Nurse Practitioner Triage

Desiree Davis, MSN, AGPCNP-BC

Chester, VA ***** 804-***-**** *******@*****.***

Objective:

Passionate in all facets of Hematology/Oncology with East Carolina University physician group. Seeking an opportunity to apply my experience in emergency medicine and primary care to provide care to hematology/oncology patients in an outpatient setting. With 27 years nursing experience in acute and chronic care, I am committed to servicing others and collaborating with other multidisciplinary teams to provide safe patient outcomes.

Education

Masters of Science in Nursing Adult Gerontology Primary Care 2018

Walden University- Minneapolis, Minnesota

Bachelor of Science in Nursing 2014

Liberty University Lynchburg, VA

Associates Degree in Nursing 1998

Johnston Community College- Smithfield, VA

Licensure Certification

Adult-Gerontology Nurse Practitioner – AG12180123

Autonomous Licensed Nurse Practitioner- 002*******

Registered Nurse Licensure for State of Virginia - License Number 000*******

DEA registration number – MD5192656

Current American Heart Association Basic Life Support (BLS)

Advanced Cardiac Life Support (ACLS)

Work Experience

Vituity /Richmond, VA, 10/22- Present

Nurse Practitioner- Emergency Department

Advanced Practice Provider within the Bon Secours Emergency Department at St Mary’s, St Francis, Chester, Westchester, and Short Pump locations. Patient-centered care in the emergency department from pediatrics to geriatrics.

Key Accomplishments:

Assess patients in a clinical setting

Recognize treatment needed for patients in the emergency department

Complete health and physical of patients in the emergency department

Initiation of orders for patients in the emergency department

Diagnose and treat patients in the emergency setting

EPIC software knowledge

Bon Secours School of Nursing 8/1- Present

Registered Nurse/ Nurse Practitioner – School of Nursing Division

Provide adjunct education for Bon Secours School of Nursing: Nursing practice II 3104P

Facilitate nursing skills in the lab and clinical setting

Provide teaching and learning opportunities in lab, simulations, and clinical setting

Provide student feedback in lab, simulations, and clinical setting

Bryant and Stratton College 11/21 - Present

Registered Nurse/ Nurse Practitioner – School of Nursing Division

Contracted nurse practitioner for student physical assessments required for admission to Bryant & Stratton College

Evaluate current vital signs

Obtain visual acuity tests

Obtain medical history

Bon Secours Emergency Care Center/ Colonial Heights, VA, 10/21- Present

Registered Nurse - Emergency Department

Contracted Staff member providing direct acute care to patients with urgent and emergent needs. Meticulous judgement in triage, physical assessments and tasks that comprise of a vast array of expertise in emergency medicine: such as starting IV’s to assisting in a code blue. Diverse population from infants to geriatrics. Scope of practice has expanded to include COVID-19 management and CDC guidelines.

Key Accomplishments:

Expert in emergency medicine

Initiation of IV therapy and venipuncture

Initiate cardiac arrest, Obtain ABG’s, EKG

Recognize and initiate treatment plans for chronic and acute illness.

Exhibit leadership skills while taking charge of work area through the shift

Appomattox River Medical/ Hopewell Medical Center, Hopewell, VA, 2/19 – August 27, 2021

Adult Geriatric Primary Care – Primary Care

Autonomous care of adult and geriatric patients. The treatment and care of 26 patients daily. Primarily geriatric patients with chronic conditions, that included, but not limited to: diabetes, hypertension, hyperlipidemia and thyroid disease. Visits included acute medical care along with 3-to-6-month chronic conditions, physicals, and annual wellness visits for Medicare patients.

Key Accomplishments:

Thorough history and physical examinations.

Computer efficient on ECW Cerner and Epic.

Order diagnostic tests, laboratory tests, prescribe medications including controlled substances according to federal and state guidelines. Consult with staff and specialists to maintain safety for the patient.

Incorporate best patient care practices based on research and studies. Process patient notifications in a timely manner and address abnormal lab values. Promote health education for acute and chronic medical conditions.

