AMY HARSHMAN, MSN, APRN-BC, RN

**** ********* ** **, ***** Petersburg, FL 33703 765-***-**** adc16u@r.postjobfree.com

Enthusiastic Acute Care Nurse Practitioner with 2.5 years of experience in a leadership-nursing role. Adept at critical care and management with training in solid organ transplantation, internal medicine, infectious disease, cardiac care, and hematology. Self-directed and solutions-oriented with fantastic communication skills. Committed to increasing the quality of patient care and motivated to learn, grow, and excel in a nurse practitioner role.

EDUCATION

Vanderbilt University

Adult Gerontology Acute Care Nurse Practitioner 2019

Indiana University-Purdue University Indianapolis

Bachelor of Science in Nursing 2015

Purdue University

Bachelor of Science, Speech Pathology 2013

ADVANCED PROVIDER CLINICAL EXPERIENCE

Jackson Memorial Hospital

Nephrology, Acute Care Service 2019

Provided consultation services and care to patients with chronic and acute conditions, including chronic kidney disease, solid organ transplant, electrolyte imbalance, hypervolemia, and acute kidney failure.

Discussed care plans with patients, explained test results, and communicated care plan with patient and family.

Assessed and documented medical history, subjective and objective symptoms, current medications, and formulated possible diagnoses.

Ordered and interpreted diagnostic tests to develop and implement treatment plans.

Managed patients in intensive care units on hemodialysis and CVVH, including patients with kidney failure, shock, and sepsis.

Jackson Memorial Hospital

Transplant Nephrology, Acute Care Service 2019

Cared for post-surgical patients after kidney transplantation and combined kidney/pancreas transplantation, exploratory laparotomies, biopsies, and ureteral re-implantation.

Assessed donor and recipient match and developed appropriate induction and maintenance immunosuppression regimen to obtain optimal allograft function.

Adhered to all hospital procedures, policies and protocols to ensure patient safety.

Explained medications and side effects to patients, family members and caregivers, and thoroughly reviewed physician-ordered tests.

Discussed proposed surgical procedures, risk and potential complications with supervising physician and patient to obtain proper patient informed consent.

Performed episodic consultations on transplant patients seeking emergency room care.

Obtained a thorough history and physical with pre-transplant patients in the pre-operative phase, collaborating with specialists to identify and determine any contraindications to transplantation.

Teamed with infectious disease, cardiology, endocrinology, and transplant surgery to provide comprehensive patient care and formulate high-risk management strategies.

Jackson Memorial Hospital

Transplant Nephrology, Outpatient Clinic 2019

Diagnosed and treated a variety of diseases and injuries through questioning and assessment of patient symptoms.

Provided medical services and care to patients with chronic and acute conditions, including organ rejection, neutropenia, anemia, diabetes, hypertension, electrolyte imbalance. Assessed chronic kidney disease including polycystic kidney disease, lupus, Alport syndrome, renal artery stenosis; viral infections including Cytomegalovirus infection, Polyoma infection, HIV; heart disease, and heart failure.

Supported patients in maintaining prescribed regimen of care.

Educated patients on treatment options, medical needs and non-medical options for treatments and therapy as well as preventative health measures necessary.

Prescribed pharmacologic and radiologic treatment modalities to support the health of patients.

WORK EXPERIENCE

Miami Transplant Institute

Nurse Manager, Kidney and Kidney/Pancreas Post-Transplant, Outpatient

Miami, FL 2/2018 – Current

Oversaw and managed 24 clinical and support staff in providing high-quality comprehensive transplant care while maintaining high level of staff morale and professionalism.

Created systematic staffing assignments based on length of time since transplant to optimize staffing ratios, creating a balanced fiscal budget.

Created and implemented evidence-based practices including nursing protocols for post-transplant laboratory review, new-transplant patient education, and a comprehensive hand-off summary for transplant coordinators to safely transition patients between providers.

Increased return call compliance utilizing feedback and creating process improvement strategies to foster a safer care environment and increase patient satisfaction.

