BRITTANY MILLER
Summary
Advanced practice nurse practitioner with a diverse background in health promotion, disease prevention, and acute and chronic care. Extensive experience in primary care, behavioral health, and addiction medicine. Previous experience includes emergency triage of acute care psychiatric patients in one of the only psychiatric emergency departments in the state of Ohio. Lead NP at a large hospital system, responsible for managing the psychiatric unit under the supervision of rounding psychiatrists. Also manage all hospital-wide addiction and psychiatric consults. Skilled in managing both acute and chronic mental illness and addiction medicine, including detoxification and aftercare support. Proficient in managing both MAT (Medication-Assisted Treatment) and psychiatric needs. Inpatient and outpatient as well as clinical experience in managing psychiatric and dual diagnosis disorders. Able to adapt to different working environments and patient populations throughout the day. Core values revolve around education on disease, disease management, and treatment plans. Collaborate with interdisciplinary teams to deliver direct, safe, and quality patient care.
Overview
11
11
years of professional experience
Work History
Lead NP
Advanced Recovery Concepts, LLC
03.2018 - 10.2023
- Assessment, diagnosis, evaluation and medication management of care to patient with mental illness in various settings including: acute psychiatric emergency department, patients in long term care facilities, acute inpatient psychiatric patients and outpatients with a emphasis on behavioral health and mental illness as well as substance abuse disorders
- Lead NP at UH EMC, supervised and collaborated with the on call psychiatrist managing all inpatient psychiatric admissions and psychiatric and addiction medicine consults throughout the hospital
- Ability to use critical thinking and experience to assess patients quickly and efficiently and connect them with the appropriate level of care
- Collaboration with psychiatrist to provide patient care to patients in the acute inpatient psychiatric setting
- In addition, working with members of the interdisciplinary team in outlining a treatment plan and disposition of all patients
- Obtaining Cognitive Behavioral Therapy Certification 6/2019 which allows for brief psychotherapy to be provided in patients of all settings
- Suboxone/Buprenorphine Waiver since 9/2018 in order to provide MAT to patients in residential treatment as well as outpatients
- Experience working with patient in inpatient detox setting, residential treatment and outpatient setting for dual diagnosis treatment
- Promoted preventive health initiatives to decrease disease incidence and improve overall community wellness.
- Contributed to a positive work environment within the healthcare team by maintaining open lines of communication.
- Assisted in the development of clinic policies, procedures, and protocols that adhered to regulatory standards.
- Streamlined clinic operations for improved efficiency with accurate charting and documentation.
- Served as a patient advocate, addressing concerns or barriers to treatment adherence and promoting informed decision-making processes.
- Educated patients on medication usage, potential side effects, and self-care techniques for optimal health management.
- Minimized wait times for patients through efficient scheduling methods while ensuring adequate time for quality consultations.
- Managed chronic disease cases effectively by developing individualized care plans in collaboration with primary healthcare providers.
- Developed strong rapport with patients, fostering trust and open communication in order to provide personalized care plans.
- Optimized patient outcomes by collaborating with interdisciplinary care teams.
- Reduced hospital readmissions through implementation of comprehensive discharge planning and follow-up care.
- Liaised with healthcare teams to determine best course of action for patients.
- Appropriately diagnosed and treated variety of diseases and injuries through careful questioning and assessment of patient symptoms.
- Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
- Discussed care plans with patients and explained test results and proper use of medications.
- Assessed patient needs, clearly communicating diagnosis and treatment plans to patients and families.
- Developed individualized treatment plans for patients with complex medical needs.
Psychiatric Registered Nurse
University Hospitals Elyria Medical Center
11.2013 - 02.2018
- Provide direct care to patients with mental illness, perform Mental Status Exams, Suicide Risk and Chemical Dependency Assessments
- Ensure management of chronic disease and acute illness while also working to psychiatrically stabilize patient
- NAPPI certified and able to utilize proper de-escalation techniques to ensure the safety of both patients and other staff members
- Act as the charge nurse and manage admission and discharges from inpatient psychiatric facility while working with various insurance companies to access patient coverage and resources
- Assessment and proper management of patients experiencing acute alcohol and illicit drug withdrawal
- Accessing, planning and implementing, documenting, and evaluating with the interdisciplinary team an individual plan of care
- Coordination of follow up care with patients' families and outpatient care providers
- Assisting patients physically and emotionally through education about general care, side effects, relapse and recovery
- Providing psychological education and direct advice regarding symptoms of depression, anxiety, mood disorders, substance abuse, and PTSD
- Functioning as a patient advocate, ensuring they have access to the resources necessary for management and recovery of their physical and mental illnesses
- Utilize company resources to deliver cost efficient patient care
- Completed detailed nursing documentation in compliance with agency, third party and Medicare/Medicaid standards
- Acted as a nurse educator to peers regarding current evidence based practice, as well as a preceptor for new employees
- Responded to numerous volatile situations and violent outbreaks to restore safety and security of patients and staff.
- Built trust with patients from various cultural backgrounds through culturally competent care practices tailored to individual needs.
