Debra Skoniecki
Rowley,Massachusetts
Summary
Experienced, dedicated, compassionate Nurse Practitioner. I helped shape the ALS House Call Program at Massachusetts General Hospital, enhancing access to care and research for patients living with ALS and their caregivers. My role in palliative care and clinical trials at Brigham & Women's Hospital underscores my commitment to caring for patients, advancing medical knowledge and patient education. I work best in a multidisciplinary, collaborative, innovative environment. I am excited about improving access to healthcare, new technology and am a life long learner.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Nurse Practitioner, ALS House Call Program
Massachusetts General Hospital, Dept Of Neurology
12.2017 - 12.2022
- Helped shaped the future of the MGH ALS House call program, a novel, patient centered care delivery program for patients living with ALS to improve access to care and reduce medical isolation
- Assessed patient conditions by performing physical assessments, slow vital capacity testing, safety evaluations and administering ALSFRS-R questionnaires in the home
- Developed individualized treatment plans for patients with complex medical needs.
- Prescribed evidence based treatments for symptom management
- Provided in-depth education to patients and their caregivers on ALS, FDA approved therapies for ALS and current ALS research trials
- Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
- Prescribed appropriate pharmacologic and non-pharmacologic treatment modalities to support health and comfort of patients.
- Facilitated patient referrals to specialists and other healthcare providers.
- Collaborated with interdisciplinary teams to ensure optimal patient care and coordinated services for complex medical cases.
- Served as a preceptor for nurse practitioner students, sharing clinical expertise and guiding their professional development while enhancing the learning experience.
- Coordinated care with community providers, regarding the treatment plan, home evaluations, equipment needs including DME and speech generating devices and transitions in care
- Utilized telehealth technology to provide remote consultations for homebound patients who had limited access to healthcare resources.
Nurse Practitioner, Inpatient Palliative Care
Brigham & Women's Hospital
05.2012 - 12.2017
- Performed independent, comprehensive physical examinations and symptom assessments for a busy, inpatient palliative care consultation service
- Assessed and recommended evidence based treatments for acute and chronic symptoms for patient living with serious illness
- Collaborated with interdisciplinary team members to optimize patient care and streamline processes.
- Promote advanced care planning and completion of MOLST form
- Timely documentation of assessment and recommendations in the Electronic Medical Record
- Follow up and adjustment of treatment plan daily
- Mentored nursing staff , NP, MD's and PharmD Palliative Care Fellows to enhance their clinical knowledge, skills, and confidence in practice.
- Nursing faculty for the Harvard Interprofessional Fellowship in Palliative Care
National Clinical Trial Coordinator, ORaCORe
Brigham & Women's Hospital
01.2008 - 05.2012
- National Trial Coordinator for the METEOR trial
- Performed site initiation visits with the PI to train staff on study protocols, paving the way for successful trial execution at 7 national sites
- Developed detailed study-specific procedures, comprehensive training materials and guidelines.
- Screened patient records, databases, and physician referrals to identify prospective candidates for research studies.
- Followed informed consent processes and maintained records.
- Established strong relationships with clinical site personnel, promoting open communication channels for resolving concerns or clarifying questions throughout the study duration.
- Achieved timely completion of study milestones by closely monitoring trial progress and addressing potential roadblocks in collaboration with the Primary Investigators, participating centers and the Boston University School of Public Health Data Coordinating Center
- Ensured data accuracy by meticulously reviewing and maintaining case report forms and source documents
- Coordinated seamless handovers between different phases of trial, minimizing any delays or disruptions in study progression.
- Collaborated with investigators on manuscript preparation.
- Maintained a high level of ethical conduct throughout all aspects of clinical trials, ensuring adherence to Good Clinical Practice guidelines and other relevant regulations.
- Participated in the preparation and review of regulatory submissions, ensuring accurate representation of trial data and compliance with relevant guidelines.
Education
Master of Science - Adult Nurse Practitioner
Northeastern University
Boston, MA06.1999
Bachelor of Science - Nursing
Northeastern University
Boston, MA06.1995
Diploma, Registered Nurse - Nursing
Whidden Hospital School of Nursing
Everett, MA06.1979
Skills
- Expertise in assessing diagnosing and treating diverse range of medical conditions
- Patient centered care provider
- Adaptable leader who motivates and guides staff, patients and caregivers
- Collaborative Team Member
- Excellent communication skills
- Patient Education
- Telehealth Proficiency
Certification
American Academy of Nurse Practitioners (ANCC) since 10/1999
Advanced Certification Hospice and Palliative Nursing since 2013
Registered Nurse, Massachusetts since 1979
Timeline
Nurse Practitioner, ALS House Call Program
Massachusetts General Hospital, Dept Of Neurology
12.2017 - 12.2022
Nurse Practitioner, Inpatient Palliative Care
Brigham & Women's Hospital
05.2012 - 12.2017
National Clinical Trial Coordinator, ORaCORe
Brigham & Women's Hospital
01.2008 - 05.2012
Master of Science - Adult Nurse Practitioner
Northeastern University
Bachelor of Science - Nursing
Northeastern University
Diploma, Registered Nurse - Nursing
Whidden Hospital School of Nursing
Similar Profiles
Selehadin YesufSelehadin Yesuf
Radiology Technologist at Massachusetts General Hospital, Massachusetts BostRadiology Technologist at Massachusetts General Hospital, Massachusetts Bost
Michael AddesaMichael Addesa
Off-Site CSPS Manager at Massachusetts General Hospital, NSMC HospitalOff-Site CSPS Manager at Massachusetts General Hospital, NSMC Hospital
Brandon (Sang Woo) KimBrandon (Sang Woo) Kim
Clinical Student Nurse at North York General Hospital - 7SE NeurologyClinical Student Nurse at North York General Hospital - 7SE Neurology
EKEMBE EMMANUELEKEMBE EMMANUEL
Exams Manager at Flexible Learning SchoolExams Manager at Flexible Learning School
Magdalena SekulaMagdalena Sekula
Team leader at Lander AutomotiveTeam leader at Lander Automotive