Internal Medicine Nurse Practitioner
Resume:
BETTY THOMAS
Rowlett, TX **089
Mobile ph. # 469-***-****
*********@*********.***
April 14, 2025
PROFESSIONAL EXPERIENCES:
Intracare Health Center - Elite clinic (Internal Medicine) 4004 Medical Pkwy, Greenville, TX 75401 from 7/25/24 to 4/11/25 ( laid off due to low patients’ volume) Family Nurse Practitioner ( Internal medicine)
● Primary care practitioner provides primary health care for all the adults and geriatrics p population: ( subjective, objective, assessment/ diagnosis, plan, prescribe medications including opioids), labs, imaging, referrals)
● Performs routine physicals for adults and geriatrics including women wellness check including pap smear, and other preventive screenings including lung cancer screening for smokers including Low dose CT scan of the chest, PSA monitoring, colonoscopy, mammogram, bone density test, and diabetic eye exam and foot check.
● Order, interpret, and explain the results of ANS ( Autonomic nervous function tests), a series of tests used to evaluate the function of the ANS, which regulates involuntary bodily functions like heart rate, blood pressure, and digestion, and diagnose and monitor conditions affecting the ANS, such as orthostatic hypotension, postural orthostatic tachycardia syndrome (POTS), neuropathies, and other autonomic dysfunctions.
● Order, interpret, and explain the results of ABI ( Arterial-Brachial Index) tests, the test measures blood pressure in the upper and lower extremities to detect the blockage in the arteries and diagnose peripheral artery disease
● Order and interpret Evox-Brain mapping tests, a non-invasive test that uses quantitative electroencephalography (qEEG) and event-related potentials (ERPs) to evaluate brain function, and diagnose and create personalized treatment plans for memory problems and other cognitive issues.
● Order the pain treatment including TENS (transcutaneous electrical nerve stimulation), a treatment that gives temporary pain relief by passing a weak electrical current to the nerves and eases the pain in the chronic pain patients
● Assess and evaluate the need for DME and referral if needed, PT/OT / ST consults
● Consult with healthcare professionals such as endocrinologists, cardiologists, pulmonologists etc; based on medical assessment
● Perform E visits/ virtual follow up on patients who presented with acute symptoms, and provide ER warnings
● Handoff verbal reports to EMS, ER / Urgent care upon transfer if needed
● POC tests include strep tests, flu tests, RSV tests. and covid tests if needed Greenville VA Clinic, 8325 Jack Finney Boulevard,, TX 75402, from 08/28/2023 to 6/28/24 Family Nurse Practitioner ( Veterans’ Population)
● Works in Veterans’ Community-Based Outpatient Clinics, diagnoses, treats and manages acute, chronic and episodic complaints, with a focus on health promotion and disease prevention to positively impact Veteran patient outcomes
● Serves veterans’ population and helps them manage their chronic conditions specifically related to veterans such as musculoskeletal pain, chronic pain syndrome, post-traumatic disorder, military sexual trauma etc.
● Assess for the presumptive conditions related to toxic exposure such as agent orange, burn pts, and other toxic substances, and guides through the process of enrolling veterans in Promise to Address Comprehensive Toxics (PACT) Act, if indicated
● Assists new veterans’ to establish care with VA, and explain various VA benefits and programs
● Performs comprehensive medical history collection and documentations in Computerized Patient Record System (CPRS), the EHR used for used throughout the United States Department of Veterans Affairs (VA) medical system
● Encourages veterans with morbid obesity and comorbidities to enroll in VA weight management program ‘MOVE’, and prescribe weight loss meds if indicated, once enrolled in ‘ MOVE ‘program
● Explain about the walk in clinics of VA system, and provide information on those including walk in vision and audiology clinic
● Facilitates veterans with PTSD to enroll in mental health program for counseling, and prescribe mental health meds if indicated
● Assess, diagnose, and treat acute conditions such as UTI, Upper respiratory viral infections, and acute pains
● Collaborates with supervising physicians in planning, evaluating, coordinating, and revising programs and determines conditions, resources, and policies essential to delivery of health care services.
