Nurse Practitioner Internal Medicine

Scott Edegbe, MSN, NP-C

*** ******* ***** ******, ** 75115 816-***-**** ***********@*******.*** Work Objective

Nurse practitioner with 12 years experience in various diverse clinical settings with a focus in hospital/internal medicine care in the Dallas/Forth Worth Metroplex area. Skilled in symptom assessment, acute and chronic disease management, and patient education Work Experience

HCA Houston healthcare System Conroe, Texas- Locum Tenens Hospital Medicine/Internal medicine Nurse Practitioner Rhino Medical Health Service Agency

September 2024- Till present

Admission of acutely ill patient to inpatient/observation bed within the hospital. Daily hospitalist rounding on assigned patients located on telemetry unit, orthopedic unit, rehab unit, medical/surgical units, cardiac/vascular unit and ICU step down downgrades located all over hospital. Consultation and collaboration with specialists to include Infectious disease, Cardiologist, Cardio-thoracic surgeon, General surgeon, Interventional radiology team, Gastroenterologist, Neurologist, Nephrologist, Hematologist/oncologist among others. Daily MDR (Medical review) meetings with hospital administration and case management team members to discuss each assigned patient general throughput, goal progression, anticipated barriers to discharge, discharge plan and date. Completion of accurate history and physical note, progress notes, discharge summary and billing each encounter appropriately. Management of various complex medical, cardiac, orthopedic, pulmonary, neurologist and post-surgical diagnosis among others . Respond to rapidly decompensating patients at bedside with rapid response team, initiating immediate transfer to intensive care units with collaboration with intensivist team as appropriate. Documentation system used Meditech. Ennis regional Medical Center, Ennis Texas

Hospitalist/Internal medicine Nurse Practitioner, PRN Integrated Emergency Services Hospitalist Group

September 2024-Till Present

Admitting and managing acutely ill hospital-based patients from both the emergency department and through direct admission from surrounding clinics in the Ennis area. Patients are admitted on an observation or inpatient status with varying length of stays. This is a small community rorul hospital with about 20 beds and no ICU, only 2 specialists (General surgeon and urologist); management of all medical care is performed by hospitalist nurse practitioner independently . Management of diagnosis includes but are not limited COPD exacerbation, acute deep vein thrombus, pulmonary embolus, atypical chest pain/ NSTEMI II (demand ischemia) work up, diverticulitis, hypertensive urgency, new onset atrial fibrillation, atrial flutter, supraventricular tachycardia, pancreatitis, alcohol withdrawal, narcotic withdrawals, cellulitis, dehydration, colitis, syncope, acute on chronic heart failures, sepsis without shock, pneumonia, respiratory failure, urinary retention and infections among others. Accurate completion of history and physical notes, progress notes and discharge summary documentation; billing each encounter appropriately. Rapid response management, initiation of transfer to higher level of care and completion of doctor to doctor to ensure quick and prompt transfer of decompensating patients. Documentation system used Medhost.

Baylor Scott & White Emergency Hospitals (Dallas /Fort Worth Texas Market) Hospitalist/Internal Medicine Nurse Practitioner

Emerus Holdings ( Leading Edge Physician Group)

November 2017- Till Present

Admitting and managing acutely ill patients admitted from our emergency department into our micro-community hospital in Dallas-Fort Worth, Texas. Patients are admitted on an observation or inpatient status based on wide varying medical conditions that can be managed at our facilities or transferred to our larger Baylor Scott and White partner hospitals in the area. Health conditions managed includes but not limited to community and hospital acquired pneumonia management, uncontrolled diabetes type 1 and 2 with management -insulin therapy, uncontrolled hypertension management with oral and IV infusion medications, uncontrolled and new onset atrial fibrillation -management with oral and IV infusion medications (cardizem, amiodarone drips), Severe sepsis management with multi-organ dysfunction, gastrointestinal disorders, respiratory failure with proficiency in management with Vapotherm, BIPAP machine and ventilators, hypertriglyceridenemia with Insulin drip management, acute on congestive heart failure management with complete cardiac workup and medical management, Diabetic keto- acidosis (DKA) requiring insulin drip management, uncontrolled hypertension requiring IV Cardene drip and IV/ oral mediciations, Management of vasopressors, and co-management of ventilators with attending and telemedicine intensivist/pulmonologist. Inpatient consultation to telemedicine cardiology, infectious disease providers, intensivisit, pharmacist and case management team when appropriate to ensure positive pt outcome and experience. Ordering and interpretation of laboratory, radiological, physical findings, differential diagnosis appropriately. Use of Epic documentation system. Excellent procedure skills to include both not limited to wound care management, incision and drainage, sutures, splinting and casting, joint aspiration. Baylor Scott & White- All Saints, Forth Worth Texas Clinical Decision Unit (observation unit) Nurse Practitioner Integrated Emergency Service (IES Physician Group) December 2015- May 2017

