Certified Advanced Practice Nurse, Clinical Nurse Specialist
Resume:
Résumé
Lorene (Lori) Sue Nichols
Spring Valley, Ohio
adtut3@r.postjobfree.com
Objective
Full time employment as Advanced Practice Nurse, Clinical Nurse Specialist, Manager, Director, Menor, Educator, Leadership.
Education
Masters of Science in Nursing, Clinical Nurse Specialist, Adult Health, Ball State University, Muncie Indiana
Bachelor of Science in Nursing
Jacksonville University, Jacksonville, Florida
Associate of Applied Science in Nursing
Edison State Community College, Piqua, Ohio
Recent Professional Positions
Compassus Hospice and Palliative Care, Director of Clinical Services (July 5th 2022 – October 21st 2022)
Kaiser Permanente, Riverside, California, Travel Nurse (March 17th 2022 – May 21st2022)
Kaiser Permanente, Santa Clara, California Interim Cardiovascular Intensive Care Unit Educator, Travel Nurse (November 1, 2021 – January 21, 2022)
Reid Health Medical Center, Richmond, Indiana, Travel Nurse (July 2021-October 2021)
Interim Intensive Care Unit/Cardio Vascular Intensive Care Unit Manager
Eighty-six staff reporting to this CNS
Managed budget, staffing, physician relationships, supplies and equipment,
Quality measures, staff corrections and professional growth.
Identified areas of growth and education opportunities and collaborated with
the Educator to develop pathway of education.
Managed and supported staffing team during extensive Covid-19 surge while
taking night shift patient assignment to ease staffing shortage and display
solidarity with staff.
10-month Interim assignment (July 2020-April 2021) at Kaiser Permanente -San Leandro, San Leandro California as Interim Nurse Educator of Med/Surgical Unit, and promoted to Interim Clinical Nurse Specialist of Critical Care. 48 bed Med/Surgical Unit that regularly cared for 10-20 Covid patients daily with 120 FTE’s. The Intensive Care Unit has 24 beds but regularly overflowed to PACU. Staff numbered 80-100 with fluctuating Travelers. As the Critical Care Clinical Nurse Specialist most of the time was spent at the bedside helping with patient care and coaching staff.
Preceptor of Advanced Practice Nurse Student (2020)
Preceptor of Advanced Practice Nurse student (2019)
Served as Critical Care Clinical Nurse Specialist/Educator at MultiCare Deaconess Hospital, Spokane Washington. Oversaw Intensive Care Unit, Cardiac Unit, Step Down Unit, Cardiac Cath Lab, Monitor Technicians, and Cardiac Short Stay
Clinical Nurse Specialist, Atrium Medical Center, Premier Health, developed, built and opened Senior Emergency Center-recognized nationally
System Committee Chair for standardization of Oral Care for Mechanically Ventilated patients, (2/16)
Awarded Foundation Volunteer Grant, $50,000 to purchase patient room chairs to aid in mobility
Preceptor of Masters of Nursing student, (9/15 – 12/15)
Patient Mobility Initiative, 8/15 – 5/16
Professional Organizations
National Association Clinical Nurse Specialists – current since 2012
American Association Critical Care Nurses – current since 2003
Emergency Nurses Association – current since 2017
Ohio Association Advanced Practice Nurses – current since 2013
Washington Association Advanced Practice Nurses – current since April 2019
Sigma Theta Tau International Honor Society of Nursing – inducted 2015
Certifications
Adult Health Clinical Nurse Specialist, American Nurses Credentialing Center – current since 2012
Critical Care Registered Nurse, Adult, American Association of Critical Care Nurse Certification Corporation – current and consistently renewed since December 2002
Press – Gainey High Reliability Trainer - Current
Certified Tobacco Treatment Specialist, (8/27/2015) Mayo Clinic, current
Advanced Cardiac Life Support, American Heart Association current and consistently renewed since 2001
Trauma Nursing Core Course (12/2001; Re-certified 11/05, 11/09): Emergency Nurses Association
Basic Life Support, American Heart Association current and consistently renewed since 2001
Clinical Nursing Licenses
Indiana Registered Nurse - pending
Indiana Clinical Nurse Specialist - pending
