Tiffany Turner
Wingate, In 47994
***********@*******.***
Employment History
Horizon Health/Paris Community Hospital
October 2017 to present
Chief Nursing Officer and Vice President of Patient Care Services-Family Nurse Practitioner
Direct and manage all nursing staff of the hospital as well as the family practice clinic
oDeveloped and grew the Hospitalist program while working at the lead FNP. Daily admissions went from an average of 2 to 8 within a 6 month time frame. Hospital census has not been maintained this well in more than 10 years. Average daily census of 16 with an average of 6 admission and 3 discharges
oStarted an ambulance service for the facility and have exceeded expectations in regards to number of runs completed to date, approximately 5 daily without 911 contract bid
Assisted in facilitation of the 911 contract for the county in May with significant county satisfaction in regards to response times and customer service
oOpened an employee based clinic for 4500 covered lives for a local manufacturer to provide primary care services, laboratory services and radiology services
oOpened a new convenient/urgent care that currently sees approximately 34 patients daily/month
oInstrumental in hiring multiple advanced practice providers and ancillary staff to facilitate safe quality care while staying under budgeted allowances
oManaged 16 direct manager reports and facilitator for remainder of facility staff as needed, approximately 350 reports distributed under these managers
oCollaborated with the medical staff to coordinate monthly meetings to increase quality care and communication
oIncreased patient volumes from an average of 7 a day to an average of 17 patients a day in the inpatient clinic, average observation patients of 6 per day
oDeveloped a sleep laboratory for outpatient overnight sleep studies also to include MSLTs
oImplemented and purchased equipment to support neurology services and new EEG equipment
oAssisted with implementation and ongoing development of new EMAR system (Athena) as an Alpha partner
oChanged practice patterns with ER physicians to keep patient at the facility while assisting with education and growth of the staff to support such service lines
oRecruited a cardiology APRN and implemented an outpatient and inpatient cardiology service line in conjunction with other cardiologist in the area
oRecent addition of a telepsych service line to include a new staffing model for the facility
oResponsible for tightly monitoring budget and holding staff accountable
oManage patient complaints and resolve daily issues
oImplemented daily safety huddle to increase communication and drive safety initiatives
oHeightened awareness of core measures and national patient safety goals to meet compliance standards
oHeld weekly Joint Commission meetings to identify and correct potential areas of opportunity to be survey ready at all times
oFilled in as the hospitalist when we had a sudden departure of a physician and vacations of existing provider
oAssisted in the ER as an APRN when the scheduled ER doctor was sick and no coverage available or the department was extremely busy and needed assistance.
May 2018 to present
oDeveloped and grew the Hospitalist program while working as the lead APRN. Daily admissions went from an average of 2 to 6 within a 6 month time frame. Hospital census has not been maintained this well in more than 10 years. Average daily census of 16 with an average of 6 admission and 3 discharges daily.
oRecruited and expanded service line to consist of 2 NPs and 1 full time MD and other prn staff
oIncreased HCHAPS scores due to more accessibility to care
oIncrease staff moral by decreasing frustration of multiple phone calls and consistent practice patterns
oDemonstrated evidence based practice through standardized order sets
oDecreased unnecessary readmissions due to incorporating case management and social services in patient discharges
March 2014 to October 2017
Certified Nurse Practitioner/Occupational Health Manager
Develop and start occupational med program
oImpacted growth and development of the department by 42% in a 12 month period with coordinated marketing techniques
oImplemented policies for the department
oCo-chaired a health and safety committee to drive changes in safe practices and implement best practices at the facility
oDeveloped a wellness program for the facility and other area companies to address biometrics and identify potential health risks
oManaged employee health program and ensured that all new employees met the employment standards required by state law
oManaged OSHA reporting log and claims for the entire facility
oDecreased recordable events by 17% within first year and have had an annual decline in recordable injuries and no lost time in 3 years
oVolume increase demanded 3 additional FTEs for the department
