HEATHER M. PASSERINI 19003 RUSTIC WOODS TRAIL, ODESSA, FLORIDA 33556 (813) 918-7994 HMPASSERINI@AOL.COM PROFESSIONAL PROFILE: A highly capable Acute Care Nurse Practitioner and Critical Care Clinical Nurse Specialist with exceptional clinical skills. Extensive experience in emergency and intensive care environments. Provides quality patient care and outcomes by successfully coordinating patient and family needs while working as an integral member of the healthcare team. Aware of hospital protocols and ensures these are consistently implemented, while concurrently making recommendations for changes that will improve patient outcomes and system performance. Serves as preceptor for newly hired advanced practice nurses and graduate students in both Adult Gerontology Acute Care Nurse Practitioner programs and Critical Care Clinical Nurse Specialist programs. Provides thorough employee orientation and evaluation to newly hired Advanced Practice Nurses. EDUCATION: Georgetown University School of Nursing and Health Studies Post Master’s Certificate in Nursing Education Washington, D.C. August 2009- August 2013 Georgetown University School of Nursing and Health Studies Acute Care Nurse Practitioner/Critical Care Clinical Nurse Specialist with St. Petersburg College College of Nursing B.S., Nursing Washington, D.C. August 2009- May 2012 St. Petersburg/Tampa, Florida January 2005-July 2006 PROFESSIONAL LICENSURE AND CERTIFICATION: District of Columbia Nursing License: # RN1015494 Virginia Nursing License: # 0001210982 Florida Nursing License: # RN9227873 Basic Life Support Certification (July2014) Advanced Cardiac Life Support Certification (April 2016) Certified Critical-Care Registered Nurse (CCRN): #000010561946 Fundamental Critical Care Support (November 2017) Advanced Trauma Life Support (January 2018) EMPLOYMENT EXPERIENCE: Georgetown University, 2U Clinical Placement Team Contracted Clinical Placement Specialist Work with clinical placement team to facilitate appropriate clinical placements for AGACNP and CCNS students nation wide Identify and find solutions to issues associated with clinical placements Interviewing and vetting clinical placement sites and preceptors Work with students to identify and resolve issues associated with clinical placements nationally Work with administrative staff to improve and facilitate clinical placements Washington, D.C. May 2014-Present Georgetown University, School of Nursing and Health Studies Washington, D.C. Clinical Faculty Adviser January 2014-Present Direct and frequent contact with AG-ACNP/CNS students, serving in the dual role of advisor and supervisor of the clinical practicum Ongoing communication with student and preceptor Coordination with the clinical agency Professional advisement, clinical evaluation, problem solving and debriefing of clinical experiences Site visits, both on site and virtually with students and preceptors throughout the semester Participation in on-campus intensives (including education for advanced procedures e.g. intubation, central line placement with ultrasound guidance) Collaborating with clinical preceptors and the oversight, coordination, and grading of their assigned student’s clinical experience Work collaboratively with didactic faculty in corresponding courses University of Virginia Health System Charlottesville, VA ACNP Trauma Surgery October 2012-Present Evaluation, Assessment, Planning, Disposition of Trauma patients Coordination of care between multiple services/disciplines Management of Trauma Patients including but not limited to: Traumatic Brain Injury (SAH, SDH, IPH, EH, Craniotomy), Blunt Abdominal Trauma (Liver/Spleen laceration, Intestinal Trauma, Renal Trauma), Complex Wound management (Abthera, wound vac), Traumatic Orthopedic Injuries (both open and closed fractures, external fixation, traction) Management of Surgical Patients Management and insertion of invasive monitoring equipment Education of patients and families regarding diagnosis, course of treatment, outcome, withdrawal procedures, and potential donor transplantation Support patient and family in decisions including withdrawal of care, transplant/donation, tracheostomy, PEG tube placement, etc. Georgetown University Hospital Washington, D.C. RN-Neurosurgical Intensive Care Unit January 2009-Present Charge Nurse Responsibilities Management of Traumatic Brain Injury, Ischemic Stroke, Hemorrhagic Stroke, Brain Tumors, Endocrine Tumors and Disorders (DI, SIADH, Thyroid storm, DKA, etc.) Management of Surgical Patients, including but not limited to craniectomy, tumor resection, clot evacuation, etc. Assist with insertion and management of External Ventriculostomy Device and Lumbar Drain Management and insertion of invasive monitoring equipment including cerebral blood flow device, Swan Ganz catheters, arterial lines, etc. Assist with intubation Administration of vasopressors, antihypertensives, sedatives, paralytics, etc. Education of patients and families regarding diagnosis, course of treatment, outcome, withdrawal procedures, and potential donor transplantation Support patient and family in decisions including withdrawal of care, transplant, tracheostomy, PEG tube placement, etc. Mary Washington Hospital (Nova Pro) RN-Cardiac and Trauma PCU/ICU; Admit/Discharge Nurse Management and care of patients after cardiovascular and vascular surgery Management and care of patients with CHF, COPD and chest pain Identification and correction of dysrythmia with IV medications Management and removal of central lines including PICC, internal jugular, Shiley/Tesio/Perm Catheters Blood product identification and administration Use of