Josian Stephen, MSN, AGPCNP-C
Adult-Gerontology Primary Care Nurse Practitioner | New Graduate who recently completed 625+ supervised clinical hours across primary care, internal medicine, skilled nursing facilities (SNFs), long-term care, and assisted living settings providing comprehensive assessments, history and physical examinations (H&Ps), medication reconciliation, chronic disease management, transitional care, admissions, discharges, preventive services, advanced care planning, and patient-centered care for adult and geriatric populations. Nursing career spans over 10 years of experience in specialties of Trauma, Neuro, and Surgical Intensive Care, Critical Care, Acute Care, Leadership, advocacy, preceptorship and Medical-Surgical care. Exceptional critical thinking skills gained from extensive experience caring for medically complex patients requiring advanced clinical assessment, hemodynamic monitoring, ventilator management, interdisciplinary collaboration, and rapid clinical decision-making in high-acuity environments.
Work History
Skilled Nursing & Long-Term Care
- Performed comprehensive assessments, history and physical examinations (H&Ps), medication reconciliation, and chronic disease management for medically complex geriatric patients.
- Conducted admission, readmission, discharge, and change-in-condition evaluations.
- Developed evidence-based treatment plans through review of laboratory results, diagnostic testing, and clinical findings.
- Participated in transitional care management, hospice discussions, advanced care planning, and goals-of-care conversations.
- Collaborated with interdisciplinary teams including physicians, psychiatry, infectious disease, pain management, rehabilitation services, social work, nutrition, and nursing leadership.
- Managed patients with heart failure, COPD, diabetes, hypertension, dementia, chronic kidney disease, and post-acute rehabilitation needs.
Internal Medicine & Primary Care
- Performed comprehensive and focused assessments, history and physical examinations (H&Ps), medication reconciliation, and preventive health evaluations for adolescent, adult, and geriatric patients.
- Evaluated and managed acute and chronic conditions including hypertension, diabetes, hyperlipidemia, thyroid disorders, respiratory illnesses, and common primary care complaints.
- Ordered, reviewed, and interpreted laboratory and diagnostic testing to support clinical decision-making.
- Developed evidence-based treatment plans, provided patient education, and promoted preventive health strategies.
- Participated in annual wellness visits, chronic disease management, medication management, and follow-up care.
RN Specialty II – Trauma, Neuro & Surgical ICU
5 Years 6 Months- Provide direct nursing care to critically ill trauma, neuro, and surgical ICU patients.
- Manage ventilators, vasoactive medications, EVDs, arterial lines, central lines, and advanced hemodynamic monitoring.
- Perform complex neurologic assessments and interventions.
- Participate in rapid response and emergency interventions.
- Preceptor for nurses and nursing students.
Acute Care Nurse
5 Years- Delivered acute care across medical-surgical and telemetry units.
- Served as charge nurse and preceptor.
- Managed chronic illnesses, discharge planning, and patient education.
Education
Bachelor of Science in Nursing
Associate Degree in Nursing
Master of Science in Nursing - Adult-Gerontology Primary Care Nurse Practitioner
Skills
Affiliations
- AANP
- ANCC
- FNA
Certification
- Adult-Gerontology Primary Care Nurse Practitioner (License Pending)
- Registered Nurse – Florida
- BLS
- ACLS
- TNCC