Marguerite A. Downs

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

Rehoboth Beach, DE 19971

443-***-****

admxr0@r.postjobfree.com

Professional Qualifications

§ Board-certified Adult Nurse Practitioner with over 13 years of experience in direct care of complex patients with multiple comorbidities

§ Specialized experience in Palliative medicine, including both inpatient and outpatient consultations, and outpatient hospice experience

§ Proven ability to work autonomously and provide excellent in-depth clinical assessments along with individualized care planning and patient education

§ Over 25 years of experience as an RN in a variety of clinical settings with substantial professional experience in management and teaching Licensure and Certifications

§ Advanced Certified Hospice and Palliative Nurse – Hospice & Palliative Credentialing Center

§ Board-Certified –ANP-BC – American Nurses Credentialing Center

§ ANP-BC State of Delaware License LP-0000265

§ Registered Nurse Multi-State License L1-0052848

§ Basic Cardiac Life Support Certification

Professional Experience

Delaware Hospice, Milford, DE September 2018 – Present Nurse Practitioner, Palliative and Hospice Services Provides in-home consultations to patients who have been referred for palliative services. Develops individualized care plans based on patients’ needs assessments with a focus on goals of care discussions and patient education regarding disease trajectory. Provides symptom management and continuity of care through collaboration with referring physician. Works with interdisciplinary team, including social workers and RNs, to provide holistic care to patients and their families. Conducts hospice recertification visits via in-home visits and telehealth appointments. Responsible for orientation and training of newly hired nurse practitioners. Conducts chart audits and documentation review for purposes of CPT coding and billing. MedStar Montgomery Medical Center, Olney, MD April 2015 – December 2017 Palliative Medicine Nurse Practitioner

Member of an interdisciplinary consult team dedicated to inpatient palliative medicine, focusing on improving physical, psychosocial and spiritual outcomes of patients and families with complex medical illnesses. Provided pain and symptom management to patients along with education and communication regarding goals of care with both patients and their families. Collaborated with attending physicians and hospitalists to optimize plan of care for patients. Developed and presented educational presentations for nurse interns and community groups. Mid-Atlantic Nephrology Associates, P.A., Glen Burnie, MD June 2008 – March 2015 Adult Primary Care Nurse Practitioner

Responsible for the management of End Stage Renal Disease (ESRD) patients on hemodialysis, including managing complications of ESRD such as anemia, renal osteodystrophy, hypertension, volume overload and vascular access problems. Managed chronic kidney disease (CKD) patients in the office setting. Provided comprehensive care of CKD patients including assessment, diagnosis and plan of care. Developed and presented educational seminars to CKD patients and families. Precepted graduate Nurse Practitioners providing mentoring and guidance. Harbor Hospital Center, Baltimore, MD November 1993 – May 2008 Parish Nurse

Unique assignment combining community health nursing and health ministry as part of a partnership with inner city churches. Independently responsible for health education and advocacy services to a broad-based population with a diversity of at-risk issues and wellness concerns

Nursing Supervisor

Management position requiring planning, analysis, and problem solving skills within critical time and quality guidelines. Directly responsible for the coordination and management of all off- shift patient care services in a 235-bed hospital. Served as clinical and administrative resource person to physicians, staff, and personnel from other health care facilities and family members Clinical Nurse - ICU

Primary care nurse to high acuity patients. Provided full range of direct clinical services in an advanced technology care unit

Glenelg Country School, Glenelg, MD September 1997 – June 2006 School Nurse – Middle & Upper School

Provided for daily medical care of students and staff. Direct responsibility for on-site medical triage of students and staff, including administering daily medications, receiving and responding to outside medical consultations/testing.

The Johns Hopkins Hospital, Baltimore, MD February 1982 – March 1995 Clinical Nurse – Intermediate Care Unit & SICU Float Pool Provided all levels of direct clinical nursing care to a broad-based patient population with high acuity (e.g., general surgery, cardiopulmonary surgery and organ transplantation). Catonsville Community College, Catonsville, MD September 1985 – May 1987 Medical-Surgical Nursing Instructor

Member of a five person teaching team for the “Fundamentals of Nursing” course. Implemented nursing plans, coordinated patient assignments, observed hands-on clinical sessions and evaluated student performance.

Education

University of Maryland, Baltimore, MD September 2004 – December 2007 Master of Science - Adult Primary Care Nurse Practitioner University of Maryland, Baltimore, Maryland September 1984 – May 1985 Bachelor of Science - School of Nursing

Catonsville Community College, Catonsville, MD January 1979 – December 1981 Associate of Arts - Nursing

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