portable monitoring/defibrillator systems Contacting physicians, blood bank, labs Education of patient/family upon discharge or transfer Fredericksburg, Virginia January 2008-January 2009 Florida Hospital (Cross Country Travel/Nova Pro) RN-Stroke PCU, Cardiovascular PCU, CVICU, ICU Altamonte Springs, FL May 2007-December 2007 Care and management of patients after cardiovascular and vascular surgery and after Ischemic and Hemorrhagic Strokes Care and management of patients with CHF, COPD, and patients with chest pains Oak Hill Hospital (Cross Country Travel/Nova Pro) RN-Emergency Room Nursing Spring Hill, FL December 2006-April 2007 Triage patients to determine priority of care Conduct focused assessments targeting chief complaint(s) Assist with codes and administer basic/advanced life support Education of patient/family education upon discharge or transfer Tampa General Hospital RN-Cardiovascular/Vascular ICU Tampa, FL May 2005-December 2006 Care and management of patients after cardiovascular and vascular surgery and after Ischemic and Hemorrhagic Strokes Care and management of patients with CHF, COPD, and patients with chest pains OTHER PROFESSIONAL EXPERIENCE: Winchester Medical Center Winchester, VA ACNP Student Preceptor: Valley Health Intensivists CCU, MICU,SICU,CVSICU January 1 2 2012–April 12, 2012 Evaluation and identification of complex diagnoses of critically ill patients Initial and continued management and education of specific disease processes Evaluation of chest Xrays, echocardiograms, and CT scans; ultra sound utilization techniques and evaluation Assessment, management and recommendation of medication changes, testing, etc. Rounds with attending physicians and interdisciplinary teams Interdisciplinary, management, transition in hospital progress and discharge planning H & P for new consults Utilization of ultra sound techniques for evaluation of fluid status, CVC line placement, temporary drainage catheters for ascites and pleural effusions, and arterial line placement Discussion and management of patients having undergone coronary artery bypass grafts and cardiac valve repair and replacement Bon Secours St. Mary’s Hospital Richmond, VA CCNS Student August 29 2011–December 5, 2011 Preceptor: Sonja Kees RN, CNS-BC Cardiovascular Clinical Nurse Specialist Winchester Medical Center Winchester, VA CCNS Student August 29 2011–December 5, 2011 Preceptor: Patricia Baker RN, CNS-BC CCU, MSICU, CVSICU Medical Telemetry Clinical Nurse Specialist Clinical Judgment/Clinical Expert Served as a clinical nurse consultant and clinical expert to other nurses and to other disciplines to ensure optimal patient outcomes, with emphasis on patients with neurological issues Conducted rounds with an interdisciplinary group and participated in discussions related to possible diagnostic studies, medications, therapies and referrals Clinical Inquiry Reviewed research/provided education in line with evidence based practice (EBP), ex., use of Automated Drug Machines (ADM) for medication compliance improvement, planning for process improvement with pharmacy during and after tower move; Was a role model, teacher, coach and mentor to nursing staff and other healthcare team members with respect to using, implementing and evaluating research findings; Assisted in the development of EBP procedures and participated in trails of new procedures and products, ex., set parameters for medication dosages and pre-mixed bags to reduce errors Identified and participate in mach TJC certification for ventricular assist device program Participate in gathering of data/chart reviews for Chest Pain certification Facilitator of Learning Worked with unit nurses to ensure compliance with policies/procedures, ex., skin care, use of restraints, charting and use of standard education processes for patients Conducted in-service training ex., abdominal assessment for Nutritionists Assess unit culture and evaluate how change may occur, implement change project (ADM), consult with unit manager to identify a process improvement and provide information for manager to implement change Collaboration Worked with an interdisciplinary team, including physicians, pharmacists, other nurses and sometimes families, during rounds and on the unit Attended meetings with system administrators to provide feedback on new procedures/processes and equipment being assessed Systems Thinking Worked with team to create ways for more concise and comprehensive charting; Attended associated committee meetings related to tower move, implementation of new equipment, new processes/policy related to medication administration, elimination of medication errors, maintenance of skin integrity of all patients Caring Practices Provided support to patients, families, and staff in response to questions/needs Assisted nurses with direct care when patients were particularly difficult or acute Provided family support by allowing involvement in care to facilitate understanding of patient’s condition Advocacy/Moral Agency Discussed processes for providing care to those intracranial pressure monitoring Response to Diversity Recognized each patient, family member, nurse, or other team member as unique; each brings diverse beliefs and expectations to the situation Bon Secours St. Mary’s Hospital Richmond, VA ACNP Student June 15 2011-August 4, 2011 Preceptor: Lisa Austin, RN, ACNP-BC CVICU/VAD Coordinator/Clinic Post procedure Recovery, Management and Assessment (LVAD placement and temporary RVAD) Initial and Continued Ventilation Weaning/Management Assessment/Management of Hemodynamic Measures Rounds with Attending Physicians Interdisciplinary Management