Sequim, WA *****
E-Mail: ******.*******@*****.***
TERESA BROOKE: MSN,BSN,PMH-BC
EDUCATION:
MASTER OF SCIENCE IN NURSING AND ADMINISTRATION, SUMMA CUM LAUDE Kaplan University, Tampa, FL GPA: 4.0
BACHELOR OF SCIENCE IN NURSING, INTERNATIONAL HONOR SOCIETY Saint Mary of the Plains College, Dodge City, KS GPA: 3.30 ASSOCIATE OF SCIENCE IN NURSING, DEANS HONOR ROLE
Oklahoma State University Technical Institute, Oklahoma City, OK GPA: 3.40 CERTIFICATIONS:
• ANCC - Certified Psychiatric and Mental Health Nurse
• BLS-CPR & AED Program
• CPI-Crisis Prevention and Non violent Intervention SUMMARY OF QUALIFICATIONS:
• Chief Nursing Officer /C-Suite Executive/ Director
• Critical Care Arena: Emergency-Medical-Surgical-Intensive Care
• Behavioral Health: Emergency-Acute Hospitalization-IOP
• Regulatory Compliance: Survey Readiness - Process - Follow up
• Transformational Leadership
• Organizational Behavior: Change Theory - Workplace Bullying
• Critical Thinking & Problem Solving
• Evidence Based Outcomes
• Patient and Staff Safety
• Utilization Review
• Infection Prevention Strategies
• Quality/Performance Improvement
• Risk Management
• Emotional Intelligence
• Interdiscipline Collaboration
• Patient Experience
EXPERIENCE:
Surveyor for Clinical Operations
The Joint Commission February 2022-present
Surveyor for Hospitals, Clinics, OutPatient Programs for Accreditation and Page 1 of 7
Medicare compliance.
Free standing psychiatric hospitals and clinics, Medical hospitals with in patient psychiatric units and emergency departments for regulatory compliance. Dental, Sterilization, Physical Therapy, OBGYN, Podiatry, Ophthalmologist, Xray clinics.- Maximum security forensic institutions.
Adults, adolescents, children, veterans, forensic, geriatric, speciality programs in- cluding women’s issues, aggression to self or others, eating disorders, addictions, and detox.
Interim Healthcare Executive Positions Surveyor for Clinical Operations BE Smith/AMN Health Care January 2018-
present
Provided interim executive positions nationwide in a variety of hospital and clinical areas:
o Director Psychiatry Service Line, Peacehealth, Eugene, OR o Director Mental Health, Abbott Northwestern Hospital, Minneapolis, MN o Interim Hospital Administrator & Director of Nursing, Seattle, WA o Behavioral Health Administrator, Telecare Corporation, Alameda, CA o Behavioral Health Administrator, Telecare Corporation, Shelton, WA o Nursing Director of Psychiatry, Putnam Hospital Center, Carmel, NY
• Implemented Telepsych for outreach and increase community collaboration
• Enhanced and developed incident reporting and follow through, critical incident investigation, and reporting for risk management, which included suicide prevention.
• Developed and implemented department goals and quality improvement projects.
• Created and implemented contingency planning for potential nurse strike and lead Union ses- sions for petition letter.
• Provided oversight for COVID Infection Prevention strategies for hospital and clinical settings.
• Oversight of more than 200+ FTES
• Multi System oversight, strategic planning and goal development. Open new hospitals.
• Overall operational guidance including through-put, patient experience, staff engagement, alignment of budget and practice, violence prevention, TJC prep, succession planning, leader development, and assisted with onsite investigations with government and regulator officials.
• Developed plans of correction for governmental agencies and accreditation requirements. CHIEF NURSING OFFICER
Aurora Behavioral Health Hospital Santa Rosa, California May-Nov 2016 95 bed free standing behavioral health hospital for Adults and Adolescents including IOP.
• Prepared and executed plan for The Joint Commission Survey (TJC), Centers for Medicare and Medicaid Services (CMS), California Department of Public Health (CDPH) inspections.
• Developed and implemented a Multi-Discipline Treatment Planning Process
(MDTP), treatment format tools, and point of service training for (Physicians, So- cial Services, Nursing, Dietary, and Pharmacy).
• Provided enhancement and development for incident reporting and follow through, critical incident investigation and reporting for risk management. De- veloped and implemented department goals/projects with Directors for quality improvement.
• Developed and implemented staffing protocols, records, call offs, policies and procedures, and satisfied regulatory requirements.
• Collaborated with HR in hiring protocols, on-boarding, and retention efforts re- sulting in a 25% improvement. Identified and developed plan to decrease work- place bullying.
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• Developed and implemented new orientation and training programs for all nurs- ing staff, supervisors, and Unit Directors. Tier based programs for various levels of education and experience resulting in new hire satisfaction, and decrease turnover.
• Developed and implemented structured patient programing meeting payor re- quirements.
