Barbara LaCombe Parham
Lakeland,TN
Summary
Dedicated Board Certified Family Nurse Practitioner with more than 32 years in nursing and healthcare. Skilled as an Emergency Medicine Provider for 14+ years. Self-directed professional, well versed in performing triage, collecting intake information, assessing, ordering diagnostic tests, interpretation of results, diagnosis, and treatment plans for acute and chronic disease processes. Emergency Medicine Procedural Training. Superior problem-solving, communication and leadership skills. Successful in managing time, prioritizing tasks and organizing projects to improve the quality of patient care.
Overview
28
28
years of professional experience
Work History
Nurse Practitioner
Apollo MD-Methodist Germantown Hospital ED
Germantown, TN
01.2024 - Current
- Deliver emergent and primary care for patients including H & P exams, develop working assessment, with diagnostics studies, diagnostic conclusion, plan and prescribe treatment according to protocol.
- Referral for consultation or specialty services, follow-up care, and on-call emergency consultation.
- Counseled patients on lifestyle modifications to improve their overall health.
- Performed minor surgical procedures such as suturing lacerations or removing skin lesions.
- Coordinated with members of multidisciplinary teams to provide integrated services for complex cases.
- Supervised registered nurses and other healthcare personnel in delivering quality patient care services.
Nurse Practitioner
Sound Physicians-Methodist University Hospital EDE
Memphis, TN
04.2010 - Current
- Deliver emergent and primary care for patients including H & P exams, develop working assessment, with diagnostics studies, diagnostic conclusion, plan and prescribe treatment according to protocol, referral for consultation or specialty services, follow-up care, and on-call emergency consultation.
- Prescribe medication, including controlled substances, as indicated.
- Collaborate with Supervising Physician and other Healthcare Workers to provide and manage care for patients with acute and chronic conditions.
- Explain treatment plan, discharge summary, or admission plan to patients and family members or caregivers.
- Comply with hospital policies and procedures to promote patient safety and positive outcomes.
- Oversee average of 20-36 acute and chronic patients per shift.
- Compliance with state laws, regulatory requirements and guidelines necessary for ED operations.
- Provide leadership and procedure development for campus emergency preparedness and response as well as effective communication about public health issues.
Nurse Practitioner
Methodist Transplant Institute
Memphis, TN
11.2008 - 04.2010
- Coordinated care for Adult Liver, Kidney, and Pancreas Transplant Patients.
- Performed H & P exams and, ordering and evaluating lab test as well as medications.
- Answered patient and family questions to educate on optimal treatment procedures.
- Built trust and rapport with patients by listening to concerns, advocating for wellness and educating on acute and chronic health issues.
- Performed bedside procedures as indicated.
- Developed tailored care plans for each patient in collaboration with physicians and healthcare team.
- Complied with hospital policies and procedures to promote patient safety and positive outcomes.
Registered Nurse, Transplant Coordinator
Methodist Transplant Institute
Memphis, TN
12.2002 - 10.2008
- Coordinated care for liver, kidney and pancreas pre-transplant and post-transplant patients from referral to transplantation and subsequent clinic follow-up.
- Transplant Educator and Instructor for Transplant Fellowship Classes. Regulatory Readiness team for Hospital Staff.
- Policy and Protocol Development for Transplant Institute
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
- Monitored and managed various treatment and care interventions through daily rounding with Interdisciplinary Team.
- Collected lab specimens, ordered diagnostic tests and interpreted lab results per protocol.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Advocated for patients by supporting and respecting basic rights, values and beliefs.
- Trained and mentored new RNs on best practices, hospital policies and standards of care.
- Provided patient and family health education focusing on self-management, prevention and wellness.
- Extensive participation in Transplant Research Projects with Poster and Abstract submission to Clinical Transplant Organizations.
- Community Spokesperson for Transplant Institute.
Registered Nurse, Emergency Department
Methodist North Hospital
Memphis, TN
06.2000 - 12.2002
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
- Monitored and managed various treatment and care interventions.
- Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
- Recorded patient condition, vital signs, recovery progress and medication side effects.
- Administered medications, tracked dosages and documented patient conditions.
- Assisted in Emergency Procedures during Codes, Intubation, Bleeding, or Other Trauma Conditions.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Charge Nurse and Preceptor duties.
Registered Nurse, ICU
Methodist Central Hospital (University)
Memphis, TN
06.1996 - 06.2000
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
- Monitored and managed various treatment and care interventions, including monitoring Ventilators, Swan Ganz lines, Arterial lines, IABP and CVVHD devices. Performed CAPD.
- Charge Nurse and Preceptor duties.
- Assisted in Code Procedures including intubation and resuscitation efforts
- Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
- Recorded patient condition, vital signs, recovery progress and medication side effects.
Education
Master of Science - Nurse Practitioner
University of Memphis
Memphis, TN08.2008
Bachelor of Science - Nursing
University of Memphis
Memphis, TN05.1998
Nursing Diploma - Nursing
Baptist Memorial College of Health Sciences
Memphis, TN05.1996
Bachelor of Science - Biology - Vertebrate Zoology
University of Memphis
Memphis, TN05.1992
Skills
- Patient-Centric Care
- Comprehensive Physical Assessments
- Analytical Problem Solving
- Strong Verbal and Written Skills
- Procedural Interventions including Local anesthesia, Regional Nerve Block, I & D, Laceration Repair, Wound management, Debridement of First and Second Degree Burns, Epistaxis Nasal Packing, Rash interpretation and care, IO placement, Laceration repair, Fingernail or Toenail removal, Subungal Trephination, G-tube replacement, Fluorescein Staining with Corneal Foreign Body Removal, Fracture dislocation and Reduction and Immobilization Techniques, Spinal Immobilization techniques, Foreign Body Removal, and PPE, Universal Precautions and Exposure Management
- Referral Management
- Patient Education with Clear Communication
- Differential Diagnosis Expertise
- Medication Dosage Determination, Prescribing, and Education
- Patient Records Maintenance
- Standards of Care
- HIPAA Guidelines
- MEDITECH, Cerner, First Net, Cornerstone Application, Epic
Accomplishments
- 2020 Sound Physicians Partner - Path to Partnership Completion
- 2019 Sound Physicians Emerging Leader Program Completion
- 2011 Advanced Trauma Care Certification
- 2008 Top Excellent Eleven Nurses in Shelby / Fayette County
- 2005 Memphis Business Journal Healthcare Hero Finalist
- 2005 Certified Clinical Transplant Coordinator
- 2004 ITNS Transplant Mentoring Preceptor Symposium Award
- 1998 Certified Critical Care RN
Timeline
Nurse Practitioner
Apollo MD-Methodist Germantown Hospital ED
01.2024 - Current
Nurse Practitioner
Sound Physicians-Methodist University Hospital EDE
04.2010 - Current
Nurse Practitioner
Methodist Transplant Institute
11.2008 - 04.2010
Registered Nurse, Transplant Coordinator
Methodist Transplant Institute
12.2002 - 10.2008
Registered Nurse, Emergency Department
Methodist North Hospital
06.2000 - 12.2002
Registered Nurse, ICU
Methodist Central Hospital (University)
06.1996 - 06.2000
Master of Science - Nurse Practitioner
University of Memphis
Bachelor of Science - Nursing
University of Memphis
Nursing Diploma - Nursing
Baptist Memorial College of Health Sciences
Bachelor of Science - Biology - Vertebrate Zoology
University of Memphis
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