Nurse Practitioner
Resume:
Vance Hale
Killeen, TX
*****.******@*****.***
Work Experience
Clinical Supervisor
Greater Killeen Community Clinic - Killeen, TX
September 2022 to Present
Chronic care
Acute Care
Indigent Care
Med refill
Assessment
Diagnosis
Manager
Nurse practitioner
Long Term Care Practitioners - Houston, TX
April 2022 to September 2022
Assess
H&P
Prescription
Diagnostic
Long term care
Contract Nurse RN
Nomad Health - Cedar Park, TX
January 2022 to April 2022
Patient assessment and prep: obtaining informed consent, a thorough review of health history, IV starts, blood draws, administering pre-op and post-op medications, 12 lead EKG
• Prioritize care based on phase 1 or 2 acuity, Management of oral-nasopharyngeal airways, monitoring vital signs, site of procedure, LOC, IV narcotics for pain management, provide discharge instructions and teaching.
• Collaborate with healthcare team
• Pre-admission Testing
Pre-op and PACU RN
Heart Hospital of Austin - Austin, TX
January 2021 to April 2022
Patient assessment and prep: obtaining informed consent, a thorough review of health history, IV starts, blood draws, administering pre-op and post-op medications, 12 lead EKG
• Prioritize care based on phase 1 or 2 acuity, Management of oral-nasopharyngeal airways, monitoring vital signs, site of procedure, LOC, IV narcotics for pain management, provide discharge instructions and teaching.
• Collaborate with healthcare team
• Pre-admission Testing
Pre-op/intraop/PACU RN
surgical centers - Killeen, TX
June 2020 to February 2022
Patient assessment and prep: obtaining informed consent, a thorough review of health history, IV starts, blood draws, administering pre-op and post-op medications, 12 lead EKG
• Prioritize care based on phase 1 or 2 acuity, Management of oral-nasopharyngeal airways, monitoring vital signs, site of procedure, LOC, IV narcotics for pain management, provide discharge instructions and teaching.
• Collaborate with healthcare team
• Pre-admission
• Intra op nursing with back surgeries and injections of spines to include generator chances and revertible and treatment of nerve blocks.
Registered Nurse ICU/CCU/PACU/Preop
Medical Solutions
October 2016 to January 2022
• Acquired comprehensive experience with focus on open heart, cardiac-catheterization, and chest pain patients while assuring the best possible outcome
• Maintained effective working relationships with colleagues, physicians, surgeons, families
• Educated patients and families on disease process and management, medications, pre / post cardiac interventions including open heart surgery, and discharges
• Functioned as preceptor providing support and guidance to nursing students in clinical rotations
• Provided primary care to complex medical, neurological, surgical, trauma, and cardiac patients
• Performed numerous tasks involving constant cardiac monitoring including A-line and CVP, medication monitoring, titration
• Worked collaboratively with physicians, intensives physician, surgeons, neurologists, ancillary support staff.
Per Diem RN
Medical Solutions - Austin, TX
June 2020 to November 2020
PACU, ICU, Preop, and Circulating Care in clinics and hospitals ICU Supervisor/education/House Supervisor
Medical Solutions - Brooklyn, NY
April 2020 to June 2020
Covid19 ICU supervisor over 3rd floor/house supervisor/and clinical education nurse. Contracted supervisor over 60 employees to provide education and skill to manage Covid19 ICU patients as well as medsurg management.
Preoperative Nurse/PACU/ICU
Medical Solutions - Tyler, TX
November 2019 to April 2020
Critical care patients to include preparations for surgery to include discharge from hospital. ICU patients on ventilators, telemetry, every hour documentation and monitoring continuously. Drips and removal of ET.
Registered Nurse PACU/Preop/Postop/ICU/Charge Nurse Medical Solutions - Austin, TX
December 2018 to November 2019
Patient assessment and prep: obtaining informed consent, a thorough review of health history, IV starts, blood draws, administering pre-op and post-op medications, 12 lead EKG
• Prioritize care based on phase 1 or 2 acuity, Management of oral-nasopharyngeal airways, monitoring vital signs, site of procedure, LOC, IV narcotics for pain management, provide discharge instructions and teaching.
