Anjanette Michelle Devine, DNP, APRN, FNP-C

*** ****** *****, *******, ** 39110

Mobile Phone 541-***-****

E-mail: ad2ysl@r.postjobfree.com

Patient Care Philosophy

Patient care necessitates treating people with respect and integrity. I believe in the uniqueness of each person as an integrated being with intrinsic dignity and worth. As an advanced practice nurse, I am professionally accountable for the care I provide. Therefore, I believe in practicing in a dynamic and supportive work environment while collaborating with colleagues and other health care professionals to provide patient and family-focused care.

Education

Doctor of Nursing Practice Family Nurse Practitioner January/2015 – August/2017

Missouri State University, Springfield, Missouri

Master of Science Family Nurse Practitioner in Primary Care August/2009 – May/2011

Delta State University, Cleveland, Mississippi

Bachelor of Science in Nursing, Registered Nurse June/2008 – May/2009

Delta State University, Cleveland, Mississippi

Associate of Applied Science in Nursing, Registered Nurse August/2004 – May/2006

Holmes Community College, Goodman, Mississippi

Related Experience

Klamath Tribal Health and Family Services July/2016 – October/2023

Medical Director/Family Nurse Practitioner

Primary Care Provider duties (0.8 FTE):

Engaged in primary care and walk-in (urgent care) services for patients of American Indian and Alaskan Native descent. Maintained a primary care panel of approximately 600 patients. Served an average of 14 to 15 patients on days dedicated to primary care; and an average of 18 to 22 patients on days dedicated to walk-in clinic (urgent care).

Determined and assessed the health status of patients by reviewing records, taking comprehensive medical histories, performing physical examinations, and recording findings. Planned and oversaw on-going treatment and clinical management and general health maintenance of patients.

Ordered routine laboratory work, screening, and diagnostic tests such as plain film x-rays, EKGs, and spirometry and interpreted results. Placed orders for advanced imaging when appropriate.

Performed in-office procedures such as joint aspiration and joint injections, incision and drainage of abscesses, Nexplanon insertions and removals, pap smears, shave and punch biopsies, suturing and repair of minor skin lacerations, foreign body removal, splinting, fluorescein staining, cryotherapy, and other procedures appropriate for patient’s condition.

Informed, counseled, and instructed individuals and families on their specific health problems, test results, and general health-related matters such as nutrition, birth control, social behavior, growth and development, aging, and substance abuse.

Prescribed medications to include schedules II, III, IV, and V drugs according to proper clinical care and standards of practice.

Performed inductions and maintenance of buprenorphine Medication Assisted Treatment (MAT) in combination with counseling and behavioral therapies for patients with opioid use disorder. Out of the patients I inherited in my first year of employment, I inherited I achieved a 30% decrease in the number of patients on chronic opioid medication.

Conducted annual wellness visits and preventive care services for health promotion and disease prevention.

Performed Department of Transportation (DOT) physicals as a registered NRCME provider. Also performed other employment physicals and sports physicals.

Recognized situations requiring a specialist referral and provided a letter of consultation to that specialist to ensure continuity of care.

Provided emergency medical treatment as a BLS, ACLS, and PALS certified provider when necessary.

Prepared and maintained complete and accurate charts, case files, records and other documents using the NextGen electronic health record (EHR); reviewed material prepared by other staff for completeness and accuracy.

Acted as a clinical consultant to medical, nursing, paramedical personnel; consulted and conferred with a wide variety of health and related care providers, such as public health nurses, social workers, and mental health workers.

Attended, participated in, and contributed to in-services education and staff training sessions to maintain and increase skills, and to teach others.

Medical Director duties (0.2 FTE):

Oversaw day-to-day operations of the medical clinic with a staff of 43 people. Ensured efficient and high-quality operations of the facility.

Managed a multidisciplinary team of physicians, mid-level providers, nurses, medical assistants, and community health representatives that provided professional services to ambulatory care and home care patients.

In charge of recruitment and management of physicians, mid-level providers, nurses, managers, and other allied health staff.

Guided the onboarding of provider staff.

oPerformed checkoffs on office procedures.

oGuided documentation and reviewed 100% of documentation during initial 90 days of employment.

oPerformed FPPE and OPPE for provider staff.

Leader of the peer review committee.

Handled training, continuing education, and promotion of subordinate staff.

Conducted performance evaluations for subordinate staff.

Worked with physician and mid-level providers to improve patient care and clinical outcomes using HEDIS measures.

Updated and replaced medical policies with the support of Tribal Council (governing board).

Established clinical protocols to standardize care among providers, and standard operating procedures based on company policy to guide the actions of allied health staff.

Communicated with other medical and non-medical departments.

