Nurse Practitioner Medical
Resume:
P. Annette Stiltner, MSN, RN, APRN, FNP-BC
Ona, WV 25545
*******.********@****.***
EDUCATION:
May 2012 Marshall University
Huntington, West Virginia
Master of Science in Nursing – Family Nurse Practitioner
Aug 2005 Old Dominion University
Norfolk, Virginia
Baccalaureate of Science in Nursing
May 1999 St. Mary’s SON/Marshall University
Huntington, West Virginia
Associate of Science in Nursing with Honors
PROFESSIONAL NURSING EXPRIENCE:
June 2014 - Current
Nurse Practitioner
Pleasant Valley Hospital
Point Pleasant, West Virginia
Nurse Practitioner
Function in 3 separate roles within the Pleasant Valley Hospital Organization: Hospitalist (full time) – from 8/2014 to current
Orthopaedic Outpatient Clinic in conjunction with Marshall Orthopedics (part time) – from 7/2014 to 7/2015
ExpressCare/Urgent Care (per diem) – 6/2014 to current
Obtain complete medical history and physical data on patients. Diagnose and treat according to interpretation and integration of data. Determine appropriate diagnostic and therapeutic procedures as needed. Perform inpatient admissions, discharges and transfers. Assist Hospitalist physician team with coverage of ICU patients. Perform a complete physical exam and records findings. Establish, implement, and update plan of care for admitted patients. Collaborate with physicians, and multidisciplinary team members in managing acute and long-term medical needs of patients. Order appropriate laboratory and diagnostic procedures. Prescribe appropriate medications and intravenous therapies. Performed injections of the shoulder, elbow and knees, aspiration of knees and splinting. Interview and advises patients regarding health and illness prevention. Recommend community resources to meet patient and family needs. Instruct patient and family regarding medications and treatment instructions. Provide patient education. Maintain and review patient’s records, charts, and other pertinent information. Post tests and examination results. Triage patient telephone calls and provides consultation. Manage medical and surgical emergencies. Provide monitoring and continuity of care between physician visits when appropriate for patient condition. Attend required meetings and participate in committees as requested. Participate in professional development activities and maintain professional affiliations. Cover inpatient population ages 18 and over. Express Care/Urgent Care population includes age continuum. Covered orthopedic outpatient population 5 and over.
September 2012 - July 2014
Nurse Practitioner
Huntington Treatment Center
Huntington, West Virginia
Nurse Practitioner
Applied current principles, methods and procedures for the delivery of medical evaluation, diagnosis and treatment of adult patients with opioid addiction – average patient case load was 1098 patients in treatment during my tenure. Performed new patient intake physicals and assessment, as well as determined if patients were appropriate candidates for voluntary outpatient treatment. Provided patient and family education regarding options of medications/treatments for opioid addiction. Performed annual physicals on all active patients. Performed new patient follow ups to assess for progress during induction phase of treatment. Monitored, assessed, and tracked all pregnant patients in treatment. Assessed patients for possible intoxication, adjusted medications accordingly and provided counseling. Tracked and documented all medically required components of treatment, for all 1098 patients, to maintain state, federal and DEA compliance. Stringent surveillance for Hepatitis C and tuberculosis. Work closely with the Cabell County Health Department and the state level of the West Virginia Department of Health and Human Resources initiatives on patients who were positive for Hepatitis and tuberculosis. Advised and aided in the education and implementation of health maintenance and illness prevention, such as tuberculosis, Hepatitis B & C and HIV/AIDS. Identified mental health issues with patients, counseled and referred accordingly. Recommended community resources to meet patient and family needs. Responded to requests and inquiries from the general public in person and over the telephone. Documented and maintained electronic medical records. Provided education, for medical and non-medical staff, in relation to medications used in the treatment of opioid addiction, medically related topics (i.e. – Blood borne pathogens, Tuberculosis, Standard Precautions, etc.).
August 2012 - December 2014
Nurse Practitioner – 1099 Contract Position
Barboursville Urgent Care
Barboursville, West Virginia
Nurse Practitioner
Applied current principles, methods and procedures for the delivery of medical evaluation, diagnosis and treatment of patient spanning the age and diagnostic continuum. Prescribed proper medications/dosages and instructed patients in correct usage, to include drug/drug interactions and signs of adverse side effects. Provided patient and family education regarding medications, treatment and discharge instructions. Ordered, evaluated and read lab work, EKGs, and radiographic studies. Sutured minor lacerations. Performed minor procedures when appropriate. Diagnosed and documented supporting medical information. Interviewed, advised, and aided in the implementation of health and illness prevention. Recommended community resources to meet patient and family needs. Responded to requests and inquiries from the general public in person and over the telephone. Performed sports and work related physicals and drug screenings. Managed medical emergencies. Documented and maintained electronic medical records. Referrals to appropriate specialists as indicated.
