Christina Donohue

Completed 168 clinical hours in Primary Care Clinic serving military dependents, veterans and their beneficiaries

May 2023-August 2023

Completed 244 clinical hours Primary Care Clinic serving military dependents, veterans and their beneficiaries

August 2023-Dec 2023

In-progress, clinical preceptorship in Primary Care Clinic serving military dependents, veterans and their beneficiaries

January 2024-Present

• Provided preventive care such as well-child checks, adult physicals, and gynecological examinations.
• Performed patient physicals and compared and contrasted results with established medical records to provide proper diagnosis and facilitate appropriate treatment.
• Coordinated referrals for specialty services and additional care.
• Ordered and interpreted diagnostic tests to develop and implement treatment plans.
• Helped patients manage acute and chronic pain.
• Prescribed appropriate pharmacologic and non-pharmacologic treatment modalities to support health and comfort of patients.
• Educated patients on treatment options, medical needs, and non-medical options for treatments and therapy.
• Educated and guided patients on disease prevention and healthy lifestyle habits to prevent Type-2 diabetes and other complications.
• Prescribed medications or treatments based on patient medical assessments.
• Conducted screenings, diagnostic treatment, and rehabilitative services on primary health care team.
• Performed minor surgical procedures, handling suturing and wound care.
• Educated patients about reproductive health issues and dispensed contraceptives.

Primary Duty: Provides Administrative supervision and support to 4 Government Services and 9 contract providers and supervision of 4 Govenrment Service and 7 contract professional nursing services and 14 Medical Assistant services for the Primary Care and Medical Home Department.

• · Ensures orientation of new staff and evaluates the performance of staff while effectively with assigned personnel from a diverse background and of varying levels of training to include counseling of non-providers on poor performance.
• · Plans work, prepares schedules for completion of work, makes work assignments, reviews and evaluates performance of employees, and advises contract company of termination.
• · Develops and oversees template management of the providers to ensure compliance with Defense Health Agency access to care standards.
• · Monitors and evaluates quality and appropriateness of patient care and clinical performance of assigned clinics utilizing the command process improvement program, Joint Commission, HIPAA and other regulatory standards.
• · Provides nursing support procedures, including preparation of the patient for examination, medication administration and treatments, hypodermic injection administration, and other pertinent measures.

Primary Duty: Oversees the day-to-day clinical operations, ensuring care and safety of patients and staff.

• · Assessed, implemented and managed staff development program for all nursing personnel.
• · Determined that approved standards of care and nursing practice are utilized in all areas providing nursing care.
• · Oversaw ongoing Quality Assessment & Performance Improvement activities.
• · Oversaw the Environment of Care programs and ensures compliance with policies set-forth.
• · Liaison between the physician and the patient, continuously assesses patient condition, and maintains accurate documentation pre, intra, and post-procedure.
• · Evaluated and ensured compliance with Joint Commission recommended standards and HIPAA regulations.
• · Ensured on-going compliance with accreditation readiness policies and functions as the Accreditation Coordinator in conjunction with the Medical director.

Key Accomplishments: Revised monthly infection control and endoscopy center’s daily safety checklist to reflect current standards of practice as recommended by SGNA. Ensured proper review and evaluation of performance for each employee is conducted on an annual basis providing feedback and identifying areas for improvement and retraining. Cleaned and organized supply room resulting in streamlined inventory of supplies as well as eliminating fire and safety hazards in the workplace. Appropriately delegated duties to staff with proper skills and training based on clinic needs thereby increasing productivity by 70% and reducing unnecessary use of manpower by 90%.

Primary Duty: Supervised and delegated daily assignments to all clinical staff (four nurses, one LPN and eight technicians) for a smooth and efficient patient flow within the clinic. Worked in collaboration with eight gastroenterologists and eight anesthesiologists.

• · Planned, developed and executed staff meetings and coordinated in-service trainings on a regular basis.
• · Served as a resource in interdisciplinary team to ensure delivery of quality patient care and compliance with unit policies and procedures.
• · Assessed and prioritized the needs of the clinic and staff by ensuring all areas are supported.
• · Determined immunization needs of the staff, administered flu and Hep B vaccinations to 25-30 personnel.

Key Accomplishments: Reviewed compliance plans, updated facility policies and procedures, cleaned and organized entire clinic to ensure Joint Commission accreditation requirements were met in just three months after assuming the role of charge nurse. Created, implemented, and maintained record of monthly inventory of medications for all anesthesia carts in procedure rooms. Assembled, organized, trained rapid response team to assist in medical emergencies. Developed and implemented an emergency alert system to appropriately respond to different situations. Coordinated BLS/ACLS classes to entire clinical staff including 10 doctors and 4 nurse practitioners.

