EL AGATHE A. TEMBENG
Deltona,FL
Summary
Resourceful Primary Adult and Psychiatry Nurse Practitioner committed to providing excellent care to patients of all ages. Expertise in performing admission assessments and discharges and participating in crisis interventions. Kind and caring professional with 13 years of experience monitoring treatment of patients diagnosed with disabilities, illnesses and distress.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Psychiatric Mental Health Nurse Practitioner/ Adult Nurse Practitioner
SEAMAGTEK PSYCHIATRY HEALTHCARE SERVICE
01.2024 - Current
- Performs complete comprehensive psychiatric evaluations and assessments throughout the lifespan
- Develop and provide mental health treatment plans for psychiatric patients in long-term care facilities, Assisted Living facilities, and Independent Living Communities
- Assesses risk factors for mental illness and broader wellness evaluations across the lifespan
- Diagnose, manage, and treat common acute and chronic illnesses and injuries
- Write prescriptions for both psychotropic and physical medications; order the required labs and make recommendations for referrals
- Provide appropriate treatment plans and effective patient care management with proper evaluation
- Provide a range of therapies and counseling to individual patients and groups
- Collaborate with other medical professionals and interdisciplinary team to evaluate or change treatment plans
- Conducts individual, group, or family counseling sessions
- Monitors patients on medications and document treatment results
- Tracks patient progress and report results to other care providers, including psychiatrists and psychologists
- Educates patients’ families about physical illness, mental illness, treatment, and prevention
- Participate in nursing and rehabilitation planning
- Provide expertise about state and federal rules and regulations
- Perform credentialing and re-credentialing of new staff
- Perform billing and other administrative duties
- Educates patients’ families about mental illness, treatment, and prevention
- Assess and treat substance use disorders.
- Utilized multi-modal diagnostic tools to diagnose and treat 30 patients with memory difficulties and dementia.
- Traveled by car to visit average of 15 patients each day to perform initial visits and physical examinations.
Advance Practice Nurse Practitioner APRN
Haven Hospice and Palliative Care
01.2017 - Current
- Manage selected medical problems, initiate, monitor or alter treatment plans and other activities for Hospice/Palliative care patients of the Haven network as defined within the framework of an approved protocol practicing under the direction of the Medical Director or Associate Medical Director
- Conducts comprehensive or episodic health assessments of adolescent, adult, and geriatric patients with actual or potential acute and chronic health problems, which may include psychological, cognitive, and personal evaluations on wellness
- Prescribes and regulates medications per written physicians’ agreement
- Documents health appraisal data necessary to maintain, coordinate, and expedite required services
- Assumes responsibility and accountability for time management, professional relationships, and interpersonal interactions
- Provides educational programs as needed by the organization
- Serve as liaison between medical and nursing personnel
- Participated in planning hospice and palliative care for elderly and disabled patients
- Formulating diagnosis to determine patient prognosis and address grief issues for patients and families
- Interacts with attending physicians, as necessary, regarding the care and treatment
- Provide medical support and coordination to palliative care patients and their family members, including pain and symptom management
- Ordering of appropriate therapies and tests when applicable
- Assessing, diagnosing, planning, providing, and evaluating care for patients with serious illnesses
- Formulating and prioritizing differential diagnoses
- Determining patient prognosis and addressing issues of grief for patients and families
- Providing education on palliative care, pain and symptom management, and end-of-life care
- Taking patient histories, performing physical examinations, and writing orders for medications and tests.
