MADELENE L. COSTELLO, MSN, APRN-CNP, FNP-BC®
*** ********* ** ******, ** 76071
www.linkedin.com/in/madelenecostello
****************@*****.***
PROFESSIONAL EXPERIENCE
Federal Emergency Management Agency, multiple clinic sites all over US Area Clinic Manager, 8/21 to 11/23.
•Clinical management of multiple FEMA Occupational Clinics, Covid testing clinics, and Disaster sites.
•Ensure delegation and proper management of independent nursing assessment, diagnosing, and intervention according to FEMA nursing protocols to nurses.
• Conducted antigen and PCR testing for SARS-Cov suspected cases for FEMA employees and military personnel
Medicare Home Risk Assessment, DFW, TX
Part time NP House calls, 01/23 to 06/23
•Assess a patient’s functional status and creates a care plan according to the assessed health risk, at the convenience of the patient’s home.
Primary MD PLLC LLC (3/22-6/22)
FNP Clinical’
• An intensive and definite medical history and actual physical assessment, which includes psychological, developmental, and socio-cultural aspects.
• Educate and direct patients on prevention of sickness and modification of a healthy way of living.
• Oversee patient treatments which includes acute and chronic sicknesses like influenza, respiratory tract diseases, acute otitis media, cellulitis, diabetes, hypertension, thyroid and cardiovascular problems, cancer, asthma, and many other developmental health issues.
• Diagnosis initiated treatment care plans, and the supervision of chronic sicknesses. ABC Medical Center (8/22-10/22)
FNP Clinical’s
• Provide proof-based treatment care plans for the geriatric population, while observing compassionate geriatric care.
• Gather comprehensive geriatric evaluation, performed physical examination, assessed the screening tools if its updated, taking note of the high-risk population such as those with diabetes, atherosclerotic cardiovascular disease, chronic kidney disease, and many more.
• Thorough health assessment, recognition of correct diagnosis, ordering the diagnostic test, prescribing the evidenced based treatment care plan, and collaborative referrals to the correct specialist.
• Supervision of polypharmacy, recognition of the side effects, ensuring the highest quality care needed for the geriatric community.
Mansfield Pediatrics (10/22-12/22)
FNP Clinical’s
• Conducted comprehensive well-child health checks, screening of developmental level, acute care consultations, and initiated a return consultation for the patients starting their birth to 18 years of age.
• Initiated physical assessments and teaching on patients and relatives about prevention of head trauma and concussion care.
• Acquired confidence in the knowledge of growth advancement and development, anticipatory guidance on pediatric population, and teach the child to notify their parents on any feelings of anxiety, fears, or concerns in life and in treatment care.
• Acute and persistent child sickness management and proper recognition of diagnosis, as well as the effect of early life illness on development and advancement.
• Provision of compassionate primary care administrations.
• Oversee ongoing circumstances like diabetes, hypertension, joint pain, respiratory issues, and thyroid problems.
• Under the guidance of a preceptor, survey the need for reasonable lab tests, request them, and understand the outcomes.
• Collaborate and coordinate with clinical experts with suitable referrals. Women’s Health (8- week rotation)
• Acquired knowledge on the underlying health processes involving women’s health and their reproductive system.
• Gather medical history and conducted physical examination such as pelvic exam, menstrual problems assessment, breast exam, pap smear test, cervical swabbing, sexual contraception, fundic height assessment, and prenatal assessment.
• Provided patient centered care, displayed empathy, respect, and sensitivity to the patient’s presenting condition.
• Master the diagnosis and treatment of uterine problems, hormonal abnormalities, contraceptive pill, pelvic floor dysfunction, and sexually transmitted diseases. Federal Occupational Health, Oregon, Georgia, and Alabama Travel RN, 1/21 to 3/21 Nurse Coordinator, 5/19 to 12/20
•Abide according to federal and local nursing services regulations.
• Administrative, human resources, planning of staffing schedule, and management.
• Independent assessment, diagnose, and intervene according to FOH nursing protocols.
