Nurse Practitioner Mental Health

*************@*****.*** Cincinnati, Ohio ***** 480-***-****

Michele L. Chung

Nurse Practitioner- APRN-CNP, PMHNP-BC

PROFESSIONAL SUMMARY

Competent Board-certified Psychiatric Nurse Practitioner seeking a nurse practitioner position with a company that fosters collective meetings, forward thinking, and patient-centered care. Eager to utilize my 14+ years of mental health and clinical nurse educator experience to contribute to exceptional patient service for improving overall health and functionality. Knowledgeable utilization of the tiers of prevention for establishment of patient-centered goals and outcome attainment with young adult, adult, geriatric, mental health, and addiction patient populations. Consistent in strong work ethic, reliability, drive, and compassion- providing quality care patients and families deserve.

EXPERIENCE

Nurse Practitioner

Brightview – Fairfield / Middletown, OH / September 2023 – July 2025 Primary onsite provider for addiction management of patients with medical and/or mental health comorbidities in a for-profit business model health care setting. Duties included:

● Completing new patient (40 minute) day 1 Inductions, day 2 post Induction follow up, and medical cadence (modified, weekly, biweekly, monthly, bimonthly) follow-up visits (20 minute) both onsite and via telehealth.

● Completing full physical assessment along with obtainment of biological, psychosocial and family history with thorough documentation.

● Determining suicide risk potential via assessment of mental health and treatment history inclusive of prior and/or current suicide ideation and/or attempts with establishment of corresponding treatment plan, and notifying the behavioral health counselors of DSM-V diagnoses and risk result for collaboration and patient resources.

● Requesting ROI (Release of Information) for outside provider collaboration when additional controlled substances were prescribed.

● Performing telehealth patient visits inclusive of documentation requirements of assessment data in response to treatment, health changes and/or updates, MAT/toxicology/Lab ordering and review of results, and utilization of interdisciplinary collaboration as needed.

● Determining SUD Dx through utilization of DSM-V criteria

● Reviewing MAT, medication-assisted therapy, options with patients including rationale for use, associated side effect and risk profiles, pharmacokinetics of chosen MAT, appropriate dosing process for best absorption, education related to associated risks to personal safety and overall health with polysubstance use, and medical appointment cadencing with number/amount of medication take homes.

● Placing the order for indicated MAT- Buprenorphine MONO (sublingual tabs), Buprenorphine/Naloxone COMBO (sublingual tabs), or Methadone liquid concentrate (PO).

● Sending electronic script(s) for agreed upon comfort medications to patient preferred pharmacy.

● Ordering and managing MAT injections- Brixxadi weekly and monthly option for opioid use disorder, Sublocade monthly option for opioid use disorder, and Vivitrol (Naltrexone) for both alcohol and opioid use disorder treatment.

● EKG and Lab ordering, reviewing the result with the patient, and notifying the appropriate health department of required result(s).

● Reviewing and documenting the OARRS report (Ohio, Automated, Rx Reporting System) and collaborating with outside entity when overlapping MAT treatment and/or dually enrolled programming discovered.

● Performing CIWA/COWS assessments with appropriate pharmacological / non-pharmacological interventions.

● Ordering, reviewing, and educating patients on toxicology results with appropriate adjustments to treatment plan as needed.

● Placing mental health referrals through the portal system and/or providing community referral/resources to patients.

● Completing mental health evaluations and sending script(s) to bridge current medication(s) for prevention of symptom decompensation until next mental health provider appointment. Providing community resources as needed.

● Providing patient-centered psychotherapy to patients in crisis and or emotional distress during the patient visit.

● Administering Naloxone and/or CPR as determined or proving Naloxone sample or script to patients for opioid overdose prevention.

● Attending weekly treatment team and collaborative physician meetings, biweekly medical meetings, and attending methadone and other work-related optional meetings as time allowed- frequently viewed them on my own personal time. Nurse Practitioner

Adams Recovery Center- Loveland, OH / June, 2023 – August, 2023 Hired to be the primary onsite provider with staff education duties for the inpatient addiction and recovery treatment center as a new grad. Up until the time of leaving, I did not have a signed contract, as promised, for a collaborative physician. Out of protection of my APRN license, I did not script medications for patients due to the absence of a signed collaborative agreement contract. Limited duties due to circumstances included:

● Completing physical, bio/psychosocial assessments with thorough documentation.