Reviewed department performance and adjusted coverage to compensate for changing conditions.

Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.

Investigated and independently resolved complaints from staff, physicians and patients utilizing clinical judgment and unit management expertise.

Miami Transplant Institute

Acute Care Kidney Transplant Coordinator

Miami, FL 7/2017 – 2/2018

Delivered outstanding care to post-transplant patients in the immediate post-operative period until stabilized, addressing complex co-morbidities to optimize outcomes.

Sustained quality standards by performing routine audits for ureteral stents and high-risk labs, upholding internal and industry best practices.

Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

Explained course of care and medications, including side effects to patients and caregivers in easy-to-understand terms.

Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.

Equipped patients with tools and knowledge needed for sustained recovery and allograft survival.

Howard Community Hospital

Travel Nurse

Kokomo, IN 4/2017-8/2017

Delivered age-appropriate medical care for adult, adolescent and geriatric patients across medical-surgical, intermediate, and intensive care units.

Delivered medications via oral, parenteral, IV, and intramuscular injections, monitoring responses and continually reporting patient condition and progress.

Monitored patient condition including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.

Recovered patients from cardiac catheterizations, ablations, pacemaker insertions, and CABG surgery.

Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to patients daily.

Schneider Regional Medical Center

Travel Nurse

St. Thomas, U.S.V.I. 7/2016-2/2017

Continuously monitored respiratory and cardiac status, adjusting ventilator support, titrating sedation, and manipulating cardiac drips obtain patient stabilization.

Trained new nurses and nursing students in a busy critical care environment.

Collaborated with care team to quickly assess patients and manage rapidly changing critical conditions including myocardial infarctions, gunshot wounds, cardiac arrests, MVTs, drownings, major surgery, and arrhythmias.

Provided skilled, timely and levelheaded emergency response to critically ill patients during codes.

Promoted patient and family comfort while maintaining respectful treatment environment that honored patients' and families’ cultural and religious traditions and preferences during challenging recoveries to enhance healing.

St. Vincent Hospital

Staff Nurse

Indianapolis, IN 6/2015-7/2016

Performed ongoing cardiac assessments to evaluate health needs, working with the multidisciplinary team to develop, initiate, manage and modify individualized plans of care.

Implemented interventions, including medication and IV administration, catheter insertion, cardiac drip titration, and airway management.

Provided daily exceptional care to 3-5 high-acuity patients with complex disease processes such as heart transplant, myocardial infarction, arrhythmias, COPD, and congestive heart failure.

Managed patients recovering from surgical procedures, including cardiac catheterizations, ablations, pacemaker insertions, and bypass.

St. Vincent Hospital

Patient Care Technician

Indianapolis, IN 2/2013-6/2015

Obtained biological specimens for ordered tests and prepared for laboratory transport.

Offered immediate assistance in answering call lights to evaluate and support needs to promote safe care delivery.

Gathered dietary information, assisted with feeding and monitored intake to help patients achieve nutritional objectives and support wellness goals.

Maximized patient satisfaction by helping individuals carry out personal tasks such as dressing and walking.

Obtained patient vital signs and reported results to nurse, noting changes from prior measurements to help optimize treatment planning and care delivery.

HONORS AND AWARDS

Honors Graduate

Vanderbilt University 2019

Honors Graduate

Indiana University- Purdue University Indianapolis 2015

ABSTRACTS

Accepted (Conferences Cancelled)

Harshman, A., Preczewski, L., Muldoon, M., Guerra, G. (2019) Successful Transplantation Outcomes Utilizing Deceased Donors with Acute Kidney Injury. American Transplant Congress, Poster Board Session, June 2020, Philadelphia, PA.

Harshman, A., Karapelou, C. (2020). Effective Transition of Transplanted Patients Back to Community Providers. UNOS Transplant Management Forum, Poster Board Session, March 2020, Las Vegas, NV.

