Linda Ann Terzlgni

*** *********** *****

Joppa, MD 21085 USA

Email:lterzignf@aol .com Home: (410) - 679-4564 Mobile: 410-***-**** Work: (410) - 278-1904

Work Experience

Kirk U.S.Army Heaalth Clinic (06/08/2008 to present) - Supervisory Occupational Health Nurse

Aberdeen Proving Ground, Maryland United States

Supervisor: LTC Wendy Woodall, Deputy Commander for Health Readiness Contact: Yes

Salary: $101,988.00 per year

Duties: Analyzing, evaluating, and coordinating the administrative programs of the Occupational Health Clinic. Supervise the activities of professional, technical, and clerical personnel engaged in providing occupational health services at a Multi-mission military Installation. Plan work to be accomplished by subordinates; set immediate priorities and prepare schedules for completion of work. Provide managerial oversight of Occupational Health Clinic to ensure standardization within the clinic relative to medical surveillance and care of the work force on Aberdeen Proving Ground. Apply professional knowledge of nursing and in depth knowledge of the clinic mission, organizations and health care requirements of the occupational health clinic programs. Plans, determines, and Implements improved methods of occupational health care delivery. Oversees Health hazard surveillance for the work force employees engaged in a wide variety of Industrial work sites that are characterized by complex work processes and chemical compounds including those for which standards do not exist. I am a member of specialized, recurring teams and independently act as consultant on as needed basis to provide nursing Input into various health/safety programs also serve as liaison to State and Federal agencies on as needed basis. Skills Include performing data collection and performing annual occupational health status report to Public Health Command to evaluate the efficacy of the occupational health program that I am responsible for overseeing. As a member of the Executive Committee, Collect and report monthly data to the clinic commander to provide clinic number of employees seen, types of visits, and compliance of each tenant organization as iit relates to compliance of annual medical surveillance exams. Provide quarterly data Information to the Public Health Command. Act as resource to all tenant organizations upon request to address processes and procedures of the occupational health clinic as i t relates to their medical surveillance needs. Works closely with the Industrial Hygiene Department to ensure that those Identified as needing to be In medical surveillance are Indeed Included In the occupational health program. Responsible for review, update, or

Implementation of clinic Standard Operating Procedures, Process Improvement, employee annual evaluations, employee counseling, working under the direction of the Chief of Occupational Health, Deputy Commandeer for Nursing and Health Services and Clinic Commander. I provide clinical direction to staff as necessary and perform a variety of special medical surveillance exams and safety/Injury prevention education to the work force relative to hazardous exposures In the work environment. This current position has many aspects to It that requires the ability to be able to research and provide Information that ensures a safe work environment to the work community on APG. I am a member of the FECA (Federal Employee Compensation Act) Committee that meets on a monthly basis to discuss injuries In the workplace, evaluation of how to mitigate such Injuries and Improve cost containment for the FECA program. .I am a member of various committees within the organization such as Nurse Excellence Committee, Infection Control Committee, Process improvement Committee, SOHAC Committee (Installation Safety), Access to Care Committee, and other committees already mentioned. This position requires excellent customer service skills not only with the work force but with all disciplines such as Commanders, Physicians, Nurses, Safety

Officers, Supervisors and Chiefs of all tenant organizations served by occupational health. I have excellent communication skills both written and verbal as well as excellent rapport with all contacts that I Work with in the APG community.

Injured Worker's Insurance Fund {IWIF) (05/16/2007 - 05/ 28/2008) - Nurse Case Manager Towson, Maryland United States

Supervisor: Sandra Hassell RN - 410-***-****; Contact: Retired

Salary: $58,000.00 per year

Duties: Coordination and medical management of i injured workers to ensure safe return to work upon reaching maximum medical Improvement. Activities focus on quality

of care, appropriateness of care, Implementation of medical-disability plans that focus on recovery and early return to work.

Responsibilities Include ongoing contact to follow up on recovery process with the

Injured worker, health care providers, employers, and legal representation as necessary.

Responsible for coordination and authorization of medical care benefits as appropriate for the Injury with the focus on advocacy of the Injured worker.

Mitigate medical and Indemnity expenditures per claim by performing and assisting claims staff with aggressive file and medical management.

Perform telephonic nurse case management on all lost time claims or upon request.