• Streamlined and revised nursing records including flow sheets, assignment sheets, and shift reports. Resulting in accurate and complete medical records.
• Implemented Shared Governance program within nursing and social services departments. Began Pathways to Excellence Program for Magnet Status.
• Implemented first stage of Improving the Patient Experience through leadership rounding.
• Assisted in the restructure of A&R physical location, processing patients with safety enhancements and time efficiency.
• Partnered with architects in the design of 2 additional wings resulting in 60 addi- tional beds.
CHIEF NURSING OFFICER
Dominion Hospital - HCA Falls Church, Virginia April 2014 - Feb- ruary 2016 116 bed free standing behavioral health hospital for Adult, Ado- lescents, Child. Eating Disorder, Electric Convulsive Therapy (ECT) and IOP.
• Developed and initiated Shared Governance for all point of care staff (Nursing, Social Services, Educational, and Creative Therapies).
• Developed and initiated Trauma Informed Care platform,
• Developed Infection Prevention Program for Infectious Disease states Devel- oped and initiated Behavioral Emergency Response Team (BERT)
• Staff Development centered on training the caregivers eliminating a punitive en- vironment. Identified and developed a plan to eliminate bullying in the work- place.
• Collaborated with HR for staff accountability and positive recognition; developed relationships with Nursing Schools for practicums and recruitment. Collaborated with Admission department for increasing patient acuity acceptance (i.e.: tube feedings, medically compromised patients, transitions to existing lower level of care in-house).
• Development nursing pilot program for improving the patient experience via ad- mission process, patient programing, leadership rounding, and the discharge process).
INTERIM DIRECTOR BEHAVIORAL HEALTH SERVICES (temporary assign- ment)
Banner Del E. Webb Medical Center Sun City West, AZ July-Octo- ber 2013 Behavioral Inpatient Units; 12 beds Dementia, 22 beds Geriatric, Electric Convulsive Therapy (ECT), and Intensive Outpatient Services (IOP).
• Identified and corrected compliance related to: staff competencies, TJC, HIPPA, EMTALA, and AZ state regulations.
• Developed and Implemented Market Strategies for growth across the continuum.
• Performance Improvement audits and staff buy-in.
• Corporate Service Lines committees. Improved interdepartmental relationships.
• Utilization Review improvements.
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CHIEF NURSING OFFICER / SAFETY DIRECTOR
UHS - Freemont Hospital Fremont, CA December 2010 - February 2012 96-bed free standing Psychiatric hospital. 5 secure units: 4 Adult 1 Adoles- cent unit.
• Developed plans of correction and monitoring systems for deficiencies including Regulatory compliance, Utilization Review; Quality Improvement, and Risk Man- agement.
• Developed interdepartmental systems for improving collaboration.
• Decreasing nursing FTE waste over 50% (restructure work assignments, 1:1s & LOS).
• Decreased services waste by 45% (Interpreters Services & Transportation cost).
• Decreased lost valuables by 125%.(developed systems for safe storage and recording).
• Developed the Interdisciplinary Treatment Collaboration system and Treatment Planning model for Quality Improvement and Utilization Review.
• Developed the nursing orientation program and emphasized education and re- wards
• Coordinated surveys from TJC, CMS, and CDPH/Title 22.
• Developed initiatives for patient program activities (Quality Improvement). GRADUATE NURSING STUDENT (FULL TIME)
2008- 2010
TRAVEL NURSE United States 2005-
2008
Behavioral health programs: Gero-psych, adult, adolescent, child, and forensic programs.
• Participation in case management, Quality Improvement activities, Utilization Review, program restructuring, and team building.
June 2003 – December 2004
PROVIDENCE PORTLAND HOSPITAL, Portland, OR
Supervisor
Supervised and performed direct patient care activities on this 24 bed co-occurring detoxi- fication/general medical/psychiatric unit. Assisted with Joint Commission preparation and participated in various Magnet, Quality Improvement, Case management, and utilization review committees.
April 2003 - 2004
FAVORITE NURSES TEMPORARY AGENCY, Portland, OR
Training Instructor – per Diem
Responsible for total patient care training for Critical Care, Medical/Surgical, LTC, and Psychiatry nursing staff.
May 2002 - May 2003
UNITED STATES POST OFFICE (USPS) Portland, OR
POSTAL WORKERS UNION NALC
Occupational Health Nurse Administrator
Reporting to the Post Master secured and evaluated contracts for medical services. Supervised case management RN’s and first line supervisors to insure medical & labor Page 4 of 7
union compliance. Performed ergonomic evaluations and serviced health provider relations. Performed audits for OSHA compliance and conducted general staff development activities. Selected Accomplishments: Implemented preventive care and health programs. Developed application processes for safety programs, medical records and medical stan- dards for Department Heads and Supervisors. Served on the following committees: ADA, Crisis Management, Labor Union Board, Legal assessment team, Human Resources, Work- ers Compensation and non-work related illness and injuries. November 1998 - May 2002
PACIFIC HARBOR INC., Portland, OR
Safety Director, Occupational Health
Evaluated and conducted new hire risk assessments, disability management-preventative health assessments, and case load management. Provided employee wellness education and developed and implemented safety protocols.
