• Clinical lead for the outpatient Pre-Anesthesia Testing Clinic • Evaluate patients both in person and via Telehealth. • Work collaboratively with all surgical service lines, anesthesia, and PCPs to evaluate and risk stratify patients based on current guidelines for preoperative evaluation and testing prior to surgery.• If necessary, coordinate further outpatient testing and follow up for patients requiring additional testing prior to their scheduled surgery.• Provide education in the form of patient and staff teaching on medical problems, treatment plans, and anticipated prognosis of common medical conditions.

• Hospital based support role for two different interventional cardiology groups.• Quality data review for all patients that had PCIs performed at North Suburban Medical Center and ensure the publicly reported data accurately captures the quality of care provided by the hospital and program.• Collaboratively work with attending cardiologists to perform consult H&Ps, write progress notes, discharge patients, and write orders for patients requiring specialized cardiology care in the acute inpatient setting.• Provide ongoing clinical, educational, and administrative support to nursing staff caring for patients under the care of Cardiology Services.• Established and help build the first PERT team for HCA Continental Division. • Serve as initial point of contact to evaluate and coordinate care for patients diagnosed with Acute Pulmonary Embolism and DVT and collaboratively work with attending Interventional Cardiologist or Interventional Radiologist for consideration of interventions to relieve the patient’s clot burden through catheter directed therapies, mechanical aspiration/thrombectomy, or systemic thrombolytics. • Supervise treadmill, dobutamine, and Lexiscan stress tests.• APP representative for the hospital’s Credentialing Committee; recently updated Hospital’s APRN Scope of Practice to reflect current Colorado APRN Regulations regarding collaborative agreements and Provisional vs. Full prescriptive authority.• Under the collaboration and supervision of the Hyperbaric Oxygen Therapy Medical Director for the North Suburban Medical Center Wound Care Center, supervise HBOT sessions for patient that require Hyperbaric Oxygen Therapy.

• Developed and instituted an APP driven model to perform physical exam and risk stratification for patients with planned elective surgery.• Work collaboratively with all surgical service lines and anesthesia to evaluate and risk stratify patients based on current guidelines for preoperative evaluation and testing.• Created an evidenced based evaluation template that streamlined patient evaluation with the eventual goal to decrease perioperative complications, delays, and cancellation rates.

• Developed and instituted an APP driven model to perform physical exam and risk stratification for patients with planned elective surgery.• Work collaboratively with all surgical service lines and anesthesia to evaluate and risk stratify patients based on current guidelines for preoperative evaluation and testing.• Created an evidenced based evaluation template that streamlined patient evaluation with the eventual goal to decrease perioperative complications, delays, and cancellation rates.

• Developed and instituted an APP driven model to perform physical exam and risk stratification for patients with planned elective surgery.• Work collaboratively with all surgical service lines and anesthesia to evaluate and risk stratify patients based on current guidelines for preoperative evaluation and testing.• Created an evidenced based evaluation template that streamlined patient evaluation with the eventual goal to decrease perioperative complications, delays, and cancellation rates.

• Provide high quality on-demand, in-home hospital level acute care for medical conditions and problems.

• Provide high quality patient care to patients under both observation and inpatient status.• Collaboratively with an attending physician, primarily see patients through their entire hospital stay, from admission or consultation to discharge.• Was part of the Patient Satisfaction Nursing Collaborative Committee to develop new ways and strategies to improve the patient experience and their satisfaction while delivering safe, high quality care during their hospital stay.• In 2017, we successfully implemented “Triad Rounding” that saw a substantial increase in sustained patient satisfaction scores within 1 quarter of implementation.• “Comm W/ Doctors” score rose 11%; “Doctors treat with courtesy/respect” score rose 22%; “Doctors listen carefully to you” score rose 18.5%.• Committees: Geriatric hip fracture committee, Surgical committee, Lead APP council member, Enhanced Recovery After Surgery (ERAS) Committee at Rose Medical Center.

• Provide high quality patient care to patients transferred from the Emergency Department that require further clinical and diagnostic care with the goal of treatment and disposition within 24 hours.• Coordinate the care and clinical course with the ED physician for patients in Observation status.• Supervise the care rendered to those patients for eventual discharge or admission to the hospital for further care.• In a multidisciplinary approach, consult and collaborate appropriately and within the standard of care for patients.

• Provide high quality patient care to patients in the Emergency Department across the lifespan as well as provide services expected to maintain patient satisfaction and outcomes.• Provide safe and appropriate care to patients in the observation setting with coordination and collaboration of the Emergency Department physician.• Perform safe, timely, and appropriate procedures to patients.• Consult appropriately and within the standard of care for patients.

• Provided beta testing as well as onsite support and training to both clinical and nonclinical customers during EDIMS (Emergency Department Information Management System) site deployments.• Provided ongoing support to sites where EDIMS is deployed.• Provided marketing and technical support and expertise during healthcare conventions locally and nationally.

• Provide high quality patient care to patients in the Emergency Department across the lifespan as well as provide services expected to maintain patient satisfaction and outcomes.• Provide safe and appropriate care to patients in the observation setting with coordination and collaboration of the Emergency Department physician.• Perform safe, timely, and appropriate procedures to patients.• Consult appropriately and within the standard of care for patients.

• Maintained unit integrity, productivity, and efficiency as charge nurse since 2009.• Served as a preceptor for new hires since 2008• Served on the Patient and Employee Satisfaction department committee from 2008 to 2010.

• Provided 24 hour accountability for patient care delivery while maintaining the utmost standard of nursing care.• Successfully maintained an LWOBS rate of < 1% for the department in 2010 with a census of over 78,000 patients.• Successfully maintained a Press Ganey patient satisfaction score of 81% for the year of 2010.• Introduced new nursing staff assignment to increase staff morale while increasing overall department productivity.• Instituted a global notification system for patients arriving in acute STEMI to activate the Code Heart program and maintain a door to balloon time of < 60 minutes.• Implemented a new orientation program for new graduates hired to the department.