Mental Health Nurse Practitioner

NIKITA DHUNGEL

Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)

**** ****** ****** **, **** Worth, TX 76177

Email: **********@*****.***

Cell phone: 682-***-****

CAREER GOAL

To provide quality and compassionate mental health care by thorough evaluation, diagnosis, and treatment of patients with psychiatric disorders across all age groups in collaboration with the psychiatrist, under the guidelines of state licensure for PMNHP in the state of Texas.

SKILLS

Strong communication skills in both writing and speaking.

Strong computer skills and critical thinking skills.

Therapeutic options skills for managing behavioral health patients.

Electronic documentation skills using Epic and Avatar.

PROFESSIONAL EXPERIENCE

MHMR- Outpatient Clinic, Fort Worth, TX; June 2023- July 2023.

PMHNP student practicum experience- Adults (80 hours).

Clinical experience obtained under the supervision of PMHNP and psychiatrist.

Obtaining and interpreting a thorough mental health history and evaluation, including diagnostic tests and laboratory tests/ results for patients with mental health disorders.

Conducting and interpreting a mental status examination, identifying the clinical symptoms and signs of a psychiatric illness, and formulating a differential diagnosis according to the DSM-5 criteria.

Providing pharmacological and non-pharmacological treatment to patients with mental disorders within the scope of practice, considering the patient's unique demographic profile and medication side effects.

Identifying pathophysiological and psychopathological conditions, and interpreting functional assessment (daily living, work, social, recreational, and educational activities), that affect mental health status.

Provide psychotherapy to individuals and groups utilizing the various psychotherapy approaches and techniques e.g., cognitive behavior therapy.

Maintains professional boundaries and therapeutic relationships with clients and staff while demonstrating a non-judgmental practice approach, and empathy.

Coordinating patient care and referrals while collaborating with the interdisciplinary team, which includes psychiatrists, primary care doctors, APRNs, PAs, social workers, and psychologists.

Mid-cities Psychiatry- Outpatient clinic, Hurst, TX; August 2023- July 2024.

PMHNP student practicum experience- child, adolescents, adults (448 hours).

Clinical experience obtained under the supervision of PMHNP and Psychiatrist.

Establishing rapport and obtaining informed consent for treatment from patients with legal guardians as well as children and adults

Conducting new patient intake interviews, thorough history taking, and psychiatric evaluations of children, adolescents, and adults.

Determining the most appropriate diagnostic tools and techniques, therapeutic options for children, adolescents, and adults with special psychiatric needs in accordance with the DSM-5 criteria

Completing initial biometric screening, including a urine drug test and lab tests like CBC, CMP, TSH, prolactin, and vitamin D, among others.

Monitoring serum drug levels of Lithium, Tegretol, Depakote, and other high-risk drugs used to treat mental health disorders.

Providing pharmacological and non-pharmacological treatment to patients with mental disorders within the scope of practice, and monitoring patient’s response, adjusting medication dosage as necessary.

Provide psychotherapy to individuals, groups, and families, utilizing the various psychotherapy approaches and techniques.

EMPLOYMENT HISTORY

Tarrant County Hospital District (JPS Health Network), Fort Worth, Texas: December 2021 to present:

Behavioral Health inpatient unit- Trinity Springs Pavilion (TSP)- Two North West- RN, Full-time nights.

Roles and responsibilities.

Admission of psychiatric patients and assessment of their behavioral health needs.

Implementation of individualized behavioral care plans and educating patients of their treatment plan of care.

Evaluation of psychiatric emergencies and consulting the physicians for appropriate orders, including evaluating patient response to treatment.

Administration of scheduled, PRN and emergency oral and intramuscular medications and evaluating patient’s response.

Monitoring serum drug levels of Lithium, Tegretol, Depakote, and other high-risk drugs used to treat mental health disorders.

Utilization of therapeutic techniques and educating psychiatric patients on the use of positive coping skills to alleviate anxiety, agitation, and aggressive behavior.

Management of behavioral health emergencies involving the proper use of personal restraints, mechanical restraints, and seclusion of patients in accordance with JPS protocol and the Texas Administrative Code for psychiatric care.

Collaboration with the interdisciplinary team of physicians, social workers, recreational therapists, chaplains, and outpatient clinics to facilitate smooth transition and referral of psychiatric patients.

Wellbridge Hospital, Fort Worth, Texas: January 2020 to May 2022:

Behavioral health inpatient unit- RN, Full-time, nights

Roles and responsibilities.

●Worked under both Medical and Psych Doctors.

●Completed behavioral health assessments on patients with Mania, Depression, Bipolar, addiction, Alzheimer’s, Dementia, PTDS, and other mental health conditions.

●Communicated and planned for patient/program goals with the treatment team and educated patients/ families.

●Applied 'de-escalation' techniques to assist patients with behavioral management to maintain a safe environment for staff and other clients.

●Developed and implemented treatment plans and modified them when needed.

●Administered PO and emergency IM medications.