October 2008 - August 2012
Patient Transfer Coordinator
Cabell Huntington Hospital
Huntington, West Virginia
Patient Transfer Coordinator
Coordinated all transfers of patients into and out of Cabell Huntington Hospital (CHH) from outlying referring facilities and to specialty facility. Triage patient, based on verbal reports, to determine patient level of illness severity, make recommendations for patient treatments prior to transport, coordinate mode of needed transport, and assign receiving department. Accepted patients, for transfer to CHH, on behalf of accepting physicians and specialists. Obtained physician and nurses report and relayed reports to appropriate staff/physician. Developed and maintained detailed information and flowsheet databases for all transfers that occurred into and out of CHH. Reported detailed flowsheet databases, on monthly basis, to executive team.
March 2007 - November 2008
Pediatric Intensive Care Unit
University of Virginia Medical Center Charlottesville, Virginia
Department/Unit Manager
Responsible for the overall function of a Level I Pediatric Intensive Care Unit. Assumed daily activities, personnel issues, staffing, and morale of a multidisciplinary Pediatric Intensive Care Unit in an academic and level I trauma center. Responsible for interviewing and hiring potential core staff and travelers. Scheduling staff to meet skill mix versus patient acuity needs. Communicated with staff via staff meetings, weekly memos, Healthy Work Environment Initiatives, Employee Engagement initiatives, and one on one as needed. Supported staff with educational needs and encouragement. Maintained Quality Assurance (QA) and Performance Improvement (PI) processes and initiatives. Maintained pertinent employee records for vaccinations, yearly TB tests, injury reports, injury treatments, yearly proficiencies/competencies, yearly performance evaluations, and educational requirements. Maintained unit compliance for The Joint Commission accreditation. Participated in Root Cause Analysis that involved any aspect of the Pediatric Intensive Care Unit. Participated in management groups to include, but not limited to, unit stock and cost initiative, review and acquisition of assistive devices to help prevent on the job injuries and review and acquisition of medical equipment.
Jan 2006-March 2007
Pediatric Intensive Care Unit – Clinician III
University of Virginia Medical Center
Charlottesville, Virginia
Aug 2004-Jan 2006 Nerancy Neuroscience Intensive Care Unit – Clinician III
University of Virginia Medical Center
Charlottesville, Virginia
July 2001-July 2004 Neurosurgical Intensive Care Unit – Clinician IV
Winchester Medical Center
Winchester, Virginia
June1999-July 2001 Neurosurgical Intensive Care Unit – Clinician II
Charleston Area Medical Center
Charleston, West Virginia
Registered Nurse
Specialized in neurosurgical and neuro-trauma patient population from graduation in 1999 to 2006. Transferred to Pediatric Intensive Care Unit and specialized in the care of multiple service line Pediatric patients. Served as primary night shift Charge Nurse. Night shift clinical and administrative leader. Preceptor to Clinician I’s, Clinician II’s new to unit, and staff nurses training for Charge Nurse role. Provided guidance and mentoring for junior staff. Responsible for quarterly and yearly evaluations and peer reviews of designated staff. Created, organized and taught yearly competencies. Assumed and initiated several unit based projects for morale and competencies. Dedicated and committed to providing the highest level of compassionate care to patients and their families. Skilled and experienced with caring for patients from neonate to geriatrics with the following:
Cardiac Anomalies
Post TCV surgical repairs
Multi trauma
Transplant patients
Renal (PD, CVVH)
Head and Spinal Cord Traumas
Multiple Syndrome Diagnoses
Respiratory Distress/Failure
Diabetic Ketoacidosis
Suicide Attempts
Cerebral Palsy
Spinal Cord Deformities
ENT surgical patients
Plastic Surgery patients
Multifaceted Neurological Disorders
Burns
Endocrine Disorders
Child Abuse cases
Orthopedic Surgical patients
Post Cardiac Cath patients
Multifaceted Neurosurgical Disorders
Cerebrovascular Events
Experience with the following procedures and equipment:
Maintain & monitor invasive lines
Swan-Ganz insertion/assessment
Ventriculostomies w/ICP monitoring
Licox ICP monitoring
Camino ICP Monitoring
Ventilator management
Critical drip administration & titration
Phlebotomy draws including ABG
Continuous cardiac assessments
NIHSS assessments
Operation of computerized data system
Organ Donation
Open chest procedures
Bronchoscopies at the bedside
CVVH
Peritoneal Dialysis
ECMO
PiCCO
Berlin Heart ventricular assist devices
Multiple surgical procedures performed at the bedside
Additional nursing responsibilities include:
Work in conjunction with Intensivist/Attendings, multidisciplinary physician teams, residents, and multidisciplinary health teams to achieve optimal patient outcomes.
Perform clinical skills according to hospital policies and standards of practice.
Provide one to one patient care including full assessments, hourly and prn vital sign assessments.
Served as resource/charge nurse.
Assisted in OR (during night shift) with head trauma patient requiring intracranial monitoring device insertions
Provided patient and family education regarding health care needs and processes.
