Nurse Practitioner Internal Medicine

Charmay Fryar-Robinson, MSN, APRN, A-GNP-C, BSN, RN

**** *** **** ****** ****

Wade, NC 28395

Cell Phone: 910-***-****

Home Phone: 910-***-****

E-mail: ********@******.***

SPECIAL SKILLS: Advanced Practice Registered Nurse with a well-rounded background in providing appropriate, cost-effective healthcare that is a dedicated patient advocate. Solid experience in multiple aspects of case management dealing with medical care and services, arranging care with outside healthcare providers, and determining necessary community referrals. Excellent oral and written communication skills. Promotes harmony and goodwill among patients, caregivers, and co-workers. Excels at monitoring patient conditions and providing patient education to enhance positive outcomes. Supervisory experience as Charge Nurse in acute care settings with proficiency in related management principles. Works easily with patients, families, health care professionals, outside providers, and other providers at all levels.

WORK EXPERIENCE:

NURSE PRACTITIONER: July 2023-Present, Harnett Correctional Institution, Dr. Lubunmi Ifabiyi, Supervisor 40-hour week. Provides comprehensive care and treatment to Offenders. Sees 12 patients per day. Conducts histories and physical assessments of patients that are age, gender-appropriate, and to clinical presentation. Orders appropriate diagnostic studies and correctly interprets results with appropriate disposition. Utilizes critical thinking and empirical research to provide appropriate pharmacological agents and treatment modalities. Educates patients and promotes health, prevention, and disease treatment. Maintains accurate, complete, concise, and timely documentation in EMR. Collaborates with cross-functional teams of medical professionals. Conducts annual physicals. Orders diagnostic tests and prescribes medication. Manages acute and chronic illnesses. Performs procedures within the scope of practice guidelines. Manages nursing staff.. Implements process improvements. Communicates with patients through the patient portal. Managed a panel of 500 patients.

NURSE PRACTITIONER: March 2022-July 2023 Fayetteville VA Health Care Center, 7300 S. Raeford Rd, Fayetteville, NC 28304, Dr. Diane Ridley, Supervisor 40-hour week. Provides comprehensive care and treatment to Veterans. Sees 12 patients per day. Conducts histories and physical assessments of patients that are age, gender-appropriate, and to clinical presentation. Orders appropriate diagnostic studies and correctly interprets results with appropriate disposition. Utilizes critical thinking and empirical research to provide appropriate pharmacological agents and treatment modalities. Educates patients and families while providing patient and family-centered care that promotes health, prevention, and disease treatment. Includes patient and family in the plan of care. Maintains accurate, complete, concise, and timely documentation in EMR. Collaborates with cross-functional teams of medical professionals. Conducts annual physicals and well-women exams that include age base and gender guidelines for health maintenance. Orders diagnostic tests and prescribes medication. Manages acute and chronic illnesses. Performs procedures within the scope of practice guidelines. Manages nursing staff. Conducts daily huddles. Implements process improvements. Communicates with patients through the patient portal. Managed a panel of 800 patients.

NURSE PRACTITIONER: Aug 2020- March 2022 Eastover Family Care, 3551 Dunn Road, Fayetteville, North Carolina, Susan Lewis, FNP-C 40-hour week. Provides comprehensive care and treatment to patients 13 and older. Sees 15 patients per day. Conducts histories and physical assessments of patients that are age, gender-appropriate, and to clinical presentation. Orders appropriate diagnostic studies and correctly interprets results with appropriate disposition. Utilizes critical thinking and empirical research to provide appropriate pharmacological agents and treatment modalities. Educates patients and families while providing patient and family-centered care that promotes health, prevention, and disease treatment. Includes patient and family in the plan of care. Maintains accurate, complete, concise, and timely documentation in EMR. Collaborates with cross-functional teams of medical professionals. Conducts annual physicals and well-women exams that include age base and gender guidelines for health maintenance. Orders diagnostic tests and prescribes medication. Manages acute and chronic illnesses. Performs procedures within the scope of practice guidelines. Manages nursing staff. Conducts daily huddles. Implements process improvements. Communicates with patients through the patient portal.

