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Telemed Nurse Practitioner

Location:
Neptune City, NJ
Salary:
Negotiable
Posted:
January 20, 2023

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Resume:

Lisa Genova DNP, MSN, RN, ANP-C

Email: adutbo@r.postjobfree.com

732-***-****

Education: Doctor of Nursing Clinical Practice: DNP

Grand Canyon University, 2019

MSN-Adult Gerontology Nurse Practitioner/ Advanced Practice

Monmouth University: 2016

Nursing: BSN degree

Thomas Edison State College :2009

RN/Diploma

Charles E. Gregory School of Nursing: 1996

Work Experience:

June 2021 - Present

Lead Advanced Practice Nurse

Primary Care Provider Private Practice

Position: APN-C -Nurse Practitioner

•Autonomous role of providing direct patient care to adult and gerontology population and function as an integral part of a private practice under collaboration with Dr Mildred Frantz .

•Perform comprehensive health assessments aimed at health promotion and disease prevention in all aspects of patient care, including diagnosis, treatments, and consultations.

•On average seeing 15-25 patients a day

•Created a quality metric database to monitor patient trends and outcomes

•Coordinate staff continuing education

•Coordinate all communication with industry and pharmaceutical partners

•Focusing on Primary, Secondary and tertiary health prevention and management while practicing evidence based practice

•Assess, evaluate, and diagnose acute and chronic disease

•Order and Interpret labs, diagnostics, EKG's and proficiency in pharmacological management of medications including Schedule II.

•Provide counseling and education to patients and families for acute and chronic illness management including developing plans of care

•Developed strategic outpatient protocols to maintain patient adherence and care during the Covid-19 pandemic: utilizing telemed to increase throughput and prevent admissions

•Provide house calls to the geriatric population and collaborate with families to manage as caregivers

•Created a Care Coordination workflow with patients, families, specialists including outpatient visiting nurses and physical/occupational to meet the needs of outpatient population

November 2020- Present

Primary care provider

AcuteCare Health Systems

•Primary care provider responsible for coordination and delivery of primary care in collaboration with a multidisciplinary team to participants in a diverse population

•Function as a Primary care provider by assessing patients, placing orders, ordering diagnostics and therapies

•Performs physical assessments, evaluations, and diagnosis to participants in the clinic and in the community. Orders and reviews appropriate laboratory and diagnostic procedures, documents and discuss with participants and families

•Provide medical management to participants to enhance the physical, mental and emotional wellbeing.

•Provide primary care to participants with complicated medical diagnosis who require tailored personalized plans of care to maintain independence in the community

•Provide in home and community assessments to maintain a safe environment for participants

•Participates in conjunction with specialist in the delivery of health care services records order diagnostics studies, labs and preventative therapies

•Assist in the delivery of evidence-based standards and protocols.

•Utilizes principles of continuous quality improvement in all work situations to assess and improved organizational function according to PACE Model and CMS standards

7/9/2018- 11/2020

Saint Barnabas Medical Center-RWJBH

November 2020- Transitions of Care Nurse Practitioner

Medical Surgical Unit &

Pulmonary Step-Down Unit

Position: APN Care Coordinator/Interim Director

•Advanced Practice Care coordinator clinical resource during COVID -19 pandemic overseeing over 60 patients daily in 3 units.

•Oversaw Pulmonary Step-Down Unit and 1st Hospital Covid Unit

Collaborated with leadership to create clinical protocol

23 Vent/Trach Covid Patients

Lead interdisciplinary clinical rounds

Coordinate putting evidence into practice as COVID guidelines and therapeutics evolved in they quick paced pandemic environment

•Function as a unit-based lead clinician by assessing patients, placing orders, ordering diagnostics and therapies

•Lead in conjunction with interdisciplinary teams to assure continuity through acute episodes of care.

