Family Nurse Practitioner at Dallas County Jail (2016-07 – Present)
Deliver high quality and compassionate treatment to incarcerated patients.
- Obtain health histories and perform physical examinations.
- Design and implement treatment plans in the management of chronic and acute health issues including handling medications, wound care and nutrition.
- Manage pharmacological and non-pharmacological treatment of various disorders and diseases.
- Responds and initiates emergency care procedures to a population of male and female incarcerated patients.
- Orders, reviews, and interprets laboratory results, x-rays, and EKG's.
- Analyzes data collected to determine patient health status and identifies differential diagnosis based on patient history, physical examinations, and clinical findings and discusses the results with the patient.
- Prescribes, administers, and dispenses medication.
- Acts as an advocate for incarcerated patients requiring immediate medical action to improve healthcare status or makes informed decisions about the healthcare treatment plans before they are administered.
- Consults with the physician as needed to coordinate a plan of care, implement inpatient treatments, review mental assessments, and/or to discuss disease prevention and patient education needs.
- Performs diagnostic and therapeutic procedures, including: biopsies, suturing, wound care, incisions and drainage, splint and casting.
- Evaluates assessment data to define health and developmental problems.
- Conducts quality assurance studies of chart documents and the quality care provided to incarcerated patients.
- Assists in preparing training materials for ongoing and continuing education courses.
- Actively participates in interdisciplinary patient care meetings and addresses the identified clinical needs of the patient.
- Provide acute care including suturing, and evaluation of orthopedic injuries.
- Perform skin biopsies, routine health care maintenance and detoxification management.
Family Nurse Practitioner at Cerner occupational Health Clinic (2015-10 – 2016-10)
Provides comprehensive medical patient care independently in an occupational Health Clinic by interviewing, examining and treating adults in urgent and non-urgent conditions in order to meet their medical needs.
- Identifies, evaluates and addresses disease prevention and health promotion issues of employees in the clinic for adult pregnant and non-pregnant employees.
- Works in an independent and interdependent relationship with members of the medical staff that allowed for consultation, collaboration, and referral.
- Provides quality primary care through developing, implementing and evaluating individual patient care plans.
- Maintains legible, accurate, and confidential electronic and non-electronic medical records according to federal guidelines and regulations.
- Documents all medical evaluations, diagnoses, procedures, treatment, outcomes, education, referrals, and consultations consistent with NCQA (National Committee for Quality Assurance), JCAHO (Joint Commission on Accreditation of Healthcare Organizations), and state regulatory standards.
- Participates in quality improvement, management, continuing education, and other patient care programs established by the clinic requirements.
- Oversees mid-level medical staff as assigned as well as nursing clinical staff.
- Determines level of urgency of follow-up, referral/consultation appointments.
- Exercises final medical judgment in all issues of health care.
- Prescribes medical treatment and clinical drugs to employees.
- Orders and interprets studies, test and ancillary services.
- Reviews on a regular basis long term cases that require ongoing medical attention.
- Consults with Medical Director and other professionals on staff as needed regarding patient care, assessment, and education issues.
Nurse Practitioner at Genesis Health Care TCU (2013-05 – 2015-10)
Functioned as the center's NP who examines, diagnoses, and treats both transitional care and long term care inpatients. Manages patients through the continuum of their rehabilitation care, follow them organize their post-acute care in the sub acute transitional care unit.
- Directed the operations of short stay sub acute transitional care units.
- Made rounds with cardiologist for cardiac patients and manages their cardiac rehab.
- Managed all the wounds at the center in collaboration with nursing team.
- Admitted patients for inpatient stays.
- Prescribed medications or treatment regimens to inpatients.
- Ordered and interprets the results of tests such as laboratory tests and radiographs.
- Conducted discharge planning and discharge patients.
- Coordinated patient discharge and sent summary to primary care physicians.
- Diagnosed, treat and provides continuous care to inpatients.
- Communicated with patients' primary care physicians upon admission, when treatment plans change or at discharge to maintain continuity and quality.
- Referred patients to medical specialists, social services or other professionals as appropriate.
- Determined and judged patients if they need transfers to acute care in case of emergencies.
- Participated in continuing education activities to maintain or enhance knowledge and skills of staff.
- Being on call after hours for all the centers in the state including own center of the company.
- Participated in the Cardiac Management program by rounding with the cardiologist consultant, and assess, diagnose, treats various cardiac conditions.
- Participated in the cardiac rehab program for CHF thereby preventing re hospitalization rate.
- Participated in decision making process about patient's progress of state including determination of hospice, palliative care.
Nurse Practitioner at United Medical Associates, Family Medicine (2013-06 – 2015-10)
Provided comprehensive medical patient care independently by interviewing, examining and treating various age groups of patients in urgent and non-urgent conditions in order to meet their medical needs.
- Educated patients on wellness, prevention and early detection by providing materials and resources to the patients and families.
- Determined which referrals are required based on examination and patient needs.
- Determined level of urgency of follow-up, referral/consultation appointments.
- Exercised final medical judgment in all issues of health care.
- Prescribed medical treatment and clinical drugs to patients.
- Ordered studies, test and ancillary services.
- Documented all services in patient electronic medical record.
- Reviewed on a regular basis long term cases that require ongoing medical attention.
- Consulted with Medical Director and other professionals on staff as needed regarding patient care, assessment, and education issues.
- Participated in quality improvement, management, continuing education, and other patient care programs established by the hospital or clinic requirements.
- Oversaw mid-level medical staff as assigned as well as nursing clinical staff.
- Assisted in the resolution of complaints, requests and inquiries from patients.
- Maintained confidentiality of all patient information according to federal guidelines and regulations.
Nurse Practitioner at Davis Integrated Medicine (2012-05 – 2013-06)