Heidi Jumbercotta, BSN, RN, CCRN, AG-ACNP
Wilmington,North Carolina
Summary
Acute Care Nurse Practitioner with focus in critical care. Interests vary between cardiac surgery patients to medical/surgical-trauma intensive care.
Overview
32
32
years of professional experience
1
1
Certification
Work History
AC-AGNP
Cape Fear Valley Medical Center
Fayetteville, NC
01.2021 - Current
- Provided nocturnal coverage as member of intensive care team responsible for management of caseload of 15-20 critically ill complex (multi-organ) patients in Cardiac Surgical, Medical, Cardiac, and Neuro-Surgical Trauma ICUs
- Provide direct clinical services for critically ill adult patients with multi-organ trauma or multi-system failure, according to established protocols and utilizes evidence-based clinical practice standards under supervision of ICU supervising physician.
- Obtain patient health histories and complete physical examinations as well as document findings noting pertinent normal and abnormal findings.
- Order and interpret appropriate diagnostic and laboratory tests.
- Explain necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient's family, staff, and healthcare learners.
- Perform approved therapeutic or diagnostic procedures based upon patient's clinical status as well as document patient preparation and response to procedure(s).
- Formulate and implement treatment plan for acute illness management in collaboration with designated primary supervising physician and/or attending back-up physician(s).
- Document in medical records and appropriate narrative summaries.
- Utilize prescriptive privileges as allowed by North Carolina Boards of Medical Examiners and Nursing as well as document all prescriptions in patient's medical record.
- Assess patient for change in status and institute appropriate interventions and initiate necessary emergency interventions to stabilize patient.
- Provide family-centered care by communicating with families regarding changing health care needs of their family member.
- Assess family adaptation, coping skills and need for crisis or other intervention.
- Identify educational needs of family and participate in teaching opportunities.
- Assess educational needs, plan, provide, and evaluate educational programs for nursing staff, interdisciplinary and healthcare team.
Critical Care Registered Nurse
Cape Fear Valley Medical Center
Fayetteville, NC
05.2019 - 01.2021
- Critical care RN in 11 bed cardiovascular surgical ICU within 765-bed health Level III trauma center serving six-county region of Southeastern North Carolina with more than 935,000 patients annually
- Charge nurse/Resource Nurse directing all unit level patient care activities and supervising 7-10 RNs/1-2 CNAs
- Recover post-operative critically ill patients who have undergone coronary bypass surgery, valve replacement surgery, video assisted thoracotomy, TAVRs, carotid endarterectomy, and aortic dissection repair
- Management of critically ill patients on ECMO, IABP, ventricular assist device, Impella, EKOS therapy, therapeutic hypothermia, and CRRT
- Assess critically ill patients’ condition and plan/implement patient care plans based on assessment
- Treat complex wounds and provide advanced life support, hemodynamic monitoring, ECG interpretation
- Manage and monitor ventilators in collaboration with respiratory therapy
- Management/titration of inotropic/vasoactive IV infusions
- Temporary pacemaker management
- Assist physicians with insertion of chest tubes, central lines, pulmonary artery catheters, intra-aortic balloon pumps, ECMO cannulation/de-cannulation
- Oversaw various aspects of telemetry by managing PA catheters, arterials lines, dialysis catheters, administering vasoactive drugs, titration, thrombolytic therapy, dysrhythmia interpretation and chest tubes.
- Managed and monitored ventilators in collaboration with physicians/NPs/PAs
- Guided patients, caregivers and family members on plans of treatment and helpful resources available locally to support care.
- Trained and coached new employees on protocols and best practices to promote ideal patient outcomes.
- Assessed and managed various patient treatments for numerous patient diagnoses from sepsis to acute respiratory distress.
- Responded rapidly to critical codes to coordinate stabilization treatments and restore vital functions.
- Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
Registered Nurse, Cardiac Surgical ICU
New Hanover Regional Medical Center
Wilmington, NC
05.2010 - 10.2018
- Critical care RN in 14- bed cardiovascular surgical ICU within 514-bed level I Trauma Medical Center
- Charge nurse on rotating basis, directing all unit level patient care activities and supervising 7-10 RNs/2-3 CNAs
- Delivered outstanding care to patients in Cardiac Surgical ICU with various diagnoses, e.g., post-operative CABG/valve replacement surgery, TAVRs, VATs, carotid endarterectomy, AAA, and managed care from treatment initiation through to completion.
- Oversaw various aspects of telemetry by managing PA catheters, arterials lines, dialysis catheters, administering vasoactive drugs, titration, thrombolytic therapy, dysrhythmia interpretation and chest tubes.
- Managed and monitored ventilators in collaboration with physicians/NPs/PAs
- Management of critically ill patients on ECMO, IABP, Impella, CRRT, and therapeutic hypothermia.
- Guided patients, caregivers and family members on plans of treatment and helpful resources available locally to support care.
- Trained and coached new employees on protocols and best practices to promote ideal patient outcomes.
- Assessed and managed various patient treatments for numerous patient diagnoses from sepsis to acute respiratory distress.
- Member of Rapid Response Team, responding to critical codes to coordinate stabilization treatments and restore vital functions.
- Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
Home Health Registered Nurse Case Manager
Liberty Home Care And Hospice
Wilmington, NC
01.2006 - 05.2010
- Nurse Case Manager for 20-25 patients in home
- Plan, organize, and direct home care services to meet needs of individual patient and their families within their homes and communities
- Admission/Intake Nurse
- Provide complete physical assessment and history of current and previous illness
- Initiate plan of care and make necessary revisions as patient status and needs change
- Use health assessment data to determine nursing diagnoses
- Develop care plan which establishes goals, based on nursing diagnosis, and incorporate therapeutic, preventive, and rehabilitation nursing actions.
- Collaborated with vendors to procure medical equipment, supplies and services.
- Delivered after-hours care to patients based on strict role-call rotations.
- Delivered oral medications, intramuscular injections and IV fluids to mitigate or resolve patient symptoms.
- Took samples such as blood and urine to complete diagnostic and routine assessment tests.
- Provided complete care to home health patients, including physical assessments, medication and chronic disease management.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Registered Nurse, Cardiac Surgical ICU
New Hanover Regional Medical Center
Wilmington, NC
01.2001 - 01.2006
- Critical care RN in 14- bed cardiovascular surgical ICU within 514-bed level I Trauma Medical Center
Charge nurse on rotating basis, directing all unit level patient care activities and supervising 7-10 RNs/2-3 CNAs - Delivered outstanding care to patients in Cardiac Surgical ICU with various diagnoses, e.g., post-operative CABG/valve replacement surgery, TAVRs, VATs, carotid endarterectomy, and managed care from treatment initiation through to completion.
- Oversaw various aspects of telemetry by managing PA catheters, arterials lines, dialysis catheters, administering vasoactive drugs, titration, thrombolytic therapy, dysrhythmia interpretation and chest tubes.
- Managed and monitored ventilators in collaboration with physicians/NPs/PAs
- Management of critically ill patients on VADs, IABP, CRRT, and therapeutic hypothermia.
- Guided patients, caregivers and family members on plans of treatment and helpful resources available locally to support care.
- Trained and coached new employees on protocols and best practices to promote ideal patient outcomes.
- Assessed and managed various patient treatments for numerous patient diagnoses from sepsis to acute respiratory distress.
- Managed needs of chronically ill and acute patients with well-coordinated treatment strategies.
- Responded rapidly to critical codes to coordinate stabilization treatments and restore vital functions.
- Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
Clinical Research Associate II
Parexel International Corp.
Waltham, MA
05.1999 - 01.2001
- Followed drug storage procedures to comply with protocols and SOP requirements.
- Traveled to investigative sites to conduct site qualification, initiation, interim monitoring and close-out visits to maintain and enforce regulatory compliance.
- Reviewed participant eligibility and consent documentation to help researchers achieve accurate and meaningful results.
- Coordinated and scheduled protocol-related visits and required testing to demonstrate vigilance in patient safety, protocol compliance and data quality.
- Reviewed data queries and listings and worked with study centers to resolve data discrepancies.