California Registered Nurse – 666997, Expires: 03/31/2023
California Clinical Nurse Specialist with Prescriptive Authority – 4882, Expires:03/31/2023
Washington Registered Nurse – RN60945699, Expires: 02/22/2023
Washington Clinical Nurse Specialist with Prescriptive Authority – AP60945594, Expires: 02/22/2023
Ohio Registered Nurse – 295569, Expires: 10/31/2023
Ohio Clinical Nurse Specialist – 13277, Expires: 10/31/2023
Employment History
Emerald Health Services Travel Nurse Agency (06/2020-present)
Kaiser Permanente – San Leandro, San Leandro, California
06/2020 – April/2021
Interim Clinical Nurse Specialist Critical Care (11-2020 – present)
Interim Nurse Educator – Medical/Surgical (06/2020 – 11/2020)
48 bed Medical/Surgical Unit that regularly cared for 10 – 20 Covid patients daily with 120 FTE’s
Intensive Care Unit has 24 beds but many days overflowed to PACU with roughly 80 – 100 FTE’s depending on number of travelers
Reported to Director of Education Department
Responsible for teaching orientation to new hires, POCT testing Fit – Testing for respirators, introducing new hospital wide initiatives (e.g., a new order set for Diabetic Keto Acidosis or DKA that did not require an Intensive Care Unit stay, new defibrillators, software updates to electronic documentation program, new equipment, CLABSI Road Show for region wide infection prevention etc.)
Introduced Current Best Practice for using Trendelenburg, IV Starts and Porta Cath access, weighing patients daily and accurately, Head to Toe Nursing Assessment, wound care and wound prevention, pain management and documentation
Assisted staff navigating Care Plan Documentation updates, Core Measure documentation
Assisted in preparing for yearly competencies and needs assessment
Critical Care Clinical Nurse Specialist in the ICU and floated between ICU and Med/Surg
Cared for almost exclusively Covid patients, Swan – Ganz monitoring and introduced a major, comprehensive education update pm pulmonary artery monitoring for all ICU staff
Developed Critical Thinking Program and Continuing Education Credit for ICU staff
Conducted a needs assessment to prepare for 2021 education and competencies
Majority of time was spent with staff at bedside helping with patient care and coaching staff in ICU during Covid pandemic
MultiCare Deaconess Hospital, Spokane Washington
03/2019 – 06/2020
Critical Care Clinical Nurse Specialist/Educator – Intensive Care Unit, Cardiac Unit, Step Down Unit, Monitor Technicians, Cardiac Catheter Lab, Cardiac Short Stay
Co – Lead Covid Pandemic Preparation and Ongoing Readiness
Establishing Cardiac Competency - Co-developed major hospital wide Cardiac Rhythm Interpretation so all Registered Nurses and Cardiac Cath Lab Technicians would be EKG reading competent
Research and teach current Evidence Based Best Practice
Research Studies
Consultant to Providers and Ancillary Staff
Advocate for nurses, patients
Critical Care Nurse Residency Program
Lead Process Improvement
Quality Improvement, Data, Committee Lead – Sepsis, Restraints, Hospital Acquired Pressure Injuries, Stroke Program
Coach to nurses and students
Personal Time Off
09/2018 – 03/2019
Premier Health, Atrium Medical Center, Middletown, Ohio
01/2017 – 09/2018
Clinical Nurse Specialist
Developed, designed and launched Sixty-Five and older specialty emergency center (nationally recognized)
Recidivism Reduction
Length of Stay Reduction
Collaborate with Pharmacy, Social Worker, Physician, Case Managers and community resources to enhance quality of life for local seniors and reduce hospital admissions
Sepsis Awareness and reduction
Advanced Practice Nurse Committee
Certification as Advanced Practicing Nurse, Adult Health-Clinical Nurse Specialist 03/16/2012 – 01/07/2017), Miami Valley Hospital, Trauma Level One Center, Teaching Hospital, Dayton, Ohio
Collaborating Physician - Dr. Thomas Donnelly
Specialty – Pulmonary
See pneumonia patients daily to review: Core Measures, smoking status, vaccination status, appropriate antibiotics, transition to oral antibiotics, deep venous thrombosis prophylaxis, sleep study survey, length of stay issues and related needs.