Meet all time frames and requirements of the Utilization Review process - to Include timely certification of ACOEM appropriate treatment requests as well as timely Identification and referral of treatment requests requiring peer review. Professionally document and communicate all activities and results to the claim file and appropriate parties impact the success of medical cost containment programs by providing staff and management with Insight and opinions about specific providers.

Demonstrate working knowledge of workers' compensation laws (labor code).

Nurse Case Manager Role: Discussion with Patient-explanation of Nurse Case Manager role to patient; Assess patient status and document Nursing Care Plan appropriate to the diagnosis

Coordination of medical care in collaboration with physicians Including scheduling of appointments, authorization for treatment, arranging transportation, follow up care

Preauthorization of medical services (diagnostic tests, surgery)

Necessity of keeping In contact with patient after appointments as well as forwarding disability slips to employer.

Approve Prescriptions as written by physician as medically appropriate to the patients' condition/diagnosis. Safe return to work when medically indicated

Harford County Detention Center {09/30/1999 - 02/01/2000) - Registered Nurse Belair, Maryland United States

Supervisor: Harford County - cannot recall; Contact: Yes

Salary: $29.00 per hour Hours per week: 16

Duties: Provided nursing care to a diverse community of Inmates with a wide variety of diseases. Performed Intake physical and psychological assessments and reported care needs to the

Medical Director.

Provided observational one on one care to those Inmates at risk for self-harm when placed In seclusion.

Harford County Ambulatory Surgery Center (09/ 21/1998 - 01/02/ 2007) - Nurse Administrator Edgewood,,Maryland Un ited States

Supervisor: Dr. Lawrence Yallch - 410-***-**** HR Department; Contact: Yes

Salary: $68,000.00 per year Hours per week: 40

Duties: Facility Administrator-Director of Nursing Services

Responsible for day to day management of facility and staff, credentialing of professional staff

Education, maintenance of staff files and medical records, ensuring that staff met all annual medical

Requirements such as flu vaccines and annual tuberculin testing. Staffed facility with all levels of employees, conducted disciplinary actions as necessary in collaboration with HR Dept;.,evaluation and purchasing of supplies and capital equipment, facility 24 hour accountability Including answering and resolving all alarm/maintenance Issues.

Chaired and conducted all governing body business meetings.

I was responsible for Maintaining all Federal and State mandatory regulatory programs for the facility Including State Licensing, Medicare Certification, and National Accreditation.

I was responsible for maintaining QA Risk Management, OSHA, and Infection Control Programs.

I acted as clinical resource to Nursing Staff. I performed patient care activities on as needed basis. Continued to maintain all clinical skills while in administrative position.

Clinical skills Include patient assessment, planning, Implementation. And evaluation of care for the pre-operative, Intra-operative, and post-operative patients ages infant to geriatric.

Also conducted pre-operative assessments with patients; telephonically and followed up with physician offices, laboratories, hospitals and physician offices to obtain all necessary medical reports as necessary.

I conducted post-operative patient follow-up.

I collaborated with anesthesia and medical staff concerning plan of treatment.

I provided direction to Medical Records Dept. and all staff concerning adherence to policy, procedure, guidelines, and regulations.

I was responsible for adequate anesthesia staffing on daily basis. Direct patient care activities Included:

I performed physical assessments, started Vs, administered PO and IV medications including Conscious sedation.

I Monitored patients receiving conscious sedation Including EKG, airway maintenance, pulse oximetry, and all vital signs pertinent to the procedures.

Evaluation of patient care outcomes with appropriate documentation to validate care rendered. Patient teaching for self-care once discharged from facility.

Referral of patients to community agencies for ongoing health care needs.

Franklin Square Hospital Center (05/ 21/1984 - 09/01/1998) - Nurse Manager, Service Coordinator/Staff RN

Baltimore, Maryland United States

Supervisor: Joan Lauensteln, RN - 410-***-****; Contact: Yes

Salary: $50,000.00 per year Hours per week: 40

Duties: Nurse Manager 1984-1989 of 12 Operating Rooms, 2 Procedure Room, 2 Cystoscopy Rooms. Supervised 120 employees consisting of RNs, Surgical Technologists, Clerical, Transport, and Janitorial Staff, Managed day to day operations of the unit including dally staffing, assignments, performance appraisals, hiring, disciplinary counseling, preparation for accreditation, oversight of QI and various

Nursing committees, and fiscal budgetary responsibilities. I provided Administrative supervisory coverage for entire hospital on a rotational basis with other Nurse Managers.

