Nurse Practitioner Patient Services
Resume:
Patience Onyegbule
DNP, MSN, APRN, FNP-C, CNM, CCD, CMSRN
********.*.*********@**.*** / **********@*****.***
CAREER OBJECTIVES:
To build and lead enthusiastic teams in the clinical setting. I bring my exceptional experience, inspiring teams, strong clinical background, engaging and motivating teaching style, successful program development, including implementation background to the organization.
HIGHLIGHTS OF QUALIFACTIONS:
Pivotal role with two organizations in achievement of Magnet status
Doctorate prepared in Nursing Practice and Hospital Operation Models
1-year residency in hospital operations with Chief Nurse Executive
Innovating processes, work flows, nursing care models
Knowledge of hospital management and policies
Excellent leadership and collaborative skills
PROFESSIONAL EXPERIENCE:
Kaiser Permanente, San Diego, CA
FNP-C Population Care Management 2014 to Present
Created advanced processes that resulted in 50% reduction in cost supply
Contributed immensely to KP Guinness World record recognition for highest screened and treated number of patient within 8 hours in the world
Coordinated Healthy Bones care, improved HEDIS performance from 57% to 98%
Reduced and prevented RAC and CMS financial audits by 62%:
NP INDEPENDENT CONTRACTOR FOR: PA HOUSECALL & MEDEXAM & ALLIANCE CLINIC: 2014-PRESENT
Home call for urgent care services across lifespan, Women’s and OBGYN, maternal and child healthcare visits, for assessment, physical exams, plan of care and determination of care appropriateness.
Medication order, referrals and admissions if determined that care needed in a higher acuity environment.
Evaluation of status and hospital discharge rounding on behalf of another provider.
Recommending exams and connecting patients to appropriate providers services.
Interpretation of results.
Alliance Health Care: Director of Nursing and Coverage NP for internal medicine and urgent care of patients across life span managing chronic diseases, women’s health from pregnancy to hospital referrals for delivery and post delivery care.
FNP-C Inpatient Case Management and Patient Classification Specialist 2013-2014
Patient assessment for acuity placement and care priority, re-evaluation for needs prior to discharge, follow up when discharged to reduce re-admission into acute c
Completed a regional project that directly recovered over 2 million for Kaiser
Coordinated with IDT to improve inpatient classifications, quality measures, hospital re-imbursement and coding, thereby reducing CMS financial audits in 2010-2012
Ensured reduced hospital re-admission by planning the care and bridging treatment plan, setting up home-health, social worker, PT/OT t and other disciplined
Medication reconciliation and referral of community resources, collaboration of care at home with PCP and other agencies and contracted hospitals and healthcare organizations
Labor and Delivery, Post -Partum, Maternal and Child Health 2009-2013
Responsible for direct care, assessment, support, and education
Monitored maternal and fetal wellbeing, assisted with coaching and delivery
Clear communication of progress and changes to physician and patient
Post-delivery care of mother and baby in post-partum per KP standard
Discharge, education, hearing test, bilirubin monitoring, immunizations, labs monitoring, new born weight monitoring and recording. Breast feeding coaching and education.
Charge Nurse Cardiac and Medical Surgical Unit 2008-2009
Lead the team, managed staffing, service recovery, patient care, and direct report to DA, UBT project and committee key contributor
High-risk OB Inpatient Observation 2007-2008
Clinically managed for members in ED & continuous assessment, collaboration of care with other specialties for high-risk OB patients prior to triage to L&D.
Labs draws, infusions transfusions and management of other diseases relating to pregnancy.
Maternal and fetal well-being monitoring, direct reporting to rounding OB.
Triaged and intervened for urgent medical care, resuscitation, appropriate care delivery depending on severity of problems and intensity of care.
Safe discharge to home if provider determined stability of conditions.
Nile Sister, Inc., San Diego, CA 2016-Present
Director of Nursing Education
Plan and develop nursing programs, write proposals, write grants, applications and submitted to regulatory boards and sponsors, ensure credentialing for Nursing Education program that is partially open for non-profit organizations in an underserved community.
Key contributor to strategic planning and community improvements.
Directs budget management and resources and services allocation.
Implements and monitors process evaluation. Met all regulatory requirements.
Alliance Health Internal Medicine Clinic & Urgent Care, San Diego, CA 2010-2013
Interim Director of Nursing & NP APRN
Managed the clinic and staff as the acting Nursing Director: collaborated with Medical Director to meet expected core measures for mammogram and PAP smear and Colorectal screening measures and various HEDIS measures.