● Collaborating with outside providers for treatment plan, medication refills- scripted and continued by outside provider.

● Collaborating with MedMark physician and connecting patients via telehealth for methadone order changes (increase/decrease in dose titration). Picking up weekly methadone patient fills from Medmark and appropriately documenting the administration and storage of medication.

● Observing patients self-administer their scheduled medications per treatment facility protocol and documenting time of administration.

● Developing and providing clinical education to front office staff- LPN and MA

(medical assistant).

● Facilitating and participating in staff meetings

● Performing room/patient safety checks along with providing suggestions for improving safety protocols.

Registered Nurse- BSN

Behavioral Health Clinical Instructor

University of Cincinnati, trauma 1, major teaching hospital August, 2018 – August, 2023

Managed a group of six students for their BSN mental health clinical rotation at the University of Cincinnati, level 1 trauma, major teaching hospital. Coordinated with nursing staff, psychiatrists/PA, and interdisciplinary care team to provide students with optimal hands-on, interactive learning experiences for meeting clinical objectives. Duties included:

● Organizing patient assignments, overseeing patient assessments, and facilitating engagement in therapeutic communication.

● Providing pre- and post-conference education to promote advancement of clinical skill set and critical thinking.

● Counseling and mentoring patients on effects of substance use with focus on intervention/prevention practices for health promotion.

● Constructing interactive learning experiences for expanding upon the nursing process of assessment, documentation, planning, evaluation, and patient engagement.

● Constructing individual and group projects to advance patient education and health literacy related to overall health and nutrition, substance use/abuse effects, mental health diagnoses/treatment, and awareness of community resources.

● Coordinating and managing interactive skills lab assignments and testing.

● Assisting with and engaging students in Community Health Care Days for student services.

● Fostering and maintaining interactive relationships with interdisciplinary care teams for providing optimal student and patient experiences for meeting clinical objectives.

● Grading, discussing, and reviewing student’s assigned patient care plans.

● Dedicating a post-conference prior to each exam for didactic review- utilizing clinical experiences and care plans to connect with exam outline.

● Establishing and maintaining positive student/staff relationships to promote team work and better patient outcomes through prompt communication of changes in patient physical and/or behavioral presentation.

Registered Nurse- BSN

Travel Nurse Assignment- Mental Health

Trustaff February, 2023 – May, 2023

Provided inpatient nursing care to patients with mental health and substance addiction diagnoses with focus on young adult, adult, geriatric, and veteran patient populations. Daily responsibilities included obtaining and providing change of shift patient report and performing the following duties:

● Assessing and documenting patient admissions and discharges- including placing physician verbal orders and reviewing orders in place for accuracy.

● Developing and updating the patient’s individualized care plan.

● Collaborating with admitting physician for new and/or changes to existing patient orders and treatment plan.

● Assisting patients with ADLs as needed and performing safety checks every 15 minutes in lieu of patient care assistants’ absence from the floor.

● Administering, evaluating, and documenting medication / patient rights with all routes of medication dosing.

● Providing patient education on diagnoses, treatment approach, and resources for health promotion and health literacy advancement.

● Reviewing and documenting medication accuracy prior to administration of IM injection(s) given during a Code Violet patient emergency.

● Utilizing CPI interventions amid patient behavioral escalation emergencies.

● Determining appropriateness for calling a code violet and leading the process of a seclusion or restraint intervention and documenting the medication(s) administered including class, dose and route.

● Collaborating with the interdisciplinary care team for transition from inpatient treatment to intensive outpatient programming.

● Administering CPR and completing corresponding documentation as determined. Registered Nurse- BSN

Travel Nurse Assignment- Mental Health

Maxim Healthcare August, 2021 – January, 2023

Travel contract behavioral health nurse at a university-based teaching hospital. Provided mental health and addiction patient care/treatment including medication administration for symptom stabilization with use of therapeutic communication to foster patient engagement. Collaborated with various interdisciplinary care team members including physicians, psychiatrist and therapists for development and ongoing management of individualized patient care plans. Worked closely with psychiatric emergency services and surrounding hospitals for those in need of direct admission. Treatment modalities included pharmacological, non- pharmacological, and alternative interventions including ECT, assisting with patient preparation and post procedure assessments and monitoring. Duties mirrored those above in preceding travel nurse contract- see above.