• Collaborate with healthcare team
• As needed help with Pre-admission Testing and Endoscopy procedures Supervisor RN
Medical Solutions - Temple, TX
June 2018 to November 2018
1. Coordination and management of all services rendered to patients and families by direct service staff under his/her supervision;
2. Supervision of assigned nursing personnel in the delivery of nursing services to patients and families; 3. Direct evaluation of the clinical competence of assigned nursing personnel and participation with appropriate supervisory staff in the evaluation of other direct service staff; 4. Participation in or development of all agency objectives, standards of care, policies and procedures affecting clinical services;
5. Participation in direct service recruitment, selection, orientation and in-service education; 6. Participation in program planning, budgeting, and evaluation activities related to the clinical services of the agency;
RN-State Surveyor
Medical Solutions - Temple, TX
January 2018 to May 2018
Conduct on-site surveys using federal and state protocols and procedures to identify deficient practices and determine appropriate scope and severity in the provision of healthcare and related services.
• When functioning as a team leader, ensure adherence with survey protocols, maintain the integrity of the survey process, facilitate the communication among team members, providers, and supervisor, and collect and organize documentation. When functioning as a member of a team, communicate observations and findings with other team members and the team leader, complete survey tasks as assigned and according to survey protocols, and assist other team members as needed.
• Conduct on-site investigations of complaints within the required timeframes using federal and state protocols and procedures, including investigations at times specific to the allegations in the complaint, to identify deficient practices and determine appropriate scope and severity in the provision of healthcare and related services. Maintain confidentiality of complainants, residents who are the subject of the complaint, and the complaint survey schedules. Complete a written summary of the investigation of each allegation in the complaint, including whether or not the allegation was substantiated and, if not substantiated, why it wasn't substantiated.
• Represent ISDH in a professional manner.
• Document findings on the survey report in accordance with Principles of Documentation and submit reports within the required timeframes; organize and submit survey packets according to LTC policies.
• Complete administrative duties including, but not limited to: travel vouchers, PeopleSoft Time and Labor, schedules, checking and responding to emails, and computer updates.
• Assist with training of new surveyors.
• Attend staff and area meetings.
• Prepare for and testify in legal proceedings.
ICS Supervisor
Medical Solutions - Corpus Christi, TX
June 2017 to November 2017
Managed 43 bed Telemetry and medical/surgical floor with over 60 nursing staff members under my supervision.
Maintained costs and FTE's with hiring processes and interviews Registered Nurse-Med Surg-Float Pool
Providence Hospital - Waco, TX
July 2015 to October 2016
• Acquired comprehensive experience with focus on open heart, cardiac-catheterization, and chest pain patients while assuring the best possible outcome
• Maintained effective working relationships with colleagues, physicians, surgeons, families
• Educated patients and families on disease process and management, medications, pre / post cardiac interventions including open heart surgery, and discharges
• Functioned as preceptor providing support and guidance to nursing students in clinical rotations
• Provided primary care to complex medical, neurological, surgical, trauma, and cardiac patients
• Performed numerous tasks involving constant cardiac monitoring including A-line and CVP, medication monitoring, titration
• Worked collaboratively with physicians, intensives physician, surgeons, neurologists, ancillary support staff.
Registered Nurse
Self Employed - Belton, TX
March 2015 to June 2015
• Contracted assessment of Quality Measures and wrote plan of corrections for local long term care facilities.
• Reviewed quality of care for assisted livings and medication education for staff and coordinated meeting with physicians and administrative staff to review care measure that needed to be corrected.
• Set up plans and executed wound care protocols and established care plans for patients.
• Reviewed staffing ratios and admission of patients in accordance to current policies.
• Wrote policies and procedures for wound care and educated staff on infection control procedures according to best practice.
Case Manager Registered Nurse
Self Employed - Killeen, TX
March 2015 to June 2015
• Supervise, instruct and support field staff in providing home care services.
• Monitor nursing staff assignments, caseloads and service utilization.
• Evaluate the performance of assigned staff and perform on-site supervisory visits.
• Ensure compliance with state and federal home health regulations.
