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Hospitalist Nurse Practitioner Acute Critical Urgent Care Trauma Internal Medicine Vascular Access Expert Witness

Provides Opinion & Testimony In:

Hospitalist, Medical Surgical, Vascular Access, Critical Care, Trauma, Surgery, Neurosurgical, Medical ICU, Intensive Care, Emergency Room, ER, Infection Control, Pneumonia, Hypothermia, Sports Injuries, Cardiac, Pulmonary, Sepsis, Bleeding Disorders, Radiology Special Procedures, Central Line Placement, Arterial Line Placement, Dialysis Catheters, Intubation, Ventilator Management, Head Injury, Traumatic Brain Injury, Subdural, Subarachnoid, Epidural Hemorrhage, AMI, Cardiac Arrythmias, Liver Failure, Renal Failure, Coagulation Disorders, Thrombocytopenia, Rhabdomyolysis, Urgent Care,

EDUCATION

UNIVERSITY OF MICHIGAN 1990-1994
Ann Arbor, MI
Bachelor of Science Nursing – April, 1994

UNIVERSITY OF PENNSYLVANIA 2002-2003
Philadelphia, PA
Adult Acute Care Nurse Practitioner Program, MSN – August, 2003
Research Presentation
South Eastern Chapter of AACN Research

Trained SPECIALTIES

Vascular Access – Central, Arterial, PICC, and Hemodialysis lines, Critical Care, Intubations, CCRN, BLS/ACLS Instructor

ACUTE CARE NURSE PRACTITIONER CAREER

PRESENT

Holy Cross Medical Center
(1/2018 – present
Taos, NM
Hospitalist / ER : Care for patients ICU/Floor including admissions, full management in ICU, discharges, transfers. Cred. For Central and arterial lines, PICC, Intubations. ACLS/BLS instructor. Involved on antibiotic stewardship committee.

Animas Surgical Hospital
( 5/2016-present)
Durango, CO
Hospitalist / UC/ ER: Care for Surgical Specialty patients – Orthopedic, Spine, GYN, Urologic, ENT, Plastics. Assist with emergent needs in Peri-Op area as well as ER – for ex arrhythmias, hypotension, acute hypoxemia, acute neuro issues, etc. Cred for central lines / PICCs if needed. Involved in P&T (pharmacy committee), nursing education, mock codes, ACLS, etc. Medical clearance for surgeries prn in ER. Occasional shifts in Urgent Care and ER.

PAST

San Luis Valley Regional Medical Center
(6/2017 – present) Alamosa, CO
ICU/Hospitalist: Manage patients ICU/Floor. Credentialed for Central, Arterial Lines, and Intubations. Precepted ACNP students from Pueblo, CO.

Swedish Medical Center
(9/2017- present)
Denver , CO Hospitalist / Staff Care Locums: Night cross cover. Admits and Rounding.

Greater Baltimore Medical Center:
(5/2013 – 5/2017)
Towson, MD Medical / Surgical / Hospitalists and Vascular Access Team:
Medical Surgical patient population. Admits, Rounding, Discharges. Place central, arterial, and hemodialysis lines using the Vasonova Positioning system with ultrasound guidance.
Education coordinator for NP/PA group monthly.
Assisting development of Rapid Response Team Program

University of Maryland Shock Trauma (1/2014 – 9/2014)
Baltimore, MD
CCRU: Critical Care Resuscitation Unit /Neuro ICU
Treated critical medical and surgical patients in high acuity ICU. Lines, Intubations, team work, ECMO done on unit.

St. Anthony’s Hospital: (10/11 – 06/2016)
St. Petersburg, FL

Medical/Surgical Intensive Care Units:
Autonomous management of Medical/Surgical adult ICU. Attended all Rapid Responses, ICU admissions and consults. Intensivist on call at night from home as well. Vent management, Intubation, Arterial line and Central line privileges.

Reliance Urgent Care: (3/2012-9/2013)
Farmington, NM
Pediatrics to Adults, medical complaints, suturing, orthopedics injuries.

