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TIA RAMIREZ, RN, BSN, MSN- FNP

480-***-****

advcx0@r.postjobfree.com 4585 Peachtree Rd., Myrtle Beach, SC 29588 EDUCATION

**/**/**** – 12/01/2017 MASTER OF SCIENCE IN NURSING, FNP - 12/2017 University of Phoenix, AZ

5/27/2013 – 07/07/2014 BACHELOR OF SCIENCE IN NURSING – 7/2014 Grand Canyon University, AZ

8/2009 – 08/13/2010 ASSOCIATE DEGREE IN NURSING – 8/2010 San Antonio College, TX

11/14/2005 – 12/7/2006 LICENSED VOCATIONAL NURSE – 12/2006 Kaplan College, TX

LICENSURE

AANP FNP Certification - F12170191– EXP 12/6/2027

SC ARNP – APN.26974, EXP 4/30/2024

SC RN – 26974, EXP 4/30/2024

WA ARNP – AP60813323 – EXP 2/4/2025

WA RN License – RN60812743 – EXP 2/4/2024

NPI – 161*******

DEA License – EXP 4/30/2024

CERTIFICATIONS

2017 – 5/2023 ACLS/BLS Certification

2021 ASCO QOPI® Certification Program

2019 – present Botox/Filler Certification

2019 – present Buprenorphine Certified

2009 – 2019 Chemotherapy and biotherapy certification 2009 – 2015 Oncology Nursing Certification (ONS)

SKILLS

* SPECIALTY AREAS

- FAMILY, WOMEN’S HEALTH, ONCOLOGY, SURGERY, DERMATOLOGY, AESTHETICS, WEIGHT-LOSS

* EMR CHARTING * SURGERY/PROCEDURES

- CERNER, EPIC, ONCOEMR - BIOPSIES, SEROMAS, TISSUE EXPANDERS, I&D’S, etc.

*PALLIATIVE/HOSPICE CARE * PROVIDES EXCEPTIONAL PATIENT CARE

- SUPPORTIVE CARE, IDENTIFY GOALS OF CARE

*DEPENDABLE *PAIN MANAGEMENT

*GREAT TIME MANAGEMENT SKILLS

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PROFESSIONAL EXPERIENCE

NORTHWEST MEDICAL SPECIALTIES, Tacoma WA 08/2019 - Present Oncology ARNP

Work closely with Medical Oncologist and multiple hospital systems to providing direct care for patients with cancer and hematologic disorders. Collaborate and consult with interdisciplinary health team to ensure safe, effective, and timely treatment as well as continuity of patient care. Perform initial evaluation including reviewing and ordering diagnostic testing/pathology, and lab results. Provide education, counseling, and support to patients and their family members. Use evidenced-based practice to identify and provide treatment options to patients and their family members. Evaluate effectiveness and tolerance to treatments. Provide holistic care, including palliative and hospice care. Respond and treat chemotherapy related reactions. Rotate working acute care clinic which provides treatment and support for acute issues. Perform biopsies, wound care, I&D‘s, and other in office procedures. Assist with hiring and training new staff. Assist with process improvement projects. SOUND CLINICAL MEDICINE, Gig Harbor, WA 06/2018 – 8/2019 Family Nurse Practitioner

Provide comprehensive evaluation and management of acute, episodic, and chronic health problems. Orders and interprets lab work, x-rays, and other tests. Perform initial evaluation, ongoing medical monitoring, perform complete physicals, and well women exams, triage changes in patient condition, and ensure appropriate medical discharge planning. Ensure complete, accurate, legible, and timely submission of paperwork/EMR charting. Weekly rounding at Penrose Harbor Skilled Nursing unit. Perform admits/discharges and provide post-acute care. Perform minor procedures including biopsies, I&D’s, Sutures, Splinting, Therapeutic Injections, Aspirations, debridements, nail removals, sphenocaths, wound care, Botox/Filler injections, and weight-loss. PENINSULA PAIN CLINIC, Bremerton, WA 12/2017 to 6/2018 Nurse Practitioner

Diagnose and treat pain. Conduct and order diagnostic tests, write prescriptions, record and examine medical history, diagnoses, and symptoms of a patient. Develop a plan to effectively manage health, develop treatment plans, and refer. Provide care, guidance, and education on procedures, medications, and plan of care. Perform minor procedures including sphenocaths, injections, spinal cord stimulator lead removal and wound care. BANNER HEALTH, Phoenix, AZ 7/2011 to 12/2017

REGISTERED NURSE – RESOURCE RN

Surgical Oncology and Plastics/Reconstruction

Assist with surgical procedures, pre/post op teaching, nipple tattooing, seroma drainages, perform shave/punch biopsies, assist with MOH’s closures, wound care, follow up on lab, imaging, and pathology reports. INTERVENTIONAL RADIOLOGY RN MANAGER

Oversee operations of department and staff. Work closely with administration and physicians to ensure safe patient care and all quality measures are followed. Provide leadership in clinical, financial, and personnel management within the department. Manages the unit to ensure patient and employee satisfaction while promoting safety and retention.