Led the department’s short-term and long-term goals by developing one-year and five-year strategic plans.

Managed the department’s operating budgets.

Project Lead in designing and implementing the walk-in (urgent care) clinic at this facility in 2017. The walk-in clinic is still operational today.

Project Lead for our medical clinic expansion project. We successfully completed the 3-year project and opened a second clinic site in a neighboring town.

Created monthly reports to outline department activities and track department goals.

Golden Valley Medical Warsaw Clinic Feb/2012 – July/2016

Family Nurse Practitioner

Provided prompt care to patients in a walk-in clinic format on a first-come, first-serve basis for injuries or minor illnesses such as headaches, sore throats, stomach aches, sprains, strains, cough and colds, sinusitis, and earaches. I perform minor office procedures such as fishhook removal, laceration repair, incision and drainage, debridement, foreign body removal, etc.

Performed school physicals, sport physicals, Department of Transportation (DOT) physicals and Girl and Boy Scout physicals.

Delivered continuing care of varied medical conditions to include but not limited to hypertension, diabetes, dyslipidemia, chronic obstructive pulmonary disease, asthma, coronary artery disease, thyroid disorder, anxiety, depression, etc. as well as perform annual physical exams.

Sole Connection Foot Care Clinic Sep/2011 – Feb/2012

Nurse Practitioner

Assessed and treated diabetic and nondiabetic feet conditions to include clipping of elongated nails, debridement of mycotic nails, and reduction of ingrown toenails.

Treated tinea pedis, neuromas, and plantar fasciitis.

Treated dry skin conditions.

Madison County Medical Center Feb/2007 – Dec/2011

Labor and Delivery Registered Nurse/Charge Nurse/ICU Float Nurse/ER Float Nurse

Followed physician treatment plans for patients during their prenatal, intrapartum, and postpartum periods.

Adhered to standard orders for magnesium sulfate therapy for pregnancy-induced hypertension, terbutaline therapy for preterm labor, Pitocin therapy for induction or augmentation of labor.

Circulating nurse for cesarean sections.

Affixed electronic fetal monitoring (EFM) belts, interpreted EFM strips, and monitored laboring women.

Performed sterile vaginal examinations for dilatation, station, and effacement; and triaged pregnant patients who presented with acute complaints.

I floated to medical-surgical unit, ICU, and ER units to provide care in acute disease processes as needed during times with the OB ward was not busy.

Duncan M. Gray Episcopal Camp, Camp Bratton Green May/2009- Aug/2011

Camp Nurse, RN

Provided first aid to campers, issuing all prescription and over-the-counter medications, and maintaining the infirmary for campers, counselors, and staff.

University of MS Medical Center May/2006-April/2007

Staff Nurse, RN—Neuroscience ICU

Performed hemodynamic monitoring of ICU patients who were post-stroke status or had traumatic brain injuries, spinal cord injuries, or were otherwise neurologically critically ill.

Initiated and titrated chemical drips per physician orders.

Monitored mechanical ventilation, ventricular drains, lumbar drains, and arterial lines.

Assisted in ACLS as needed for patients who became clinically unresponsive.

Hands-on Clinical Skills (including but not limited to…)

Basic suturing

Large joint injections (knees, shoulders, elbows, hips)

Well women exams

Joint aspiration (knees, elbows)

Foreign body removal

Nexplanon insertion and removal

EKG interpretation

Splinting/casting

Emergency wound care

Radiology interpretation (plain film radiographs)

Digital anesthesia blocks & field blocks

Wound management

Ingrown toenail removal

Incision and drainage of abscess

Trigger point injections

Cryotherapy

Punch and shave biopsies

Subungual hematoma release

Paronychia drainage

Additional Experience

Canton Career Center/Canton Public Schools July/2008-May/2010

Allied Health Instructor

Duties: Instructed secondary level allied health students by introducing them to anatomy and physiology, careers in health care, basic nursing skills, cardiopulmonary resuscitation, first aid, lab skills, medical terminology, and medical information management.

LetterPerfect Transcription Service May/1995 – Aug/2005

Owner/Medical Transcriptionist

Duties: Owned small, home-based medical transcription company that catered to local hospitals and clinics. Transcribed history and physicals, discharge summaries, operative reports, radiology reports, and consultation reports, etc. within specified turn-around time frames. I also managed a small group of employees to assist with transcription.

Truly Family Medical Clinic July/1990 – Feb/1996

Office Manager

Duties: Hired, trained, and provided performance management to the administrative staff of the facility. Performed various operational duties such as managing payroll, accounts payable and accounts receivable, preparing financial statements and coordinating employee work schedules. Ensured that all equipment such as office supplies and medication was procured and in stock.

