April Gardner, MSN, AGNP-C **** W Market St. Lima, Ohio 45805

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adhb74@r.postjobfree.com • Cell 419-***-****

Summary

Career Summary

Primary care provider/nurse practitioner for the adult-gero population, providing up-to-date care, diagnosis, and treatment of both acute and chronic medical conditions for 5+ years. Involved in quality improvement planning to reduce hospital readmission rates and to maintain or achieve 5 star rating at extended care facilities. Previous experience as a Registered Nurse with 20 years of practical and technical experience providing quality, autonomous, patient-centered care in the home, hospital, hospice and private office settings. Diversely experienced in geriatrics, hospice and palliative care, ICU/CCU, cardiology, telemetry and in-depth patient/family education. Completed MSN for Adult-Gerontology Nurse Practitioner in August 2014 and obtained AANP certification in September 2014, with additional completion of CTP externship and active certificate to prescribe.

Experience

St Rita’s Professional Services - Transitions of Care, Lima Ohio 2014-present R.N./ B.S.N./M.S.N./A.P.R.N.

Primary care provider/NP for the adult-gerontology population in 3 extended care facilities. Autonomous role, working independently, with the collaboration of two physicians.

• Medical management of acute and chronic illnesses

• Accurate diagnostic and prescriptive practices

• Provision of up-to-date treatment for comorbid conditions and complex cases

• Proficient in physical assessments, triage, and identification of urgent and emergent conditions

• Clear focus on patient-centered care

• Excellent collaboration with primary physicians

• Proficient with coordinating care with other specialties and facilities for best patient outcomes

• Fair and effective communicator with supervisory, nursing, and ancillary staff St. Rita’s Medical Center-Palliative Care, Lima, Ohio 2011 to 2014 R.N./B.S.N./C.H.P.N

Provide palliative care to chronically ill patients in multiple hospital units: ICU, CCU, Oncology, Med-Surg, Telemetry and Neurology units. Autonomous role that requires direct coordination of care with an interdisciplinary team to ensure best patient outcomes.

• Ability to manage volatile situations involving distraught families and patients

• Proficient in the assessment of complex physical, psychosocial, spiritual dimensions of care

• Focused on family and patient education regarding quality of life issues, code status, advance directives and both short and long term goal planning

• Proficient in addressing difficult subjects such as poor prognosis, declining functional status and impending death issues

• Extensive coordination with multiple physicians to meet patient needs and comply with their wishes

• Direct involvement in withdrawal of life supportive measures St. Rita’s Medical Center-Hospice, Lima, Ohio 2008 to 2011 R.N./B.S.N./C.H.P.N

Provide end-of-life care to terminally ill patients in a variety of hospital, nursing home and individual home settings. Role emphasis placed on the development and coordination of a general inpatient hospice program while providing bedside nursing care, collaboration with interdisciplinary team members and expedited hospice referrals with carefully orchestrated discharge plans.

• Exceptional knowledge of basic insurance coverage, reimbursement and benefit management

• Proficient in the assessment of the hospice patient physical, psychosocial, spiritual dimensions of care

• Ability to develop relationships with patients, families and community representatives

• Ability to work autonomously and manage case load effectively and with a focus on patient needs

• Ability to submit extensive daily documentation

• Provide lectures on end of life, hospice and palliative care challenges in both college and hospital settings

Rhodes State College, Lima Ohio 2008 to 2009

R.N./B.S.N.

Adjunct clinical nursing instructor for fourth quarter nursing students on the oncology/medical- surgical and pediatric units at St. Rita’s Medical Center. Facilitated learning and instruction of safe patient care, critical thinking skills, understanding of care plans, safe dose calculations, pathophysiology and nursing skills, along with the legal aspects of proper documentation. Aided in the education of disease-specific and procedure-specific trends relative to the areas of study. West Central Ohio Cardiology, Lima, Ohio 2002 to 2007 R.N.

Provided clinical care encompassing both acute and chronic medical conditions and injuries, admissions, referrals, medication compliance, and management of new onset and chronic congestive heart failure patients. Assisted with multiple cardiac testing procedures, preparation for testing and post cardiac catheterization/intervention and pacemaker insertion assessments. Preparation of patients for nurse-managed, physician supervised exercise stress tests and stress echocardiograms. Application of Holter and event monitors. Coordinated patient education, serving as a liaison between patients, families, physicians, and other health care professionals, problem-solving and complaint resolution, enhancing patient emotional and physical comfort, participating in treatment planning and staffing, and evaluating and charting patient progress.

• Extensive one on one teaching and medication titration of newly diagnosed CHF patients

• Create instruction materials for patients

• Equipment/supply ordering and maintenance

• Ensured compliance with all Medicare, Medicaid, and private insurance long-term care regulations.

• Reviewed prescription medications with patients and suggested changes in care based on feedback.

• Responsible for medication assistance of 40-plus patients.

• Autonomous patient assessments and testing

St. Rita's Medical Center-Hospice, Lima, Ohio 2001 to 2006 R.N.

Provided end-of-life care to terminally ill patients of all ages in a variety of hospital, nursing home and individual home settings. Assessed implemented prescription medications for patients; suggest changes for care and comfort.

• Directly and indirectly assisted with case management and financial assessments in the nursing, dietary, therapy and social activities of patient care.

• Fostered relationships with terminally ill patients and their families.

• Ensured compliance with all Medicare, Medicaid, and private insurance long-term care regulations.

• Assisted with training & supervision of new aides, nursing staff & nursing students. St. Rita's Medical Center-Critical Care, Lima, Ohio 1998 to 2001 R.N.

Provided intensive and critical care for severe acute and chronic medical conditions and injuries for pediatric up to geriatric patients. Oversaw all deliverance of patient care - medical surgical, neurological, and cardiac critically ill. Served as liaison between family members, medical and specialty personnel.

• Interacted daily with a variety of personnel including physicians, radiology technologists, other medical staff, and patients; directly assisted physicians in performing invasive and non-invasive procedures.

• Played an integral role in reporting patient changes in condition and symptoms to physicians.

• Served as nurse in charge on many occasions.

Van Wert Community Hospital, Van Wert, Ohio 1998 to 1999 R.N.

Provided medical surgical and intensive/critical care for acute and chronic medical conditions and injuries. Served as liaison between family members, medical and specialty personnel. P.R.N basis work.

Springfield Community Hospital, Springfield, Ohio 1997 to 1998 R.N.

Full time telemetry nurse with patient load of six to eight patients per shift. Managed diseases involving, but not limited to, diabetes, cardiac and renal systems. Preparation of patients for procedures.

Education

University of Cincinnati, Cincinnati, Ohio 2014

Master of Science, Nursing

Wright State University, Dayton, Ohio 2007

Bachelor of Science, Nursing

Lima Technical College, Lima, Ohio 1997

Associate of Applied Science, Nursing

Certifications and Honors

Adult-Gerontology Nurse Practitioner, 2014

Certified Hospice and Palliative Nurse (C.H.P.N.), 2010 Golden Key International Honors Society, Golden Key, 2007

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