EDUCATION:

University of Texas Health Science Center Houston, Houston, TX In progress

Doctorate of Nursing Practice

University of Texas Health Science Center Medical Branch (UTMB) 2005

Acute Care Nurse Practitioner – Post Graduate

University of the Incarnate Word, San Antonio, Texas 2003

Master of Science in Nursing (Education)

Graduated w/ Distinction

University of the Incarnate Word, San Antonio, Texas 2001

Bachelor of Science in Nursing

Suma Cum Laude

Mercy School of Nursing, Canton, Ohio 1976

Diploma in Nursing

HONORS:

Sigma Theta Tau International Honor Society of Nursing

Stellar Scholarship Recipient – University of Texas Medical Branch, Galveston, TX

Nursing Honor Society – University of the Incarnate Word

PACE Award (Peer Award for Clinical Excellence) University of the Incarnate Word

International Who’s Who of Professional Management

AREA OF SPECIALIZATION AND CERTIFICATION:

Solid organ transplants: specifically heart, kidney, pancreas, K-P, liver

Specialization: Heart Failure

Specialization: Adult Critical Care

Specialization: Cardiology including EECP treatments

Certification: ACNP through ANCC, CCRN through AACN, CHFN through AAHFN

PROFESSIONAL EXPERIENCE:

FryeCare Cardiology, Hickory, NC

HF Nurse Practitioner

Sole NP set up and implemented active heart failure clinic including all policies and practices

Working toward advanced heart failure certification

Diagnostics including lab, x-rays, sonograms done routinely requiring interpretation and management

oMultiple diagnoses made for disease processes outside of HF, e.g. MDS, Leukemia, Hepatitis B due to diligence in evaluation of all diagnostic values received. Discussion with medical director of the clinic ensued; referral to specialist made.

Medication management and titration to guideline driven directives based on AHA/ACCA 2015 Guidelines

Admitting patients to the hospital who have failed outpatient IV diuretic management

Discussion of end of life issues at the appropriate time including palliative and/or hospice care

Worked in conjunction with the medical director of the clinic

The Medical Center of Plano, Plano, TX 10/10 – 7/2016

CV Nurse Practitioner

Sole NP in an active heart failure clinic; certified in advanced HF care

Diagnostics including lab, x-rays, sonograms done routinely requiring interpretation and management

oMultiple diagnoses made for disease processes outside of HF, e.g. MDS, Leukemia, Hepatitis B due to diligence in evaluation of all diagnostic values received. Discussion with medical director of the clinic ensued; referral to specialist made.

Medication management and titration to guideline driven directives based on AHA/ACCA 2015 Guidelines

Admitting patients to the hospital who have failed outpatient IV diuretic management

Discussion of end of life issues at the appropriate time including palliative and/or hospice care

Worked in conjunction with the medical director of the clinic

Medical City Dallas Hospital, Dallas, TX 02/10 – 10/10

ACNP – PARTNER Trial NP

Manage in-patient care of selected patients for the PARTNER trial

Admitted patients to hospital for procedure, managing pre-procedure workup

Managed patient care during hospitalization

Discharge summary and discharge care including follow-up care as out-patients; discharge medication reconciliation, prescription writing and dictation of discharge summary

Assisted in management of all CV surgery patients including but not limited to pulling pacemaker wires, chest tubes, invasive lines.

IPC Healthcare, San Antonio, TX 03/09 – 11/09

ACNP – Hospitalist

Management of all aspects of multiple medical diagnoses that present with an in-patient hospitalization

Admission history and physical through discharge including medication reconciliation, prescription writing, dictation of discharge summary

Management of disease process including medication ordering and titration; reactivation of home medications prior to discharge where applicable

Care management included ICU patients; e.g. mechanical ventilation, vaso-active medication titration and eventual transfer to the step down unit.

Texas Transplant Institute, San Antonio, TX 01/07 – 10/08

ACNP – In-Patient Care of the liver transplant patient

Admission and management of patient for pre-transplant work-up and diagnostics forthwith

Admission process for organ transplantation readiness and transplant itself managing all the pre-transplant diagnostics

Admission for liver failure patient with end stage liver related illness inclusive of hepato-cardio, hepato-renal issues.

Management of spontaneous bacterial peritonitis

Pericentesis for ascites

Post transplantation immunosuppression management

Discharge management including discharge medication reconciliation and writing prescriptions; dictating discharge summary

Discharge follow up management to liver clinic

Houston Cardiovascular Associates, Houston, TX 06/06 – 01/07

ACNP – week-end call

Rounding on all in-patients of this 13 cardiologist group

Performing all admission histories and physicals of patients coming into the hospital

Ordering and analyzing all diagnostics pertaining to cardio-pulmonary care

Titration of vaso-active medications for patients in the HF unit

Discharge management including medication reconciliation, writing prescriptions and dictation of discharge summary

Critical Care Consultants, San Antonio, TX 9/98 - Present

Owner/Sole Proprietor

Focus on offering critical care education topics to outlying hospitals

Wrote and presented topics most specific to critical care always realizing that in small outlying hospitals the same nurses work ICU as work the floor.

Programs were written so they could be worked as med-surg information and with a few items added became critical care topics.

EX: IABP, Swan-Ganz monitoring, mechanical ventilation, more in-depth pathophysiology

NURSING ROLES PRIOR TO ACNP

Methodist Specialty and Transplant, San Antonio, TX 1995-2006

Registered Nurse, Preceptor, Educator- CV Surgery ICU, CCU, all transplants except lung

VAD management, ECMO (CPS-circulatory support system), immunosuppression

Acute decompensated HF prior to transplant

Metropolitan General Hospital, San Antonio, TX 1981-1995

Nurse Manager, Preceptor, Registered Nurse-oncology, step down, MICU

St. Elizabeth’s Hospital, Dayton, OH 1980-1981

Registered Nurse-med-surg unit including post heart catheterization care

Alexian Brothers Medical Center, Chicago, IL 1977-1980

Registered Nurse, Preceptor-surgical unit

Ohio State University Medical Center, Columbus, OH 1976-1977

Registered Nurse-high risk gyne-surgery unit

COMMITTEE REPRESENTATION:

Chair APN Committee: TMCP 3/13- 7/16

Chair HF Committee: TMCP 1/12- 7/16

Research Council: TMCP 10/11-1/14

Clinical Practice Council: TMCP 10/11-1/12

Nurse Practitioners Clinical Practice: MSTH 6/06 – 10/08

Chair- Nurse Practice Council: University Hospital – 2001-2002

PROFESSIONAL MEMBERSHIPS:

ANP/TNP

AANP

ANA/TNA

oBoard Positions

oNominating Committee – District 8 2004-2006

AACN

oVolunteer Positions – National

oScholarship Review Panel 2004-2006

oFall Board Advisory Team – 2004 - 2005

RN LICENSURE:

ACNP WITH RX AUTHORITY

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