Provide new ways to implement care thru telemedicine, virtual visits, and electronic prescribing,

Incorporate scope of practice to include COVID-19

Precept Nurse Practitioner Students

VCU HEALTH SYSTEM, Richmond, VA, 5/2016 - 2019

Clinical Nurse III – Interventional Radiology

In collaboration with interdisciplinary team provide continuum of quality nursing care and skilled nursing facility to inpatient, outpatient, routine, emergent, and trauma patients requiring interventional radiology.

Key Accomplishments:

Equipped with leadership skills, taking charge of work area. Continue growth of quality care through accurate and efficient collaboration.

Instrumental in enhancing patient flow across department by effectively assisting with large volumes of patients in prompt and professional manner.

Reinforce safety of patients during procedures and recovery. Diligent in support of patients to promote a safe culture. Attention to detail by supporting team members and demonstrating accountability.

VCU HEALTH SYSTEM, Richmond, VA, 11/2014 - 5/2016

Clinical Nurse III – Transitional Care Unit

Conducted in-depth patient assessments, created, executed, and continually evaluated patient care plans, and supported collaborations with interdisciplinary team.

Key Accomplishments:

Served as preceptor, which resulted in enriching skill sets and positioning new personnel and nursing students completing senior practicum to deliver results.

Optimized employee morale and retention, improved unit cohesion, and created a vision focused on teamwork and collaboration by establishing bed side rounding.

Maximized efficiency across the unit by serving as designated team leader and consistently providing comprehensive support, ensuring adequate assignment coverage, and resourcing new personnel.

VCU HEALTH SYSTEM, Richmond, VA 11/2013 – 11/2014

Triage Nurse – Geriatric Division - House Calls

Triage nurse role in House Calls, Geriatric division. Provided an extensive network of high quality, efficient, and compassionate care by collaborating with nurse practitioners that care for patients in the home. Promptly assisted incoming calls from patients, drove triage processes, determined appropriateness for treatment and care plans.

Key Accomplishments:

Due to exceptional skill set and in-depth nursing knowledge successfully triage of geriatric patients for appropriate follow up by collaborating with interdisciplinary team.

Significantly enhanced knowledge of geriatric patients and personnel pertaining to at home care. Geriatric patients treated at home for chronic care management including diabetes management, and hypertension management by providing education and guidance as required.

Raised service levels and strengthened operations and efficiency by swiftly addressing and resolving customer service complaints, initiating extensive documentation audits, and serving as resource to other residents and physicians with in the health care system.

VCU HEALTH SYSTEM, Richmond, VA 1/2006 – 11/2013

Clinical Nurse II – Clinical Nurse III – Emergency Department

Expert knowledge of emergency medicine. Ability to work in a fast-paced environment. Consistently demonstrate knowledge, skills and know-how to triage and treat patients with a wide array of medical problems. Expert in nursing process with a deep understanding of pathophysiology. Ability to adapt to busy Level 1 trauma center at VCU Health. Hospital average of 250 to 300 patients a day. Educate staff and peers in the emergency department and other departments on best practices.

Key Accomplishments:

Expert in emergency medicine

Initiation of IV therapy and venipuncture

Initiate cardiac arrest, Obtain ABG’s, EKG

Recognize and initiate treatment plans for chronic and acute illness.

Participated on the Nursing Professional Practice Counsel and sub-committee for implementation of a new pain assessment.

Mentoring staff and providing necessary team work to provide best patient outcomes.

Exhibit leadership skills while taking charge of work area through the shift

Ability to perform necessary assessments and treatment plans to provide patient safety.

VCU HEALTH SYSTEM, Richmond, VA 11/2003 – 11/2006

Clinical Nurse II – Supplemental Staffing – VCU Health

Ability to use expert knowledge in the intensive care department, step down and emergency medicine. Strong organizational skills and prioritizing capabilities. Ability to work in a fast-paced environment. Consistently demonstrate knowledge, skills and know-how to treat patients. Expert in nursing process with a deep understanding of pathophysiology.

Key Accomplishments:

Provide care to critical care patients

Monitor patient for changes in status and indications of conditions such as sepsis or shock with proper interventions

Initiate cardiac arrest, Obtain ABG’s, EKG

Recognize and initiate treatment plans for chronic and acute illness.

Mentoring staff and providing necessary team work to provide best patient outcomes.

Exhibit leadership skills while taking charge of work area through the shift

Ability to perform necessary assessments and treatment plans to provide patient safety.