NURSE PRACTITIONER: Jan 2020- Aug 2020. Medical Care Family Practice, 1402 Memorial Dr, Goldsboro, NC 27534, Dr. Wilson Tabe, 40-hour week. Provided comprehensive care and treatment to patients 13 and older. Conducted histories and physical assessments of patients that were age, gender-appropriate, and to clinical presentation. Ordered appropriate diagnostic studies and correctly interpret results with appropriate disposition. Utilized critical thinking and empirical research to provide appropriate pharmacological agents and treatment modalities. Educates patients and families while providing patient and family-centered care that promoted health, prevention, and disease treatment. Includes patient and family in the plan of care. Maintained accurate, complete, concise, and timely documentation in EMR. Assisted with the transition of and implementation of COVID 19 guidelines and procedures. Implemented process improvements and assisted with staff development and esprit de corps.

OBSERVATION NURSE RN/CLINICAL NURSES. Feburary 2017-June 2019 Wake Med Cary, Toni Fehr. 36 hours a week. Assess and care for patients with heart problems and conditions. Response with initial diagnosis to a person undergoing sudden life-threatening emergencies. Monitor patients for any negative signs of change in condition. Administer medications and help with basic personal care needs. Develop action plans and care plans. Provide a collaborative approach to patient care. Self-directed with astute judgment skills. Initiate IV therapy to include: antibiotic therapy, cardiac drips, hydration therapy, administer and monitor blood infusion, and pain management. Provide care to patients post-cardiac catheterization, mi, TIA, CVA, and other acute issues. Establish, maintain, and document CBI (continuous Bladder Irrigation) Maintain central line, PICC line, access and maintain porta Cath utilizing sterile technique approach. Provide patient care and education. Administer oral and IV medication. Complete assessment and documentation appropriately. Monitor and report changes to patient’s health status. Collaborate with other team members and physicians to ensure a holistic, evidence-based approach to patient care. Perform NIH Stroke Assessment. Monitor patient’s cardiac rhythms. Monitor and report any patient abnormalities to the Physician. Provide pre and post-cardiac surgical care. Educate patient and family members on signs and symptoms of cardiac disease and stroke. Actively participate in unit base Quality Assurance program. Consistently monitor patient vital signs, hearty rhythm, and monitor patient response to certain medical drips such as Cardizem, amiodarone, heparin, and nitroglycerin. Monitor and initiate patient response to new drug administration to tikosyn and Sorbitol. Admit and discharge patients according to hospital protocol and procedures. Review and evaluate chart documentation to ensure the quality of care and appropriate services. Obtain labs as directed. Nominated several times for a Daisy Award.

