Brianna Wagaman
Hanover,PA
Summary
Board-certified Adult-Gerontology Acute Care Nurse Practitioner with extensive critical care experience. Independently manages a daily census of post-cardiac surgery patients while performing complex procedures. Collaborates with multidisciplinary teams to optimize patient outcomes and ensure compliance with hospital safety initiatives.
Overview
2
2
Certifications
19
19
years of professional experience
Work History
Acute Care Nurse Practitioner
CSICU University of MD Medical Center
12.2023 - Current
- Independently manages a daily census of 5-8 post-cardiac surgery ICU patients (post-CABG, valve, LVAD, ECMO), rounding daily with cardiac surgery and intensivist teams to formulate and execute diagnostic and treatment plans.
- Performs invasive bedside procedures annually, including central venous line placement, arterial line placement, pulmonary artery catheter insertion, chest tube placement/removal, IABP removal, and bronchoscopy with moderate sedation — under Maryland Board of Physicians delegation agreement, maintaining a procedural complication rate 0%.
- Coordinated real-time care adjustments with ICU attending physicians and surgical teams to optimize patient outcomes.
- Ensures compliance with hospital safety initiatives and High Reliability Organization principles
- Developed and maintained unit protocols, serving as a procedural resource for RN and APP colleagues to enhance CSICU competencies.
Staff Nurse, Rapid Response Team
Wellspan York Hospital
07.2020 - 12.2023
- Responded to hospital-wide rapid responses, cardiac arrests, massive transfusion protocols, STEMI, and stroke alert activations annually in a Level 1 institution, delivering critical care interventions at the bedside that improved patient outcomes.
- Served as critical care resource across approximately 600 beds, collaborating with intensivists, hospitalists, and ICU specialty teams to facilitate time-sensitive interventions and minimize delays in critical care delivery.
Staff Nurse, Open Heart Intensive Care Unit
Wellspan York Hospital
02.2016 - 12.2021
- Managed a 1:1–1:2 nurse-to-patient assignment of post-cardiotomy, LVAD, and ECMO patients while concurrently functioning as charge nurse, coordinating staffing and assignments for a 10 bed unit.
- Assisted with ECMO cannulations and managed ECMO circuit care, including chest tube and central/arterial/hemodialysis line insertions, ensuring optimal patient outcomes.
- Initiated and titrated vasoactive medications for post-cardiac-surgery and cardiogenic shock patients; managed open-chest post-cardiotomy population and trained staff on surgical-assist bedside competencies for chest reopening, enhancing unit expertise.
- Recovered post-operative CABG, LVAD, and valve replacement patients and managed post-surgical open abdomen and thoracic surgery patients (esophagectomy, VATS, thoracotomy), utilizing Epic for real-time documentation.
- Precepted new graduate RNs and newly hired staff for 5 years, fostering professional development and serving as house-wide 'Code RN' to support critical care response.
Staff Nurse, Cardiac Catheterization Lab
Chambersburg Hospital
12.2014 - 06.2017
- Functioned as circulating and monitoring RN for rocedural cases annually, including coronary angioplasty/stenting, temporary pacemaker placement, and TEE cardioversion under procedural conscious sedation.
- Supported insertion and management of IABP, Impella, and ECMO; performed arterial and venous sheath removal.
Staff Nurse, Critical Care Unit
Chambersburg Hospital
05.2011 - 12.2014
- Delivered 1:2 nurse-to-patient critical care across a 24-bed ICU, managing IABP, Impella, ventilators, ventriculostomies, chest tubes, wound VACs, and targeted temperature management post-arrest.
- Selected by unit leadership for ECMO-specific training at Hershey Medical Center as one of two nurses chosen unit-wide, enhancing unit's ECMO capabilities.
- Charged with managing a 24-bed ICU, providing direct patient care while overseeing staffing and patient assignments to ensure optimal care delivery.
- Responded as a member of the Rapid Response Team to quickly assess decompensating patients including cardiac/respiratory arrests, “Code Strokes”, and “Code STEMIs”
- Precepted nurse externs, graduate nurses, and newly hired nursing staff, fostering skill development and integration into unit protocols.