CONTRACTED STAFF, Richmond, VA 2000 - 2006

Clinical Nurse I – Contracted – Locally in 5 different hospitals: Retreat, John Randolph, Chippenham, Johnston Willis, and Henrico Doctors.

SELF-EMPLOYED Provide a multitude of nursing functions in emergency departments and ICU’s. Focusing on sound clinical processes and judgement in the emergency department and critically ill patients in the intensive care units. This included therapeutic communication to collaborating staff, patients, families and ancillary support systems to deliver care to patients in several types of hospital settings.

VCU HEALTH SYSTEM, Richmond, VA 1998 – 1999

Clinical Nurse 1 – Cardiac Intensive Care Unit

Provide all aspects of nursing care to critically ill cardiac patients. The patient population included myocardial infarctions, management of CVVH, Balloon pumps and pre and post op heart cauterizations.

JOHN RANDOLPH HOSPITAL, HOPEWELL, VA 1997 -1998

Registered Nurse – Cardiac Step-Down Unit

Provide direct nursing care to cardiac and medicine step-down patients.

JOHNSTON MEMORIAL HOSPITAL, SMITHFIELD, NC 1996 -1997

Registered Nurse – Medical-Surgical Floor

New graduate position in rural hospital. Provided direct nursing care to pediatric and post-surgical patients.

Continuing Education

2021 American Medical Resource Institute, Professional Continuing Education Certificate/ Advanced Cardiac Life Support

2021- American Medical Resource Institute, Professional Continuing Education Certificate/ Basic Cardio/Pulmonary Resuscitation

2021- American Medical Resource Institute, Professional Continuing Education Certificate/ Pediatric Advanced Life Support

2021 – National Institute of Health - Stroke Scale

2019 – Virginia Council of Nurse Practitioners, The Richmond Region Pharmacology Symposium

2019 – Virginia Council of Nurse Practitioners, The Coastal Region Pharmacology Symposium

2019 - Virginia Council of Nurse Practitioners, The Coastal Region Clinical Skills Workshop

2018 – Women’s Health Annual Congress, Virginia Commonwealth University, Washington D. C.

Honors and Awards

16 Daisy Award for Extraordinary Nurses: 2013 – 2017- VCU Medical Center’s remarkable patient experience. Demonstrating excellence through clinical expertise and extraordinary compassionate care, with recognition as outstanding role models in the nursing community.

Certification of Appreciation from State of North Carolina by Governor James B Hunt, Jr. 1998

Affiliations - Professional Organizations

The Richmond Region American Association of Nurse Practitioners

Community and Volunteer activities

Feedmore @ Greenleigh Mobile Home Park

Visiting patients at Westport Rehabilitation and Nursing Center

Quality Improvements

2019 - Nurse Leadership committee. Implementing processes for improvement within Interventional Radiology to include implementing rolling workstations for nurses within the department.

2016 – Transitional Care Evidence-based research committee. Implemented bedside reporting based on evidence-based research.

2014 –Participated in Virginia Commonwealth University First Geriatric House Calls triage nurse role. Implemented guidelines for future geriatric triage nurse roles for future positions.

2012 –Participated in the Pain Management Committee at Virginia Commonwealth University Emergency Department.

Practicum Experiences

Appomattox Regional Medical Center 144 hours – Stacy Ingram-Hanson, FNP

Direct clinical care of primary care patients, performed comprehensive and focused physical exams in an urban clinical setting.

Appomattox Regional Medical Center 144 hours – Stacy Ingram-Hanson, FNP

Focus assessments on women’s health and diseases. Intensive assessments of women’s health to include, mammography education, diet and nutrition, annual pap smears.

Westport and Glenburnie Rehabilitation and Nursing Center 144 hours – Dr. Stanley Furman Geriatric Medicine Specialist

Geriatric assessments of chronic nursing home patients along with focused nursing assessments on skilled nursing patients. Participated on weekly meetings with interdisciplinary team members that included, social work, speech therapist and physical therapist along with nursing staff.

Ortho of Virginia 144 hours – Christine Chappell, FNP

Observed several hip and knee replacements in the operating room. Participated in pre and post operative office visits along primary orthopedic complaints such as sprains and fractures.

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