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AMBULATORY CARE NURSE CHARGE NURSE (RN) / CLINICAL NURSE. GS-0610-10. October 2007-Feburary 2017 40 hours per week. Womack Army Hospital, Joel Health Clinic. Bldg. 4861M Logistic Ave, Fort Bragg, NC 28307. Supervisor: Deborah Ingram, 910-***-****. Delivers highly specialized primary, secondary, tertiary interventions to ensure comprehensive nursing care and services to active-duty service members, including mobilization/demobilization soldiers in addition to retired veterans and their families. Oversees patient treatment and interventions, counsels patients on healthcare problems, and arranges follow-up care and referrals to avert negative outcomes. Provides leadership to a team of five LPNs and three CNAs utilizing management principles. Assesses patient’s medical conditions and applies nursing and supervisory techniques to maintain quality patient care. Works directly with healthcare professionals and provides necessary referrals to healthcare services and resources. Collaborates with military and civilian agencies to ensure continuity of care. Serves as the team leader while functioning as liaison and point of contact. Conducts patient assessments, monitors treatments, indicates necessary action and applies appropriate measures of treatment. Communicates essential and critical information to providers of care. Develops, implements, and assesses plans of care to ensure appropriate, cost-effective health care. Reinforces plan of care with the patient and implements medical care and services. Works with the primary care provider and multidisciplinary team of health specialists to enhance positive outcomes. Manages tracking and coordination of care for patients identified in the Healthcare Effectiveness Data and Information Set (HEDIS) measures. Works independently based on PA and MD directives and hospital protocols. Delivers oversight as Nursing Supervisor in the absence of the Director of Nursing. Educates providers/nurses on the Medical Home concept. Effectively resolves patient complaints. Fosters the continual growth and continuity of WAMCs goals and policies. Develops a P.O.C. that corresponds with the physician’s orders through assessment of patient's needs, condition, environment, and consultation with other health team members, at time of initial visit, updates plan of care regularly as necessary, and documents this care following Agency procedures. Responsible for the implementation and evaluation of the individual patient plan of care. Maintains communication with Case Managers, Staff Coordinators, and off-post providers. Provides teaching and counsels both patient and family. Provides skilled nursing care that conforms to Agency patient care and general medical policies. Abides by and promotes Agency administrative policies. Maintains a continuing knowledge of competencies related to the nursing profession by participating in formal education programs, conferences, workshops, and professional organizations. Participates in staff in-services programs, at least 12 hours annually. Make follow-up calls to patients following discharge from a hospital. Conduct concurrent medical record review using specific indicators and criteria as approved by medical staff, JCAHO. Acts as patient advocate investigate and reports adverse occurrences and performs staff education related to resource utilization. Collects current symptoms, as well as detailed patient history and then consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans Performs triage while considering both physical and psychosocial elements Manages basic life support needs and stabilizes patients until the attending physician is available, based upon nursing standards and protocol Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology Records patients’ current vital signs Works directly under physicians, assisting them during exams, diagnostic testing and treatments Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications. Reports adverse reactions to medications or treatments per the policy regarding the administration of medications by a licensed registered nurse. Provides IV therapy. Cleans and bandages wounds. Provides basic bedside care in an outpatient setting. Maintains proper supplies and appropriate medical equipment to care for patients. Reports any suspected abuse to the appropriate agencies. Initiates patient education plan, as prescribed by the physician. Teaches 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. Displays professionalism while completing multiple urgent tasks promptly. Records all care information concisely, accurately, and completely, promptly, in the appropriate format and on the appropriate forms. Update policies and procedures and ensure compliance to WAMC, DOD, and MEDCOM policies.

Additional duties:

Clinic Infection Control Nurse: (2012 to 2017) Directs and coordinates infection control program in clinic. Advises and consults with physicians, nurses, and clinic personnel concerning precautions to be taken to protect patients, staff, and other persons from possible contamination or infection. Instructs clinic personnel in universal and specific infection control procedures. Plan, develop, organize, implement, evaluate, coordinate, and direct our infection control program under current rules, regulations, and guidelines that govern such requirements in the Ambulatory Care setting. Ensure that the facility complies with current CDC, OSHA, and local regulations concerning infection control or universal precautions. Develop, maintain, and periodically update infection control precautions and aseptic techniques that successfully correct problem areas. Interpret infection control policies and procedures as necessary. Assist in evaluating and implementing recommendations from the Infection Control Committee. Make written and oral reports/recommendations to the Administrator, as necessary/required, concerning the infection control program of this facility. Serve on, participate in, and attend Infection Control Committee meetings. Represent the Infection Control Committee as required. Provide the Infection Control Committee with written and oral reports concerning all nosocomial infections within the facility. Assist the nurse manager in implementing our employee health services program, including individual counseling as outlined in our infection control and employee health program. Monitor infection control practices and procedures to ensure that all personnel are implementing our standard operating procedures for tasks involving exposure to blood/body fluids.

HAZMAT OFFICER (2012 to 2017)

Prepares job sites for hazardous materials removal and disposal, including constructing containment and negative air pressure systems as appropriate. Maintain MSDS for all hazardous materials used in the work areas. Maintain an inventory of hazardous materials and consumption rate every month. Perform a weekly inventory of all hazardous materials. Coordinate the transport and disposal of all Hazardous Waste with government EQD. Removes or encapsulates hazardous materials and universal waste per applicable state and federal regulations. Disposes of hazardous materials per applicable state and federal regulations and all other applicable policies. Posts appropriate signs to warn facility users of potential hazards; informs facility users about removal or encapsulation projects. Demonstrate safe work practices and avoid unsafe behaviors. Generate, containerize, label, store, and turn in hazardous material/hazardous waste in strict accordance with the 40 CFR 262; 49 CFR; AR 200 -1; USAFACFS 200-2; and the site Hazardous Material and Waste Management Plan. Keeps required records of work performed, such as asbestos removal and air quality. Provide semi-annual training and initial training to staff. Ensure compliance with hospital policy and procedures.