● Refers to Social Workers to assess for Home safety eval, and other various social needs
● Consult to PMR rehab services for the veterans with musculoskeletal pain, and chronic pain
● Counsels patients on drug regimens and side effects or interactions with other substances such as food supplements, OTC medications, and herbal remedies
● Consult with pharmacists on call, and submit the requests for VA Non-formulary drugs and restricted drugs’ approval
● Order, perform, or interpret the results of diagnostic tests, such as labs, Electrocardiograms (EKGs), and radiographs (x-rays)
● Analyze and interpret patients' histories, symptoms, physical findings, or diagnostic information to develop appropriate diagnoses
● Consult veterans to appropriate specialists when conditions exceed the scope of primary care practices
● Explain ER warnings, do the needful arrangements by collaborating with other healthcare providers, and transfer the veterans to ER in unstable, comorbid, episodic and emergency conditions
● Perform wound care, obtaining cultures, debriding wounds, and suture removal
● Emphasizes on importance of proper immunizations, and thus facilitate veterans to boost up their immunity
● Promotes healthy habits that alleviate the risk factors, prevent disease and/or disability
● Assess for disability, complete the disability form if applicable such as DART form, disabled placard etc.
● Suggestions on interventions to modify behavior associated with potential health risks such as tobacco use, alcohol consumption, physical activity and diet, sexual practices, and disease screening including STDs
● Preventive screenings : Lung cancer screening for smokers including Low dose CT scan of the chest, PSA monitoring, colonoscopy, mammogram, and performs pap smear
● Identifies the vulnerable populations such as pregnant women, lactating women, or older adults, and treats accordingly
TX Physician Primary Care Clinic, 9812 Lakeview Pkwy, Rowlett, TX 10/5/2020 to 08/25/23
Family Nurse Practitioner ( All the age group)
● Primary care practitioner provides primary health care for all the age group population: Newborn, Pediatrics, Adults, and Geriatric patients ( subjective, objective, assessment/ diagnosis, plan, prescribe medications ( excluding opioids), labs, imaging, referrals)
● Performs routine physicals for adults and pediatrics including sports physical and women wellness check including pap smear
● Document patient medical histories and symptoms using the EHR system
● Document physical exam using a template
● Create patient care plans and contribute to existing plans
● Order, administer and analyze diagnostic tests
● Diagnose health issues
● Detect changes in a patient’s health and change treatment plans as necessary
● Prescribe medicines and treatments
● Evaluate responses to treatments and medications
● Perform EKG, analyze it, and do the needful
● POC tests include strep tests, flu tests, RSV tests. and covid tests if needed ● Review Immtrac to keep vaccines updated
● Vitals including CBG and vitals check
● Newborn’s POC tests including Hb, lead tests, and PKU test
● Review Age Stage Questionnaire and MCHAT screening
● ADHD eval and refer if needed
● Assess the developmental delays and refer to the Developmental pediatrician if necessary
● Assess the mental status including anxiety and depression, review PHQ screening, treat with meds and refer to psych therapy and specialist if needed
● Assess and evaluate the need for DME and referral if needed, PT/OT / ST consults
● Consult with healthcare professionals such as endocrinologists, cardiologists, pulmonologists etc; based on medical assessment
● Perform E visits/ virtual follow up ( phone and video call if needed, especially patients infected with mild symptoms covid-19 so that the exposure can be minimized ● Handoff verbal reports to EMS, ER / Urgent care upon transfer if needed
● Train patients and families on managing illnesses or injuries and disease prevention
● Consult and management over the phone, answering after-hours phone calls from patients including weekends
Consult with the pharmacists if needed, also apply for PA for meds if needed ● Refers patients to specialized physicians when conditions exceed the scope of practice
● Educate and emphasizes patients on preventive screenings and order for colonoscopy/ colo-guard, mammogram, bone density test, PSA, and perform pap smear Texas Physician associates clinic Primary clinic - Dallas, TX Apr 2019-May 2020
(Pandemic crisis))
Family Nurse Practitioner ( Adults and Geriatrics)
● Primary care practitioners provide primary health care mainly for adults and geriatric patients ( subjective, objective, assessment/ diagnosis, plan, prescribe medications including opioids, labs, imaging, referrals)
● During Pandemic crisis, provided care using Kareo telemedicine video conference and answered to phone text messages from patients
● Perform physical exams and patient observations
● Record patient medical histories and symptoms, used Athena and Kareo EMR
● Create patient care plans and contribute to existing plans
● Order, administer and analyze diagnostic tests
● Monitor and operate medical equipment
● Diagnose health issues
● Detect changes in a patient’s health and change treatment plans as necessary
● Prescribe medicines and treatments
● Evaluate responses to treatments and medications
● Consult with healthcare professionals
● Train patients and families on managing illnesses or injuries and disease prevention
● Consult and management over the phone, answering after-hours phone calls from patients
● Referred patients to specialized physicians when conditions exceed the scope of practice.
