Experience

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  Six forks rescue squad

  Jan 2007 - May 2009

  Emt/paramedic

  Responding to emergency calls within the community. Conducting patient assessment and providing advanced life support level care through standing orders/protocols. Determining most appropriate medical facility for disposition based on proximity and any specialty resource needs of patient, such as trauma, cardiac, or high risk OB. Special Projects as EMT:Adjunct Lecturer-Emergency Medical Technician Course taught in partnership between Six Forks Rescue Squad and North Carolina State University. Creating and teaching didactic content under supervision of primary instructional staff. Teaching and evaluating student skills in lab sessions. Mass Casualty Incident Planning Committee-Serving on the Mass Casualty Incident Planning committee. Researching and developing agency emergency action plan and inter-agency disaster response protocols. Show less

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  Franklin county ems

  May 2007 - May 2009

  Paramedic

  -Provided advanced life support level patient care in the emergency medical environment, operated primarily under standing orders and protocols- Responder on a two person staffed ambulance as part of a paramedic and EMT crew

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  Medics ambulance service

  Sept 2009 - Feb 2010

  Specialty care transport paramedic

  Providing inter-facility care and transport of patients requiring intravenous infusions, mechanical ventilation, and cardiac monitoring. Functioning as sole advanced life support provider on the ambulance. Titrating intravenous medications during transport. Monitoring endotracheal tubes and ventilator function.

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  Md now urgent care

  Feb 2010 - Sept 2010

  Medical assistant (lead)

  Managing patient care and patient flow from triage to discharge. Providing clinical support, training, and oversight of other medical assistant staff. Responding to any emergent or high acuity patients presenting to the clinic. Triaging patients and conducting various point of care testing, including glucose monitoring, urinalysis, rapid strep/flu. Obtaining blood samples and urine samples. Performing ECGs and pulmonary function testing. Preparing and positioning patients for x-ray studies. Assisting medical providers with procedures, including suturing, casting, and wound care. Conducting drug testing and breath alcohol exams in accordance with forensic and chain of custody standards. Show less

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  Franklin county ems

  Dec 2010 - Jul 2017

  Paramedic (part-time)

  -Providing advanced life support level patient care in the emergency medical environment-Preceptor

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  Durham technical community college

  Apr 2011 - Dec 2017

  Adjunct faculty

  Participating in the planning, implementation, and coordination of emergency medical science educational programs. Preparing and delivering instruction in the form of lectures, group work, lab sessions, and online assignments. Evaluating student performance, providing feedback, and developing/implementing student remediation. Supervising teaching assistants and lab assistants. Coordinating with other instructional staff to ensure lab equipment is available for off-site classes. Teaching American Heart Association programs, including CPR.Specialized Lectures:Basics of Capnography for Pre-Hospital Emergency Care Providers:A simplified introduction to capnography as a tool for BLS and ALS providers, including basic wave form interpretation and use of the capnogram as a diagnostic tool. Discusses the role of capnography in resuscitation situations as a clinical indicator of compression effectiveness, advanced airway placement, and potential for ROSC.Excited Delirium for EMS Providers and Law Enforcement Personnel:A case-study focused discussion on the detection and safe management of Excited Delirium Syndrome (ExDS) based on the American College of Emergency Physicians 2009 recommendations.EMS Response to Special Needs Patients in the Community Setting:Focuses on preparing ALS and BLS personnel for encounters with special needs patients in the pre-hospital setting. Topics include Left Ventricular Assist Device (LVAD), tracheostomies, mechanical ventilators, indwelling central lines, feeding tubes, hemodialysis lines, and peritoneal dialysis. Based on the document "Recommended EMS Guidelines for Children and Youth with Special Health Care Needs" published by the North Carolina Emergency Medical Services for Children Advisory Committee. Show less

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  Vector health and safety

  Apr 2011 - Jan 2017

  Health programs instructor (prn)

  Serving as an instructor for various health education programs. Serving as primary instructor for Basic Life Support for Healthcare Provider, Heartsaver CPR, and First Aid courses; assisting instructor for Advanced Cardiac Life Support and Pediatric Advanced Life Support courses. Serving as simulations instructor in the University of North Carolina at Chapel Hill School of Medicine; teaching medication administration, injections, intravenous therapy, and physical assessment to medical students.