Leadership Experience

Medical Director of Klamath Tribal Health and Family Services from 2017 through 2023

Operations Sections Chief of the Emergency Preparedness Committee, Klamath Tribal Health and Family Services, 2017

Pharmacy and Therapeutics Committee member, Klamath Tribal Health and Family Services, 2017

Case Management Committee member, KTHFS, 2016-2023

Credentialing Committee chair, KTHFS, 2017-2023

Walk-In Clinic Implementation Project Lead, KTHFS, 2016-2017

Clinic Expansion Project Lead 2019-2022

Advisor for Canton Branch of the Health Occupation Students of America (HOSA) from 2008 through 2010

Led high school students grades 10-12 in a district HOSA competition where my students placed 2nd, 3rd, and 5th place in pathophysiology in 2010.

Holmes Community College Nursing Class President, 2004 – 2006

Clinical preceptor FNP students from 2012 through 2023:

Community Service

Women’s Weekly Bible Study teacher, 2013 to present

Pianist and worship leader for local church, 2004 to present

Played piano on Saturdays once a month for the local nursing home, 2005 to 2010

Community Health Fair Participant, December 2009

Community Health Fair Participant, March 2009

Breast Cancer Walk 2008 and 2009

Served dinner at Stew Pot Thanksgiving 2009

Served dinner at Stew Pot Christmas 2009

Conducted can food drive for the hungry 2009

Walk-A-Thon participant for the American Lung Association 2008

Research

Past Research. I did a quality improvement project at Klamath Tribal Health and Family Services for my Doctor of Nursing Practice degree. The project was entitled “Prescription Refill Management Quality Improvement Project Utilizing Standardized Protocols for RNs in a Tribal Clinic”. The aim of the project was to achieve a more streamlined method for prescription refill management by employing evidence-based, RN-guided prescription refill protocols. Implementation of the protocols was to decrease the workload for the providers by allowing RNs to refill prescriptions using predefined algorithms. The project contained measurable objectives and aims with varying methods of evaluation (surveys, pretests and posttests, paired t-tests, questionnaires) to determine if the goals of increased consistency in refill management procedures; and improved patient, provider, and nurse satisfaction with the refill processes are achieved. The date of completion for this project was July 2017. The project was a success, and the nursing staff was able to handle 78% of refill requests using the predefined algorithm, successfully reducing provider workload.

Past Research. As a nurse practitioner student at Delta State University, I completed a research project in 2011 entitled “A Replication of the Breast Education and Early-Detection Project (B.E.E.P.): A Comparative Analysis of Pre- and Post-Breast Education Program Participant Learning.” The premise of the research was centered on breast health education, health promotion and self-care. By the end of the research period, there was a significant increase in breath health post-test scores compared to pre-test scores, and participants reported more self-breast examinations, clinical breast examinations and mammography screenings in the three-month period immediately after the education sessions.

Publication

Oleribe, O., Miller, R., Wadzeck, M., Mendez, N., Tibay, J., Devine, A. et. al. (2021). Klamath Tribal Response to the Pandemic of COVID-19 Among Klamath Tribal Community in Oregon, USA. Sage Journals.

https://journals.sagepub.com/doi/10.1177/21649561211034470

Professional Affiliations/Memberships

American Academy of Nurse Practitioners, 2011 to present

American Nurses Association, 2008 to present

Missouri Nurses Association, 2014 to 2016

International Nurses Association, 2015 to 2016

Sigma Theta Tau Nursing Honor Society, 2009 to 2012

Mississippi Nurses Association, 2008 to 2012

Health Occupations Students of America (advisor), 2008 – 2010

Certifications

Basic Life Support (BCLS/CPR) Expiration 2025

Advanced Cardiovascular Life Support (ACLS) Expiration 2022

Certified Family Nurse Practitioner (AANP) Expiration 2026

National Registry of Certified Medical Examiners (DOT) Expiration 2024

Missouri Advanced Practice Nurse Expiration 2017

Mississippi Registered Nurse Expiration 2024

Mississippi Nurse Practitioner Expiration 2024

Educator License, 355 Health Cluster Expiration 2011

Oregon Advanced Practice Nurse Expiration 2025

Honors and Awards

Most Outstanding Student Award May/2011

Family Nurse Practitioner Track, Delta State University

Highest GPA Award May/2011

Family Nurse Practitioner Track, Delta State University

Canton Chamber of Commerce Award February/2009

"For dedication to the education of the children of Canton, Mississippi"

Community Service Award May/2009

For "Valuable Services and Contributions" and service in various health fairs in the Canton Community

Academic Achievement Award May/2009

Canton Public School District

Teacher of the Year Award May/2009

Allied Health Teacher, Canton High School 2008-2009 School Year, Canton, Mississippi

References

Available upon request

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