and Discharge Planning H & P for new consults Follow up in Clinic for patients post procedure Evaluation of procedure data and data collection for use in national databases VA Medical Center Washington, DC ACNP Student March 2011-April 2011 Preceptor: Jacqueline Gannuscio, RN, ACNP-BC CHF Evaluation and Identification of new onset heart failure Initial and Continued Management and Education of CHF patients in varying stages Evaluation, of Chest X rays, Echocardiograms, Stress Tests and Cardiac Device Interrogation Assessment/Management/Recommendation of Medication changes, Testing, etc. to Primary Care Teams Rounds with Attending Physicians Interdisciplinary Management and Discharge Planning H & P for new consults Follow up in Clinic (including medication changes and referrals for further testing) Virginia Hospital Center Arlington, VA ACNP Student March 2011-April 2011 Preceptor: Lori Brien, RN, ACNP-BC CVICU Post procedure Recovery, Management and ,Assessments (Coronary Artery Bypass Graft, Thoracotomy, Carotid Endardarectomy) Initial and Continued Ventilation Weaning/Management Evaluation, Management and Discontinuation of External Drainage Devices (JP, Hemovac, Chest Tubes) Management and Discontinuation of Epicardial Pacemaker Device Assessment/Management of Hemodynamic Measures Rounds with Attending Physicians Interdisciplinary Management and Discharge Planning H & P for new consults Follow up in Clinic for patients post procedure Inova Fairfax Hospital/Inova Heart and Vascular Institute Fairfax, VA CCNS Student January 2011-March 2011 Preceptor: Linda Schakenback, MSN, RN, CNS, CCRN, CWCN, ACNS-BC Clinical Nurse Specialist, Medial Cardiac Nursing Clinical Judgment/Clinical Expert Served as a clinical nurse consultant and clinical expert to other nurses and to other disciplines to ensure optimal patient outcomes, with emphasis on patients with neurological issues Conducted rounds with an interdisciplinary group and participated in discussions related to possible diagnostic studies, medications, therapies and referrals Clinical Inquiry Reviewed research/provided education in line with evidence based practice (EBP), ex., use of restraints, hypothermia protocol, nursing diagnoses using NIC/NOC, skin care to reduce pressure sores, etc. Was a role model, teacher, coach and mentor to nursing staff and other healthcare team members with respect to using, implementing and evaluating research findings; Assisted in the development of EBP procedures and participated in trails of new procedures and products, ex., IV pump with programmed parameters for medication dosages to reduce errors Facilitator of Learning Worked with unit nurses to ensure compliance with policies/procedures, ex., skin care, use of restraints Conducted in-service training ex., hypothermia, use of restraints Provided research articles and resources to nurses, ex., restraints Collaboration Worked with an interdisciplinary team, including physicians, pharmacists, other nurses and sometimes families, during rounds and on the unit Attended meetings with system administrators to provide feedback on new procedures/equipment being assessed Systems Thinking Worked with team to create ways for more concise and comprehensive charting and streamlined completion of the nursing plan of care, ex., modified NANDA intervention and outcome criteria to match age appropriate diagnoses; Attended associated committee meetings related to sepsis elimination (gloves/gowns), elimination of medication errors (new programmable IV pumps), maintenance of skin integrity of all patients Caring Practices Provided support to patients, families, and staff in response to questions/needs Assisted nurses with direct care when patients were particularly difficult or acute Provided family support by allowing involvement in care to facilitate understanding of patient’s condition Advocacy/Moral Agency Discussed processes for providing care to those undergoing hypothermia Discussed issues associated with overzealous treatment/withdrawal Response to Diversity Recognized each patient, family member, nurse, or other team member as unique; each brings diverse beliefs and expectations to the situation George Washington University Hospital Washington, D.C. ACNP Student October 2010-December 2010 Preceptor: Amy Harper Soltes, ACNP; Emily Jackson, RN, MSN, ACNP-BC Conducted comprehensive history and physical exams on patients referred to interventional radiology Conducted focused exams targeting the chief complaint Assisted in diagnosis and development of the treatment plan as a team member Implemented treatment plans Provide education and referrals Observed multiple procedures conducted in interventional radiology angioplasty initiated at multiple levels including tibioperoneal trunk/branches, iliac, femoral-popliteal removal of tunneled CVA devices insertion of tranvenous intrahepatic portosystemic shunt intravascular transcatheter retrieval uterine fibroid embolization small intestinal endoscopy/enteroscopy with placement of tube insertion of a temporary intraperitoneal cannula/catheter for drainage/dialysis IVC filter placement clear transcatheter occlusion/embolization lymph angiogram RESEARCH AND ACCOMPLISHMENTS: Critical Care Nurses’ Moral Distress and Coping when Providing Futile Care PROFESSIONAL MEMBERSHIPS/VOLUNTEER ACTIVITIES: Member of the American Association of Critical-Care Nurses ID Number: 10561946 Volunteer Teaching Assistant Providing Age-appropriate health and wellness education at H. Norman Schwarzkopf Elementary School, Tampa Florida Spring 2006 Volunteer at Goodwill Industries-Suncoast, Inc., Tampa, Florida from 2000 to Present