See Chronic Obstructive Pulmonary Disease patients daily to review: Home oxygen use, order oxygen studies when appropriate, appropriate steroid and antibiotic use, transition to oral medications, deep venous thrombosis prophylaxis, sleep apnea survey, vaccination status and related needs.
Patient rounding with Pulmonary Physicians
Conduct deep dives for readmissions of pneumonia and chronic obstructive pulmonary disease
Conduct deep dives for Opportunity for Improvement - Vaccinations
Chair – Chronic Obstructive Pulmonary Disease High Risk & Readmission Collaborative
Chair – Pneumonia High Risk Collaborative
Chair – Tobacco Free Coalition, Youth Committee
Co-Chair – Collaborative to Reduce/Prevent Unnecessary Admissions
Co-Investigator – Chronic Obstructive Pulmonary Disease Pathway Research Study (2013)
Pulmonary Clinical Program Manager, (11/7/2010 – 01/2017)
Miami Valley Hospital, Trauma Level One Center, Teaching Hospital, Dayton, Ohio
Management of Pneumonia patient population Core Measures
Program Manager - Chronic Obstructive Pulmonary Disease Certification (expired 2/13)
Maintain evidence based, best practice for the Chronic Obstructive Pulmonary Disease patient population
Lecture and education related to Chronic Obstructive Pulmonary Disease evidence based, best practice for this patient population
Chair – Chronic Obstructive Pulmonary Disease Management Council
Clinical Nurse Educator, (6/6/2009 to 11/7/2010), Miami Valley Hospital, Trauma Level One Center, Teaching Hospital, Dayton, Ohio
Organized and taught nurse competencies
Developed orientation program for new nurses
Developed orientation program for new Neuro Intensive Care Unit
Resource for staff education
Chair for Interdisciplinary Patient Rounds
Developed program of study for preparation of Certification
Manage orientation and education of new hires.
Manage education of bedside staff, including implementation of evidence-based practice.
Manage disciplinary and public relations issues.
Communicate with physicians, patients and families in order to ensure the highest quality care.
Participate in committees for organizational development and change, policy and procedure.
Chair Quality Committee which develops quality initiatives.
Collaborating with physicians to define, develop, and implement comprehensive education and orientation to Advanced Care nurses as they transition to Neuroscience Intensive Care nurses.