- Adhered to procedures, practices and regulatory requirements to maintain health, safety and environmental compliance.
- Collaborated with clinical study site and sponsor to troubleshoot and provide solutions to study-related issues.
- Conducted initiation, monitoring and closeout visits to verify study procedures, regulatory documents and data completion.
- Gathered and organized clinical trial documentation to meet rigorous standards for site approval.
- Reviewed clinical data, source documentation, case report forms and investigative site regulatory files to verify accuracy and completion.
Clinical Research Associate
PPD Pharmaco, Inc.
Wilmington, NC
01.1997 - 05.1999
- Followed drug storage procedures to comply with protocols and SOP requirements.
- Traveled to investigative sites to conduct site qualification, initiation, interim monitoring and close-out visits to maintain and enforce regulatory compliance.
- Reviewed participant eligibility and consent documentation to help researchers achieve accurate and meaningful results.
- Coordinated and scheduled protocol-related visits and required testing to demonstrate vigilance in patient safety, protocol compliance and data quality.
- Reviewed data queries and listings and worked with study centers to resolve data discrepancies.
- Adhered to procedures, practices and regulatory requirements to maintain health, safety and environmental compliance.
- Collaborated with clinical study site and sponsor to troubleshoot and provide solutions to study-related issues.
- Conducted initiation, monitoring and closeout visits to verify study procedures, regulatory documents and data completion.
- Gathered and organized clinical trial documentation to meet rigorous standards for site approval.
- Reviewed clinical data, source documentation, case report forms and investigative site regulatory files to verify accuracy and completion.
Registered Nurse, Medical/Surgical Unit
New Hanover Regional Medical Center
Wilmington, NC
07.1992 - 05.1999
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
- Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
- Supervised professional and paraprofessional nursing staff and delegated tasks to maintain continuum of care.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use and disease management.
- Prepared patients for surgery, educating patients and family members on surgical procedures such as appendectomies and cholecystectomies.
- Collaborated with interdisciplinary healthcare personnel to meet patients' personal, physical, psychological and cognitive needs.
Education
Master of Science - Acute Care Nurse Practitioner
Georgetown University
Washington, DC01.2020
Bachelor of Science - Nursing
University Of North Carolina
Wilmington, NC06.1992
Skills
- Manage patient care in critical care setting
- Provide complex clinical assessments, diagnostic testing, and therapies for acutely ill pre and post cardiac surgery patient population, including management of Impella, IABP, as well as temporary pacemaker management/epicardial wire removal and chest tube management/removal
- Running Rapid Response & code blues
- Placement of central access, vas caths, and arterial lines
- Management of critically ill patients receiving CRRT as well as EVD management/ICP monitoring
Certification
- ANCC certified Adult Gerontology Acute Care Nurse Practitioner, License No. 5013687
- Registered Nurse, NC #RN121790
- CCRN (03/2016-Present)
- ACLS Provider (05/2010-Present)
- BLS (05/2010-Present)
Affiliations
- Sigma Theta Tau International
- American Association of Critical Care Nurses
- American Nurses Association
- American Association of Nurse Practitioners
Timeline
AC-AGNP
Cape Fear Valley Medical Center
01.2021 - Current
Critical Care Registered Nurse
Cape Fear Valley Medical Center
05.2019 - 01.2021
Registered Nurse, Cardiac Surgical ICU
New Hanover Regional Medical Center
05.2010 - 10.2018
Home Health Registered Nurse Case Manager
Liberty Home Care And Hospice
01.2006 - 05.2010
Registered Nurse, Cardiac Surgical ICU
New Hanover Regional Medical Center
01.2001 - 01.2006
Clinical Research Associate II
Parexel International Corp.
05.1999 - 01.2001
Clinical Research Associate
PPD Pharmaco, Inc.
01.1997 - 05.1999
Registered Nurse, Medical/Surgical Unit
New Hanover Regional Medical Center
07.1992 - 05.1999
Master of Science - Acute Care Nurse Practitioner
Georgetown University
Bachelor of Science - Nursing
University Of North Carolina
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