Sonya Leigh Fleming

*** ****** ***** *****, *******-Salm, NC 27127, 828-***-****

adut0w@r.postjobfree.com

Objective

Professionally trained Board-Certified Family Nurse Practitioner who graduated in August 2022 with 17 years of nursing experience who ensures high standards of competent care for a wide variety of patients with diverse needs. Highly motivated new nurse practitioner with excellent communication and hands on skills.

Licenses and Certifications

Family Nurse Practitioner- Board-Certified

Registered Nurse - State of North Carolina

Paramedic – State of North Carolina

Certified Dialysis Nurse- CDN

AHA Health Care Provider CPR

AHA ACLS

AHA PALS

Experience

Dialysis Nurse, Health Systems Management

06/2018 – Current

In my current position as a dialysis nurse, I provide care and support for patients suffering from acute and chronic kidney disease. I assist with pre, during and post dialysis procedures along with following physicians’ orders. As a dialysis nurse I provide direct and individualized nursing care to patients based on scientific nursing principles. In addition to general nursing care the responsibilities I have as a dialysis nurse includes prime dialyzer and bloodlines, records patient’s medical information and vital signs, readies dialysis equipment, oversees the dialysis treatment from start to finish, assesses established and new AV Fistulas and Grafts, cannulates accesses, and demonstrates the ability to administer and monitor medications, including thrombolytics. I also assess, clean and dress catheters. In this position I identify irregular dialysis reactions and make appropriate interventions as needed and if necessary, I notify the charge nurse or clinical nurse manager. As a dialysis nurse I ensure ordered blood work is collected and analyzed. I spend time teaching my patients and significant others how to manage their illness by explaining post-treatment home care needs such as proper diet and nutrition, fluid restrictions, and self-administration of necessary medications. Also, I conduct thorough pre and post assessments of dialysis patients. I maintain proper infection control practices on my unit and wear PPE per policy. In this position I perform other position-related duties as assigned, such as checking the code cart and restocking needed items.

Dialysis Nurse, Health Systems Management

02/2016 – 02/2018

In this position as a dialysis nurse, I provide care and support for patients suffering from acute and chronic kidney disease. I assisted with pre, during and post dialysis procedures along with following physicians’ orders. As a dialysis nurse I provided direct and individualized nursing care to patients based on scientific nursing principles. In addition to general nursing care the responsibilities I had as a dialysis nurse included priming dialyzers and bloodlines, recording patient’s medical information and vital signs, readied dialysis equipment, oversaw the dialysis treatment from start to finish, and assessed established and new AV Fistulas and Grafts. I also cannulated accesses, and demonstrated the ability to administer and monitor medications, including thrombolytics. I also assessed, cleaned, and dressed catheters. In this position I identified irregular dialysis reactions and make appropriate interventions as needed and if necessary, I notified the charge nurse or clinical nurse manager. As a dialysis nurse I ensured ordered blood work is collected and analyzed.

Travel Nurse, Supplemental Health Care

11/2014 – 03/2015

In this position I cared for incarcerated patients in a minimum-security prison. I administered medication, assessed patients for illness and injury along with following providers orders. I spend time working with providers in weekly clinic and making referrals to outside health care as needed. I also dressed and assessed wounds. Maintaining proper documentation and reporting to the lead nurse was an essential role function in this position.

Facility Surveyor, NC Department of Health and Human Services

02/2013 – 09/2014

In this position I monitored and evaluated nursing home facilities to determine compliance with state and federal regulations. I also reviewed services in the areas of personal health and hygiene, clothing, nutrition, activities of daily living, nursing, sanitation of personal care, equipment and supplies, proper use of protective devices, documentation of vital signs, implementation of physician’s orders, staff work assignments, care plans, and nursing policies and procedures. I reviewed medical and treatment records to determine if adequate care was rendered and maintained. Facilities were examined pertaining to such things as payroll, census, agreements, and records to determine that adequate numbers of qualified persons are employed. During surveys checks were conducted of storage, handling, and administration of drugs to verify compliance with state and federal requirements. Examinations were conducted in the food service department to assure that proper nutritional needs of residents were met, and proper sanitation conditions were maintained. I observed laundry operations, housekeeping, and maintenance to assure that environmental conditions conformed to departmental rules and regulations by checking rooms, storage, kitchen, bathroom, maintenance, and treatment areas. In this position I completed survey materials to substantiate findings; documented detailed facts related to deficiencies; and submitted written reports to the status of facilities where non-compliance was found. I documented facts from records, observations, and interviews during complaint investigations for written reports and necessary follow-ups on justified complaints. Photocopies were obtained of records and policies, along with written notes from interviews. I also, recommended deficiencies and ways to correct deficiencies. The Centers for Medicare and Medicaid Services were made aware of cites and violation along with corresponding class and fine. Completion dates for plans of correction along with submitting supportive documentation is a summation of my job responsibilities in this role.