•Clinical Nurse Support for 3 Units

•Responsible in assessing, evaluating and coordinating care on a Pulmonary unit for ICU step down patients

•Responsible in assessing and coordinating care on COVID patients in an acute care setting

•Assist in the delivery of evidence-based standards and protocols on unit-based needs and patient safety and develop a streamlines evidence plan of care

•Work shoulder to shoulder with members of clinical team in all facets and completes an assessment on every patient within 24-48 hours of admission

•Assist in collaboration with Pulmonologist’s in developing and implementing standard protocols for respiratory weaning Trach patients

•Participates in conjunction with physicians in the delivery of health care services records progress notes, requests noninvasive diagnostics studies, transcribes and execute orders and records detailed narrative case summaries

•Communicates effectively with team members, reports observations in progress notes, delineates problems and findings

•Supports teamwork by cooperative problem solving through rapid rounds daily to coordinate discharge planning

•Attending to clinical emergencies on floor and facilitate coordination

•Utilizes data analytics of continuous quality improvement in all work situations to assess and improved organizational and department functions

•In consultation review consults with attending/Intensivist

•Participates in the education of nurses, medical residents

•Ensured medication reconciliation

Transitions of Care Coordinator

•Assessing, evaluating and coordinating care in patients with COPD, Pneumonia, Sepsis, COVID-19 pneumonia, Parkinson’s in BPCI bundles in the hospital setting and transitioning from hospital to home and subacute settings

•Coordinate care, review history and perform physical exams on cases by evaluating the patients’ medical condition, ordering and interpreting results, diagnosing health conditions, completing medication reconciliations, discharge orders and summaries

•Establishes a collaborative relationship with other medical providers and physicians

•Assist in developement and implementing of Interprofessional team pathways: Surgical transitions, Community Acquired Pneumonia, Delirium and Pulmonary Weaning pathway.

•Develop and implement Discharge facilitation Tool to prevent readmissions and decrease LOS

•Collaborate with social work and case management to implement effective discharge plans

•Under the guidance and collaboration of the director of transitions:

Decreased COPD hospital readmissions from 28.34% ->18%

Decreased PNA hospital readmissions to 17.4->12.8%- YTD

Completes a root cause analysis for high risk readmissions

Presents readmission data quarterly to hospital leadership

Provided data for yearly plan to improve hospital readmission rates

Assisted in strategies for partnering with SNF/SAR/LTACHS

Collaborated in implementing EVB clinical plans of care for patients with chronic and terminal illnesses.

Implemented TOC /APN lead model to decrease LOS and prevent readmissions by

•Maintain a clinical presence on the floor, assess patients, write orders, provide prescriptions for at home equipment, and communicate with subacute, long term and community agencies to prevent the need for readmissions.

•Participate in daily hospital rounds, educate staff, provide patient education, and communicate with case management and social work on all facets of patients plans of care.

•Manage chronic and complex conditions through collaboration and empowering patients and families to improve plans of care compliance

•Assist and develop clinical plans of care for patients, initiate communication with attending physicians, and other members of the inter-professional team to coordinate optimal care and use of resources for patients and family members.

•Performs and obtains a completed medical history and physical data on patients with appropriate documentation and findings.

•Examines patients utilizing physical findings, laboratory results, medical history, ascertains nature and extent of any illnesses or health concerns.

•Interviews, instructs and advises patients regarding health and illness prevention.

•Administers injections, immunizations and oral medications as necessary.

•Performs independent evaluations and treatment procedures in emergency situations.

•Assists physician by recording patient progress notes, issues diagnostic orders, and transcribes orders.

•Documents and maintains patient records of services provided according to facility and nursing standards.

•Orders and reviews appropriate laboratory and diagnostic procedures. Reviews all lab data and documents.

•Responsible to assessing, evaluating and coordinating care on all patients on unit and determining potential discharges.

•Responsible for decreasing length of stay, provide education and resource to staff to facilitate discharges.

•Educate patients and caregivers regarding diagnosis, medications, side effects, illness progression, diet and nutrition, medical adherence and crisis anticipation and prevention.

•Facilitate patient transitions between health care settings

•Trend and provide data on LOS, HCAHPS and daily workflow.