Managed and resolved human resource, labor relations, employee and department safety and risk management issues
Collaborates w/ Physician Team Leaders & Department Chiefs in planning & developing the level of patient services/programs & the day-to-day operations of multiple departments.
Hired new providers, terminated ineffective staff. Performed evaluations of staff, critical appraisals and monitored budgets.
Accountable and operated within budget successfully.
Wrote grants for free access to colorectal screening of patients and project on obesity reduction.
Directed compliance with administrative, legal, and regulatory requirements of governmental and regulatory agencies timely.
Monitors financial performance & identifies & implements strategies to reduce costs & improve quality of care/service
Monitored re-imbursement and met regulatory requirements for re-certification.
Key contributor for CHDP certification; evidence-based implementation and monitoring of different projects.
Monitored quality indicators, measures to improve overall scores, and organizational performance; improved HEDIS scores and other outpatients’ quality measures.
University of California San Diego, Medical Center 1996 to 2011
Lead APRN & Charge Nurse L&D & MCH 2002-2011
Assignment of responsibilities and ensured adequate staffing and coverages.
Provided unit base leadership in collaboration with the Nurse manager, directors, and physicians.
Assumed the informal responsibilities of the manager when on leave or vacation.
Preceptor and education of new staff.
Participated in numerous performance improvement via unit-based projects, affordability projects and budget balancing.
Ensured compliance with TJC and other regulatory.
Participated in annual staff evaluations and numerous quality improvement committees.
Worked clinically as a high-risk OB, L&D, post -partum.
Worked effectively in in a union environment in resolved employee, human resources issues.
Made budget decisions via CNO when covering as administrator.
APRN, Clinical Lead III, Trauma, Orthopedic/Neuro and Research Unit 1996 to 2002
Functioned as a lead clinician nurse-specialist of a 36 beds unit that is part of a large teaching hospital.
Directed and delegated to manager appropriate delivery and level of services
Clinical lead Nurse III for Trauma recess, triage, and Trauma 1& 2 operating room. Supervised, provided adequate staffing, and assisted in Trauma OR as needed.
Coordinated, directed, and supervised the daily activities of surgical services in the trauma operating room in compliance with all regulatory requirements.
Coordinated and monitored the provision of facility services by exercising leadership, creativity, initiative, and cooperative problem solving in the areas of material management, equipment/building maintenance.
Managed Trauma OR staffing and productivity within established guidelines.
Assisted with clinical competency of staff in the operating rooms and central processing departments.
Managed and resolved human resource, labor relations, employee and department safety and risk management issues
Designed & evaluated processes that improve systems & patient care results across the multiple depts. & across continuum of care.
Participated in several Nursing committees: shared governance, image of Nursing, Research and Educational council, safety council, Leadership council that got majority of the nursed engaged and lead to magnet status.
coordinated individualized care for orthopedic, surgical, neurology, and seizure monitoring research unit.
Implemented a guideline that generated a modification to the seizure safety policy at UCSD medical center.
Facilitated staffing assignments for warm hands off as to ensure safe assignment of staff to patient care.
Conducted significant sentinel event investigations, facilitated root cause analyses and corrective actions plans with learnings.
Developed and implemented educational plans of new staff via a boot camp program
Scripps Health Care APRN, Clinical Lead Nurse 1996-2010
Maternity Scripps La Jolla & Encinitas: Maternal and Child, L& D 2003- 2010
Supervision of employees and provided needed resources for the shift.
Ensuring adequate staffing mix and coverages
Budget participation.
Sentinel event E-QVR review and root cause analysis after code blue.
Participations in new employee hiring, interview process and training.
Staff Education and certification updated
Direct report to MGMT.
Service recovery and settlement of member services issues
Directed and ensured continuous quality and safety of staff, patients and improvement of all clinical practices, services, and operations.
Managed, designed, and implemented of systems, processes of continuous education of staff.
Developed methods that evaluated and improved safety of patient care across the continuum.
Hospital Resource APRN/ Intensive care unit 1996- 2002
Floated to all areas, pre-op, OR and post up care and post-partum and high-risk OB.
Coordinated and assisted in emergent surgeries surgery from level 2 trauma.
Provided education, advice and care of patients as needed:
ICU and Trauma Nurse caring for critically ill patients
Sharp Health Memorial Hospital Inpatient House Supervisor 1992 to 1996
Supervision of staff, managing staffing and allocation according to need and experiences Determines the appropriate staff-mix for multiple departments and manages sick calls and replacements.