• Triages and responds to emergency needs of government employees in the building.
• Performs pre-employment, periodic and medical surveillance exams to all government agencies.
• Provides direct nursing care and services such as wound care, splinting, vitals, ekg, spirometry, audiometry, titmus machine for comprehensive vision, respiratory fit testing and many more.
• Solid ability to monitor nursing procedure competencies of RN’s and ensure the department is functioning within federal state guidelines.
Avamere Rehabilitation, Beaverton, OR
Rehab Skilled Charge RN, 1/19-12/19
• Oversee daily functioning of the unit directing admissions discharges and general patient flow.
• Assign nurses, CNA, med aide and other support staff to patient care while meeting the daily goals of the unit.
• Facilitating nurse involvement in rounds assures appointments are kept, family teaching is completed, and that staff receive meal breaks.
• Maintain patient care consistent with the mission’s value and operating principles of the department of nursing and the facility.
• Support the patients and healthcare team as an advocate for the patient and their family.
• Trains and equips the new RNs that are newly hired in the facility, provides mentoring, and assists 24/7.
Sheraton, Bahrain
Occupational Clinic RN, 2/15-2/17
• Independent delivery of medical care and treatment to 250+ guests and staff.
• Performed basic first aid care to minor trauma/injuries caused by accidents.
• Assessed, observed, and adhered to abide in dispensing over-the counter medications to patients, as ordered, and for other cases that need referral.
• Ensured staff certification compliance of the yearly medical examinations.
• Contributed enormous amounts of health and wellness promotions through trainings and seminars.
Ritz Carlton, Bahrain
Occupational Clinic Nurse, 2/13 to 2/15
• Executed basic practice nursing services to 950+ staff and guests.
• Managed and prioritized health problems and intervened appropriately.
• Assisted patient in complex, urgent or elective cases including initiation of effective emergency care.
• Performed variety of skilled work related to monitoring of long- and short-term conditions, and the provision of preventative health care.
• Demonstrated critical thinking skills and clinical decision making in managing minor illnesses.
• 4th Quarter 2014 Five-Star Employee.
German Orthopedic Hospital, Bahrain
Orthopedic RN, 1/11 to 9/13
• Provided nursing care for up to 5 maximum patients per shift with acute and chronic cases including Torn Meniscus, Ligament Injuries to the knee, Scoliosis, Osteoporosis, Fractures, Osteoarthritis, Knee/Hip Replacement, and other sports related injury, etc.
• Executed comprehensive and accurate nursing assessment of patients using suitable assessment tools underpinned by evidenced based knowledge.
Royal Bahrain Hospital, Bahrain
Outpatient RN, 12/10-6/11
• Provided outpatient care to adolescents on 25-bed OPD Unit with diagnoses including IM, cardiac GI/GU and respiratory illnesses.
GAB Memorial Medical Center, Phil
Operating Room/ Delivery Room Nurse II, 10/07 to 11/10
• Provided intensive nurse care prenatally and during labor, delivery and postpartum for 5-8 patients per shift. Executed high volume of nursing practice at a 500-bed capacity Government Hospital.
• Supervised one nursing assistant and 2-3 volunteers per shift. EDUCATION
United States University, San Diego CA, Master of Science in Nursing - Family Nurse Practitioner, December 2022
Our Lady of Fatima University, Valenzuela City, PH Bachelor of Science in Nursing, Oct 2007 LICENSURE/ CERTIFICATION
Family Nurse Practitioner (APRN-CNP)
Board Certified Family Nurse Practitioner ANCC, April 2023 Texas State, License no. 102168 through 11/30/2024.
Registered Nurse (RN)
Texas State, current through November 2024
Oregon State, current through November 2024
Basic Cardiac Life Support. American Heart Association, current through June 2024 Advanced Cardiac Life Support, American Heart Association, current through November 2024 FNP CLINICAL EXPERIENCE
RELATED SKILLS
• Novice knowledge of EPIC and NextGen EHRs
•Excellent knowledge of Microsoft Word, Excel, PowerPoint • Beginner Spanish language skills