Nurse Practitioner Registered

Darlene Crittenden

Full-time Float Nurse - Columbus Regional Medical Center

Smiths, AL 36877

**********************@***********.***

Cell (preferred)706-***-**** (home) 334-***-****

To obtain a position as a Family Nurse Practitioner on a full time or part time/locums status with an organization that has: (1) the need of an APRN-level provider to assist in the medical management of the clients that they serve. (2) To gain experience in the community setting. Authorized to work in the US for any employer

Work Experience

Owner

Crittenden Family Health & Wellness Center, LLC - Fayetteville, GA January 2018 to Present

Owner/provider of a Nurse Practitioner owned and managed primary care clinic. We perform annual exams, health, sports, and DOT physicals. We manage stable, chronic illnesses such as diabetes, HTN, and cardiovascular disease. We are patient and community focused and consider patient education and participation an integral component to obtaining health and staying well. Nurse Practitioner/ Hospitalist Service

Saint Francis Hospital (September 23, 2013 – present) - Columbus, GA September 2013 to Present

Responsibilities

Function in the capacity of mid-level provider, Family Nurse Practitioner for the night shift, 7p.m till 7 a.m., 7 days on and 7 days off.

Obtain the history and physical on patients admitted thru the emergency department of the hospital. Construct a list of differential diagnoses. Order the appropriate diagnostic studies and labs. Order the appropriate medications and construct a plan of care based on national guidelines. Make changes to the plan of care based on results of diagnostic studies, lab results, response to medications, changes in patient presentation, and nursing staff communication. Communicate pertinent findings to the primary physician. Manage acute and chronic conditions. Consult specialty physician when indicated. Complete consultations for medical management history and physical on patients admitted to the hospital by specialty physicians. Obtain diagnostic studies and pertinent labs based on the past medical history and presentation of exacerbation of chronic conditions during hospitalization. Construct a plan of care based on the past medical history and make changes to plan of care based on patient presentation, labs and diagnostic studies results, nursing documentation, as well as communication with specialty physicians. Manage acute and chronic conditions. Communicate pertinent findings to the primary physician.

Educate patient and family regarding acute and chronic conditions. Devise a plan for a timely and accurate discharge. Communicate plan with primary physician. Order appropriate therapies for in patient stay as well as therapies required upon discharge. Prescribe appropriate medications and arrange for appropriate follow up care. Coordinate plan of care with ancillary medical team. Respond to rapid and code blue responses. Act as the lead provider until physician arrives on scene. Initiate ACLS protocol as indicated. Provide a report to the physician and assist as indicated in the management of the emergency response. Intubate as indicated using Glide scope. Assist in ordering further tests and diagnostics as well as with interpretation of results and further care. Transfer to higher level of care as indicated.

Respond to phone calls of staff nurses. Provide further orders or instruct as indicated for resolution or management of situation/condition.

Perform minor suturing as indicated. Utilize equipment, materials, and supplies cost effectively. Provide an accurate and thorough report to oncoming physicians and mid-level providers. Complete documentation via the electronic health record (McKesson). Insert billing information via IM Billing.

Accomplishments

Still employed.

Skills Used

Please see above.

Full-time Float Nurse

Columbus Regional Medical Center - Columbus, GA

2005 to September 2013

Function in the capacity of staff nurse or Administrator on Duty in a 300 bed hospital. As a float nurse I cared for patients in the adult services division, pediatrics, women and children center, the intensive and critical care units, and the emergency trauma center. The vast population diagnoses consist of cardiac illnesses, renal disease, surgery patients, HIV, oncology, neurology, orthopedics, prenatal, and newborn care. Skills included competence in peritoneal dialysis, titration of cardiac drips, monitoring mechanical ventilation, management of Bi-pap and cpap therapy, chest percussions for adults and pediatrics, management of PICC lines, care of tracheostomy tubes, and maintaining artificial airways. As Administrator on Duty for the night shift, I represent the company's vision and mission. My responsibilities are to communicate with and resolve situations that may arise with physicians, patients, families and staff. Functioning in this role, I ensure that adequate staff is available for each unit of the hospital. I assign patients to the appropriate bed/floor and I am responsible for making the decision of when to place the hospital on saturation and ensuring EMTALA rules are maintained. I am also responsible for assessing and ensuring the appropriate transfers in and out of the facility in an effort to ensure that care is administered expeditiously. Adjunct Instructor

Columbus State University

2009 to 2010

Clinical instructor for Associate Degree nursing students. My duties included instructing 6 to 8 students per rotation in basic nursing procedures to include wound care, nasogastric tube insertion, peripheral IV insertion, insertion of Foley and supra pubic catheters, management of wound vacuum systems, sliding scale insulin administration, and develop and implementation of care plans. I was also responsible for evaluating each student and grading their clinical performance. Serve as their mentor and ensure an effective clinical experience.

Adjunct Instructor

Columbus State University - Columbus, GA

2006 to 2007

My role included teaching 5 to 8 first year BSN students in basic nursing techniques such as bed making, medication administration and side effects, nutrition, wound care, skin care, assessment, peripheral IV insertion, care of central lines, accurate documentation, and patient teaching. I was responsible for evaluating and grading each student's clinical performance and ensuring that the clinical rotation exposed the students to a multitude of experiences. staff nurse

Out Patient Surgery

2004 to 2005

in pre anesthesia outpatient surgery, I completed pre anesthesia consultations. This included obtaining history and physicals, obtaining and interpreting lab results, notifying the surgeon of abnormal values relevant to the individual surgery planned, and obtaining consents for surgery, blood administration, and anesthesia. I also taught the surgical patients pre-operative instructions and expected post- operative outcomes.