Assisted with hiring and coverage of managers and making decisions on their behalf.
Ensures patient care staff provide the highest quality of care and compliance with the Nurse Practice Act, TJC, NCQA, federal, state & local requirements.
Collaborates with physicians, nursing & other health care providers in establishing, implementing, & maintaining patient care, quality & service standards to meet members' & internal clients' expectations
ADDITIONAL RELEVANT EXPERIENCE
House Supervisor and Lead Nurse, Sharp Health, San Diego, CA (1993-1996)
TEACHING/ PRECEPTOR EXPERIENCES
Adjunct Professor of Nursing, United States University, San Diego, CA. 2013-Present
Clinical professor of Nursing, National University, San Diego-Present
Clinical Preceptor, California State University, San Marcos, CA 2013 -Present
Clinical Preceptor, San Diego State University, San Diego, CA. 2011- Present
Clinical Preceptor, Azusa Pacific University, San Diego, CA.2011-Present
Clinical Preceptor, University of San Diego, San Diego, CA. 2011-Present
EDUCATION
Doctor of Nursing Practice – University of San Diego, Hahn School of Nursing, San Diego, CA (2013)
Master of Science – Nursing Science, University of San Diego, Hahn School of Nursing, San Diego, CA (2009)
Nurse Practitioner – Nursing Science, University of San Diego, Hahn School of Nursing, San Diego, CA (2009)
Bachelor of Science – Nursing, Public Health (with honors), University of Phoenix, San Diego, CA (2008)
Midwifery Graduate, College of Midwifery, Abah General Hospital, Nigeria (1992)
School of Nursing Mater Misericordiae (1990)
VOLUNTEER AND ORGANIZATIONAL ACTIVITIES
Director for Nursing Education, Nile Sister Inc., San Diego, CA (2016 to present)
Volunteer, Habitat for Humanity, San Diego, CA (2001 to 2014)
Volunteer, African Alliance Health Center (2009 to present)
Volunteer, Caring Heart Free Clinic, San Diego, CA (2013 to 2016)
National Vice President, Nigerian Progressive Union, USA
Volunteer, UCSD Free Clinic for Underserved (1996 to present)
Wrote and won grants for Obesity Reduction in African American Population (20011-2013)
Volunteer, Hypertension Education for Minority Groups, San Diego, CA (2011 to current)
Volunteer, San Diego County Health, and Human Services Annual Health Fair: 1998 to current
Fundraiser, African Catholic Community Health Promotion (2007 to 2015)
Volunteer, DEEP (Diabetic Empowerment Education Program, San Diego County HHS (2014 to present)
Volunteer Midwest Latino Health Research Training and Policy Center Evidence Sharing (2015 to present)
Kaiser Permanente Women in Medicine (WIM) Board Member (2016 -current)
Member of San Diego organization of Healthcare Leaders (SOHL)
Member of American College of Healthcare Executives (ACHE)
RESEARCH
Fall and injury reduction at UCSD medical center on seizure patients, 2009
Reduction of obesity in African American Women Population 2009, 2011-2013
UCSD Boot camp (2006). Analyzed of current policies, protocol at University of California, San Diego (UCSD) compared them with current evidence-based protocol leading to change in policies and protocol at University of California, San Diego hospitals in San Diego County (2009)
Compared documentation and management of falls and injury in UCSD medical center from over four years. Evaluated UCSD Management Code guidelines and compared to meeting benchmark standards as outlined by HCFA (2008).
Incident Report Review; entered information on causes and improvement protocols with time lines (2009-2010).
Participated on safety committee and studies on evidence-based fall and injury prevention (2008 to 2010).
MANUSCRIPTS
Innovative Management of Burn and extensive tissue damages at UCSD (2007)
Reducing Obesity in African American Women Population (2011, 2013)
Medical center (2005). Work accepted for publication July 2005 as most Informative on Burn and skin graft (2005).
Reducing Obesity Among African American Women May,2013 (Published abstract USD Journal).
Increased Obesity in African American immigrant women (Abstract publication at USD journal, 2011).
Colorectal cancer prevalence, Screening in Middle East men and Women over 50 years (current).
Seizure classification presented to new Nurses during orientation and during UCSD boot Camp participation (2007)
Reducing Obesity in African American Women (September, 2012Alliance Clinic).
WIN 46th Annual research Conference (April, 2013 publication and Presentation).
Reducing Obesity in African American Women project at Alliance Community Clinic (Abstract Publication USD 2013).
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