oIncreased communication with local physicians, hospital staff as well as business leaders to achieve desired goals for department and community
oCo-sign and monitored department policies for Medical Surgical inpatient department and respiratory department for compliance standards
oDeveloped Industrial Liaison committee to improve commination with community business leaders in regards to workman’s compensation issues
oCoordinated guest speakers and informational sessions for the committee to increase education on “hot topics”
oProject coordinator of implementing Athena electronic medical record
oMonitored and accountable for financial budget to lead to increased revenue for the facility and department
oAssessed, evaluated and treated patients needing occupational medicine services
Implemented and oversees onsite clinics and staff in collaboration with local industries to care for company employees
oOne clinic served 300 employees and has a dedicated NP to provide family practice based care two days per week on site at the factory
oOne clinic served 1300 employees plus covered lives and has a dedicated staff and NP clinic at on offsite location
Built, managed, organized budget and supply list for implementation
Staff manager over NPs and personnel of the occupational medicine clinic
oPerformed annual job appraisals
oImplemented annual competencies for staff
oIdentify opportunities for growth; council and support staff to institute changes
oEmpowered staff to step out of comfort zones and minimized staff anxiety with continued positive feedback and support
oAssisted with strategic planning implementation and encouraged staff to have same goals and values as the Administrative team
oFormulated standards of care to be in compliance with quality of services
oAssisted with Joint commission survey to obtain full accreditation with minimal organizational concerns
Assisted with expansion of Urgent Care at the facility from being a weekend program to a daily program
oWorked as needed as an NP in urgent care
Facilitate and care for ER patients when volume demands
Work in the Family Medicine Clinic as needed to cover new projects and call ins
Bronson Medical
August 2014 to present
Certified Nurse Practitioner
Telemedicine NP
oAssess and write prescriptions for diabetes testing supplies
oPrescribe braces and orthopedic supplies
oMaintain state compliance through adequate documentation and consultation standards
Maryville University
August 2013 to present
Certified Nurse Practitioner
Adjunct faculty
oteaching many different classes to NPs including healthcare politics, pathophysiology and health assessment
Wellness for Life Clinic
September 2010 to 2016
Certified Nurse Practitioner
Independent family medicine nurse practitioner at a patient centered medical home
oManaged acute and chronic illnesses
oIncorporated preventative health maintenance programs in daily care
oCollaborated with multiple specialties to increase communication and plan of care
oDelegated needed tasks to other members of the healthcare team
Director of Clinical Excellence
oPromoted wellness programs to potential new clients as well as educational program coordinator at existing facilities
oEnsured that all staff were competent in ACLS and BLS, provided courses as needed
oMarketed clinic to new clients
oCollaborated with companies to maximize care
oCollected, monitored and distributed health matrix data to companies
oOrdered supplies for the clinics
Reason for leaving: recruited by Paris Staff
Union Hospital
January 2013 to 2014
Certified Nurse Practitioner in the ED
Emergency room nurse practitioner
oManaged a multitude of patient situations and directed care management
oAssessed, evaluated and formulated a medical treatment plan for each patient
oPrescribe medications
oSuture
oI&D
oOrder appropriate testing
oMake referrals or admit as needed
Reason for leaving: recruited by Paris Staff
St. Mary’s Hospital
July 2012 to December 2013
Certified Nurse Practitioner in the ED
Emergency room nurse practitioner
oManage up to 50 patients a day in the fast track areas with the help of a scribe and other members of the healthcare team
oAssessed, evaluated and formulated a medical treatment plan for each patient
oPrescribe medications
oSuture
oI&D
oOrder appropriate testing
oMake referrals or admit as needed
Reason for leaving: 2 hours each way from home and new positon opened up with past medical director
Terre Haute Regional Hospital
March 2010 to July 2012
Certified Family Nurse Practitioner in the ED
Emergency room nurse practitioner
oManage up to 50 patients a day in the fast track areas with the help of a scribe and other members of the healthcare team
oAssessed, evaluated and formulated a medical treatment plan for each patient
oPrescribe medications
oSuture
oI&D
oOrder appropriate testing
oMake referrals or admit as needed
Reason for leaving: Contract with Team Health and HCA not continued… asked to stay with Team Health and went to work in Evansville