Clinical coordinator

Neurosurgery and Spine Center

2000 to 2004

As clinical coordinator I managed staff/patient ratio, rounded with physicians, performed initial assessment of new patients, monitored for compliance of hospital and state protocol pertinent to the neurosurgery and spine center, performed disciplinary action as indicated, assisted floor staff as needed, served as preceptor for new hires, and initiated the development of the stroke center. I became competent in the NIHS stroke scale assessment and Get with the Guidelines Stroke Protocol. Admission's nurse

Chattahoochee Valley Home Health

1998 to 2000

Assessed patients referred for home health services for eligibility utilizing Medicare, Medicaid, and/ or private insurance standards. I developed individual plans of care, completed documentation utilizing appropriate ICD 9 or CPT codes for reimbursement. I assigned newly admitted patients to the appropriate staff nurse while ensuring no visits were missed. I also monitored for compliance to plan of care every three months.

Chemotherapy nurse: I was responsible for the infusion of chemotherapy in the home. I obtained ordered labs and determine if levels were adequate for administration of the medication. I educated the patients on topics such as their medications and its side effects. I also taught them measures to eliminate or minimize the complications and side effects of their chemotherapy. I became competent in the administration of chemotherapy via a peripheral line, central line, and peritoneal administration. I was responsible for the proper disposal of the medication in the home. Unit Manager

Azalea Trace Nursing Home

1997 to 1998

Supervisor: My responsibilities included managing and staffing the Alzheimer's unit. Duties included ensuring compliance of medication administration; ensuring residents received their annual vaccinations, met their medical and ADL goals, and were treated with dignity and respect. I obtained competence in state and federal regulations related to nursing home administration and patient rights. My staff consisted of 22 personnel and 38 patients. Further responsibilities included assisting the staff when indicated, evaluating the employees, administering disciplinary actions, and termination of staff members when appropriate.

Staff Nurse

Columbus Regional Home Health

1993 to 1997

My position involved making home visits to 30 to 35 patients 2 to 3 per week and performing skills such as wound care, injections, obtaining labs, performing assessments, and teaching caregivers/ patients about their illness. I was also responsible for completing the forms for reimbursement and continuation of services for each patient. Other duties included communicating observations with ordering physician and accurately documenting resolution of problem and discharging patients from home health services at the appropriate time.

Staff nurse

Doctors' Hospital

1993 to 1994

Provided care for patients with multiple diagnoses to include diabetes, cancer, and cardiac problems. I prepared patients for chemotherapy induction and administered the drugs. I monitored for reactions and taught the progression of their cancer. I provided instructions regarding diabetes and administered oral and injectable medications. I taught the patients the different types of insulin and how to administer them. I became competent in the insulin pump and taught the patients how to manage their pump for home use. I interpreted telemetry strips, assessed patients for exacerbation or resolution of their cardiac symptoms, evaluated labs specific to cardiac problems i.e. CIPs/troponins, and managed cardiac drips.

Staff nurse

Columbus Regional Medical Center

1992 to 1993

I provided care for oncology and neurosurgery patients. My duties included medication administration, patient assessments and documentation, and chemotherapy administration. I performed the Glasgow coma evaluation and the NIH Stroke assessment on the appropriate patients. I determined the appropriate rehabilitation strategy in conjunction with the physical therapist, the physician, and case management. I also was responsible for developing discharge teaching plans. Supervisor

Fieldcrest Mills

1977 to 1990

Education

Doctor of Nursing Practice in Family Nurse Practitioner Troy University - Troy, AL

2015 to 2016

MSN

Troy University - Troy, AL

May 2013

Bachelor of Science in Nursing

Columbus State University - Columbus, GA

2007

Associate in Nursing

Columbus State University - Columbus, GA

1992

Nursing Licenses

RN

Expires: January 2020

State: GA

Skills

• Certified Family Nurse Practitioner

Certifications and Licenses

Family Nurse Practitioner-Board Certified

July 2013 to July 2023

The American Nurses Credentialing Center is one of the only two approved certifying bodies that certifies Advanced Practice Nurses to practice as a Family Nurse Practitioner governed by the individual nurse's state.

Family Nurse Practitioner, NP-C

July 2013 to July 2023

American Academy of Nurse Practitioners is one of the only two approved certifying bodies that certifies Advanced Practice Nurses to function as Family Nurse Practitioners as governed by the individual nurse's state of practice.

Certified Medical Surgical Registered Nurse

October 2016 to October 2021

The Medical Surgical Nursing Certification Board certifies that the registered nurse has achieved the highest standards of medical surgical nursing practice. Nurse's License

Class: FNP

BLS, ACLS

Groups

Sigma Theta Tau International Honor Nursing Sorority March 2016 to Present

International Society of Honor Nurses (GPA 3.5 or greater.) Publications

Health Coaching and the Management of Hypertension https://www.sciencedirect.com/science/article/pii/S1555415517301307 May 2017

Abstract

Despite the multiple medications available for the management of hypertension (HTN), control remains suboptimal. The American Heart Association predicts a 9.9% increase in patients with HTN by 2030. Using a prospective prepost design, this pilot study used the health coaching model to examine the impact of health coaching on lifestyle modification in the management of HTN in a primary care setting. Study results showed health coaching as a promising approach for the management of HTN, demonstrated by a reduction of both systolic and diastolic blood pressure. Barriers encountered during the study revealed patient participation in managing HTN depended on having the necessary tools, education, and a holistic care approach.

Contact this candidate