Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Certification
Timeline
Generic

Joan Palmerini

Herndon,VA

Summary

Highly qualified Adult Geriatric Nurse Practitioner with 3 years of experience in a leadership nursing role . Worked in close collaboration with the medical director of the outpatient palliative consult department focused on caring for seriously ill patients with complex medical and psychosocial comorbidities. Acts as patient advocate driven to build strong relationships with patients and families resulting in achievement of best possible outcomes. Committed to increasing the quality of patient care through top-of-the-line time management and prioritization. Self-directed and solutions-oriented with fantastic communication skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with excellent problem-solving skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.


Highly accomplished RN 4 status on the career clinical ladder program, with over 20 years of clinical experience at Inova Fairfax Hospital. Strong clinical and people skills demonstrated by 40 years in health care. Recognized for clinical excellence and sat at the top of the clinical hierarchy for advanced placement nurses. Awarded the Nurse Excellence Scholarship from Inova Hospital to pursue a Master's degree at George Mason University. Recognized by the "Inova Promise" for excellence in the delivery of patient-centered care.


A hardworking and passionate job seeker with strong organizational skills eager to secure a palliative/hospice position. Seeking to maintain a full-time position that offers professional challenges utilizing interpersonal skills.






Overview

45
45
years of professional experience
1
1
Certification

Work History

Palliative Care Nurse Practitioner

VAMCDC
03.2020 - 07.2023
  • Nurse Practitioner established and monitored her own panel of seriously ill patients including cancer, COPD, CHF, and ALS with complex medical and psychosocial issues in close collaboration with the medical director of the Outpatient Palliative Consult team.
  • Provided timely and safe intervention through skilled clinical management as exemplified by evaluation of medical history, medication reviews, interpretation of diagnostic tests/ treatment plans, and review of oncology and radiation history.
  • Coordinated care with other professionals including (Pain, Neuro, Oncology, Liver, ENT, PCP) clinics, pharmacies, social workers, chaplains, and psychologists focused on management of patient concerns promoting optimal outcomes.
  • Provides outstanding care and symptom management for seriously ill patients with complex medical, psychosocial, and spiritual needs through close follow and coordination of care promoting optimal patient outcomes.
  • Provides comfort and an extra layer of support to patients and families through clear communication of diagnosis and treatment plans.
  • Leads family meetings/ discussions providing education, and assisting patients and loved ones develop appropriate goals of care that align with the values and wishes of patients.
  • Conducts video telehealth vesting visits for homebound veterans ensuring the best quality of life.
  • Active member of a Scholarly program affiliated with George Washington University participating in monthly seminars providing guidance for learners including residents, fellows, medical students, and NPs rotating through outpatient palliative care services.
  • Participated in hospital committees or working groups to promote quality improvement initiatives (CARA, Multidisciplinary ALS team, Oncology board meetings).
  • Facilitates timely coordination of community home hospice referrals, and routinely coordinates patient care with various hospice agencies in the area.
  • Prescribed medications or treatments based on patient medical assessments.
  • Facilitated patient referrals to specialists and other healthcare providers.

Registered Nurse

Inova Fairfax Hospital
05.1997 - 05.2017
  • Charge/resource nurse in 24-bed Telemetry / Acute Care Pulmonary Unit; managed 15 clinical and support staff in patient care activities while maintaining high level of staff morale and professionalism.
  • Diagnose and treat patients with acute and chronic health problems including arrhythmias, asthma, COPD and pneumonia, heart failure, Tuberculosis, lung cancer, cystic fibrosis, dementia, and diabetes.
  • Managed critical evaluation of patients with heart failure, COPD, asthma, cystic fibrosis, lung cancer, and diabetes as well as complex medication/treatment regimens.
  • Dedicated practitioner with 12 years of specializing in telemetry/ acute pulmonary care.
  • Provided direct patient care, stabilized patients, and determined next course of action.
  • Administered medications via oral, IV, and intramuscular injections and monitored responses.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Expertise in emergency management of acute care patients, including monitoring critical changes in patients' condition and rapid response to higher levels of care.
  • Coordinated Quality Improvement Activities identifying performance areas for improvement such as infection control and wound care and pain management.
  • Coordinated services transition patients from hospital to home/Skilled Nursing Facility/ Nursing Home/ Hospice.
  • Effective counseling in health maintenance and disease management.
  • Demonstrated ability to lead and motivate outstanding healthcare teams.
  • Preceptor of new graduate nurses / RN students acting as positive role model.
  • Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.

Registered Nurse

Va Medical Center-Brockton
05.1983 - 12.1996
  • Effective charge nurse, supervising RNs, LPNs, and NAs on long-term care neurology unit. Managed clinical oversight for 44-bed unit, maintaining unstable patients on unit during acute episodes.
  • Oversaw and managed 15 clinical and support staff in patient care activities while maintaining high level of staff morale and professionalism.
  • Developed patient care plans, including assessments, evaluations, and nursing diagnoses.
  • Administered medications via oral, IV, and intramuscular injections and monitored responses.
  • Astute observational skills with ability to assess problems rapidly often preventing serious complications and allowing prompt medical intervention.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Strong leader supervising nursing personnel assigning unit/shift staff care assignments based on skill and patient acuity. Supporting personnel in their assignments, providing education, and assuring safe performance in a thorough manner.
  • Excellent communication skills and ability to develop trusting professional rapport with both patients and families alike.
  • Diagnosis and treat various neurological conditions including Parkinson's, Dementia, ALS, Multiple Sclerosis, Huntington's Chorea, CVA, and Epilepsy.
  • Educated patients, families, and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.