Advance Practice Nurse Practitioner
IPC The Hospitalist Company/TeamHealth
09.2014 - Current
- Provide evaluation and clinical management services to medical, surgical, and critical care hospitalized patients for three acute care hospitals, both remotely and in person
- Perform and document the comprehensive history and physical exams, progress notes, discharge summaries, and consultations in various electronic medical record systems, including Cerner, Epic, Meditech, and Practice Fusion
- Order and interpret screening and diagnostic procedures and tests
- Exercise independent judgment in assessing, developing, and initiating pharmaceutical and non-pharmaceutical treatment plans for newly admitted and follow-up care patients
- Collaborate with the interdisciplinary team to facilitate continuity of patient care during and after hospitalization, appropriately utilizing community resources and effectively educating patients about health
- Order and evaluate results of inpatient radiological and laboratory studies
- Consult and coordinate care with medical and surgical specialties as needed
- Effectively communicate patient plan of care with patient, family, community health services, and interdisciplinary team
- Provide relevant health educational support for patients, families, and healthcare team members
- Acts as an advanced resource for specialty area or lead worker in clinic setting
- Performs complex diagnostic and therapeutic procedures in diagnosing medical and surgical problems and prescribing necessary treatment and services for quality patient care
- Operates with the highest degree of independence in provision of patient care services with minimal physician supervision and generally in a highly specialized area
- Assists in teaching students, residents and interns in complex techniques and procedures that are unique to specialized clinical setting
- Uses advanced skills and in-depth clinical knowledge in a highly independent manner to assess, plan, implement, and evaluate nursing care to clients across the continuum
- Assesses the physical and psychosocial status of patients by means of interview, health history, physical examination, and diagnostic studies
- Writes or dictates reports and progress notes appropriately in the medical record
- Recognizes deviations from normal in the physical assessment; works collaboratively to formulate treatment plans
- Implements appropriate management based on laboratory results, physical assessment, routine diagnostic and follow-up studies, therapeutic measures, admission, and discharge care
- Initiates appropriate actions to facilitate the implementation of therapeutic plans that are consistent with the continuing healthcare needs of patients
- Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served
- Demonstrates caring practices by providing a compassionate and therapeutic environment for patients and their families
- Demonstrates awareness of legal issues and patients’ rights
- Identifies, analyzes, and resolves patient care issues to foster significant improvement in patient care
- Dictates and documents an accurate and timely manner
- Maintains provision of preventive health services
- Conducts or participates in daily multidisciplinary rounds
- Triages patients
- Demonstrates ability to shares clinical expertise with professional and supportive personnel and collaborates with other healthcare disciplines to ensure continuity and quality of care
- Maintains compliance based on organizational policies.
- Maintained a clean and safe environment, adhering to infection control protocols and ensuring compliance with regulations.
- Participated in professional development activities to stay current on best practices in nursing care delivery methods.
- Utilized electronic health records systems effectively for accurate data entry, retrieval, and communication among healthcare team members.
Licensed Practical Nursing Program Director
J&H Healthcare Institute
01.2020 - 12.2023
- Preparing and delivering lesson plans and lectures as part of a curriculum
- Teaching and demonstrating nursing skills to students in person or online
- Supervising and evaluating student nurses during clinical hours and patient care activities at hospitals, long-term care facilities, and other healthcare institutions to establish learning goals and develop curricula
- Mentoring and coaching students and staff
- Writing and reviewing educational material, such as textbooks.
- Mentored team members for professional development, resulting in increased productivity and job satisfaction.
- Designed customized training programs to enhance staff knowledge and skills in key areas of responsibility.
- Established strong partnerships with internal and external stakeholders for collaborative problemsolving.
- Evaluated program performance through comprehensive data analysis, driving continuous improvement efforts.
- Developed and implemented marketing strategies to promote program awareness and participation.
- Maintained and updated project related documents.
- Established program policies and procedures to comply with regulatory requirements.
- Developed and implemented program goals and objectives, establishing specific and measurable outcomes aligned with organization's overall mission.
- Developed high-impact programs for optimal results, focusing on strategic planning and execution.
- Developed and implemented program evaluation systems to assess program impact.
- Managed cross-functional teams to deliver exceptional program outcomes within budget and time constraints.