Wellmed Family clinic - Mesquite, TX May 2017 to April 2019 Family Nurse Practitioner ( Adults and Geriatrics)
● Primary care practitioners providing primary care mainly to adults and geriatrics Medicare (both traditional and advantage) patients
● Emphasized on the importance of preventive care to patients and referred accordingly for the procedures/ tests such as eye exam, mammogram, colonoscopy, X Rays and labs ● Referred patients with serious conditions to urgent care facilities.
● Performed in-office diagnostic testing for cholesterol and diabetes; specific conditions such as strep, UTI, mono, and flu; and lung function, interpreting results to patients.
● Documented patients’ medical information (subjective, objective, assessment/ diagnosis, plan, prescriptions, labs, imaging, referrals) in EMR system ( E- clinical works)
. ● Create patient care plans and contribute to existing plans
● Order, administer and analyze diagnostic
tests
● Monitor and operate medical equipment
● Diagnose health issues
● Detect changes in a patient’s health and change treatment plans as necessary
● Formulate a plan of care, treatments
● Evaluate responses to treatments and medicines
● Consult with healthcare professional
● Train patients and families on managing illnesses or injuries and disease prevention
● Consult and management over the phone, answering after-hours phone calls from patients
Parkland hospital - Dallas, TX March 2016 to February 2017 NP Chronic Disease Management ( endocrinology)
● Treated both inpatient and outpatients population with diabetes
● Reviewed all the diabetic consult patients’ medical information
● Performed hospital rounds and assessed all the patients that were referred to the diabetes consult team
● Create patient care plans and contribute to existing plans
● Order, administer and analyze diagnostic tests
● Monitor and operate medical equipment
● Documented patients’ medical information (subjective, objective, assessment/ diagnosis, plan, diabetic medications/ insulin regimen, discharger plan) in EMR system *( Epic) ● Performed virtual follow up via audio calls
● Dealt with the epic messages regarding patient care and follow up
● Detect changes in a patient’s health and change treatment plans as necessary
● Administer medicines and treatments
● Evaluate responses to treatments and medications
● Consult with healthcare professionals and the primary team who consulted patients to the diabetes team
● Collaborate with floor nurses and physicians about the plan of care and diabetic team recommendations
● Train patients and families on managing diabetes complications and prevention ● Consult and management over the phone, answering after-hours phone calls from patients
● Performed in-office diagnostic testing for cholesterol, thyroid conditions, and diabetes Parkland hospital - Dallas, TX December 2010- March 2016 Case Manager - Surgery / Medicine Dept
● Assessed and assisted with the case management needs of Dallas county patients in collaboration with SW
● Coordinate and facilitate patient care through assessment, evaluation, planning, and implementation
● Communicate patient needs to a variety of care team members and follow up accordingly
● Work collaboratively with patients, families, physicians, and nurses to ensure high-quality care
● Facilitated safe and cost-effective discharge
● Act as the patient's advocate as it relates to insurance coverage and financial assistance
● Maintain the patient's comprehensive clinical record through detailed documentation ● Coordinate with third party payors ( insurance companies ) on a regular basis
● Assisted in ordering and delivering essential DMEs Parkland hospital - Dallas, TX July 2002- December 2010 Registered Nurse / Full time
● Provided nursing care for patients on various med-Surg floor ENT, CVTS, NEUROSURGERY, ORTHO, OPHTHALMOLOGY and
Medicine pts
● Assisted nursing care in collaboration with other professionals and paramedical staff