Admitting and managing acutely ill patients on the observation unit of a level 3 trauma hospital in Fort Worth Texas. Collaborating with Emergency room physicians to help identify appropriate observation unit patients to aide facilitate proper ED work and space flow. Ordering, interpreting and monitoring appropriate laboratory and radiological findings pertinent to patient care. Practicing within and outside of established protocol on a case by case basis to ensure patient is provided the best care for each presenting condition and comorbidities. Protocol includes but are not limited to Chest pain, Congestive heart failure, Asthma and COPD exacerbation, Anemia, Pyelonephritis, Uncontrolled diabetes, Head trauma, Pancreatitis, Atrial fibrillation, Liver disease, Uncontrolled hypertension, Acute and Chronic renal failure, Fever of unknown origin among others. Completing timely history and physical, progress notes and discharge summaries on patients daily. Collaborating with rounding attending physician and consultants daily, meeting with interdisciplinary team to ensure proper post hospital concerns are met prior to discharge to decrease hospital re-admissions.

Veteran Affairs Hospital Dallas

Nurse Practitioner – Emergency Department/ Fast track/Urgent care April 2015- November 2018

Triaging and managing acute diseases in urgent care setting- ED acuity levels 3, 4, and 5. Performing procedures to including splinting, suturing, Incision and drainage, assistance in lumbar puncture, basic casting, removal of foreign bodies objects, digital block with nail removal, biopsy and joint aspiration, wound dressing among others. Collaborating and discussing with emergency room physician on complicated cases. ED to ED transfer for higher level of care, inpatient hospitalist consult to residents and attending physicians. Appropriate specialist consultation with residents and attending physicians. SW Endocrinology and Diabetes Duncanville, TX

Endocrinology Nurse Practitioner

Texas Health Physician group

December 2013 – September 2015

Managing new and established clinic patients with various endocrinology and internal medicine conditions to include Thyroid disorders, Diabetes mellitus type 1 and 2, hypogonadism, bone and mineral disorders, pituitary disorders, obesity, adrenal gland disorders, hormone replacement therapy, parathyroid disorders, renal and liver failure among others. Ordering, interpreting, and monitoring laboratory findings periodically and adjusting medications appropriately. Ordering and interpreting radiological studies, referring patients to appropriate specialist for further testing and/or other organ involvement. Education provided to patients and family members on disease process and treatment. Collaborating with clinic physician on difficult cases as needed. Parkland Hospital Dallas

EMCARE physician Group

Family Nurse Practitioner- Urgent Care Clinic

November 2012 - 2015: Per Diem

Triaging and treating acutely ill patients with multiple co-morbidities in a fast pace environment, ordering, interpreting and monitoring appropriate laboratory and radiological findings, following established protocols to manage patient needs- protocols include chest pain, CHF, Asthma, COPD, anemia, pyelonephritis, Diabetes, fractures among others. Performing minor procedures to include splinting, removal radiological placed drains, suturing, I &D and wound dressing, IV insertion. Ensuring follow up appointments post hospital or urgent care visits, provide medication refills and prescriptions.

John Peter Smith Hospital Forth Worth, Texas

Hospitalist Nurse Practitioner: JPS physician group November 2012 - November 2013

Member of the medicine team at a level 1 trauma center in Fort Worth. Accepting and admitting patients directly from ED and step downs from ICU. Performed thorough assessments, history & physicals and developed plan of care through hospital stay. Managed patients with multiple health co-morbidities, rounding on both telemetry and medical-surgical floors independently and as needed with attending physician. Ordering, interpreting and monitoring labs and radiological data on a daily basis assess progression of care. Meeting with case management and nurses to ensure smooth transition from hospital to home or other facilities with all resources that are needed. Documentation using EPIC health information system. Education/Certifications

University of Central Missiouri, Warrensburg Missiour, May 2012 Masters of Science in Nursing, Nurse practitioner Program University of Missouri, Kansas City, May 2008

Bachelors of Science in Nursing,

Electronic Medical Record proficiency includes: EPIC, Medhost, PICIS, Cerner, Meditech Reference Available upon request.

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