Staff Nurse, Alexander Correctional Institution

08/2010 – 02/2013

Daily I address health care needs of inmates with a variety of physical and mental complaints. Each complaint was assessed, and proper action was taken. Medication administration was a high priority for this position. Emergency situations occurred frequently, and this required close attention to detail and knowledge of emergency protocols. Equipment was checked daily to maintain the safety and security of the environment. Periodically, this role included being the charge nurse which was having responsibility for all staff working that day. In addition to working with regular population inmates I also worked with infirmary patients/inmates. Our facility had a multi-bed infirmary which provided care for a variety of diagnosis. The diagnosis ranged from fresh post-operative patients to acutely ill patients who needed a twenty-four (24) hour observation bed. These patients were seen by health care providers frequently.

Mental Health Nurse, Central Regional Hospital

01/2010 - 05/2010

The role of the mental health nurse included scheduling and managing assistive personnel daily. My unit housed twenty (20) acutely mentally ill female patients. Staff and patient safety were under constant management. Medication administration and ensuring that patients received these medications was vital. Patients who were suicidal or wanted to cause self-harm were monitored on a one-to-one basis. If the need was presented nurses managed therapeutic seclusion and therapeutic restraints for those patients.

Nurse Advisor, Carolina Oaks

05/2009 – 12/2009

During my role in this position, I assessed patients for an Enhanced Care Center, patients lived in this center due to declining health, substance abuse or mental health issues. The previous health issues mentioned prevented these patients from living on their own. I also trained staff on medication administration, blood borne pathogens, use of proper hand washing and the use of personal protective equipment.

Staff Nurse, Blue Ridge Health Care

06/2008 – 12/2009

In this experience I managed medical/surgical patients by utilizing my assessment skills to conduct a head-to-toe assessment. I used my knowledge to separate normal verses abnormal findings and report those to the charge nurse or patient’s provider. Assessment was an on-going process throughout the day to ensure no status changes had occurred. A plan of care was developed for each patient which included nursing diagnosis and educational needs of the patient and family. Collaboration with each of the multi-disciplinary team member was included. Patient care was administered carefully to ensure hospital, OSHA, and Joint Commission standards were observed. Appropriate delegations were made to assistive personnel while the nurse attended to medication administration, intravenous therapy, central line maintenance and cardiac monitoring. It is very important to always provide a safe environment for the patient and their sensitive information. HIPPA regulations always remained a high priority. Proper documentation played a key role in providing excellent care to patients. Critical thinking tied all these responsibilities together to ensure safe and competent care.

Staff Nurse, Foothills Correctional Institution

01/2006 – 03/2008

During my time in this role, I assessed and treated inmates thoroughly using protocols set forth by the medical director for the NCDOC. Reporting information to the lead nurse and nurse supervisor in a timely manner was very important. Continually checking equipment and surroundings to ensure a safe work environment for staff and inmates was a high priority.

Staff Nurse, Veterans Health Administration

06/2005 – 12/2005

As a staff nurse on a medical/surgical unit I worked with a team of other health care professionals. There were two basic teams. One team focused on patient care while the other team worked with medical needs of the patients. The patient care team assisted patients with Activities of Daily Living such as eating, bathing, and dressing. The other team administered medications, monitored vital signs, and assessed patients from head-to-toe to ensure no acute health changes had surfaced. If status changes occurred, they were reported promptly to the patient’s provider. Both teams worked together to provide excellent care to the veteran. Documentation was a key role for each team member to ensure all care was documented properly. All policies and procedures set forth by the Veterans Health Administration were followed carefully each day.

Education

Lenoir-Rhyne College – Hickory, NC – BSN

Appalachian State University – Boone, NC – MAED

UNC-Charlotte – Charlotte, NC - MSN

Professional Organizations

American Nurses Association

North Carolina Nurses Association

American Nephrology Nurses Association

American Academy of Nurse Practitioners

Clinical Experience

Personal

Premium Wellness and Primary Care

Greensboro, NC

Primary care office that would see a variety of acute and chronic illness. Age ranges were from pediatric to elderly. Patients were assessed and treated with up-to-date protocols. This practice had multiple patients who needed women’s healthcare. Yearly physicals and STI testing were a standard practice. Medications were ordered and refilled. Multiple pharmaceutical representatives presented new and existing medications on the market.

Lincolnton Pediatrics

Lincolnton, NC

Pediatric primary care office that saw pediatric patients from birth to around twenty years of age. Patients were seen for acute and chronic conditions. Due to COVID-19 sick visits were seen in their vehicle outside and well visits were seen indoors. The main conditions treated were ENT issues, dermatology issues, and ADHD. Occasionally there would be outlying conditions that needed to be referred to a specialist. Accepted protocols were used assessment and treatment.

Modern Medical Group

Gastonia, NC

Primary care office that specialized in seeing patients from adolescents to elderly. Patients were seen for acute and chronic issues and were treated with standard protocols. This practice also conducted DOT physicals. Minor procedures such as I&D and suturing were performed. Routine blood work and yearly testing was also conducted.

I enjoy spending time with my family and friends which allows me to be grateful and appreciate my life. I am proud to have adopted my best friend “Mr. Kitty” in August of 2017 which has become a beloved member of my family. In the future I am looking forward to taking some photography classes for personal enrichment.

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