CLINICAL NURSE / ADVICE NURSE RN (ADDITIONAL DUTY GS-0610-10. 2007-2017. 40 hours per week. Womack Army Hospital, Joel Health Clinic. Bldg. 4861M Logistic Ave, Fort Bragg, NC 28307. Supervisor: Deborah Ingram, 910-***-****. Interviews patients and collects information related to health conditions. Identifies wellness and risk factors along with variations from norms. Triages symptoms to ascertain diagnosis based on caller/visitor responses related to actual and potential health problems. Determines the urgency of healthcare problem(s) and referrals to healthcare providers at all levels. Elicits additional data to decide the appropriateness of medical intervention. Performs referrals that direct caller/visitor to healthcare professionals associate with established protocols. Evaluates the need for further intervention through monitoring of patient conditions compared to anticipated paths of progression. Contacts patients/clients via telephone following healthcare visits to review patient status and coordinate healthcare services resources needed by the patient. Utilizes professional nursing methods and processes to identify and manage immediate medical care and services to address urgent patient problems. Collaborates and plans patient care services while serving as a liaison between patients and primary health care professionals.

CHARGE NURSE AND CASE MANAGER (RN) / CORRECTIONAL NURSE. May 2006- October 2007. 40 hours per week. Cumberland County Detention Center. 204 Gillespie Street, Fayetteville, NC 2830. Determined, planned, and provided comprehensive nursing care including executing physician orders, dispensing, and administering medications, and assisting during patient examinations and treatment. Performed procedures such as intramuscular injections, blood pressure, and CPR, and obtaining specimens for lab analysis. Conducted comprehensive nursing assessments to evaluate the full scope of healthcare problems. Oversaw daily operations of psychology clinic and medical clinic. Managed all inmates with chronic illnesses and provided education on the importance of medication compliance. Coordinated patient care and scheduling of appointments for pregnant inmates, including arranging appropriate levels of cost-effective healthcare for labor and delivery. Provided management of patient cases to assure appropriateness of care and cost-effective treatment. Secured follow-up appointments and determined referrals to community services and outside providers following inmate release. Acted as a key resource person for LPNs, CNAs, and Medical Aides. Orchestrated discharge planning for inmates. Scrutinized medical charts for appropriate healthcare services. Monitored and tracked medication compliance of psychiatric patients. Transitioned patient status from observation to inpatient when appropriate. Reviewed plans of care with physicians and Jail Health Administrator. Recommended and arranged outpatient services when appropriate. Initiated and secured sources for donations of pharmaceuticals for HIV/AIDS patients.

EMERGENCY DEPARTMENT NURSE. October 2010- January 2011. 12 hours every other week. Duplin Memorial Hospital. 514 South Main Street, Kenansville, NC 28349. Provided specialized nursing care to patients admitted to this urban emergency department. Conducted triage via rapid nursing assessments. Initiated and supervised care for urgent, emergent, and chronic patients. Managed medication administration, conscious sedation, IV infusions and drips, central/peripheral lines, dressings, catheter care, suctioning, cardiac arrhythmia monitoring, scheduling of diagnostic tests, referrals, patient teaching, discharge planning, documentation, and chart reviews.

LTAC, ER, ICU REGISTERED NURSE. December 2006-July 2007. 36 hours every other week. Cape Fear Valley Health System. 1638 Owen Dr., Fayetteville, NC 28304. Assured comprehensive nursing care to patients in LTAC, ER, and ICU settings, including individuals with complex and chronic health problems. Spearheaded assessments, planning of care, nursing interventions, and evaluations. Oversaw medication administration and pain management. Provided specialized IV infusions and Drips, IV therapy, and blood product administration. Delivered pulmonary care such as oxygen, tracheotomy, incentive spirometer, and pulse oximetry Vent care. Administered wound care, skin, dressings, and suture care, including KCI Wound Vac, packing, and drains. Implemented tube monitoring and care, such as chest and NG tubes. Coordinated bowel and bladder care, including ostomy care. Provided specialized treatment administration, such as CVC, PICC lines, and TPN. Delivered pre and post-operative care and monitoring, including epidural and general anesthesia. Presented health care education to patients and families in addition to support and advocacy. Performed multidisciplinary care and prepared documentation. Assigned tasks and supervised the performance of licensed and unlicensed care providers. Specified referrals and coordinated discharge planning to enhance positive outcomes.