Nurse Intern
Chambersburg Hospital
01.2010 - 01.2011
- Assisted with critical care procedures, participated in rounds, and contributed to care planning under RN preceptor supervision.
Certified Nursing Assistant
Homewood at Plum Creek Retirement Center
01.2008 - 01.2011
- Documented I&Os, obtained vital signs, and assisted with ADLs and lifts on skilled nursing unit to support patient care.
- Monitored vital signs and reported changes to nursing staff.
- Assisted residents with daily living activities and personal care.
- Maintained cleanliness and safety of resident living spaces.
Education
Adult-Gerontology Acute Care Nurse Practitioner -
University of Pennsylvania
Philadelphia, PA08-2023
Bachelor of Science in Nursing -
Chamberlain University
08-2020
Associate in Arts in Nursing -
Harrisburg Area Community College
Gettysburg, PA05-2011
Skills
- Cardiac procedures
- Care management
- Physical examination
- Epic charting
- Medication management
- Diagnostic interpretation
- Treatment planning
- Palliative care
- Evidence-based practice
- Clinical decision-making
- Problem solving
- Interdisciplinary collaboration
- Experienced preceptor
- Effective communication
- Compassionate care
Personal Information
Title: RN, BSN, CCRN, AGACNP
Certification
Maryland Acute Care NP License (#R255554) — Expires October 2026, Maryland State Registered Nurse License (#R255554) — Expires October 2026, DEA — Expires May 2029, CDS — Expires November 2026, ACLS / BLS Certification — Expires October 2026
RECOGNITIONS / LEADERSHIP EXPERIENCE
- Finalist, Excellence in Advanced Practice Award (APP of the Year) | University of Maryland Medical Center– May, 2026
- Selected as one of 15 finalists from a pool of over 400 Advanced Practice Providers across the medical center
- Recognized for exceptional clinical excellence, leadership, and dedication to patient care
- Recipient of Nursing Unit Superlative APP Award – May 2025
- Selected by peers and nursing leadership for exceptional clinical leadership, interdisciplinary collaboration, and dedication to patient outcomes
- Daisy Award, Honoree — July 2020
- Daisy Award, York Hospital — Ten Nominations, 2019 – Present
- Deborah K. Lookingbill "Patient First" Nursing Award Nomination, York Hospital — May 2019
- Nursing Excellence in Caring & Practice Award, "Clinical Nurse II" Nomination, York Hospital — May 2019
- Peer Support Council, Open Heart ICU, York Hospital — Peer-Elected Council Member, 2018 – Dec 2021
- Care Team Council, Critical Care Unit, Chambersburg Hospital
CLINICAL EXPERIENCE (NP PROGRAM)
- Advanced Heart Failure — Wellspan York Hospital (York, PA) — Summer 2023 — 240 hours
- Pulmonary Critical Care — Penn Medicine Lancaster General Hospital (Lancaster, PA) — Spring II 2023 — 160 hours
- Heart and Vascular Intensive Care Unit — Milton S. Hershey Medical Center (Hershey, PA) — Spring I 2023 — 190 hours
- Hospital Internal Medicine Service — Hospital of the University of Pennsylvania (Philadelphia, PA) — Fall 2022 — 56 hours
Timeline
Acute Care Nurse Practitioner
CSICU University of MD Medical Center
12.2023 - Current
Staff Nurse, Rapid Response Team
Wellspan York Hospital
07.2020 - 12.2023
Staff Nurse, Open Heart Intensive Care Unit
Wellspan York Hospital
02.2016 - 12.2021
Staff Nurse, Cardiac Catheterization Lab
Chambersburg Hospital
12.2014 - 06.2017
Staff Nurse, Critical Care Unit
Chambersburg Hospital
05.2011 - 12.2014
Nurse Intern
Chambersburg Hospital
01.2010 - 01.2011
Certified Nursing Assistant
Homewood at Plum Creek Retirement Center
01.2008 - 01.2011
Adult-Gerontology Acute Care Nurse Practitioner -
University of Pennsylvania
Bachelor of Science in Nursing -
Chamberlain University
Associate in Arts in Nursing -
Harrisburg Area Community College