• Adult Primary Care Nurse Practitioner at FQHC, Sacramento County Health Center, working with medically complex patients as a primary care provider with complex comorbidities including diabetes, hypertension, heart failure, musculoskeletal conditions among other primary care managed illnesses in context of barriers to care and compounded socioeconomic factors. • Act as a preceptor for a new nurse practitioner- helping to transition practice from student to fully independent NP. Work with nurse practitioner to develop ramp up schedule, evaluations and evaluate nurse practitioner charting and care plan.• Work on quality improvement in designated FQHC on colon cancer screening rates to reach higher standards of care• Serve as aid and facilitator for NP residency program, SON programs and DNP students such as MAT and poverty simulation for nursing students• Rotations in cardiology clinic, telehealth clinic with primary care patients and wound care training

• Conduct good faith exams for patients remotely receiving aesthetic medicine services including but not limited to: neurotoxin, filler, cortisone, ulthera, vaginal rejuvenation, coolsculpting, emsculpting, IV vitamin treatments, laser skin treatments and laser hair removal. The average amount is 3-5 patients per hour as well as follow up assessments.

• Assess and manage oral contraceptive services on a telehealth platform, merging inclusive telehealth management while increasing patient access to much needed service, particularly in rural parts of America. • Assess and manage oral contraceptive, STI and dermatology services on a telehealth platform with asynchronous and synchronous visits• Perform oral contraceptive, STI and dermatology medication education via telehealth platform to patients seeking oral contraceptive either as first-time users or long-time users• Auditing nurse practitioner charts to review quality metrics. This includes providing feedback to peers regarding performance.• Use of slack, elation, google suite, nextgen and portal to perform patient care, connect with other practitioners and engage with the company in continuing education and rapid changes to workflows and prescribing practices.• Perform oral contraceptive education via telehealth to patients seeking oral contraceptive either as firsttime users or long time users• Preceptor training on auditing and engagement in team meetings

• Work closely with preceptor, Dr. Marcia Robinson, to assess and evaluate patients with cardiacconditions including cardiogenic shock, heart transplantation, ablations and myocardial infarctionsand sequalae on cardiac critical care and telemetry floors.

Assess, diagnose, and manage chronic and developing conditions in family practice setting.Build holistic treatment plan utilizing shared decision-making with patients in order to achieve shortterm goals and long-term health outcomes for underserved and disadvantaged populations.Functions independently under supervising physician Dr. Paul Sucgang and utilizes team-basedapproach to collaborate on patient cases.Review cases and collaborate with medical residents and student nurse practitioners.§ Complete case management for family practice patients with Medi-cal and Medicare.§ Perform medical therapies including corticosteroid injections of bilateral knees and glenohumeraljoints, skin tag removals and well woman care.§ Racially and ethnically diverse patient population, including those experiencing homelessness.

• Assess, diagnose and manage chronic and developing conditions within the patient population in a family practice setting and present plan to Dr. Paul Sucgang, utilizing a team approach to provide optimal patient care.• Build a holistic treatment plan utilizing shared decision making with my patients to achieve short term goals and long-term health outcomes

Per Diem RN at PIH Downey and OC Global Care Medical Center on COVID positive and rule out Med Surg/Telemetry floor.

Travel RN on a Med/Surg Telemetry Unit working with Covid positive patients

My clinical skills include• Management of patients with multiple comorbidities recovering from cardiac surgery including heart transplants, stent placement, left and right heart catherization, coronary bypass artery surgery and vascular surgery utilizing a multidisciplinary team approach.• Epic super user and aided in training new staff and orientees in using Epic software for clinical documentation• Monitor telemetry and respond to EKG changes• Aid patients in reaching post-surgical milestones in an appropriate time frame, including activity level, bowel regimen, urine output, mental status, fluid status, and incisional care• Educate patient and family on medications, discharge, incision care, and pain management • Tasks include: medication passes, manage pulmonary artery catheters, IV initiation and management, central lines, PICC lines, chest tube care, and incision care• Clinical preceptor to nursing students and orientees which include supervising clinical skills and directing orientees in application of skills.

Labor and Delivery unit-12 hoursNeonatal Intensive Care Unit-12 hoursPost-Partum Mother/Baby unit- 24 hoursEmergency Department rotation- 12 hoursEPIC EHR system orientation and training – 7 hoursCardiac care unit with Telemetry- 208

Twenty Four hour rotation in Emergency Department managing the care of three to four patients.

Medical Surgical rotation with emphasis on leadership and adult cardiology unit- 270 hoursAcute care rotation with emphasis on medical ICU and Trauma ICU-144 hoursEmergency Department rotation- 12 hoursTrauma Department observer- 24 hours

Long term care rotation – 64 hoursAssisting patients with ADL's, medication administration and documentation of health statistics including vital signs.

Efficiently and thoroughly documented patient care throughout course of treatment for patients of Dr. C. Schwindt, pediatric allergist, including history, physical exam, medication and plan of care using DNA EHR.

Scribe, trainer, auditor specializing in EMR solutions