Nurse, Dartmouth College-> Dartmouth-Hitchcock Medical Center (Lebanon, NH) • Coordinated Electro-Convulsive Therapy (ECT), Transcranial Magnetic Stimulation (TMS) services, and Mood Disorder Clinic.• Triaged and performed follow up reporting and interventions as needed (e.g. when patients exhibited increased symptoms or patients did not come for scheduled treatments).ECT:• Completed chart reviews on ECT patients for the following reasons:  Ensured proper documentation related to informed consents.  Requested additional work-up as needed.  Identified side effects or complications from ECT/ TMS and report to appropriate team members.• Taught the ECT Crash Course for residents and interns several times per year.• Introduced patient assessment tools to be used throughout the course of ECT to monitor the effectiveness of treatment (e.g. PHQ-9, QIDS, CSDD).• Created and presented clinical Quality Improvement data.• Helped revise ECT Policy and procedure.TMS:• Administered and documented TMS treatments. • Taught patients skills while administering TMS treatment sessions (e.g. Non-Violent Communication-NVC and Emotional Freedom Technique- EFT).• Created TMS Job Aid and TMS competency checklist.• Taught new staff how to administer TMS. Mood Disorder Clinic:• Assisted with coordination of research care for brain stimulation subjects (e.g. Deep Brain Stimulation- DBS, Vagal Nerve Stimulation-VNS, and ablative surgery).Outpatient Psych Clinic:• Created general department orientation PowerPoints, videos, scavenger hunts, and other related learning resources.• Completed daily and weekly tracers.• Created resource in preparation for The Joint Commission site visit.• Created and updated Fire Response Plan.• Responded to patient requests for advice and prescription as well as crisis calls.

My duties while managing the ECT Clinic:• Interviewed, hired, trained, and evaluated nurses.• Created nursing schedules and daily patient assignments.• Assisted with record keeping and completing DMH state report.• Checked and set up all equipment before treatments, completed pre-ECT assessments and education (including HAM-D and MMSE assessments as ordered).• Established baseline vital signs and cardiac rhythm for patients. • Ensured patient safety in the treatment where general anesthesia was given. • Monitored patients for seizure activity, cardiac changes, respiratory problems, ensured IV access was patent. • Monitored patients for problems in recovery phase. • Reviewed discharge instructions with patients and their escorts. My duties as a staff nurse:• Assessed vital signs and completed detoxification withdrawal assessments.• Assessed patients' mood, safety, and mental status.• Transcribed and verified physician orders.• Provided discharge instructions to patients.

As the founder and sole owner of PineWood TMS, a service that provides Transcranial Magnetic Stimulation (TMS) I:• Developed a business plan that won first place at the Brattleboro Development Credit Corporation (BDCC) Business Plan Competition.• Designed and produced marketing material.• Created various clinical forms, including Policies & Procedures.• Did outreach included giving educational presentations to nursing students and at health fairs, educating college students, potential patients and referral sources to provide education about TMS. • Prior to starting treatment and before each TMS treatment I assessed and monitored each patient's progress by completing Hamilton Depression Scale assessments every week.

Led "Complicated Mind" and "Pain Management" groups heavily influenced by Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Technique (DBT), and Narrative Medicine techniques.

My duties as staff nurse:• Assessed patients' labs, vital signs and physical symptoms, and notified covering doctor of any abnormal findings or concerns. • Gave medications as ordered and offered support and education to patients and their families as needed. • Delegated and supervised work to Nurses Aids and Mental Health Workers. • Reviewed discharge instructions with patients. • Assessed and presented information about potential admissions to the physician or administrator on call.

My duties as School Nurse:Responsible for the care of approximately 2000 students, staff, faculty, and their dependents, at a private boarding preparatory high school. Assessed illnesses or injuries, and referred patients to the school physician as needed. Gave medications as ordered and cared for patients in a 20 bed infirmary.