Southwest Colorado Comm. College:
8/11 – 5/13,
Durango, CO
Nursing Faculty: for 2nd year students in Medical Surgical Nursing

Orlando Regional Medical Center:
3/12 – 10/12,
Orlando, FL
Locums: Hospitalist (Weatherby Healthcare), ER admits/rounding.

Aureus Medical, NP Travel :
4/11-7/11,
Neah Bay, WA
Primary care clinic: Managed care for all ages in 2000 population village (Makah Indian Tribe), included night call as well.

San Juan Regional Medical Center:
7/09 – 04/11, Farmington, NM
Dept. of Internal Medicine/Critical Care: Evaluated, managed, and treated a variety of acute and chronic medical/surgical adult illnesses within the ICU, Step-down, and floor units.

St. Thomas More:
5/08 – 6/09, Canon City, CO
Emergency Dept: Employed by Team Health and EM Care to manage patients of all ages in 15-20 bed ER. Moderate acuity including Pulmonary, Cardiac, GI, OB/GYN, Neuro, and Pediatric work-ups.

Mercy Regional Medical Cente:
07/07 – 03/09, Durango, CO
Urgent Care Clinic – Treated all ages for ski related sport injuries, ortho trauma, common colds, suture lacerations, and other acute needs. Frequent patient education done as well as case reviews with ski patrol and clinic staff.

St. Luke’s Hospital:
12/04 – 6/07, Bethlehem, PA
Department of Surgery, Trauma, and Medical Critical Care:
Directly managed and treated patients in Medical and Trauma/Surgical Intensive Care Units
Educated residents (took call) and nursing staff as well as precepted nurse practitioner students from acute care programs
Routine ICU Procedures:
Trained: Central lines (SCV, IJ, Femoral), Dialysis and Swan-Ganz catheters, arterial lines, post pyloric feeding tubes, intubation and ventilator management.
lumbar puncture, and paracentesis.
Assist in development of intensive care unit policies:
Catheter Related Blood Stream Infections

Hospital of the University of Pennsylvania:
Philadelphia, PA
8/03-11/04:
Dept. of Surgery, Trauma, and Critical Care:
Managed patients in Trauma/Surgical/Neuro Intensive Care Units
Involved in writing and implementing Critical Care Clinical Practice Guidelines, specifically: Ventilator Associated Pneumonia
Recognition received: “Patient Quality and Safety Award”, 2004 Presented to Surgical Critical Care Staff for improving intensive care of critically ill patients
ACNP ACADEMICS University of New Mexico:
ACNP Preceptor/Guest Speaker: (2011)
Lecture provided on Shock for ACNP students on campus.

University of Pennsylvania:
Alumni Faculty Lecturer (2004-2007)
Lectures focused on Critical Care topics – Sepsis, septic shock, burns/trauma, coagulopathy disorders, pulmonary disorders (ARDS).
Preceptor for ACNP/PA students.

St. Luke’s Hospital:
Provided monthly education to intensive care unit nurses at St. Luke’s Hospital. Participated in lecture series to residents annually as well as to paramedics.

Pueblo Community College (Now Southwest Colorado Comm. College): (Jan-Apr./08)
Provided guest lectures and tutoring to nursing students.

PUBLICATIONS
Available on Full CV

EDITOR WORK
*Editor for articles submitted to Lippincott Williams & Wilkins nursing magazines, 2011-Present.

ORGANIZATIONS

American Association of Critical Care Nurses
American Association of Nurse Practitioners
Society of Critical Care Medicine

MEDICAL MISSION WORK

FUMC/Durango Medical Work: Guatemala
2018-2019
Mercy Medical College Missions
2015 – present
Work with Physician Assistant students providing health care and public service in villages of Central and South America.
Managua, Nicaragua (AHA)
2012 – present
Instruct ACLS to physicians and registered nurses
Provide volunteer medical care in villages to all ages.
Project Cure: Medical Clinics,El Crucero, Nicaragua
Nov., 2010
Clinic/villages: Primary care

Groups

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