TRACY CUMMINGS, GNP-BC, ANP

** **** ****, *********, *** York 14624 · 585-***-**** · adwg4s@r.postjobfree.com

ADULT / GERIATRIC NURSE PRACTIONER

Highly skilled patient advocate and geriatric nurse practitioner with over 20 years of experience providing consistent, compassionate care with specialized expertise in elderly patient populations. Motivated team player, promoting collaboration and communication between physicians, nurses, family members, and clinical support staff. Proactive leader able to effectively delegate, problem-solve, and supervise ancillary staff / personnel. Well-versed in making assessments with timely interventions. Well-versed in the specific needs within palliative care, nursing home, and general care environments, including not only patient relations, but family interactions. Demonstrated success in:

Prioritizing large patient caseloads and delegating appropriate tasks to medical support team members

Modeling caring approaches when interacting with and educating staff, patient, and family members.

Filling multiple roles and developing methods that target patient needs depending on condition.

Acting as liaison for underinsured patients with financial hardship and connecting them with physicians.

Core Competencies:

Palliative Care • Innovative Care • Patient Advocacy • Communication • Collaborative Leadership

Compassion • Quality Assurance • Cooperative Caregiving • Staff Coordination • Compliance Support

Patient / Family Education • Physician-Family Liaison • Critical Thinking • Treatment Analysis

EKG interpretation • IV insertion • Phlebotomy • Telemetry • Wound Care • EPIC EMR

Interdisciplinary Approach • Detail Oriented • Clinical Expertise • Documentation Accuracy • Adaptability

Communication • Time Management • Decision Making • Self-Motivation • Independent Judgement

PROFESSIONAL EXPERIENCE

ROCHESTER GENERAL HOSPITAL, Rochester, NY • 2021-2022

National Top 100 Cardiac Hospital 9 times, and # 1 New York State for Cardiac Care and Heart Attack Treatment. Top 50 Hospitals for Stroke Care.

RN2, Inpatient Psychiatric Unit, 2022-Present

Closely consult with psychiatry and other behavioral health staff. Develop appropriate treatment plans for patients. Provide rapid and accurate patient assessments. Deescalate patients that require emergent psychiatric nursing care including restraint and seclusion while maintaining a safe environment. Ensure early recognition of life threatening conditions supported by advanced nursing assessments. Maintain a safe and secure environment for patients and staff members. Assist the client in understanding the nature of emotional disturbance and accepting the need for treatment. Administer psychiatric drugs, note reactions, and provide emergency nursing care.

RN2, Emergency Department / Crisis Intervention Unit (CIU), 2021-2022

Worked in CIU providing emergency care to critically ill patients in fast paced environments. Managed psychiatric patients in crisis. Administered medications and performed behavioral control. Collaborated with psychiatric and social workers. Treated critical injuries, allergic reactions, and trauma. Conformed minor medical procedures including cleaning up wounds, drawing blood, and starting IVs. Promoted and restored patients health including management of acute and chronic health conditions. Collaborated with physicians and multi-disciplinary team members. Provided physical and emotional support to patients and their families.

CATHOLIC FAMILY CENTER, Rochester, New York • 2016-2021

Division of Catholic Charities that provides comprehensive service to families and individuals in need.

Nurse Practitioner

Provide treatment services to clients in Medicated Assisted Treatment (MAT) Clinic for opioid and alcohol disorders. Certified to treat clients with Naltrexone and Buprenorphine through Department of Health and Human Services. Administer primary care to clients with mental health disorders until transfer to Primary Care Provider.

Patient Care:

Improved physical health for people with mental illness and addictions by implementing Primary and Behavior Health Care Integration (PBHCI) Program.

Enhanced prevention, early identification, and intervention while reducing chronic disorders with providing optimal primary care.

TRACY CUMMINGS, GNP-BC, ANP • Page 2 • 585-***-**** • adwg4s@r.postjobfree.com

POP HEALTHCARE (PHC), Rochester, New York • 2016

Providers of an innovative, unique alternative care system offering quality care at cost-effective price points.

Nurse Practitioner

Worked with clients in senior communities and underprivileged areas to provide in-home healthcare monitoring and recommendations, including coordinating house visits and inspections to make diagnoses and refer them to general practitioners as needed. Provided counseling, treatment, and support for conditions such as uncontrolled diabetes, heart failure, COPD, depression, coronary arterial disease, and other high-risk medical concerns. Evaluated ongoing patient self-care and treatment planning.

Patient Care:

Provided compassionate care tailored to the unique needs of many at-risk clients, resulting in a favored position as a preferred nurse practitioner.

Successfully and skillfully balanced a case load of patients distributed throughout the city through effective time management and prioritization.

Worked closely with general practitioners on rapid care response and monitoring of patient care and status.

Met and exceeded goals of reducing patient hospitalization rates by 40% or more.

ROCHESTER GENERAL HOSPITAL, Rochester, New York • 2005-2015

Adult / Geriatric Nurse Practitioner: General Evaluation Unit, 2006-2015

Provided ongoing care for high-volume patient caseload, including comprehensive pre-operative physical exams. Oversaw cardiac clearance process for high-risk patients. Served as patient advocate and liaison, communicating patient needs, family expectations, and required care. Educated family and caregivers on procedures and techniques. Dual focus on managing complex procedures and preceptorship/education for student nurses and new hires. Capitalized on 26 years of surgical experience to deliver superior care. Adjusted plan of care with attending surgeons.

Patient Care:

Coordinated actions by collaborating with interdisciplinary team members for optimized patient care.