Registered Nurse- BSN

Mental Health

The Christ Hospital, Magnet designated April, 2011 – August, 2021 Provided 11 years of exceptional mental health patient care that contributed to winning a Daisy award in 2012 and being nominated for the Michelle Ryan Livingston award in 2013. Additionally, worked on advancing patient and staff safety outcomes. Became a unit- based council member from 2015-2021 to foster collective conversation between nursing and management – turning work related concerns into constructive resolutions. Worked alongside the psychiatrist for ECT treatments both pre- and post-procedure with thorough documentation. Duties included-

● Completing physical, biopsychosocial, and family history assessments for new admissions and/or updating charts of missing patient data.

● Reviewing information from outside sources seeking patient admission with the on-call psychiatrist and obtaining/entering admission orders.

● Administering PO, IM, IV medications, including suboxone and methadone, after reviewing and confirming patient/medication rights for safety.

● Securing controlled substances and narcotics in the pyxis and utilizing a second witness to confirm medication, dose, pyxis count, and confirmation of returned and /or wasted controlled substance.

● Performing CIWA and COWS assessments pre- and post-administration of corresponding SUD medication(s) and documenting interventions, patient response, and reassessment data as needed.

● Performing critical interventions when faced with acute withdrawal symptomology including seizure activity and/or change in mental status.

● Utilizing CPI interventions for least restrictive approach to behavioral management according to protocols during seclusion or restraint incidents and completing associated documentation in the patient’s chart according to policy standards.

● Completing and utilizing the nursing process with each patient’s individualized treatment plan and adjusting the plan in response to met and unmet goals.

● Collaborating with admission/on-call psychiatrist, medical physicians and interdisciplinary care team to establish and update treatment plans for alignment with insurance standards of care for coverage.

● Minimizing length of hospital stay through utilization of patient-centered approach to treatment, collaborate with the interdisciplinary care team, and complete insurance utilization review process for ongoing coverage of inpatient services.

● Auditing charts and reviewing clinical documents in the patient’s chart for verification of accuracy as part of unit- based council responsibilities.

● Educating patients, their families, and care-givers on indicated diagnosis and prognosis, treatment plan and options, disease process and management of symptoms (stages of prevention), and lifestyle changes for reducing potential of symptoms occurrence to improve quality of life.

● Implementing evidenced-based practice project outcomes and utilizing competency guidelines to further nursing education and standards of practice.

● Providing didactic and clinical instructions to transition role students for achieving clinical outcomes and orienting new hire nurses.

Registered Nurse- BSN

Call Center Facilitator for Mental Health Admissions Mercy Health Business Center February 2019 – August 2020 Recruited by former manager from Christ hospital to be a part of the newly developed psychiatric service team due to history of experience in psychiatric services and clinical education. The primary focus was managing high volume calls through the call center and facilitating mental health admissions via outreach to various hospitals within the network. Due to implementation of on-call requirement interfering with decision to further my education, alternate employment was sought that would be conducive to the Master’s program requirements. Duties included:

● Working as one of two psychiatric nurses to collaboration with outside mental health acute care facilities for inpatient admission.

● Obtaining patient admission information and reviewing with the on-call psychiatrist for acceptance or denial and notifying the outside entity of admission decision. Admission process being extensive in time due to the facilitation and review requirements.

● Facilitating ambulance transport to accepting hospital.

● Managing high volume calls along with tracking and updating reviewed patient file with admitting physician until acceptance or denial received and relayed.

● Assuring the Statement of Belief (Pink Slip) is received and appropriately filled out prior to setting up ambulance transport.

● Participating in weekly team meetings and collectively discussing ideas for improving processes and protocols.