Planned and Implemented opening of 4 additional procedure rooms and new holding area on the existing OR suite and In collaborations with architects designed and planned Outpatient Surgery Center consisting of 6 operating rooms, admission and discharge units, Recovery Room and Pre-admission testing areas. I was Chair Person of the committee that designated the flow of that unit opening.

I Conducted tours for Pediatric patients and families and conducted classes to educate children and parents about care needs for scheduled pediatric surgical procedures.

I organized Open House activities for public education during OR Nurse Week.-Program educating the community about all aspects of the perioperative experience.

1989-1998-Servlce Coordinator: Thoracic, Gynecology, Ophthalmic Services

Responsible for all aspects of staff education in these services, worked collaboratively with Specialty Chief Surgeons to Identify equipment needs, standards of practice, implementation of new programs, orientation of new surgical residents to proper care of all equipment, team member performance appraisals .I was responsible for maintenance of all specialty equipment and Input Into budget process.

1998-Last six months employed there returned to staff nurse position in Ambulatory Surgery Center as I had accepted a Nurse Administrator position of a new Surgery Center Facility opening within those next 6 month as I Knew was leaving and wanted my replacement to have time for an adequate orientation period.

Church Hospital Corporation (closed} (08/20/1974 - 05/10/1984) - Staff Nurse promoted to Assistant Head Nurse

Baltimore, Maryland United States

Supervisor: Joan Parsons, RN - Retired; Contact: No

Salary: $36,000.00 per year Hours per week: 40

Duties: Assistant Head Nurse Duties:

Managed day to day operations of 7 room operating room/3 procedure room operating suite including dally staff assignments, maintenance of pharmaceuticals and medical-surgical supplies, orientation of OR personnel (Novice to experienced), coordination of dally schedule with anesthesia staff and surgeons.

Liaison between Community College of Baltimore and Church Hospital for first affiliated Surgical Technologist Program in Baltimore. Responsible for ensuring tech students were provided exposure and learning opportunities in all surgical specialties in preparation to sit for the National AST exams (Surgical

Technologist Certification)

Developed clinical teaching programs for staff In services.

Staff Nurse Duties:

Circulate, scrub, First and Second Assist to Surgeon

Community Health Nursing:

Worked In the Hospice Program inii the Community Health division providing all aspects of care to cancer patients Including physical assessments, accompanying patients from their homes to Dr. appointments, medication administration, Collaboration with physician on total care needs of the patient, documentation and referrals to other health agencies as needed; Provided psychological support to family members during Illness and throughout the grieving process upon termination of patient's life.

I Worked at The Dundalk Crisis Center-shelter-Live In center for battered and abused women and children; Provided interventional care to women and children In crisis In collaboration with Social Services, Medical Assistance Programs, Shelter Psychologists and Counselors.

Baltimore City Hospitals {now Bayview Medical Center) (09/11/1972 - 09/05/1977) - LPN and Professional Nursing Student

Baltimore, Maryland United States

Supervisor: Josephine Vancura, RN - deceased; Contact: No deceased

Salary: $650.00 per bl-week Hours per week: 40

Duties: I performed circulating and scrub duties in the operating room. I was a member of Vascular, Thoracic, and Renal transplant teams. I was on the trauma team at Baltimore City Hospitals as circulating and scrub nurse for major trauma cases in collaboration with University Of Maryland Shock Trauma Unit.

I worked as LPN and later as professional nursing student while attending school for RN Licensure.

Provided CU one on one care to post renal transplant patients In Surgical ICU-Including ventilated patients. Preceptor to new OR employees in above mentioned services.

Education: High School

Kenwood High School {09/01/1964 - 06/07/1967) Baltimore, Maryland

United States

Degree: High School Diploma - Major: General Studies

Vocational School

Baltimore City Hospitals School Practical Nursing (07/01/1971 - 08/15/1972) Baltimore, Maryland

United States

Degree: LPN - Major: Practical Nursing - One year program- no semesters hours - Nursing Certificate GPA:3.6

College/University

Community College of Baltimore {09/05/1974 - 06/06/1977) Baltimore, Maryland

United States

Degree: Associate In Arts - Major: Nursing GPA: 3.8 Semester Hours: 90

Description: Associate in Arts -Nursing Program Graduated Meritorious Scholar

College/University

University of Maryland (08/26/1981 - 05/30/1982) Baltimore, Maryland

United States

Degree: BSN-Nursling - Major: Nursing; Minor: Leadership; GPA: 3.8 Semester Hours: 30

Description: Bachelors of Nursing Program. Fast track RN to BSN program.