EMERGENCY DEPARTMENT NURSE. May 2005- December 2006. 36 hours per week. y. Central Carolina Hospital. 1135 Carthage St, Sanford, NC 27330. Provided specialized nursing care to patients admitted to this urban emergency department. Conducted triage via rapid nursing assessments. Initiated and supervised care of urgent, emergent, and chronic patients. Managed medication administration, conscious sedation, IV infusions and drips, central/peripheral lines, dressings, catheter care, suctioning, cardiac arrhythmia monitoring, scheduling of diagnostic tests, referrals, patient teaching, discharge planning, documentation, and chart reviews.

HOME HEALTH REGISTERED NURSE September 2004-May 2005. Home Health Care Services of Cumberland County 235 N McPherson Church Road, Suite 210, Fayetteville, NC 28303. Assured comprehensive nursing care to patients in home settings, including individuals with complex and chronic health problems. Spearheaded assessments, planning of care, nursing interventions, and evaluations. Oversaw medication administration and pain management. Provided specialized IV infusions and Drips, IV therapy, and blood product administration. Delivered pulmonary care such as oxygen, tracheotomy, incentive spirometer, and pulse oximetry Vent care. Administered wound care, skin, dressings, and suture care, including KCI Wound Vac, packing, and drains. Implemented tube monitoring and care, such as chest and NG tubes. Coordinated bowel and bladder care, including ostomy care. Provided specialized treatment administration, such as CVC, PICC lines, and TPN. Delivered pre and post-operative care and monitoring, including epidural and general anesthesia. Presented health care education to patients and families in addition to support and advocacy. Performed multidisciplinary care and prepared documentation. Assigned tasks and supervised the performance of licensed and unlicensed care providers. Completed assessment forms and OASIS documentation on new home health patients. Specified referrals and coordinated discharge planning to enhance positive outcomes.

ACUTE CARE REGISTERED NURSE (CARDIAC & PULMONARY) June 2004- September 2004. Duke University Medical Center 5213 South Alston Avenue, Durham, NC 27713. Assured comprehensive nursing care to patients in acute care settings, including individuals with complex and chronic health problems. Spearheaded assessments, planning of care, nursing interventions, and evaluations. Oversaw medication administration and pain management. Provided specialized IV infusions and Drips, IV therapy, and blood product administration. Delivered pulmonary care such as oxygen, tracheotomy, incentive spirometer, and pulse oximetry Vent care. Administered wound care, skin, dressings, and suture care, including KCI Wound Vac, packing, and drains. Implemented tube monitoring and care, such as chest and NG tubes. Coordinated bowel and bladder care, including ostomy care. Provided specialized treatment administration, such as CVC, PICC lines, and TPN. Delivered pre and post-operative care and monitoring, including epidural and general anesthesia. Presented health care education to patients and families in addition to support and advocacy. Performed multidisciplinary care and prepared documentation. Assigned tasks and supervised the performance of licensed and unlicensed care providers. Specified referrals and coordinated discharge planning to enhance positive outcomes.

EDUCATION:

Master of Science in Nursing, South University, Savannah, GA, July 2019

Bachelor of Science in Nursing, University of North Carolina, Chapel Hill, NC, May 2008

Associate of Science in Nursing, North Georgia College State & University, Dahlonega, GA, May 2004

Bachelor Science in Psychology, University of Maryland, College Park, MD, August 2001

LICENSURE & CERTIFICATIONS:

North Carolina APRN License, Active

North Carolina RN License, Active

American Academy of Nurse Practitioners, certified, Active

BLS

LNC

COMPUTER SKILLS:

Proficient in the use of MS Word, Excel, PowerPoint, Outlook, FrontPage, and Access.

Proficient in EMR

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