Registered Nurse- BSN

Behavioral Health Clinical Instructor

The Christ College of Nursing and Health Sciences August, 2016 – May, 2018

Managed a group of six students for their ADN mental health clinical rotation at the Magnet recognized, Christ hospital. Coordinated with nursing staff, psychiatrists, and interdisciplinary care team to provide students with optimal hands-on, interactive learning experiences for meeting clinical objectives. Duties included:

● Assigning students to a patient each week with review of clinical information and completion of care plan assignment.

● Overseeing students perform patient assessments while providing clinical guidance for motivational interviewing and appropriate use of therapeutic communication.

● Collaborating with the unit team to connect students with various disciplines for hands-on, interactive learning experiences.

● Assigning each student to a scheduled nurse to shadow patient assessment, documentation, and medication administration processes.

● Seeking and coordinating student opportunities for outside unit clinical experiences, including surgical preparation, X-rays, MRIs, cardiac testing, EEGs, and ECTs.

● Assuring through direct oversight that patient care provided by students is in accordance with facility guidelines and regulations.

● Assessing the workload and flow of the unit to best utilize nursing students where need of assistance is most evident.

● Providing direct oversight of students when providing patient and family education to foster health literacy related to treatment plans, therapeutic regimens, medication education, and alternative pain management interventions.

● Utilizing EPIC system of charting to document patient assessments, response to RN medication administration, Intake and output, group attendance, and instructor accompanied patient safety checks.

● Assisting with Community Health Care Days for student services and assigning an end of clinical teaching project focusing on improving health literacy and patient outcomes.

Registered Nurse- BSN

Medical/Surgical Clinical Instructor

The Christ College of Nursing and Health Sciences August, 2014 – May, 2018

Managed a group of six ADN nursing students at the Magnet recognized, Christ hospital, for their med/surg clinical rotation on various medical units- orthopedic, GI, and telemetry. Coordinated with nursing staff, physicians, and interdisciplinary care team to provide students with optimal hands-on, interactive learning experiences for meeting clinical objectives. Duties included:

● Assigning students to a patient each week for review of clinical information and completion of care plan assignment.

● Overseeing patient assessments and documentation while providing clinical guidance and rationale for required details in charting.

● Overseeing student assessment and documentation of intake/output data, nutritional status, ADL capabilities, medication compliance and response, dressing changes, diabetes management, catheter insertion and removal, tracheostomy suction, dressing changes, medication administration and IV tube changes.

● Managing the clinical group in the virtual and clinical skills lab when practicing skills such as obtaining and managing vitals- baseline and critical results, wound assessments and dressing changes, airway management with suctioning, GI assessments and remarkable outcomes, cardiopulmonary assessments including administration of CPR, and medication administration of all routes with verification of reviewing patient and medication rights of administration.

● Coordinating patient care and assuring students adhere to facility guidelines and regulations.

● Accompanying students prior to medication administration for organization and review of the scheduled regimen with appropriate administration- adhering to scheduled time, route, dose, and evaluation/documentation of patient response.

● Overseeing patient and family education and providing requested resources as needed

● Utilizing EPIC system of charting- explaining rationale for required documentation and associated risks of failure to document.

● Seeking and coordinating student opportunities outside the assigned unit to provide unique clinical experiences such as observing surgical procedures, Xrays, MRIs, and various forms of testing.

ACHIEVMENTS

● MSN degree with 3.8 GPA (2022)

● BSN degree with 3.8 GPA (2014)

● ADN degree (2010)

● Unit-Based Council member (2015-2021)

● Nominated for the Michelle Ryan Livingston Award (2013)

● Daisy Award Winner (2012)

● Facilitator of patient and staff safety improvements via establishment of resources for acute behavioral interventions when managing patients and safety concerns within the Behavioral Intensive Care Unit (BICU) at the Christ hospital.

● Facilitator of change to patient doors on the mental health unit at the Christ hospital to deter self-inflicted patient injuries.

● Recommended to the Lindner family by an ADN program professor to provide requested care during completion of ADN degree.

EDUCATION

● Master of Science: Psychiatric Mental Health Nurse Practitioner Northern Kentucky University- Highland Heights, Kentucky- December, 2022

● Bachelor of Science: Nursing

University of Cincinnati- Cincinnati, OH- May, 2014

● Associate of Applied Science: Nursing

The Christ College of Nursing and Health Sciences, April, 2010 REFERENCES

Available upon request

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