Nurse Practitioner
East Coast Hospital Inpatient Specialists
12.2012 - 09.2014
- Obtains medical history
- Performs physical Examinations
- Makes diagnosis and orders appropriate work-up and medication/treatment
- Assessed need for, ordered, obtained, and interpreted appropriate lab tests
- Provided support and care to ill patients aged 12 years throughout the life span
- Supervises staff of registered nurses, LPNS, and Nursing assistants
- Responsible for clinical decisions in absence of medical director
- Developed and maintained quality care systems, including creating and improving medical protocols and guidelines
- Delivered high quality and compassionate treatment to indigent and low-income patients
- Managed the pharmacological and non-pharmacological treatment of various disorders and diseases
- Appropriately diagnosed and treated a variety of diseases and injuries in a general practice setting
- Ordered and executed diagnostic tests and analyzed diagnostic images to further investigate patient conditions
- Administered and prescribed appropriate courses of treatment, including pharmaceutical medications
- Advised patients on diet, hygiene, and effective disease prevention methods
- Accurately reported births, deaths, and outbreaks of contagious diseases to governmental authorities
- Conducted physical examinations to provide information needed for school admission, job consideration, or insurance coverage eligibility
- Prescribes preoperative and postoperative treatments and procedures, such as diets and antibiotics
- Managed, directed, and coordinated nurses, assistants, specialists, residents, and other medical staff activities
- Monitored patients' condition and progress and re-evaluate treatments as necessary
- Continuously maintained proper safety and took preventive measures to avoid spreading disease and infection
- Lead hospital prevention and health promotions to increase awareness of health-related issues
- Participated in the planning of hospice care for elderly and disabled patients
- Delivered medical services to 30 patients daily in hospital environments
- Admit and treated patients during the hospital's 24-hour on-call services
- Developed open rapport with patients, encouraging them to share questions and concerns
- Perform and electronically document comprehensive health histories and physical examinations, including formulating and initiating.
Registered Nurse MED/SURG/TELE
Lake Monroe Hospital
07.2008 - 12.2011
- Planned, directed, and coordinated nursing care of a 45-bed medical/surgical/orthopedic unit during acute, preoperative, and postoperative periods
- Conduct orientation and training to new staffs
- Handles all types of emergencies
- Act independently as a postoperative nurse
- Increase efficiency by updating and reorganizing the fall reduction program.
- 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.
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
- Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
- Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
- 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.
- Promoted a culture of safety within the healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.
- Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
- Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
- Implemented evidence-based fall prevention strategies, resulting in a significant decrease in patient falls within the unit.
- Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
- Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
- Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
- Streamlined medication administration processes for increased safety and accuracy during busy shifts.
- Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.
- Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
- Educated family members and caregivers on patient care instructions.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- 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.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Monitored patient reactions after administering medications and IV therapies.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
Senior Staff Nurse II
Advent Health Orlando
01.2009 - 12.2011
- Managed all aspects of clinical oversight for 40-bed inpatient unit
- Planned for and provided nursing care to adult patients with abnormalities
- Assisted in directing personnel to meet goals and objectives of the department and institute
- Participated in wound care prevalence monitoring program in the entire unit and sister units.
- Educated patients on managing chronic conditions such as diabetes or hypertension, empowering them to take control of their health.
- Facilitated patient discharges by coordinating with medical teams, social workers, case managers, and other support staff.
- Enhanced patient care by implementing evidence-based nursing practices and maintaining up-to-date knowledge on industry advancements.
- Prevented infections through diligent adherence to infection control policies, including proper hand hygiene techniques and equipment sterilization procedures.
- Mentored junior nurses, providing guidance on clinical skills and professional development.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Reduced medication errors through thorough documentation and adherence to medication administration protocols.
- Promoted patient independence by teaching self-care skills.
- Promoted a positive work environment by collaborating with interdisciplinary teams and participating in regular staff meetings.
- Acted as an advocate for patients'' rights, ensuring that their voices were heard when making decisions about their healthcare journey.
- Identified patient care requirements by establishing personal rapport with patients and families.
- Coordinated with physicians to perform bedside procedures such as intravenous injections, vascular line insertions, and bronchoscopies.
- Served as a resource for colleagues seeking assistance or advice in specialized areas of nursing practice.
- Improved patient outcomes by continuously assessing conditions and adjusting care as necessary.
- Conducted ongoing evaluations of new hires during orientation period to ensure successful integration into the nursing team.
- Led quality improvement initiatives within the department, resulting in streamlined workflows and increased efficiency.
- Provided compassionate end-of-life care, supporting patients and their families during difficult times.
- Managed high-acuity cases, coordinating with physicians to deliver appropriate interventions and treatments.
- Gathered patient health data through interviews and observation, documenting data in electronic records.
- Ensured compliance with hospital policies and procedures, mitigating potential risks to patients and staff members.
- Ordered, interpreted, and evaluated diagnostic tests to identify and assess patient condition.
- Enhanced community health by participating in local outreach programs, providing education and resources to vulnerable populations.
- Assisted in staff recruitment efforts, conducting interviews and evaluating candidates for open nursing positions.
- Organized continuing education opportunities for fellow nurses by arranging guest speakers and workshops.