Intensive Care Registered Nurse, (7/23/2007 to 6/6/2009), Miami Valley Hospital, Trauma Level One Center, Teaching Hospital, Dayton, Ohio
Bedside care includes management of patients on ventilators, trauma patients including spinal cord injuries, neurological injuries, burn patients, post-operative patients, cardiac monitoring, titration of drips, Swan-Ganz lines, arterial lines, ventricular drains and monitoring lines, continuous cardiac output equipment, and monitoring of patients involved in clinical medical studies
Communication with physicians, residents, and multidiscipline caregivers
Patient advocate and family liaison
Preceptor to student nurses
Intensive Care Unit, Registered Nurse, (9/2007-6/2009), Upper Valley Medical Center, Troy, Ohio
Bedside care includes management of patients on ventilators, neurological injuries, post-operative patients, Swan-Ganz lines, arterial lines, cardiac monitoring and titration of drips
Communication with physicians and multidiscipline caregivers
Patient advocate and family liaison
Intensive Care Unit, Registered Nurse, (December 2006 – July 2007), Inland Valley Medical Center, Wildomar, California
Bedside care includes management of patients on ventilators, trauma patients including spinal injuries, neurological injuries, post-operative patients, cardiac monitoring, titration of drips, Swan-Ganz lines, and arterial lines
Communication with physicians and multidiscipline caregivers
Patient advocate and family liaison
Preceptor to new employees, new graduates and student nurses
Intensive Care Unit, Registered Nurse, (04/2005 – 12/2006), Loma Linda University Medical Center, Trauma Center, Teaching Hospital, Loma Linda, California
Bedside care includes management of patients on ventilators, trauma patients including spinal cord injuries, neurological injuries, post-operative patients, cardiac monitoring, and titration of drips, Swan-Ganz lines, arterial lines, continuous cardiac output equipment, ventricular drains and monitoring lines
Communication with attending physicians, residents and multidiscipline caregivers
Patient advocate and family liaison
Preceptor to new employees, new graduates and student nurses
Intensive Care Unit, Registered Nurse, 01/2005 – 04/2005, Miami Valley Medical Center, Trauma Level One Center, Teaching Hospital, Dayton, Ohio
Bedside care includes management of patients on ventilator, trauma patients including spinal cord injuries, neurological injuries, post-operative patient, burn patients, cardiac monitoring, titration of drips, Swan-Ganz lines, arterial lines, ventricular drains and monitoring lines
Communication with attending physicians and residents, and multidiscipline caregivers
Patient advocate and family liaison
Intensive Care Unit Registered Nurse, Upper Valley Medical Center, Troy Ohio, (06/2001 – 04/2005)
Charge Nurse/Resource Nurse with responsibilities that include staffing, nurse/patient ratio and assignments, patient location assignment and situational problem solving
Bedside care includes management of patient on ventilator, neurological injuries, trauma patients, post-operative patients, Swan-Ganz lines, arterial lines, cardiac monitoring, and titration of drips
Communication with physicians and multidiscipline caregivers
Patient advocate and family liaison
Preceptor to student nurses
Student Nurse Upper Valley Medical Center, Wayne Hospital, Wilson Hospital and in the community
Assessing patients/patient needs
Passing medication
Communicating with physicians
Advocating for patients
Patient Care Technician, Upper Valley Medical Center (05/2000 – 06/2001)
Patient safety and comfort
Taking of vital signs and blood sugars
Patient ambulation and transport
Owner/Entrepreneur, Lowenco Cleaning Services
In business 11 years
Managed cleaning of residential homes, businesses and schools
Managed five employees, administrative duties and accounting
Professional Organizations and Committees
Ohio Association Advanced Practice Nurses, Dayton Chapter President (2014-2015)
Advanced Practice Provider Premier Health Committee, Education Chair (2016-2019)
Advanced Practice Provider Premier Health Committee member, (2016- 2019)
Advanced Practice Nurse Self Governance Council (2011-2016)
Contributing writer – Magnet Newsletter (2009 – 2019)
Nurse Recognition Committee (2009 – 2017)
Dayton Chapter Ohio Organization Nurse Executives (2011 – 2015)
Ohio Association Advanced Practice Nurses (2012 – present)
Ohio Association Advanced Practice Nurses Dayton Chapter Leader (2014)
National Association Clinical Nurse Specialist member (2011 – present)
American Association Critical-Care Nurses, Dayton Regional Chapter, Member (2010 – present)