College/ University

Central Michigan University {09/12/1986 - 03/29/1986) Aberdeen Proving Ground, Maryland

United States

Degree: Course work Major: Health Care Administration; Minor: Human Resources; GPA: 3.6 Semester Hours: 15

Description: Master's Degree Program-Course work not completed due to family Issues Program concentration In Health care administration and Human Resources

Additional Information

Certification - Maryland Certification for Rehabilitation Service {06/07/2007) Maryland certification for rehabilitation service provider

Maryland Workers' Compensation Commission

Expires 06/07/2010

License - WCCM {7/14/2010) 16

Advance Practice Nursing License-Certified with State of Maryland Nursing Board - Renewed annually License - RN program/Passed State Board Exam {08/01/1977)

RN Licensure

Certification - Certified Nurse Operating Room (CNOR) (09/21/1987) 4160

National Certification for Perl-operative Nurses-Demonstrates RNs who pass this exam are accomplished at level of expertise in this specialty.

Certification - Tuberculin skin testing (10/20/2002) 10

Tuberculin skin testing program provided by Cecil County Health Department for RNs. Program teaches proper testing

And reading of skin testing results and actions necessary for positive readings Testing and Certification upon completion.

Certification - RN Case Management Certification (05/22/2007) 16

Maryland Board of Nursing approved program for Workers' Compensation Nurse Case Managers

Specialized Education - Essentials of Nurse Case Management (06/29/2010) 17 - On line Nurse Case Management Educational Program

Educational Training Specific to Occupational Health and Kirk U.S. ARMY Employment:

Human Resources for Supervisors- 3 Day Course Aberdeen Proving Ground - March 2016 Managers Development Course 18 Aug 2008-30 Nov 2009 20 CEUs

How to Communicate with Tact, Professionalism, and Diplomacy 12 CEUs 3-4 Nov 2010 Rockhurst University Continuing Education Center, nc.

The Army Managers Internal Control Program 11Feb 2011: Completion Date

Patient Decontamination Competency Training 11October 2012 - Hands on set-up and break down of portable decontamination unit - APG North Presented by David Bish- Surety Officer APG

Supervisor Development Course 26 June 2012- Renewed 2015 Lean Six Sigma Yellow Belt 29 March 2012

Tri-Service Hearing Technician Certification Course 17-20 Sept 2013 USAPHC APG CAOHC Course Director: Richard "Allan" White

CBRNE Responder Course - November 2015 - renewable every 3 years - 8 hour course

Grand Rounds for the Occupational Health Professional 30Sept-2 Oct 2009 16 CEUs Susquehanna Valley Association of Pennsylvania Occupational Health Nurses, nc.

Workers Compensation for Supervisors (FECA) 2015 DCPAS-APG Presented by Cheryl Adams CPA

The Secondary Assessment of Chemical Casualties 30 Nov 2010 - 1CEU USMRICD - APG

Medical Counter measures for Chemical Defense: What's on the Horizon? 14 June 2011 - 1CEU USAMRICD - APG

Decontamination 101 and Upcoming Changes 15 Feb 2012 - 1CEU The U.S. Army Command APG

Surety Medicine Teleconference at Edgewood, MD 16 Oct - 30 Sept 2014 - 1CEU The U.S. Army Command APG-South

Principles of PDS operation using CBRN E incidenti Response Leaders Guide and Tool Kit The USARMY Command APG-South

Medical Management of Pediatric Patients in a Chemical Environment 23 April 2014 - 1CEU The U.S. Army Command APG-south

Operational Aspects of CBRN Detection Equipment for Emergency First Responders 4 June 2014 - 1 CEU - The U.S. Army Command APG-South

Intro to CBRN Casualty Simulation for Patient Decontamination Station Training Operations 27 Aug 2014 - 1CEU - The U.S. Army Command APG-South

Currently in COHN-S PREP Study Program with intent to take COHN-S exam NLT end of FY 201

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