July 1998– November 1998
HILL ROM INDUSTRIES, Oregon
Territory Sales Manager
Durable medical equipment sales. Wound consultant. Exceeded MBO’s by 61%. August 1993- July 1998
WILLIAMETTE FALLS HOSPITAL, Oregon City, OR
Charge Nurse, Critical Care
Supervised critical care staff and assisted with Quality Improvement activities, Risk Management functions and participated on JCAHO committees. Provided staff education. Revised policies/procedures.
August 1993– April 1997
FAVORITE NURSES TEMPORARY AGENCY, Portland, OR
Per Diem Training Instructor
Provided total patient care training for Critical Care, Medical/Surgical, LTC, and Psychiatry patient care staff members.
December 1992 – August 1993
CEDAR HILLS HOSPITAL, Portland, OR
Behavioral Health Director
Reporting to the Medical Director in this private, free-standing 76 bed mental health facility, responsible for 13 direct reports overseeing the Inpatient, Day Program, and Partial Hospitalization Program for chronic mentally ill adults. Selected Accomplishments: Exceeded standards of care for reimbursement. Negotiated with payer sources for value added service. Average daily census grew 43 percent. August 1992 – November 1992
BEVERLY ENTERPRISES, TIGARD CARE CENTER, Tigard, OR Director of Staff Development/Infection Control Coordinator/ Director of Nursing
Provided structured leadership in this 80 bed Long Term Care facility consisting of three wings: Selected Accomplishments: Developed 12 competency based education topics for vide media programs. Decreased patient care deficiency rates from 12 to 0 as measured by Oregon State LTC regulations. Decreased lice infestation rate from 6% of the patient population to 0.
November 1984 – July 1992
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SAINT ANTHONY HOSPITAL, Oklahoma City, OK
Staff Nurse - Critical Care/Float Nurse - Cardiac Recovery, Cardiac-Surgical Critical Care Areas June 1989 –July 1992)
Psychiatry - Relief Charge Nurse (July 1987 - July 1992) Performed Charge Nurse Duties on Open and Closed Units, Adult, Adolescent/Child, and Geriatric.
Relief Nurse Electric Shock Therapy/Electric Convulsive Therapy (ECT) 1985 –1990 Assisted in treatment and recovery of patients receiving convulsive therapy. Developed policies and procedures in relation to ECT. Per Diem Staff Nurse - Adult Chemical Dependency Unit (November 1984 – July 1987) May 1982 - December 1987
SOUTH COMMUNITY HOSPITAL, Oklahoma City, OK
A 369 bed acute care facility now known as Integris South West Medical Center. Staff Nurse – Medical/Surgical Unit (1986 –1987)
Staff Nurse/Relief Charge Nurse – Intensive Medical/Coronary Unit (1982 – 1987 MEMBERSHIPS:
• Sigma Theta Tau International Honor Society
• Alpha Beta Kappa Honor Society
• APNA: American Psychiatric Nurses Association
• ANA: American Nurses Association
• AONE: American Organization of Nurse Executives
• ACHE: American College of Healthcare Executives
ARTICILES & PRESENTATIONS:
1. Adaptation Model of Nursing within acute psychiatric nursing. 7pages. 2. Nursing Burnout. A Concept Analysis, Literature Review and Application. 12pgs. 3. Organizational Change. 13 pages.
4. Emotional Intelligence for Nurses. PPP, 13 slides. 5. Organizational Culture. 10 pages.
6. Operating Budgets Made Simple. PPP, 23 slides.
7. Business Plan for Nurse Burnout. 10 pages.
8. Life Cycle of a Health Care Employee. PPP, 20 slides. 9. Analysis of Forecasting and Succession Planning. 9 pages. 10.Interdisciplinary Collaboration. 8 pages
11. Violence in the Workplace. 2 articles. 7 pages and 11 pages. 12.Managing Human Capital. 15 pages.
13.Assessment of Factors that Affect Adoption of Innovation Technology. 9 pages. 14.Adults in Need: Mental and/or substance abuse diagnosis. PPP, 19 slides. 15.Technology Systems Integration. 7 pages.
16.Dilemma and Ethical Analysis. 10 pages
17.Increasing Nurse Retention through decreasing Nurse Burnout. 26 pages. Page 6 of 7
18.Nurse’s Perceptions of Futile Care and Its Effect on Burnout. 13 pages. 19.Organizational Behavior & Theory. 9 pages.
20.Human Resource Systems: Violence in the Workplace. 7 pages. 21.Mental Health-Depression & Stigma. 19 pages.
22.Workplace violence and the effects on interdisciplinary collaboration. 21 pages. Page 7 of 7