Occupational Health Practitioner in Clinic
Nurse practitioner in a occupational medicine clinic
oTreat and care for patients who are injured on the job
oPerform pre-employment assessments to assess workability status
oManage recordable injuries and minimized lost time
oMinimized company costs by decreasing lost time, decreasing recordable injuries and recommending only suitable people for employment based on company physical demand and on the job needs
oIncreased service line and grow clinic by 30%
oPerformed onsite visits as needed for contracted companies for various services including family practice needs
oPerformed onsite drug screening and PFTs
oCoordinated care plans with case managers and insurance companies
oIncreased local care services in areas that had never had medical services
January 2009 to March 2010
Director of Patient Care Services
Registered nurse who reports directly to the CNO of the facility
oDirects and manages four medical units in the hospital
ICU
3 East/Intermediate care unit
Clinical decision unit
Orthopedic surgical unit
Oversees two managers and 120 full time employees
oDeveloped and implemented process redesign as opportunities arose
oEncouraged and promoted staff governance with developing poster presentation and evidence based practice educational sessions during nurses week
oSupport ideas with documented research, data collection, and professional collaboration
oEnsure regulatory compliance through understanding Joint Commission Regulations and state regulations
oMaintain budget and consistently reevaluated to ensure budget compliance
oProcess complaints and resolve issues with patients and families as well as staff
oImprove compliance with National Patient Safety Goals
oImprove staff, physician, and patient satisfaction scores through open communication and by relaying problem areas
oRound in each patient room daily
oReprimand/council staff as needed
January 2007 to January 2009
Intensive Care Staff RN
oResigned managerial position to go to school for FNP
oCharge Nurse
oRapid response leader, responded to all codes
January 2005 to January 2007
Manager of the Intensive Care Unit
oManage and oversaw 55 full time employees
oFunction as critical care educator due to job merging
oOversaw 10 full time employees in a Telemetry unit
oManaged 8 full time employees in an acute dialysis unit
oOn multiple hospital wide teams to improve compliance and implement process changes through new standards and regulatory needs.
oOversaw and coordinated survey for cardiac certification
oMaintain competitive work environment and challenged staff to excel
oMaintain staff competencies to demonstrate proficiency and competence
oClinical supervision of all team members to ensure best possible care provided
April 2004 to January 2005
Clinical Educator ICU, Intermediate Care and Step Down Unit
oDesign new employee orientation
oOversee new hires, set expectations, and goals
oImprove staff education and continued learning
oWrite and implement new policies
oLarge group educational talks and one-on-one training
oMentored staff on the unit
Methodist Hospital/IU Medical Center
January 2001 to April 2004
Critical Care Flex RN
oWorked ICUs (neuro, CVCC, CCU) as needed
oFlexibility and ability to change patient assignments within minutes
oGood time management skills
oAbility to care for a multitude of patients ranging from traumas to open heart surgery
Reason for leaving: In a car accident and had difficulty with commuting
Union Hospital
January 1996 to April 2004
Critical Care RN
oPerformed duties of a critical care RN
oTitle of Assistant Nursing Care Manager with duties of doing scheduling
oCharge Nurse
Reason for leaving: multiple changes and pay decrease for all staff
Other Experience
oTB certified
oAANP board certified
oSpeaker for the AACN at 2009 Cardiovascular Workshop
oImplemented computer based training in areas of the hospital with no previous computer documentation
oCompleted thesis on CVVHD and Sepsis outcomes
oMagnet Conference 2009
oImplemented Alaris guardrail safe IV pumps hospital wide at Terre Haute Regional Hospital as well as in October 2017 at Paris Community Hospital
oCo-Chair of the quality staff governance committee
oMeditech coordinator/developer
oServed on the Board of the American Heart Association to coordinate the annual Heart Walk
oPolicy Council
oVolunteer at St Anne’s Indigent Clinic
oAANP member
oCAPNI member
oDOT Certified by National Registry
oBreath alcohol technician
oMRO-Assistant
oPFT certification through NIOSH
References
oAmy Arnett Infection Control and Quality Director, 1-217-***-****
oDr. Reid Sutton, Hospitalist Lead Physician 1-217-***-****
oDr. Ishmael, ER Director and Collaborative Physician 1-312-***-****
oDarcie Mathews, Inpatient Manager 1-217-***-****
oSara Spesard, NP at Paris Community Hospital 1-217-***-****