INSTITUTIONAL MEMBERSHIPS

Miami Transplant Institute

Member, MTI Education Committee, 2018-present

Member, Executive Nurse Leadership Committee, 2018-present

Member, Inpatient Quality Improvement Committee for Transplant Donors and Recipients, 2018-present

Member, Quality Assurance and Performance Improvement Committee, 2017-present

CONSULTATIONS/PROGRAM COORDINATION

Miami Transplant Institute, Miami, FL – Development and implementation of post-transplant education materials for kidney and combined kidney/pancreas recipients, March 2019.

Miami Transplant Institute, Miami, FL – Development and implementation of post-transplant algorithms to structure care for after-hours calls, October 2019.

Miami Transplant Institute, Miami, FL – Development and implementation of post-transplant management protocols for effective nursing delivery, June 2018.

Miami Transplant Institute, Miami, FL – Development and implementation of transition pathway to discharge patients back to community providers for primary management, May 2019.

Miami Transplant Institute, Miami, FL – Implementation of a single coordinator care model for multi-organ transplant recipients, November 2018.

Miami Transplant Institute, Miami, FL – Development and implementation of pre-transplant to post-transplant hand-off summary, December 2019.

Miami Transplant Institute, Miami, FL – Effective change in transplant coordinator care model to standardize delivery stratified by post-transplantation duration, March 2018.

Miami Transplant Institute, Miami, FL – Effective transition of clinic care model utilizing medical assistants, November 2018.

Associates in Nephrology, Fort Myers, FL – Development of pre- and post-transplant management for kidney and combined kidney/pancreas patients, February 2019.

Nulojix, Totowa, NJ – Implementation of educational outreach to expand Belatacept infusion services – February 2018.

Schneider Regional Medical center, St. Thomas, U.S.V.I – Development of telemetry technician protocols and operations across medical-surgical and OB floors, 2016-2017.

COMMUNITY SERVICE

Foster rescue, Miami-Dade County Animal Shelter 2018-present

Blood Donor, Red Cross, 2014-present

Volunteer vaccinator, FluFighter champions health fair, September 14, 2018. Miami, FL

Volunteer vaccinator, IUPUI Health fair, October 2014, Indianapolis, IN

Volunteer, Purdue University Dance Marathon Benefitting Riley Hospital for Children, 2010-2013

TEACHING

Schneider Regional Medical Center, 2016-2017. Telemetry Technician Certification Course.

Schneider Regional Medical Center, 2016-2017. Telemetry Interpretation and Management for the Registered Nurse.

INVITED LECTURES

Miami Transplant Institute, October 21 2019. The Right Kidney for the Right Recipient: Optimizing Successful Outcomes through Strategic Selection. 1-hour lecture at the Miami Transplant Institute Symposium.

Miami Transplant Institute, April 2019. After-Hours Management of Post-Kidney and Kidney/Pancreas Transplant Recipients. 1 hour guest lecture for Donor Desk Transplant Nurse Orientation.

Miami Transplant Institute, March 21, 2019. Care of Combined Heart and Kidney Transplant Recipients. 2 hour guest lecture for Clinical Heart Coordinator orientation.

Miami Transplant Institute, November 28, 2018, Care of Combined Liver and Kidney Transplant Recipients. 2 hour guest lecture for Clinical Liver Coordinator orientation.

Schneider Regional Medical Center, 2016-2017. Critical Concepts in Advanced Cardiac Life support for the Registered Nurse. 3 hour guest lecture for Registered Nurse orientation program.

Schneider Regional Medical Center, 2016-2017. Critical Concepts in Management of Cardiac Arrhythmias for the Medical Surgical Nurse. 5 day (20 hours) guest lecture for the Continued Education Program for Medical-Surgical Nurses.

Schneider Regional Medical Center, 2016-2017. Code Management in a Critical Access Hospital. 2 day (10 hours) guest lecture for Registered Nurse orientation program.

PREFESSIONAL DEVELOPMENT

Conferences Attended:

Miami Transplant Institute Symposium, October 21, 2019

Miami Transplant Institute Symposium, October 8, 2018

Personal Interests

Traveling

Cooking

Sewing

Knitting

Crafting

Animal Fostering/rehabilitation

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