Emma Arnold
Chapel Hill,NC
Summary
Dedicated women's health registered nurse with over 10 years of experience supporting families throughout prenatal, delivery, and postpartum stages.
Overview
1
1
Certification
17
17
years of professional experience
Work History
Abortion Reporting Coordinator
Duke Health System
07.2023 - Current
- Collaborated in a multidisciplinary team in the creation and implementation of an abortion reporting coordinator role to aid Duke Health System in complying with NC SB20 legislation.
- Sole responsibility compiling data and submitting case reports for abortion procedures and complications from abortion procedures to NCDHHS.
- Recommended improvements to ambulatory technical leadership to enhance efficiency of abortion navigator in EPIC based on provider and user feedback.
- Quarterly communication with NCDHHS to confirm reporting accuracy.
- Monthly communication with the Director of Duke Family Planning Services to review cases and compliance.
- Audit patient charts for SB20 compliance: appropriate 72-hour consents (medication vs surgical), physician attestation completion, de-identified ultrasound completion, outside records if applicable, thorough documentation completion for case reporting and appropriate physician signature completion
- Daily generation of master case reports from Duke Health System using EPIC system data.
- Routine “checks and balances” by reviewing previous day's schedule and making sure that case report shows up on master schedule to prevent oversight
- Troubleshoot with technical ambulatory support leadership if any discrepancies are apparent between schedule and the master case report.
- Sort through patient data generated by master report (<500) for all of Duke Health System to determine if case reports have been completed, need to be completed or corrected, or was completed in error
- Complete chart audits as listed above for any patients meeting SB20 requirements
- Ensured information submitted to NCDHHS/NCDSS was deidentified.
- Maintain a coordinator case report tracking chart to keep track of de-identified patient information using a case report date and patient first and last initial in order to keep track of reports that have been sent to NCDHHS and case reports that still need to be sent that have ongoing issues due to documentation errors or other outstanding requirements for SB20
- Prioritized daily case reports with outstanding documentation errors to ensure compliance with NCDHHS reporting time frame.
- Escalated documentation requirements for attending physicians to ensure timely completion.
- Maintain a coordinator complication report tracking chart to keep track of de-identified patient information using a complication report date, facility name, and patient first and last initial in order to keep track of complication reports that have been sent to NCDHHS and complication reports that have ongoing issues or documentation errors or other outstanding requirements for SB20.
- Daily prioritization of case reports that have outstanding documentation errors/completion requirements to remain in accordance with the 15-day timeframe given by NCDHHS.
- Generate cost-estimates to submit for NCDHHS complication reporting requirements.
- Reviewing Guar Summary to determine insurance/billing information.
- Provide NCDHHS with appropriate ICD10 codes based on physician progress notes of the listed complication.
- Daily submission of all completed abortion and complication reports to schs.reporting portal.
- Ongoing recommendations made to ambulatory technical leadership in order to streamline the abortion navigator in EPIC based on provider and user feedback.
- Field questions from physicians within Duke Health System to assist in documentation navigation, SB20 requirements, and escalation of issues or concerns to the appropriate person or entity for guidance.
- Communicate with the NCDHHS statistician representative assigned to Duke Health for data gathering clarification when needed.
- Facilitate communication between providers and Duke’s legal counsel and/or Office of Compliance when questions and concerns arise.
- Quarterly statistical reporting generated for National Abortion Federation data compliance.
- Quarterly statistical reporting generated for NCDHHS criteria based on Duke Health system-wide data (abortions and complications from abortions).
- Working with technical ambulatory leadership and ACE Information Delivery Specialist to use a more efficient SlicerDicer flowsheet analysis to streamline data gathering.
- Maintaining excel system at the end of each week to help bulk data gathering when quarterly requirements are requested and to keep copies of all sent reports.
- Communicated monthly with the Director of Duke Family Planning Services to review and ensure compliance with case data.