REGISTERED NURSE LEAD/SURGICAL ASSIST– MD ANDERSON CANCER CENTER - SURGICAL ONCOLOGY Specialized in Breast, Urology, Gynecology, Head and Neck, and Plastic/Reconstruction. Assist in developing procedural protocols, education material, and staff competencies. Provide counseling in health maintenance and disease management. Attend tumor board. Work directly with surgeons, assist with procedures, and provide pre and post-op education to patients. Perform wound care, remove sutures, staples, and drains, document all care in EMR, and collaborate with other specialties to coordinate care. Run symptom management clinic and triage acute and chronic conditions. Page 3

PROFESSIONAL MEMBERSHIPS

American Association of Nurse Practitioners (AANP) AWARDS AND RECOGNITIONS

2016 - EMERGING LEADER AWARD

Recognized for being a new leader and my contributions to my department and the company. I increased my departments voice survey scores from being in the bottom 10% of Banner to the top 10% in 1 year. 2014 – DAISY AWARD

Received award based on a patient nominating me for the personalized care provided to her and her family while undergoing treatment for breast cancer.

2011 – EMPLOYEE OF THE YEAR

Recognized for the care provided to my patients, orienting new staff, precepting students, involvement in process improvement projects, participation in skin team, overseeing the oncology education program. 2008 – HERO AWARD

Recognized for identifying a patient having a heart attack during shift change and taking the initiative to ensure the patient received necessary treatments even when co-workers and physician dismissed signs and did not want to proceed with MI recommendations. My determination and initiative got the patient to the cath lab within 30 minutes and patient did not suffer any permanent damage. VOLUNTEER MEDICAL EXPERIENCE

2022 – Current - QCCA Member

Participate in quality improvement, assist with standardizing care amongst independent oncology practices across the country, and attend conferences to collaborate and share up to date treatment plans. 2019 – Current - Onboarding

Assist with. Hiring and onboarding new employees. Train mid-levels in procedures. 2019 – Current – Nurse Practitioner Preceptor

Precept nurse practitioner students and externs.

2006 – 2018 - Shared Leadership

Involved in process improvement projects, community service projects, and employee engagement. 2009 – 2018 - Banner Certified Preceptor

Orient new employees to Banner. Provide training to the Banner System as well as department focused training. PRESENTATIONS/PROCESS IMPROVEMENT

2017 - Created order caresets for Interventional Radiology procedures to prevent delays Identified delays in care for inpatients requiring an invasive procedure. Physicians order the procedure but did not write orders for NPO, labs, or hold blood thinners causing delays in treatment. Submitted a proposal to create ordersets in the EMR that would attach NPO, labs, and blood thinner orders to each procedure.

Worked with physicians, IT, and other IR departments across Banner to create caresets. I worked for 18 months creating ordersets on a system level, getting buy in from all Banner Facilities, piloting ordersets, collecting feedback, and updating ordersets once all feedback was received. Presented roll-out of ordersets at Hospitalists meetings, Leadership meetings, and department staff meetings, created education and tip sheets, and trained super-users to help with rollout. Page 4

2014 -2017 - Quality Counsel

Perform monthly audits on Procedural Sedation and Safe Procedural audits and report the results to the quality counsel each month. Audits are used to identify areas of weakness, ensure safe practices, identify areas of improvement, and results of implementations.

2014 - Process Improvement, Tissue Expander infections Identified an increase in infections s/p Mastectomy w/ tissue expander placement. Infection control swabbed the procedure room and OR’s and was unable to determine a cause. After further investigating I identified that the MA’s would draw them up the Saline Syringes in advance and save any unused syringes for the following day. I developed a new process for tissue expanders where only RN’s or NP’s would draw up saline at time of expansion using sterile technique. Infection rates dropped almost 70% within 3 months. REFERENCES

Dr. Jorge Chaves Ellen Hanisch, ARNP

Northwest Medical Specialties Northwest Medical Specialties Medical Oncology Medical Oncology

253-***-**** 253-***-****

advcx0@r.postjobfree.com advcx0@r.postjobfree.com

Sarah Coughlin, ARNP Kim Hustzi, FNP

Northwest Medical Specialties Banner MD Anderson

Medical Oncology Surgical Oncology

(253) 973-***-**** 623-***-****

advcx0@r.postjobfree.com advcx0@r.postjobfree.com

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