11/2019- present: Compassus Health Care

Position: Hospice and Palliative Care NP

•Provide face to face assessments to hospice patients in home care and long term care settings

•Assess and evaluate patients functionally and cognitively, including laboratory and diagnostics to provide documentation supporting services needed for hospice patients requiring recertification

3/2018- 7/1/2019: Always Think Comfort

Position: Pain and Palliative Care NP: LLC

•Provide medical care, palliates and manages advance illness in nursing rehabilitation/long term settings

•Assess, diagnose and treat patients with appropriate pain management techniques and pharmacological methods

•Reviews history and performs physical examinations on patients’ medical condition and health history

•Manages chronic and complex conditions thorough collaboration with patient, family and care team by developing individualized plans of care, prescribing medications and treatments and obtaining consultations or making referrals and coordination with other services

•Educate patient and care givers in understanding and completing POLST and advance directives based on patents goals and wishes

•Facilitate clarification of patient and caregiver goals of care to support development of a comprehensive care plan.

•Implements interventions to support the patient with chronic conditions and end of life care to decrease the recurring hospitalizations

•Assure patients receive appropriate measures to control symptoms, through collaboration with interdisciplinary team members.

1/2018- Present: JFK/Muhlenberg School of Nursing

Position: Adjunct Professor

•Clinical Instructor to prospective RN students. Provide clinical mentoring and teaching skills of the nursing process. Oversee clinical groups in hospital and long -term settings. Assist students in completing objectives, constructing care plans, reviewing anatomy and physiology learning basic skills and patient care.

11/15- 3/18: Linden Family Medical

Position: APN-C -Nurse Practitioner

•Provide direct patient care to adult and gerontology population and function as an integral part of a private practice under collaboration with Dr Kevin Lukenda, DO Medial director and Leader of the Family Practice Residency Program, delivering primary care to patients.

•Perform comprehensive health assessments aimed at health promotion and disease prevention in all aspects of patient care, including diagnosis, treatments and consultations.

•Provide counseling and education to patients and families.

•Lead Administrative NP and Clinical Educator providing diagnosis and medical management for over 150 pts in offsite of three Subacute and Long term skilled nursing Facilities.

•Functioning as Educator, mentor and resource to Residents and Medical Students in Family Practice Residency, Nursing Staff in facilities by providing continues daily education on evidenced based practice skills.

•Function as Provider in RWJ medical staff with privileges

•Kindred LTAC

•Care Connection

•Assistant to the Medical Director

2/2011- 1/16 - RWJBH: Livingston, NJ

Position: Rapid Response RN Clinical Resource Educator

•Provides further nursing assessment and critical thinking to manage/intervene with patients presenting questionable or complex issues, or clinical deterioration in response to requests from direct care staff, concerned patients and/or their family members, and medical staff or from clinical concerns/observations during targeted rounds. Collaborates with all members of the healthcare team regarding patient treatments, interventions and disposition according to existing policies and protocols.

• Assist Staff RN’s in the clinical management of patients encompassing all areas of nursing care. Assist physicians with procedures such as bronchoscopy, endoscopy, endotracheal intubation, Cardiac Cath and elective cardioversion. Participate in professional organizations and continuing education to improve practice knowledge and skills. Participate in the development, review, and evaluation of nursing practice protocols. Respond to all in house emergencies such as acute Stroke, Code Blue, and Code STEMI.

•Provide and trend data on Midas system for quality improvement.

5/2013-1/15 -RWJBH: Livingston, NJ:

Position: RN: Department: Occupational Health

•Perform Nursing Duties such as Assessing and treating employees of the Hospital and outside facilities. Providing Care Administering immunizations, PPD’s, flu shots, drug screening. Assisting in completing annual physicals for employees of offsite facilities such as DOT and public entities.

5/2006-2016: RWJBH: Livingston, NJ

Position: Nursing Supervisor

Department: Nursing Administration

•Acting as Hospital Administration and lead administrative role in facilitating off shift functions of 500 bed Acute Care Medical Center. Overseeing and supervising all patient care areas, including Critical Care and Maternal Child. Supporting and implementing policies and procedures governed by the institution. Collaborating with Administrators, Directors and managers on off shifts to maintain continuity in efficiency in providing exceptional nursing and patient care services. Responsible for directing Logistics and Bed management services with admissions and bed placements and adherence to timeframes for continuity. Management of staff coordinators and responsible in providing nursing personnel in all nursing units of hospital according to Union standards. Plan, provide, or evaluate educational programs for nursing staff and interdisciplinary health care team members. Supervise and monitor unit nursing staff. Responding to hospital emergencies. Utilize service recovery and public relation skills to maintain patient satisfaction.