Postpartum RN/Lactation Consultant
Duke University Hospital
Durham, NC
06.2022 - Current
- Administer all aspects of postpartum and newborn care from 2 hours postpartum-72 hours of life.
- Served as sole lactation consultant in Mother/Baby and Newborn Nursery during shifts without IBCLCs available.
- Apply standards of Baby Friendly education to provide comprehensive lactation and feeding support to patients with a range of feeding experience.
- Identified barriers to learning and applied clinical expertise to develop individualized feeding plans in collaboration with providers, which enhanced patient outcomes.
- Facilitated shared decision-making and ensured informed consent, which promoted patient autonomy in care processes.
- Led unit charge nurse responsibilities for 8-10 nurses in a 30-45 patient census, ensuring effective team coordination and care delivery.
- Maintain clinical knowledge in accordance with best practices determined by governing bodies that set standards for evidence-based care (AWHONN, AAP, ACOG).
Labor and Delivery/Postpartum/Neonatal Nurse
Women’s Birth and Wellness Center
Chapel Hill, NC
07.2017 - 05.2022
- Deliver thoughtful and continuous physical and emotional labor support to all birthing people including non- pharmacological pain interventions (Miles Circuit, Spinning Babies techniques, herbs, aromatherapy, hydrotherapy, guided imagery, massage, counter pressure, acupressure, etc.)
- Close and continuous collaboration with certified nurse midwives in an out-of-hospital birth setting
- Conducted daily triage calls addressing prenatal, perinatal, postpartum, and neonatal concerns to ensure timely patient support and care.
- Executed clinic tasks including lab draws, non-stress tests, newborn hearing and metabolic screenings, neonatal bilirubin draws, and sterilization of birth instruments to maintain procedural integrity and patient safety.
- Administration of nitrous oxide to patients requesting narcotic-alternative pain intervention
- Perform follow up assessments of maternal and infant wellness in the patient's home environment within 1-3 days of the postpartum period
- Encourage and develop breastfeeding goals with birthing people in the immediate postpartum period and provide close follow up lactation support at home visits
- Emergency care during postpartum hemorrhage, fetal decelerations, and neonatal resuscitations with a care team of 2 or more providers
- Delegate, supervise, and orient new nursing staff and nursing students
- Served as liaison between Women’s Birth and Wellness Center and NC Hearing Link to facilitate completion and compliance of infant hearing and congenital heart screening.
- Provided close support to patients during their care process and thoughtful consideration given at all times to patient preferences, beliefs, choices, and unique experiences
Labor and Delivery Nurse
University of North Carolina Women’s Hospital
Chapel Hill, NC
07.2017 - 11.2018
- Monitored fetal heart patterns, contraction patterns, and performed sterile cervical exams daily to assess labor progress and ensure maternal and fetal wellness
- Identified maternal and fetal risk factors proactively upon admission and throughout labor stages to enhance patient safety and care planning
- Implement and advocate for patient preferences and birth plan throughout the labor and delivery process
- Implementation of both pharmacological and non-pharmacological pain reduction methods
- Collaborate with patient care team members on individualizing patient plan of care; communicating timely and effectively with physicians, midwives and other members of patient care team to facilitate meeting patient needs using SBAR
- Apply nursing judgment through a thorough, systematic approach of applying the nursing process to include assessment, planning, implementation, evaluation and reassessment as needed
- Documented all steps of nursing process accurately and timely to ensure comprehensive patient care
- Maintain current nursing knowledge and evidence-based practice to ensure a safe working environment
- Staunch patient and family advocate for diverse patient populations
- Assisted in circulating operative procedures including forceps births, vacuum-assisted births, cesarean births, tubal ligations, and dilation and curettage.