- Participated in hospital committees to recommend quality improvement initiatives.
- Developed and implemented individualized patient care plans for optimal outcomes.
Education
Master of Science - ADULT NURSE PRACTITIONER
South University
Savannah, GA09.2011
Master of Science - PSYCHIATRIC MENTAL HEALTH CERTIFICATION
Spring Arbor University
Spring Arbor, MI06.2024
Master of Science in Nursing, Majored in Adult Nurse Practitioner -
South University
Savannah, GA09.2011
Bachelor of Science, Majored in Nursing -
Georgia Southern University
Savannah, GA05.2006
Skills
- Qualified lab result evaluator with strong clinical judgment
- Patient/family-focused and patient counseling professional
- Disease prevention and intervention specialist, also adept at prioritizing/managing deadlines
- High level of autonomy, with ability to speak French
- Ability to use EMR to access electronic medical records and obtain patient histories
- Ability to deliver care via telehealth using various Medicare-approved telehealth platforms
- Ability to maintain quality, safety, or infection control standards
- Ability to provide evaluation, diagnosis, and treatment in hospice and palliative care
- Strong interpersonal and communication skills and ability to work effectively with wide range of constituencies in diverse community
- Ability to provide Face to Face Encounter encounters based on Medicare standard
- Ability to work collaboratively with referring, primary, consulting physicians, and other interdisciplinary team members to provide appropriate palliative care to patients
- Ability to work with other health care providers in long-term care facilities
- Demonstration of leadership skills
- Excellent organizational skills
- Ability to work with detailed and confidential material
Certification
- Florida State Board Licensed Adult Nurse Practitioner
- Florida State Registered Nurse
- American Heart Association Basic Life Support for Healthcare Providers
- American Heart Association Advance Care Life Support for Healthcare Providers
- American Association of Nurse Practitioners Board certified Adult nurse practitioner
- Active DEA License
Affiliations
- American Academy of Nurse Practitioner Member
- Volusia Flagler Advanced Practice Nursing Council Member
- Florida Nurse Practitioner Network member
- Hospice & Palliative Nurse Association Member
Summaryofachievements
As a professionally trained Psychiatric Mental Health Nurse Practitioner and board-certified Adult Nurse Practitioner, I bring a unique blend of skills and over 13 years of experience. My career has been dedicated to ensuring high standards of culturally competent care for a wide variety of patients with diverse needs. I have mentored nursing students, young nurses, and nurse practitioners, serving as a resource person and motivator. My ability to work well independently and in interdisciplinary teams has been demonstrated in a variety of settings, from acute care to private practice. I am committed to practicing advanced practice nursing using a holistic approach and always strive to function as a patient advocate where needed. I excel at utilizing evidence-based practice and have excellent presentation and communication skills. I am a sensible team player, always working towards established objectives.
References
References available upon request
Timeline
Psychiatric Mental Health Nurse Practitioner/ Adult Nurse Practitioner
SEAMAGTEK PSYCHIATRY HEALTHCARE SERVICE
01.2024 - Current
Licensed Practical Nursing Program Director
J&H Healthcare Institute
01.2020 - 12.2023
Advance Practice Nurse Practitioner APRN
Haven Hospice and Palliative Care
01.2017 - Current
Advance Practice Nurse Practitioner
IPC The Hospitalist Company/TeamHealth
09.2014 - Current
Nurse Practitioner
East Coast Hospital Inpatient Specialists
12.2012 - 09.2014
Senior Staff Nurse II
Advent Health Orlando
01.2009 - 12.2011
Registered Nurse MED/SURG/TELE
Lake Monroe Hospital
07.2008 - 12.2011
Master of Science - ADULT NURSE PRACTITIONER
South University
Master of Science - PSYCHIATRIC MENTAL HEALTH CERTIFICATION
Spring Arbor University
Master of Science in Nursing, Majored in Adult Nurse Practitioner -
South University
Bachelor of Science, Majored in Nursing -
Georgia Southern University
- Florida State Board Licensed Adult Nurse Practitioner
- Florida State Registered Nurse
- American Heart Association Basic Life Support for Healthcare Providers
- American Heart Association Advance Care Life Support for Healthcare Providers
- American Association of Nurse Practitioners Board certified Adult nurse practitioner
- Active DEA License
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