Registered Nurse

Staff Builders
01.1980 - 05.1983
  • Staff Nurse 20-bed Medical/Surgical unit/5-bed ICU.
  • Diagnosed and treated patients with chronic and acute health problems such as MI, arrhythmias, asthma, COPD and pneumonia.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Administered medications via oral, IV, and intramuscular injections and monitored responses.
  • Instructed patients and family members on proper discharge care.
  • Performed lab tests and communicated results.
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.

Registered Nurse

Beth Israel Deaconess Medical Center
10.1978 - 10.1980
  • Staff nurse on 42 bed medical/ surgical unit.
  • Participated in primary care nursing of patients with variety of medical conditions ranging from alcoholism, sickle cell crisis, diabetes, heart failure, MI.
  • Monitored patient reactions to drugs and carefully documented progress of individuals participating in clinical trials.
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Educated patients, families, caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.

Registered Nurse

Scripps Memorial Hospital Encinitas
10.1979 - 01.1980
  • Charge/resource nurse on 40 -bed Acute care Medical /surgical unit: supervised 10 clinical staff in patient care activities while maintaining high level of moral
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Administered medications via oral, IV, and intramuscular injections and monitored responses.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.

Education

Master of Science - Adult Geriatric Nurse Practitioner

George Mason University
Fairfax, VA
2018

Bachelor of Science - Nursing

Boston College
Chestnut Hill, MA
1978

Skills

  • Extensive clinical experience in leadership role for outpatient palliative medicine consult service
  • Lead role in management of clinical panel of outpatients with serious illnesses including cancer, CHF, COPD, and ALS
  • Expert critical thinking skills, facilitating rapid response to deteriorating conditions and symptom management of patients with serious illnesses
  • Advanced Leadership skills including management and coordination of services while monitoring critical changes in patient's condition including timely hospice referrals and telehealth visits for homebound veterans
  • Distinguished record as strong compassionate patient/ family/staff advocate with understanding of Hospice and palliative care philosophy offering cultural and spiritual support
  • Expert communication skills with experience in facilitating goals of care (Vital Talk) discussions including documentation of these in medical records using LST
  • Provides outstanding care ensuring coordination of services for patients with complex medical issues through development of collaborative relationships with oncology, primary care, neurology, social workers, chaplain, psychology, physical therapy, pulmonologists, and other departments
  • Process improvement facilitator/ improving access and continuity of care for seriously ill veterans through efficient scheduling of new patients consults and close followups
  • Outstanding leader and motivator with proven record of accomplishments including development and implementation of auditing tools improving quality care and patient satisfaction
  • Team player focused on staff development in urgent and emergent situations offering guidance and team support for learners including fellows, residents, and medical students rotating through outpatient palliative department
  • Expert resource nurse and staff educator including symptom management and pain control
  • Discharge planning and coordination of care; transitioning patients from hospital to home/skilled nursing facility/long-term care/hospice
  • Whole health champion routinely submits integrative health referrals improving veterans' sense of physical, emotional, and social wellbeing
  • Palliative member of ALS multidisciplinary team and Comprehensive Addiction and Recovery Pain Clinic
  • Enrolled in Age-Friendly Scholar program from 2021-2023 and attends monthly conferences

Accomplishments


  • Delivered compassionate care that exceeded hospital requirements. Earning the “Nursing Excellence Scholarship ” monetary award for contributing to the advancement of Inova Nursing allowing me to pursue my master's education at GMU. 
  • NDNQI Pressure Ulcer Training 2013
  • Trained medical staff/doctors  on new EMR system - Epic.
  • Participated in community outreach events like volunteer feeding homeless, volunteer medical personnel community events
  • Volunteer in the Parks program at Wolftrap  National Park, Vienna VA. 

Certification

  • Adult-Gerontology Nurse Practitioner [AG07180160]
  • AANPCertified Medical Surgical RN [ 64284151] (2018-2022)
  • Registered Nurse [00011550934]
  • Healing Beyond Borders / Healing Touch of the HTI Healing Touch Certificate Program in conjunction with the American Holistic Nurses Association [4062] Level 3
  • Pressure Ulcer Training Course 1015/2/02
  • Completed Vital Talk workshops (2020-2023)
  • Cofacilitator of Vital Talk training program for fellow, residents, medical students, and NPs (2020-2023)
  • Palliative Member of Multidisciplinary ALS team (2021-2023)
  • Certified Trainer of Whole Health Integrative Health (2019)
  • Enrolled in Age Friendly Scholarly Program
  • Palliative member of the CARA (Comprehensive and Addiction Recovery Act) (2021-2023)
  • Assisted in the management of 252 palliative consults 2022-2023
  • Collaborate with Pain Clinic in the management of complex veterans

Certification



  • Registered Nurse [0001150934]
  • American Academy of Nurse Practitioners (AANP) Certification [AF07180160 ] Adult-Gerontology Nurse Practitioner Certification
  • Certified Medical Surgical RN [6428415 ]
  • Healing Touch Level 3  Certification Number:

Timeline

Palliative Care Nurse Practitioner

VAMCDC
03.2020 - 07.2023

Registered Nurse

Inova Fairfax Hospital
05.1997 - 05.2017

Registered Nurse

Va Medical Center-Brockton
05.1983 - 12.1996

Registered Nurse

Staff Builders
01.1980 - 05.1983

Registered Nurse

Scripps Memorial Hospital Encinitas
10.1979 - 01.1980

Registered Nurse

Beth Israel Deaconess Medical Center
10.1978 - 10.1980

Master of Science - Adult Geriatric Nurse Practitioner

George Mason University

Bachelor of Science - Nursing

Boston College

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Joan Palmerini