American Association Critical-Care Nurses, Dayton Regional Chapter President (2010 - 2012)
American Association Critical-Care Nurses, Dayton Regional Chapter, President Elect (2008 - 2010)
Outcomes Academy
Develop and teach competencies for vaccinations as related to Core Measures and regulatory compliance (2012)
Pneumonia STAAR Initiative
Member of committee to address recidivism in pneumonia patients (2010-2012)
Chronic Obstructive Pulmonary Disease Management Council
Chair/Program Manager, committee of interdisciplinary team to collaboratively manager COPD Program (2010 – 2017)
Preparing for COPD Certification
Developed and taught education related to COPD Certification (2010 – 2013)
Geriatric Champions
Member of committee that works to develop, implement, ensure and improve quality care for our elders (2009 – 2017)
Stroke Alert Team (2008 – 2010)
Develops, implements, evaluates and improves stroke alert response
SCIP Committee
Develops and implements core measures for improved surgical outcomes (2010)
Unit Council Co-Chairperson, Intensive Care Unit, Miami Valley Hospital, (2008)
Facilitate monthly meeting directed toward professional satisfaction and improvement
Primary Collaborative, Miami Valley Hospital, (2008)
Collaborate within critical and advanced care units to ensure and improve quality care
Ethics Committee, Miami Valley Hospital, (2008 - 2017)
Discuss and recommend solutions to ethical issues
Staffing Collaborative, Miami Valley Hospital, (2008)
Hospital wide collaboration to address staffing issues
Staffing Committee, Intensive Care Unit, Miami Valley Hospital, (2009)
Collaborate within Intensive Care Unit to organize and plan for self-containment
Activity Progression Committee, Intensive Care Unit, Miami Valley Hospital, (2008)
Organize and educate staff of Intensive Care Unit to increase patient activity
Nurse Recognition Committee, Miami Valley Hospital, (2009 - 2017)
Organize annual recognition ceremony, including selection of award recipients
Magnet Committee, Miami Valley Hospital, (2009 - 2017)
Prepare for Magnet re-designation
Relationship Based Care Committee, Miami Valley Hospital, (2009)
Patient satisfaction and quality improvement
Clinical Practice Committee, Intensive Care Unit, Miami valley Hospital, (2008)
Collaborate to ensure and improve quality patient care
Tri-Force, Miami Valley Hospital, (2008)
Hospital wide quality improvement
Director of Nursing Intensive Care Meeting, Miami Valley Hospital, (2008)
Collaborate with DON to improve advanced and critical care
Blood Administration Performance Improvement Committee, Miami Valley Hospital, (2008)
Improve compliance with blood administration protocol
Six Sigma Committee, Loma Linda University Medical Center, (2006)
Help determine improvement options
Open House Committee, Upper Valley Medical Center, (2004)
Helped organize and staff fall 2004 Open house at UVMC
Pain Management Committee, Upper Valley Medical Center, (2004)
Developed educational flyer on Pain Control/Management posted hospital wide
Education Committee, Upper Valley Medical Center, (2004)
Organize yearly educational update and competencies for Intensive Care Unit
Developed posters and educational bulletins for Intensive Care Unit
Policy and Procedure Committee, Upper Valley Medical Center, (2002- 2003)
Developed and reviewed current Intensive Care Unit policy and procedures
Magnet Accreditation Committee, Upper valley Medical Center, (2002-2003)
Participated as informational liaison to staff nurses
Dayton Daily News “What2Be” High School Job Fairs Hospital Registered Nurse Representative (2002-2004, 2007)
Travel to local high schools and colleges to educate about and encourage students toward the nursing profession
Annual New Graduate Open House, Upper Valley Medical Center, (2003, 2004)
Presentation on the “Joys of Nursing” to graduating nurses form area colleges and universities
Professional Conferences
National Association Critical Care Nurses Virtual Conference, New Orleans, Louisiana (3/2021)
Contemporary Forums Pharmacology Conference, Las Vegas, Nevada (11/2017
Contemporary Forums Pharmacology Conference, Philadelphia, Pennsylvania (11/2015)
Camden Coalition Open House, Camden New Jersey (12-10-14)
National Association Clinical Nurse Specialist Annual Conference Attendee, San Antonio (3/2013)
CCRN/PCCN Certification Preparation Conference, Dayton, Ohio (10/2011)
Emergency Trauma Nursing Conference, Phoenix, Arizona (4/2009)
Nursing Recruitment and Retention Conference, Denver, Colorado, (6/2008)
Magnet Conference, Houston, Texas, (9/2003)
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