Primary Duty: Provided preoperative assessment to include documentation of vital signs, obtaining patient history, initiate IV access and fluids, administer medications as ordered, pregnancy tests, and blood glucose monitoring as needed.

• Ensured patient compliance to bowel preparation and NPO status.
• Advocated for patient safety ensuring correct identifiers are in place, checking for correct procedure and right surgeon, ensured consent for surgery and anesthesia are obtained, signed and documented.
• Safely recovered patients under MAC sedation post GI procedures, ensured patent airway and adequate oxygenation, assessed LOC, closely monitored vital signs, and communicated any significant changes to anesthesiologists.
• Discussed and educated patients and families of discharge plan and instructions.

Collateral Duty: Compliance plans review, infection control, equipment maintenance.

Key Accomplishments: Completed training in less than a week resulting in ability to work independently and thereby improving staffing issues. Assisted charge RN in establishing policies and procedures, creating competency skills and requirements for each employee. Implemented changes to appropriate medication and narcotic handling and inventory requiring only RN’s or licensed healthcare professional to order, manage and inventory as recommended by the Joint Commission. Advised and recommended implementation of infection control measures to increase safety and decrease infection transmission occurrence.

Primary Duty: Provided direct nursing care to both ambulatory and inpatients post-surgical procedures, collaborating with surgeons, anesthesia team, perioperative nurses, and other healthcare providers to assess, implement and coordinate safe plan of care.

• Assessed, documented and effectively communicate to healthcare team any significant vital sign changes, abnormal lab results, surgical site assessment findings, cardiac arrythmia, neurologic decline, and other deviation from pre-operative baseline.
• Initiated intravenous access for medication administration and blood transfusion.
• Educated patients and their caregivers on surgical procedures, post-anesthesia recovery process and expectations, and devise individualized discharge plan.
• Managed pain and post-op nausea and vomiting through utilization of pharmacologic intervention, guided imagery, and relaxation techniques.
• Maintained milieu safety through strict compliance to policies in place while meeting each patient’s cultural and religious needs.
• Verified and carried out physician orders during pre-operative assessment phase ensuring patients are properly educated and advised on planned procedure.

Collateral Duties: Maintained and organized medication and supply rooms, ensuring cleanliness and timely requisition of necessary supplies.

Key Accomplishments: Certified in BLS, ACLS, PALS, and NRP in less than a year.

· Participated in surgical services’ review and modification of policies to reflect current practice while addressing patient needs.

Primary Duty: Planned, supervised, and evaluated patient care though the correlation of the medical plan, utilization of the nursing process, and implementation of hospital policies.

• Provided intravenous access, inserted Foley catheter, obtained and reviewed health and medication history to preoperative patients.
• Administered medications and narcotics orally and intravenously as ordered to at least 15-20 patients per shift.
• Supervised 2 licensed practical nurses during the evening shift.

Collateral Duties: Maintained inventory of supplies by creating a standard list required for different procedures resulting in higher efficiency in delivery of care.

Key Accomplishments: Cross-trained to other units (PACU & Same Day Surgery) resulting in increased ability to immediately assist other departments during high patient census or low staff ratio.

· Mentored three nursing students in developing and achieving efficient nursing skills.

· Trained one new graduate nurse to unit.

· Provided effective education to patients and their families pre- and post-surgery resulting in lower incidence of complications and higher patient compliance.

· Implemented the nursing care plan using holistic approach, which yielded better quality of care and higher patient satisfaction.

• Provided emergency medical care and conducted physical exams and interviews to gain medical history and relevant health data.
• Rendered emergency medical treatment and administered immunization programs.
• Provided leadership, delegation, and exceptional medical service in high-pressure situations.
• Updated medical records in EMR system and double-checked data for accuracy.
• Educated patients and families about health conditions and treatments.
• Supported medical staff in providing patient care in high-demand hospital environment.
• Utilized medical instruments to perform minor surgeries and other procedures.
• Administered medications through injections and IVs in compliance with physician orders.
• Assisted in medical examinations, treatments and procedures for diverse conditions and patient populations.
• Performed basic laboratory tests and collected specimens for further analysis.
• Maintained operational organization by ensuring equipment functionality, inventory levels and employee medical training.
• Contributed to medical evacuations and transport of patients to other medical facilities.
• Administered CPR, oxygen and other life-saving medical treatments.
• Observed patient behavior to report changes to medical personnel.
• Collaborated with medical doctors and other healthcare professionals.
• Conducted patient intake and triage procedures.