●Worked as part of a multi-disciplinary team working with vulnerable people with varying degrees of mental illness and substance-alcohol dependency.

●Formulated and evaluated care plans for each patient.

●Completed records and reports as well as all other general administrative duties.

●Ensured the provision of safe quality emergency medical care to patients requiring emergency treatment in accordance with physician orders, hospital policy, and standard nursing practice.

●Managed the planning, implementation, and evaluation of interventions.

●Developed trust relationships with patients to compile accurate information for care procedures.

●Produced care plans and risk assessments, ensuring all legal requirements were observed.

●Ensure the correct administration of medication including injections; monitor the results of all treatments.

●Performed therapeutic measures prescribed and delegated by the physician.

●Communicate patient progress to the treatment team through verbal reports, case notes, and weekly summaries.

●Educated patients and their families on a variety of mental health illnesses.

●Provided care based on established standards of practice, policies, and protocols.

●Implemented and evaluated the patient's response to the plan of care through assessment and reassessment.

●Performed narcotic counts and administration, including methadone.

●Communicated with physicians accurately to obtain medication before behaviors escalated.

●Knowledgeable in pharmacological treatments to include proper dosing and administration and monitoring for side effects.

●Used therapeutic communication to maximize positive patient outcomes.

●Provided patient education on medication management adherence, and coping strategies.

●Performed 24-hour chart check.

●Assisted House supervisor with daily nursing assignments for incoming staff.

Om Samaj Saikshik Pratisthan Pvt Ltd, Kalanki, Nepal; June 2014 to June 2015:

Nursing Institution- Nursing instructor, full-time

Roles and responsibilities.

●Developed educational policies and procedures.

●Experience with curriculum development and program development.

●Conducted orientation program on campus as well as in the hospital unit.

●Assisted in the planning, development, and instruction of nursing courses for an educational and medical program.

●Lectured on nursing topics, assigned homework, and oversaw labs.

●Participated in seminars and meetings.

●Contributed to the development, implementation, and evaluation of clinical education.

●Provided practical nursing assistance and assessment for 40 students.

●Collaborated with colleagues to revise and evaluate course content and teaching issues.

Civil Service Hospital, Kathmandu, Nepal; August 2013 to June 2014

Med-surg inpatient unit- RN, Full-time, Nights

Roles and responsibilities.

●Provided direct quality care to the patients including daily monitoring, recording, and evaluating the medical conditions up to 25 patients.

●Supervised the admission of patients and directed transferring of patients to other units.

●Scheduled appointments and ensured all patient information was filled out before check up.

●Worked as a liaison between patients and insurance companies through phone calls.

●Maintained medical files.

●Pulled medical files for physicians and therapists.

●Scheduled inside and outside appointments.

●Verified and established new and old patient information.

●Obtained vital signs and assisted in the examination of patients.

●Updated patient history and medical sheets in charts.

●Ensured all patient information was filled out prior to the physician seeing the patient.

●Liaised with non-medical staff and oversaw the day-to-day activities of the organization.

●Interacted with people in external organizations like the private sector, voluntary groups, and social services.

●Responsible for supervising and managing clerical as well as administrative staff

●Handled the tasks of gathering and analyzing data.

●Conducted case presentations, clinical teaching, and unit lectures according to the need.

INTERNSHIP:

●Govt. Lady Goshen Hospital, Mangalore, India (OBG with Labor Units)

●Indiana Hospital & Heart Institute Ltd., Mangalore, India

●Govt. District Wenlock Hospital, Mangalore, India (Medical Surgical Nursing) (Adult and Geriatric)

●Omega Hospitals Pvt. Ltd., Mangalore, India

●Global Multispecialty Hospitals India Pvt. Ltd., Mangalore, India

●Advance Regional Pediatric Care Center, Mangalore, India

●Fr. Mullers Medical College Hospital, Mangalore, India

EDUCATION BACKGROUND

Midwestern State University, Wichita Falls, TX, USA

August 2021- August 2024: MSN- Psychiatric Mental Health Nurse Practitioner (PMHNP)

Graduation date: August 8th, 2024.

GPA: 3.8

The University of Findlay, Ohio, USA

August 2015- August 2017: Master of Business Administration in HealthCare Management

Graduation date: August 24th, 2017

GPA: 3.9

Netaji Institute of Nursing Sciences, Mangalore, India

2009-2013: Bachelor of Science in Nursing (BSN)

GPA: 4

LICENSES

Texas Advanced Practice Registered Nurse (APRN, PMHNP-BC)- Issue date: Application in progress

RN-Texas Board of Nursing- Date of Endorsement: October 16th, 2018. Expires March 31st, 2025.

CERTIFICATIONS

Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)- ANCC 2024

Basic Life Support (BLS)

MEMBERSHIP AND AFFILIATIONS

American Nurses Association (ANA)

Texas Nurses Association (TNA)

LANGUAGES

English

Nepali

Hindi

REFERENCES upon request

RELOCATION Anywhere in US

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