● Performed charge nurse jobs and delegated assignments
● Helped with the discharge planning process
● Determined clinical needs of diverse patients
● Established and maintained long-term, quality relationships with relatives of the patient to effectively communicate every important aspect of the health care ● Took charge of assigning patients, reviewing records to assess their medical conditions, and directing physicians to schedule therapy, as necessary
● Worked collaboratively with dieticians, home health teams, occupational/physical therapy teams, and other healthcare teams to determine if patients are going to be discharged home
● Administer medications, provide vaccinations and render treatment to pediatric patients
● Communicate with physicians, LPNs, radiologists, and other medical professionals
● Collaborate with physicians to create a Plan of Care for each patient
● Consider the age of the patient and his or her emotional stability when determining appropriate treatment
● Create and contribute to patients' medical records as needed
● Respond to inquiries, concerns, and complaints from patients
● Track and maintain medical supply inventory along with other staff members
● Counsel patients and family members before, during, and after treatment LTAC- Mesquite, TX March 2007- March 2008
Registered Nurse / PRN
● Provided care to patients with chronic conditions and prolonged or incurable illnesses
● Assisted physicians and other medical professionals with treatment and illness management
● Established and maintained long-term, quality relationships with relatives of the patient to effectively communicate every important aspect of the health care ● Documented patients’ medical information in the EMR system
● Administer medicines and treatments
● Evaluate responses to treatments and medications
● Train patients and families on managing illnesses or injuries and disease prevention
● Wound care ( Regular and wound vac machine)
Paramount Home health- Sunnyvale, TX 2011
Home health Nurse / PRN
● Assess and chart observations of the patient's condition at each visit
● Complete evaluation tasks, including reviewing medication and vital signs
● Administer Physician-prescribed medication
● Dress or redress wounds and assess the healing progress
● Provide education to patients and families on proper home health care procedures and strategies
● Coordinate with physicians, physical therapists, occupational therapists and other individuals in the patient's care plan
● Keep the patient comfortable through palliative care
● Recommend tools or devices that may improve the quality of life for the patient Fr. Muller's medical hospital, MANGALORE, INDIA January 1999- December 2001 Staff nurse and floor manager
● Nursing care patients in med-surg, cardiac unit/ telemetry, stroke,and psych floors
● Performed as charge nurse and bedside nurse
● Educated patients, Medication administration
● Assisted with ADLs
● Assisted with physician rounds and carried out orders
● Delegation of assignments and patient care duties
● Assisted families to cope up with the situation
EDUCATION :
● Doctorate degree in Nursing Practice/ Advanced leadership- Chamberlain University
(March 2016-October 2017)
● MSN with Family NP-C - Texas Woman's University Dallas, TX ( August 2012- May 2015)-
● BSN - Fr. Muller's College of Nursing ( December 1994 to February 1999) CERTIFICATIONS AND LICENSES:
● Doctorate in Nursing Practice (DNP)
● MSN with FAMILY NURSE PRACTITIONER
● Active NPI and DEA
● TX RN ( License No:686117)
● Bachelor of Science in Nursing (BSN),
● Active ACLS and CPR
SKILLS:
● Primary Care Experience (10 years)
● EMR (25+ years)
● Nursing Care Experience ( 25 + years)\
● Case Management (6 years)
● Medication Administration
● Wound care
EMR skills;
● EHR Nextgen
● Epic
● EClinicalWorks (ECW)
● Kareo ( including telemedicine)
● Athena
● Care 360
● Practice fusion
● CPRS VA EHR system
Referrals : Upon request
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