• Coordinate patient care plans and patient visit scheduling. Nursing Home Administrator
Skilled Nursing and Rehabilitation Center - Houston, TX January 2014 to March 2015
Collected current symptoms, as well as a detailed patient history and then consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans
• Performed triage, while considering both physical and psycho-social elements
• Managed basic life support needs and stabilizes patients until the attending physician is available, based upon nursing standards and protocol. Initiated corrective action to staff and self whenever information is needed from monitoring equipment shows adverse symptomatically
• Recorded patients' current vital signs, worked directly under physicians, assisting them during exams, diagnostic testing and treatments
• Prepared and administers (orally, subcutaneously, through an IV) and records prescribed medications
• Reported adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications by a licensed registered nurse, provided IV therapy
• Cleaned and bandaged wounds as well as provided basic and bedside care
• Maintained proper supplies and appropriate medical equipment to care for patients, reported any suspected abuse to the appropriate agencies. Initiates patient education plans as prescribed by physician
• Taught patients and significant others how to manage their illness/injury, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication and rehabilitation, as well as provides referrals to other healthcare professionals for follow-up treatment
• Displayed professionalism while completing multiple urgent tasks in a timely manner
• Recorded all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms
• Floated among various clinical services to where I was qualified and competent.
• Followed facility and OSHA
Nursing Home Administrator
Park Manor of Quail - Valley, Missouri, US
January 2011 to January 2014
• Monitor and document the cost effectiveness of treatment provided
• Facilitate and coordinate the admission and discharge process
• Serve as the resident and family advocate. Act as liaison to insurance and medical management professionals
• Provide direction & education to the Interdisciplinary team regarding the RAI process. LVN-Medic-Triage, Field Medic, Ambulance, ER
Army National Guard - Angleton, TX
May 2004 to January 2014
• Monitor and document the cost effectiveness of treatment provided
• Facilitate and coordinate the admission and discharge process
• Serve as the resident and family advocate. Act as liaison to insurance and medical management professionals
• Provide direction & education to the Interdisciplinary team regarding the RAI process. Nursing Home Administrator
Army National Guard - Texas City, TX
June 2008 to January 2011
• Monitor and document the cost effectiveness of treatment provided
• Facilitate and coordinate the admission and discharge process
• Serve as the resident and family advocate. Act as liaison to insurance and medical management professionals
• Provide direction & education to the Interdisciplinary team regarding the RAI process
• Managed over 84 staff effectively
Nursing Home Administrator
Crestview Manor Nursing and Rehab
March 2004 to June 2008
• Monitor and document the cost effectiveness of treatment provided
• Facilitate and coordinate the admission and discharge process
• Serve as the resident and family advocate. Act as liaison to insurance and medical management professionals
• Provide direction & education to the Interdisciplinary team regarding the RAI process. Education
Masters Certificate in Adult Geriatric Nurse Practitioner University of Texas at Arlington - Arlington, TX
June 2018 to Present
Master's in Nursing Education
University of Texas at Tyler - Tyler, TX
January 2016 to December 2018
BSN
Lamar University
June 2014 to August 2015
AAS in Nursing
Lamar College Port Arthur
September 2011 to May 2013
Bachelor's in Interdisciplinary Business
Tarleton State University - Stephenville, TX
June 2001 to December 2002
Associate in Arts
Temple Junior College - Temple, TX
June 2000 to May 2001
Nursing Licenses
McLennan Community College - Waco, TX
January 1994 to August 1995
Skills
• OSHA
• Organizational skills
• Home care
• Laboratory Experience
• Supervising experience
• Management
• Recruiting
• Administrative experience
• Medication Administration
• Critical care experience
• Military
• Nutrition
• Employee evaluation
• PeopleSoft
• Budgeting
• Care plans
• Nursing home experience
• Catheterization
• EKG
• Experience administering injections
• Employee orientation
• Pain management
• Cleaning
• Patient assessment
• Medical management
• Discharge planning
• Wound care
• Hospital experience
• Case management
• Infection control
• Ventilator
• Triage
• ICU experience
• Patient monitoring
• Medical scheduling
• Primary care
• Interviewing
• EMR Systems
• Charge experience
• Nursing
• Basic IV
• Vital signs
Certifications and Licenses
LVN
Certified Nurse Practitioner
RN License
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