Gloria Ngwendson (Ayuck)

• Perform comprehensive physical examinations and document patient histories to gather information and identify health issues.
• Order and interprete diagnostic tests to develop and implement treatment plans.
• Prescribe and manage pharmacological and non-pharmacological treatments to treat underlying causes and relieve symptoms.
• Provide medical services and care to patients with chronic and acute conditions.
• Promote overall wellness by educating patients on disease prevention, healthy lifestyle choices, and self-care management techniques.
• Collaborate with interdisciplinary healthcare teams to develop comprehensive care plans tailored to each patient''s unique needs and preferences.
• Serve as a preceptor for Family Nurse Practitioners students sharing knowledge and expertise to facilitate smooth transitions into practice.

• Duties include, but are not limited to planning, presenting and evaluating clinical lessons.
• Support students and provide guidance throughout their academic journey.
• Evaluate student progress through clinical rotations, ensuring they met program requirements.
• Supervise students during clinical rotations (none on-site), providing immediate feedback on their performance and suggesting areas for improvement when necessary.
• Provide immediate and constructive feedback to students individually and as group.

The Nurse Practitioner

• Actively diagnoses and treats our veterans under the direction and responsibility of a supervising physician.
• Examines patient for symptoms of organic or congenital disorders.
• Develops and implements patient management plans and assists in provision of continuity of care.
• Orders and performs diagnostic tests, such as x-ray, electrocardiogram, laboratory tests, etc. and interprets test results for deviations from normal and provides patient notification and follow up care.
• Counsel patients on the use of prescription medications, educates patients, assesses mental health issues, and provides routine health maintenance.
• Evaluates patients’ records from medical providers outside the VA and works with these patients utilizing rules set forth by the VA for co-managed care.
• Completes any and all clinical reminders “due” at the time of each patient visit.
• Completes documentation of the medical record within 24 hours of a patient encounter.
• Complies with all VA guidelines in regard to appropriate and timely response to all patient request, alerts and notifications, consults, orders, lab results, and diagnostic studies.
• Complies with the VA formulary process and consult protocols.
• Complies with all VA guidelines in regard to appropriate and timely clinical documentation, including the completion of all encounters by close of business.
• Complies with all VA and company training requirements.
• Fulfill compliance requirements of the Office of Inspector General (OIG), Joint Commission(JC), Environment of Care (EOC) oversight, lab compliance, and other related items.
• Remain focused on achieving excellent clinical outcomes through the specified VA guidelines.
• Must provide excellent customer service to each veteran, both in person and over the phone, as well as to fellow colleagues and clinic visitors.
• Participate in the clinic’s outreach events to help support the clinic’s enrollment initiatives.
• Support patient enrollment and retention by providing guidance, when necessary, regarding scheduling, follow-up visits or nurse visits.
• Embrace and support new initiatives, whether clinical or operational.

- Conduct physical assessments, perform and interpret diagnostic tests, diagnose and treat common conditions, provide screenings, interventions, counseling, and prescribe medications as needed to patients in specified age categories.

- Provide accurate assessment, diagnosis, and treatment of common family illnesses for patients over 18 months.

- Help patients manage their well-being with vaccinations and patient education

- Ensure patient information, visit history, refer outs, lab follow-up, phone calls, and consults are carefully and completely documented in the EMR

- Perform non-clinical tasks as required (e.g. reporting, vaccination temperature management, maintain clinic appearance)

- Complete financial responsibilities pertaining to customer payments

• Provide primary and urgent care services at Lifecare Medical center in Roseau 7-10 days a month as available.
• In this position was able to complete services similar to primary care as well as incision and drainage, suturing and injuries under the supervision of an ER physician.

- Evaluate and treat patients with general medical problems

- Assess, evaluate diagnose and treat patient of all ages with minor illnesses and injuries

- Complete history and physical examinations on patients of all ages

- Write therapeutic and diagnostic orders.

- Conduct preoperative and annual physicals.

- Evaluate and treat pediatric patients under the age of 18 years without major complications or serious life threatening disease including the care of newborns

- Conduct women’s health screenings including pap smears and breast exams

- Conduct procedures including simple skin biopsies, excisions and suturing

- Conduct postoperative follow ups on stable patients

· Perform laser hair removal

· Operate and maintain laser systems

· Evaluate suitability for laser treatment

· Treat and care for guests

- Administer vaccines to patients of 12yrs and above;

- Monitor patients for any adverse reactions following vaccine administration

- Review medical histories to ensure vaccine suitability

- Educate patients about immunization schedules and potential side effects

- Maintain accurate vaccine records, and ensure proper vaccine handling and storage

• Assist in expectant family laboratory
• Supervise students on Child bearing I Clinical at Altru Health System, Grand Forks, ND
• Assist in grading care plans, reports, journals, portfolios and term papers.
• Teach and supervise students participating in the expectant family program and discussion group.

· Performed and documented assessments;

· Ensured health history is completed;

· Individualized Patient Care Guideline;

· Identified discharge planning/education needs;

· Provided patient care; administered medications;

· Identified changes or high risk situations;

· Provided patient/patient’s family with appropriate education and counseling;

· Reviewed Patient Care Guidelines with the patient and patient’s family;

· Evaluated and documented patient/patient’s family response to treatment, education and progress;

· Planned and communicated with multidisciplinary team;

· Completed all documentation;

· Admitted and transferred patients;

· Completed patient classification;

- Assessed unit staffing needs and ensured completion of post discharge and/or outlying referral phone call.

- GSA for Dr. Chandice Covington, former Dean College of Nursing, UND

- Assist with grant writing and meeting minutes for the North Dakota Nursing Education Consortium, conference planning sub-committee

- Assist with researching articles for various projects

- Sterile dressing changes

- Tube feedings & medications

- Oral, subcutaneous & IM Medications & treatments

- Inhalers, nebulizers & oxygen therapy

- Assessment/Documentation

- Catheter cares/catheterization

- Ostomy cares

- Patient education and cares

- Renal dialysis (CAPD)

- Comfort cares

- Administer oral medications

- Assist with ADL’s and patient transfers

- Perform NG Tube Cares, assessments and documentation

• Assist patients with ADL’s including managing routine bathing, grooming, and other hygiene needs.
• Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
• Setup oral medications and insulin, distribute medication reminders
• Assist with patient transfers