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  Occupational health partners/site med

  Feb 2012 - Jul 2014

  Occupational health tech (prn)

  Conducting immigration medical clinic , including review of medical and vaccine records, translating simple vaccine records in Spanish, French, and German languages, placing and interpreting tuberculin skin testing, administering and educating patients on vaccinations, obtaining blood samples for testing, and consulting with physician medical director by phone when necessary. Conducting travel medicine clinic, including review of CDC travel health guidelines of patients’ intended destination, providing patients with CDC patient education materials, administering vaccinations in accordance with CDC guidelines and clinic protocols, consulting with medical director by phone as needed. Working in off-site settings, including factories, plants, and fire departments, doing occupational health screenings, including ECGs, phlebotomy, pulmonary function testing, hearing screenings, physical agility exams, and cardiac stress testing. Show less

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  Youngsville rescue and ems

  Nov 2013 - now

  Training officer (volunteer)

  Providing monthly continuing education sessions for emergency medical services staff at a rural EMS agency. Researching, writing, and piloting cadet program which provides high school students and pre-med students with patient care experience. Writing and overseeing new member recruitment and training. Serving as a liaison with county-based human resources to coordinate background checks and drug testing. Conducting home visits with special needs pediatric patients in the community. Visits included assessing emergency preparedness and relaying specialty treatment/response needs for special needs patients to county-based EMS services and Emergency Management staff. Show less

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  Granville health system

  Aug 2014 - Jun 2023

  Transitioned to PRN in August 2017, previously full time.Serving as the department’s first dedicated triage registered nurse. Participating in quality assurance meetings and evaluating triage process with hospital administration, medical director, and nurse manager to reduce emergency department length of stay. Performing initial triage assessment of patients presenting to emergency department, including chief complaint, brief history of present illness, focused physical exam, vital signs, medical history, and assigning acuity rating based on Emergency Severity Index (ESI) criteria. Initiating any necessary emergent interventions in accordance with standing orders and departmental policies. Coordinating with charge RN to facilitate bed placement of patients requiring further immediate care. Utilizing standing orders for labs, medications, and ECGs, based on triage findings. Consulting with ER physician by phone if additional interventions are required outside standing orders. Committees:Fast Track Committee-multidisciplinary departmental committee tasked with research, design, trial, and implement department front end procedures which maximize patient flow during and after initial triage. Goals of committee include reducing door-to-medical screening exam time, overall length of stay, and use of ER bed space usage by ambulatory ESI level 4 and 5 patients, through the use of triage standing order sets and an ambulatory care area staffed by physician assistant. Patient Safety Committee- a multidisciplinary working committee which seeks to reduce errors and promote patient safety hospital-wide.Reviewing root cause analysis of errors and near-miss events, detecting and eliminating process/system factors which may contribute to errors. Special Projects:Quarterly Education for ER Nursing Staff-leading unit based education initiatives for emergency room nursing staff, including in-services on new equipment, procedures, and other patient care related issues. Show less Providing direct nursing care for patients in accordance with hospital and departmental policies and procedures, as well as established standards of nursing practice. Working mid-shift, which is highest patient census timeframe. Common tasks included monitoring telemetry, acquiring ECGs, administering/monitoring intravenous fluids, antibiotics, and insulin drips. Utilizing standing orders for high acuity and time sensitive patient presentations. Frequently assigned to trauma/resuscitation area, serving as primary nurse for high acuity and ICU status patients, such as major trauma, ST segment elevation myocardial infarction, septic, cardiac arrest, and post resuscitation patients. Common tasks included titration of vasoactive and cardiac drips (including epinephrine, dopamine, norepinephrine, and diltiazem), administration and monitoring of blood products, accompanying unstable patients to ancillary departments. Occasionally assisting physicians with chest tube placement, rapid sequence endotracheal intubation, and central line placement. Special Projects as Staff RN: Psychiatric Policies and Procedures-Researching and writing department wide policies and procedures for care of mental health patients, including psychiatric crisis emergency room holds and patients in medical and forensic restraints . Creating nursing documentation forms used for psychiatric patients in the emergency room. Providing nursing education on policies and procedures for emergency room psychiatric patients. Show less

  • Urgent Care/Occupational Medicine Nurse Practitioner

    Jul 2019 - Jun 2023

  • Triage Nurse, Emergency Department

    Jul 2016 - Jul 2019

  • ER Registered Nurse

    Aug 2014 - Jul 2016
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  Wake emergency physicians, pa

  Jul 2019 - Oct 2021

  Er nurse practitioner
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  Teamhealth

  Jun 2023 - now

  Emergency medicine nurse practitioner