Ensured patient comfort with utmost compassion by delivering exceptional medical, psychosocial, and emotional support tools to both patients and family members.

Promoted client, family, and facility relations by maintaining open lines of communication.

Consistently met patient needs on a micro and macro level, developing care plans, proposing clinical recommendations to physicians, and prioritizing tasks.

Clinical Highlights:

Treated patients for pre-operative skin infections, UTI's, diabetes, hypertension, and abnormal laboratory.

Developed expertise in interpreting 12 lead EKG's, with superior abilities identifying chronic rhythm changes and interpreting valve disorders, cardiac murmurs, and chronic systolic/diastolic heart failure.

Collaborated with cardiology in arranging cardiac consults for high risk patients, and ordered laboratory and diagnostic testing, including chest x-rays, vascular imaging, PFTS.

Administered medications, including hematological agents, blood products, and cardiac medications.

Monitored patients on anticoagulant therapy by drawing and closely monitoring daily labs (Pt/INR) to maintain therapeutic range for DVT prophylaxis.

CHF Nurse Practitioner, 2005-2006

Cared for post-operative cardiac surgery and congestive heart failure patients, managing small to moderate number of acutely ill patients under supervision of Cardiology. Utilized advanced skills ranging from EKG interpretation to recognizing acute rhythm changes that required intervention from application of external pacemaker to calling a code when defibrillation was needed. Administered medications such as Dobutamine. Followed procedures in accordance with care plans. Monitored progress and used critical thinking to make adjustments. Acted as point of contact to ensure understanding between physicians, patients, family, and staff. Obtained complete, detailed accurate patient histories, reviewed records, and performed exams. Recorded all pertinent data to develop comprehensive medical diagnoses and treatment plans. Ordered diagnostic testing and interpreted data to change patient treatment plans.

Patient Care Highlights:

Identified performance indicators to develop new processes for improving and enhancing patient care.

Worked under supervision of EP cardiologist to monitor patients progress post-procedure (AICD, pacemaker insertion), remove sutures, and manage discharge planning.

Reviewed all heart failure charts for CMS and QA.

TRACY CUMMINGS, GNP-BC, ANP • Page 3 • 585-***-**** • adwg4s@r.postjobfree.com

STRONG GERIATRICS, Rochester, New York • 2004-2005

High quality on-site geriatric care provider to residents in partner nursing homes.

Geriatric Nurse Practitioner

Provided direct, compassionate care for patients, working closely with physicians, interdisciplinary team members, and caregivers. Observed, evaluated, and documented symptoms and patient condition. Communicated any changes with doctors and family members. Followed all facility procedures, including documentation, reporting, regulatory compliance, and interdisciplinary meeting collaboration.

Patient Care Highlights:

Addressed patient and family member concerns with respect while promoting patient advocacy.

Observed and evaluated progress, assessing patients regularly to analyze condition for improvement or decline, and modifying treatment as needed.

Provided primary care for 140 patients, working closely with the clinical staff to promote team work.

Worked in busy rehabilitation unit discharging and admitting 6-8 patients daily, with patient population including post-operative joint replacement, trauma patients, and patients with neurological disorders.

Delivered simple to complex wound care, monitored patient labs closely, and ensured there was no anticoagulation.

Treated Hospice patients and their families with dignity and empathy, and assisted clinical staff in caring for the terminally ill.

ROCHESTER GENERAL HOSPITAL, Rochester, NY • 1995-2004

Registered Nurse Clinician III

Delivered expert and compassionate post-operative care to patients recovering from cardiothoracic surgery.

Managed acute/chronic medical conditions using advanced physical assessment knowledge spanning EKG interpretation, pharmacology expertise, and laboratory data analysis.

Promoted wound healing and improved acute/chronic medical condition management by educating patents and families on proper techniques.

Worked in 4400 Cardiothoracic Step Down Unit and Telemetry Unit with CTICU experience

Managed acute care post-operative patients recovering from coronary artery bypass grafts, valve surgeries, and thoracic surgeries, including lobectomies, pneumonectomy, AAA, and esophageal gastrectomies.

Treated patients with complications ranging from CVA, tracheostomy, complex wound infections, HIT, amputations, and multiple trauma.

Skilled at caring for patients with arterial lines, central lines, external pacing, and IV cardiac medications, including dopamine, Dobutamine, and nitrates.

Strong cardiac assessment skills, able to provide nursing interventions to prevent a crisis.

Developed strong leadership skills, fostered team player environment, and maintained ability to remain focused under extreme stress and crisis situations.

EDUCATION

Master of Science in Nursing: Gerontological Nurse Practitioner (GPA: 4.0) Nazareth College, Rochester, NY

Bachelor of Science in Nursing, Roberts Wesleyan College, Rochester, New York

Associate of Science in Nursing, Monroe Community College, Rochester, New York

ADDITIONAL PROFESSIONAL DEVELOPMENT

Nurse Practitioner: Gerontology / ANCC Certified / Adult Certification / Registered Nurse

SELECT RESEARCH & PRESENTATIONS

What Are the Health Care Needs of the Latino Geriatric Population? Adult Day Center; 2003

Ethical Issues in Nursing: Rationing Health Care – Pros & Cons, Graduate Symposium Presentation; 2002

Researching the Older Latin Americans in Rochester, New York: An Outreach & Wellness Program Featuring Culturally Sensitive Fitness Training & Education, Centro De Oro: Hispanic Adult Center; 2001

TECHNICAL SKILLS

Microsoft Office (MS Word / MS Excel / MS PowerPoint) / Computerized Physicians Order Entry System

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