2/2003-10/2008: Union Hospital/BarnabasHealth

Position: Nursing Supervisor: Nursing Administration

•Responsible for the administration and supervision of all patient care service activities in assigned areas during the evening, night and weekend shifts. Support and implemented policies and procedures that guide the provision of services. Confer with unit directors to maintain administrative efficiency including performance appraisals of employees. Determine personnel supplies and needs, utilization of equipment and resources. Identify and resolve personnel and patient problems and develop plans of action. Oversee staffing on all units of the hospital, including bed management. Oversee quality of nursing practice, delivery of care, work performances, and documentation. Respond to Codes and other emergencies.

11/01-2/02: Morristown Memorial Hospital, Morristown, N.J.

Position: Staff RN: Department: Cardiac Post Anesthesia Care Unit/Open Heart

•Assess, evaluate and deliver nursing care to cardio thoracic surgical patients. Provide continuous cardiac monitoring, hemodynamic monitoring and medication titration to meet the needs of the recovering open-heart patient. Collaborate with respiratory therapists in ventilator management. Continuously deliver care in aspects of fluid and blood replacement, chest tube management, swang ganz and pacemakers.

8/96-2/99: Union Hospital, Union N.J.

Position: RN Charge Nurse

Department: Emergency Room

•In charge of ED staff conveying daily assignments, patient triage and bed assignments. Oversee and perform clinical aspects of nursing care to patients in the emergency department such as initial and continuous patient assessments, IV therapies and medication administration to diversified patients in the emergency department.

1/96- 10/2007 Union Hospital, Union N.J.

Position: Staff RN: Critical Care Float

Departments: Emergency Room, Intensive Care and Perioperative Area (PACU)

•Assess, analyze, plan and evaluate care of patients in the ED, ICU and PACU units. Perform clinical aspects of Care such as initial and continuous patient assessments. Provide nursing care involving IV therapies, medication administration and cardiac monitoring. Provide nursing care to diverse critically ill patients involving hemodynamic monitoring, arterial line monitoring, ventilator management, and intracranial pressure monitoring. Provide perioperative care to recovery patients from surgery, endoscopies and pain management.

•Certifications: Dementia certification, Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Stroke Certification, IV Certification, PICC Certification, Dementia Certification

Professional Memberships:

2018: 2021 Nurse clinical practice committee

2018 : 2021 Clinical ladder committee

2018 : 2021 Nursing research committee

2018: Present Sigma Theta Tau International Honor Society of Nursing

2018-Present APN council member

2018-Present American Academy of Hospice & Palliative Medicine AAHPM

2017-Present Forum of Advance Practice: FNAP

2015-Present American Association of Nurse Practitioners: AANP

2016-Present American Association of Occupational Health Nurses: AAOHN

Acknowledgements/Presentations

May 2020

New Orleans, LA APN Led Care Coordination to Improve Discharge Facilitation using the Boost Tool

Podium Presentation-NICHE National Conference in New Orleans, LA

November 2019 Transitions of care

Podium Presentation – Saint Barnabas Medical Center APN conference.

2020 recipient of NICHE trailblazer award for work with older adults

Recipient of Caring award for Nursing Excellence in Surgical Transitions of Care

NICHE conference presenter of project: APN led care coordination to Improve Discharge Facilitation

Dissertation ProQuest: APN led care coordination to Improve Discharge Facilitation

Clinical Work and Knowledge:

•Transitions of Care Coordinator- APN for Pulmonary/Acute Care and Medical Surgical Floors

•Sepsis Coordination Team: Implement and in-service staff on pathways

•Primary Care Physicians and APN-C in Internal Medicine/Family Medicine

•Acute Care Admissions, Nursing Home Rehab/ Sub-acute and Long Term

•Inpatient Stroke Center Certification SBMC

•APN in Occupational Health at SBMC

Community Outreach

March 2016-

POLST: How to complete a POLST

Health Fair 2017:

Rahway Community Center

Provide Bp Screening to seniors in community

Professional Trainings:

Cerner Super User: Provide support and education to staff

TOC COPD Pneumonia education to patients and staff

Sepsis roll out: Provide Education for staff regarding new sepsis protocol

Pain Education for staff: Provide education on the 5th vital sign to off shift staff



Contact this candidate