Clinical Preceptor to UNCW Capstone Student
New Hanover Regional Medical Center
Wilmington, NC
07.2016 - 07.2017
- Created a supportive learning environment to help nursing student achieve personal capstone goals during 136 hours on labor and delivery unit
- Developed educational resources and tools to facilitate learning, utilizing knowledge of policies and collaboration with healthcare providers
- Oversaw medication administration procedures to ensure patient safety and adherence to best practices
Labor and Delivery Nurse
Emory University Hospital
Atlanta, GA
07.2015 - 07.2016
- Apply nursing judgment through a thorough, systematic approach of applying the nursing process to include assessment, planning, implementation, evaluation and reassessment as needed
- Collaborate with patient care team members on individualizing patient plan of care; communicating timely and effectively with physicians, midwives and other members of patient care team to facilitate meeting patient needs using SBAR
- Demonstrate practical application of all policies and procedures relative to patient safety and AWHONN standards
- Implementation of both pharmacological and non-pharmacological pain reduction methods
- Staunch patient and family advocate for diverse patient populations
- Monitored labor progress and maternal and fetal wellness through daily fetal heart assessments, contraction pattern evaluations, and sterile cervical exam.
- Identified maternal and fetal risk factors upon admission and throughout each stage of labor to enhance patient safety and care.
- Implement and advocate for patient preferences and birth plan throughout the labor and delivery process
- Circulated various operative procedures, including forceps births, vacuum-assisted births, cesarean sections, tubal ligations, and dilation and curettage, ensuring smooth operations and optimal outcomes.
- Care for patients in collaboration with anesthesia and OB team in recovery room following operative procedures
Office Administrator
David M. Rubin, M.D. Pediatrics
Greensboro, NC
05.2009 - 07.2015
- Managed daily office operations, including customer service, telephone inquiries, health insurance claims processing, and Dr. Rubin's scheduling
- Coordinated transfer and release of confidential medical record information to ensure compliance and maintain patient confidentiality
- Addressed and resolved client-provider issues through detailed documentation, enhancing communication and incident tracking
- Collaborated with community health team to deliver wrap around services to vulnerable patient populations served by David M. Rubin, MD
- Represented the office of David M. Rubin at monthly community medical management meetings
- Monitored appropriate utilization of Medicaid services provided by outpatient referrals to other providers
- Researched and championed implementation of Edinburgh Postpartum Depression screening into a standardized practice at the office. Initiated appropriate referrals for positive screenings
- Provided training, education and orientation for new staff (medical terminology, medical billing procedures, and HIPAA compliance
Education
Bachelor of Science - Nursing (Accelerated Option)
Winston Salem State University
Winston-Salem, NC02-2015
Bachelor of Social Work -
University of North Carolina at Greensboro
Greensboro, NC05-2009
Skills
- Clinical Management
- Lactation Assessment
- Breastfeeding support and techniques
- Infant Nutrition and Weight Tracking
- Maternal Nutritional and Emotional Guidance
- Spectra and Medela Breast Pump Operation
- Feeding Aids (SNS, Nipple Shields, Hand expression tools, Flange Sizing)
- EPIC EHR
Certification
Registered Nurse Inpatient Obstetric Nursing Certification (RNC-OB), Basic Life Support (BLS), Neonatal Resuscitation Program (NRP), Daisy Award Recipient
Timeline
Abortion Reporting Coordinator
Duke Health System
07.2023 - Current
Postpartum RN/Lactation Consultant
Duke University Hospital
06.2022 - Current
Labor and Delivery/Postpartum/Neonatal Nurse
Women’s Birth and Wellness Center
07.2017 - 05.2022
Labor and Delivery Nurse
University of North Carolina Women’s Hospital
07.2017 - 11.2018
Clinical Preceptor to UNCW Capstone Student
New Hanover Regional Medical Center
07.2016 - 07.2017
Labor and Delivery Nurse
Emory University Hospital
07.2015 - 07.2016
Office Administrator
David M. Rubin, M.D. Pediatrics
05.2009 - 07.2015
Bachelor of Science - Nursing (Accelerated Option)
Winston Salem State University
Bachelor of Social Work -
University of North Carolina at Greensboro