- Ensured patient safety by closely monitoring behaviors, administering medications as prescribed, and intervening during incidents of aggression or selfharm.
- Oversaw care of suicidal patients and acted swiftly to reduce risk of harm to themselves or others.
- Demonstrated adaptability by providing coverage in various psychiatric units as needed, maintaining high standards of care across diverse patient populations.
- Advocated for and strived to protect health, safety, and rights of patient.
- Collaborated proactively with psychiatrists to adjust treatment plans based on observed changes in symptoms or behavior patterns among patients.
- Promoted a therapeutic environment by establishing rapport, maintaining boundaries, and fostering open communication with patients and families.
- Administered medication and treatments to patients to observe and record responses.
- Explained useful coping methods to relieve depression and anxiety.
- Performed patient assessments to monitor expected response to medications and altering treatment plans.
- Enhanced treatment efficacy by collaborating with interdisciplinary teams to provide comprehensive mental health care.
- Facilitated group therapy sessions for diverse populations addressing issues such as coping skills, anger management, substance abuse recovery, and relapse prevention.
- Served as a resource for nursing staff, providing guidance in the application of evidence-based practices in the psychiatric setting.
- Developed strong working relationships with mental health community partners, facilitating seamless transitions of care for patients upon discharge from the facility.
- Optimized clinical decision-making by conducting thorough psychosocial assessments upon admission and throughout patients'' stays.
- Contributed to improved team morale by demonstrating a positive attitude, supporting colleagues during challenging situations, and celebrating shared successes.
- Monitored primary care needs for patients to coordinate access to appropriate providers.
- Raised awareness about mental health stigma within the community by participating in outreach events and educational programs.
- Coordinated with medical and paramedical professionals to provide appropriate input and effectively formulate and implement treatment plans for patients.
- Participated in ongoing professional development opportunities to stay current on best practices within the field of mental health nursing.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Educated family members and caregivers on patient care instructions.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Lorain County Free Clinic
01.2016 - 12.2016
- Volunteering nursing services and assisting physicians to care for patients who do not have insurance in Lorain County
Registered Nurse
Embassy Oak Hills Retirement Facility
10.2013 - 10.2014
- Supervised, managed and delegated to unlicensed assistive personnel
- Delivered quality patient care to 25+ skilled and long-term care residents
- Utilized company resources to deliver cost efficient patient care
- Completed detailed nursing documentation in compliance with agency, third party and Medicare/Medicaid standards
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
- Streamlined medication administration processes for increased safety and accuracy during busy shifts.
- Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
- Managed patients recovering from medical or surgical procedures.
- Evaluated patient histories, complaints, and current symptoms.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
Mercy Parish Nursing through Mercy Regional Medical Center
01.2013 - 10.2013
- Provided health screening to both urban and rural residents of Lorain County at various locations
Education
MSN-Family Nurse Practitioner -
Chamberlain College of Nursing
Addison, IL08.2017
RN-BSN -
Chamberlain College of Nursing
Addison, IL10.2014
Associate Degree of Applied Science in Nursing -
Lorain County Community College
Elyria, OH05.2013
Skills
- Flexible and adaptable
- Critical thinking to problem solve while under pressure
- Multitasking Abilities
- Decision-making
- Verbal communication
- Active listening
- Teamwork and collaboration
- Patient education
- Telehealth proficiency
- Addiction treatment
- Patient-centered care
- Interprofessional collaboration
Accomplishments
- Promoted to Senior Nurse Practitioner with a psychiatric clinic, responsible for training and mentoring all new medical providers entering the practice in just 3 month. with the practice in the multiple roles they would work in. Only provider in the practice that on primary health care team after just [Number] months with the practice.
- Supervised team of over 20 staff members on inpatient mental health unit, effectively implementing communication to provide improvement in patient outcomes.
Public Community Service
- Mercy Parish Nursing through Mercy Regional Medical Center, Lorain, OH, 01/01/13, 10/01/13, Provided health screening to both urban and rural residents of Lorain County at various locations.
- Lorain County Free Clinic, Lorain, OH, 01/01/16, 12/31/16, Volunteering nursing services and assisting physicians to care for patients who do not have insurance in Lorain County.
Credentials
MSN, FNP
Professional Organizations And Certifications
- American Association of Nurse Practitioners, Member
- Non-Abusive Psychological and Physical Intervention, 2017
- CBT Certification - PESI CBT Intense Certification 2019
- CPR/BLS Certification ______________
Timeline
Lead NP
Advanced Recovery Concepts, LLC
03.2018 - 10.2023
Lorain County Free Clinic
01.2016 - 12.2016
Psychiatric Registered Nurse
University Hospitals Elyria Medical Center
11.2013 - 02.2018
Registered Nurse
Embassy Oak Hills Retirement Facility
10.2013 - 10.2014
Mercy Parish Nursing through Mercy Regional Medical Center
01.2013 - 10.2013
RN-BSN -
Chamberlain College of Nursing
Associate Degree of Applied Science in Nursing -
Lorain County Community College
MSN-Family Nurse Practitioner -
Chamberlain College of Nursing
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