Served as patient and family advocate
Provided immediate notification of status change to appropriate physicians.
Served on organizational committees.
Served on unit based committees.
Participated in QA activities.
Dec 1997-May 1999 Outpatient Surgery/Post Anesthesia Care Unit
St. Mary’s Hospital
Huntington, West Virginia
Nurse Extern
Preoperative and postoperative care of surgical outpatients emphasizing: IV insertions, preoperative and postoperative assessments, admission assessment database completion, and patient discharge education – all duties performed in conjunction with assigned RN.
OTHER WORK EXPERIENCE:
Jan 1995-May 1999 S. Glenn Bailey, O.D., Inc.
Oct 1992-Aug 1993 Barboursville, West Virginia
May 1994-Jan 1995 EyeDoc, Inc.
Beckley, West Virginia
Dec 1991-Oct 1992 Visioncare Associates, Inc.
Akron, Ohio
Optometric Assistant
Performance of assessments, procedures and office administration to include:
Visual and medical history, pre-testing, diagnostic assessments, contact lens instruction and dispensing, as well as assisting O.D. with procedures and administrative functions including client/insurance billing. Functioned as office manager with EyeDoc, Inc. Responsible for establishing insurance billing, daily office functions, hiring, training and supervising personnel.
May 1987-Sep 1991 Physician Insurance Exchange Mutual Insurance Company
Cleveland, Ohio
Underwriting Associate Supervisor
Supervised Underwriting Assistants in the renewal, amendments, and endorsements of medical professional liability insurance policies. Promulgated and maintained all monthly and quarterly reporting procedures.
May 1985-Mar 1987 Holiday Inn
Wise, Virginia
Front Desk Clerk
Responsible for customer service, checking guests in and out, maintaining detailed financial records, assisting with area details and obtaining commodities/amenities as requested by guests.
Feb 1982-May 1985 RAX Restaurants, Inc.
Barboursville, West Virginia
Shift Supervisor/Trainer
Supervised and trained multiple shifts of employees for existing restaurants. Traveled to areas within regional territory to supervise and train staff for newly built restaurants.
PROFESSIONAL ORGANIZATIONS:
American Association of Nurse Practitioners
American Association of Neuroscience Nurses
American Association of Critical Care Nurses
West Virginia Nurses Association
American Nurses Association
Sigma Theta Tau National Honour Society
PRESENTATIONS:
Speaker at Pegasus Critical Response State Conference (2005) – “Management of ICP and Monitoring Devices”
LEADERSHIP ACTIVITIES:
Nursing Preceptor since 2000
Graduate Orientation Panel Member, Charleston Area Medical Center (1999-
2001)
Level 200 Neurological Course/Critical Care Skills Lab Instructor, Charleston
Area Medical Center (1999-2001)
Standards & Practice Council, Charleston Area Medical Center (2000 – 2001)
Critical Care Practice Group – Chair Elect, Charleston Area Medical Center
(2000-2001)
Think First Neurological Prevention Program Instructor, Charleston Area Medical
Center (2000-04)
NIHSS Instructor, Winchester Medical Center (2002-2004)
Created and coordinated multiple unit based research projects which resulted on change of practice, Winchester Medical Center (2002 – 2004)
Designated Requestor (Organ Donation), Winchester Medical Center
(2002-2004)
Trauma Morbidity and Mortality Review Committee, Winchester Medical Center
(2003-2004)
Submitted and obtained grant for startup of Think First Neurological Prevention
Program, Winchester Medical Center (2004)
Clinical Practice Committee Member, University of Virginia Medical Center (2005)
NNICU research team member “Needs Assessment of the Families of
Critically-Ill Neuro Patients,” University of Virginia Health System (2005)
with poster presentation at the American Association of Neuroscience
Nurses Annual National Conference (2006).
Evidence Based Practice “Visitation”, University of Virginia Health
System (2007)
PICU Magnet Champion, University of Virginia Health System (2007)
CERTIFICATIONS & AWARDS:
American Nurses Credentialing Center – Family Nurse Practitioner
American Nurses Association – Registered Nurse
BLS Certified, ACLS certified and previously PALS certified
Golden Key International Honour Society
Sigma Theta Tau National Honour Society
Beta Gamma Phi Honor Society
United States National Collegiate Award
Dean’s List
You Make a Difference Award UVA Local Nursing Award
REFERENCES:
Contact information for below supplied upon request
Alan Koester, MD (MU Orthopedics – upper extremity specialist)
John Cornell, MD (Hospitalist)
Zachary Tankersley, DPM (MU Orthopedics – surgical specialist ankle/foot)
Mohamad Ali,, MD (Hospitalist)
Lisa Ferguson, RN (Transfer Coordinator)
Kevin Gladys, FNP-BC (PVH Cardiology)
Gretchen Nutter, FNP-BC (PVH Surgery)
Contact this candidate