and then Permanent ( psychological evaluations prn for these procedures), Epidural Steroid Injections (ESI’s) CFESI‘s-TFESI‘s-LFESI‘s along with Sacroiliac and Caudal injections etc., Facet Joint Injections, Costovertebral Blocks, Medial Branch Blocks (MBB‘s), Sympathetic Nerve Root Blocks (SNRB’s), Interscalene Brachial Plexus Blocks, Stellate Ganglion Blocks, Radiofrequency Neurotomy (or RFTC‘s) Rhizotomy, Botox injections for migraine headaches with Occulomotor Spasticity, Disc decompressions, Discograms, Vertebroplasty, Bone Density tests and EMG’s. All procedures were based on a thorough evaluation of Past Hx, HPI with NPS, assessment, diagnostics, functional capacity, sleep patterns, pain descriptions along with aggravating and relief factors, psychological influences and procedure outcomes either diagnostic to support pain pathways, relief patterns based on assessed % of documented pain relief to support ongoing procedural treatments or a change to the next procedure per protocol to optimize the pain relief treatment efficacy.

Two afternoons a week I performed injections which included TPI’s (Trigger Point Injections), shoulder and knee injections with steroids or Viscosupplementation: Synvisc, Supartz, Hyalagan or Orthovisc depending on the condition or trauma.

Large geriatric population on Medicare and some without health care insurance therefore, maximum care achieved with cost containment.

Northwest Primary Care Group, P.C., Portland, Oregon

Family Practice Medicine

2007-2008

Scope of Practice: Provided total patient healthcare for newborns to geriatric patients.

Legacy Health Care System Research, Portland, Oregon

2003 – 2007

Involved in the 2006 LEAP research study (Directly observed lifestyle intervention for people with metabolic syndrome: a pilot study)

Concluded study April 2007

Providing final statistical analysis before publication

Publication scheduled for 2008-09

Participated as a research intern in the 2003 Lap-Band study

(Note: This unpaid research opportunity gave me invaluable insight as a nurse and provider into the impact of outcome based best practices for optimal, participatory healthcare management for patient care over a life time.)

Lead RN, Northwest Primary Care Group, P.C., Clackamas, Oregon

2001 – 2002

Served as an Asthma Teacher and Diabetes Facilitator

Preformed head-to-toe and mental health assessments ordering any/all diagnostics prn

Administered immunizations, injectable medications, and IV solutions and medications

Performed pulmonary function testing, peak flow testing, EKGs, audiometry testing, visual acuity and ishahara exams, blood glucose monitoring, O2 saturation monitoring, and neuro and circulation checks along with ACLS team leader prn

Assisted with allergy testing, sigmoidoscopies and vasectomies, and splinting and casting of orthopedic injuries

Arranged physical therapy, occupational therapy and home care

Provided continuing instruction to and supervised Medical Assistants and assisted with coordination of interdepartmental staff. Instrumental in implementing an improved phone triage service. Cost containment for all patient care. Large Medicare client/patient population

Staff RN, Kaiser Sunnyside Medical Center, Clackamas, Oregon

1999 – 2001

Provided nursing care to CCU, ICU step-down, telemetry, medical-surgical and medical overflow patients

Assisted in Gastroenterology for administration of conscious sedation and GI studies

Performed assessments, administered medications and emergency drugs, assisted in cardioversions, initiated pre-op and post-op interventions

Collaborated with interdisciplinary team members including but not limited to physicians, physical therapists, occupational therapists, respiratory therapists, speech pathologists, registered dieticians, and social workers

Utilized critical thinking in teaching patients and families about disease processes and lifestyle changes and initiated care conferences with patients and families

Provided psychosocial support to patients and families with end of life issues and the grieving process

LVN/LPN, Floor Nurse, Gateway Care and Retirement Center, Portland, Oregon

1994 – 1996

Managed care for residential care patients and senior assisted living residents. Coordinated multidisciplinary departmental involvement in patient care for the achievement of a balanced, holistic care plan centered on Functional Capacity, Activity for Daily Living and maximum Quality of Life,

LVN/LPN, Private Duty Nurse, Ralph Schlesinger Company, Portland, Oregon

1993 – 1994

Managed and coordinated care for an end-stage geriatric diabetic patient.

LVN/LPN, Private Duty Nurse, Adams and Gray Home Care Specialists, Portland, Oregon

1988 - 1993

Managed and coordinated care for a variety of geriatric clients/patients in various disease stages.

LVN/LPN, V.A. Hospital, Portland, Oregon

1984 – 1988

Worked as staff nurse on a medical-surgical floor and ER nurse float pool.

Education:

Master of Nursing, Washington State University, May 12, 2007

Bachelor of Science, Nursing, Washington State University, June 2004

Associates of Applied Science in Nursing, Mt. Hood Community College, June, 1999

United States Naval Hospital Corpsman including FMF, 1977 – 1981

Honorable Discharge, after which challenged and passed California LVN Boards

Certifications and Licenses:

FNP-PP, State of Oregon, 2007 – Present

Advanced Practitioner (FNP-PP), State of Washington, 2015 - Present

ANCC Board Certified, 2007 - Present

DEA License, 2015 - Present

Medicare-Medicaid Enrolled

Training:

ACLS, BLS

Conscious Sedation Certification, Asthma Teaching Certification

Cardio-Pulmonary, Diabetes, Orthopedic and PM Facilitator

Casting and Splinting Workshop

Suturing and Laceration Management Workshop

Critical Care Consortium

Honors:

Graduated Magna cum Laude, Washington State University School of Nursing, 2004, ADN to BSN Program.

Anna Mae Tichy Proficiency in Nursing Award, Mt. Hood Community College, 1999

Publication of graduate thesis project on Learning Disabilities, 2009



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