Judith Bloom, MS, APRN-BC
Brookline,MA
Summary
Experienced adult Nurse Practitioner with background in Hepatology, Pre and Post Liver Transplant, Inflammatory Bowel Disease, Dermatology and Critical Care. Dedicated professional with superior critical thinking skills. 3+ decades of experience caring for patients and working with mutlidisciplinary colleagues, locally, nationally and internationally.
Overview
36
36
years of professional experience
1
1
Certification
Work History
Liver Transplant Advanced Practice Provider
Massachusetts General Hospital
08.2010 - Current
- Provide direct patient care for over 300 patients with liver disease, patients awaiting liver transplantation and those who have undergone liver transplantation.
- Lead provider responsible for development, implementation, maintenance, and presentation of liver transplant educational material.
- Coordinate with other healthcare professionals, within my institution, regionally, nationally and internationally to provide patients with comprehensive care.
- Partner with leadership in the GI Division and the Department of Medicine to implement and establish an outside hospital liver transfer pager (8+ years).
- Precepted and oriented new hires (4 RN, 3, APP's and 13 years of residents and Liver Fellows), providing guidance and mentorship when teaching on the care of the patient with cirrhosis, hospital policies, emergency procedures, and nursing best practices.
- Collaborated with the Mass General Brigham Patient Transfer Access Center (PTAC) to ensure appropriate triage for our MGB providers as well as OSH requests.
- Participate in at least 3 ongoing clinical trials annually, discussing with potential study eligibility and suitability daily with patients.
- Lead for QI/research with our Pulmonary Colleagues to assess validity of right ventricular systolic pressure as accurate predictor of Porto pulmonary hypertension and to reassess need and timing for right heart catheterization.
- Perform focal and no focal physical examinations preceding diagnosis and treatment recommendations.
- Assess all patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
- Performed comprehensive physical examinations and documented patient histories to gather information and identify health issues.
- Educated patients on treatment options, medical needs, and non-medical options for treatments and therapy.
- Prescribed appropriate pharmacologic and non-pharmacologic treatment modalities to treat underlying causes and relieve symptoms.
- Coordinated with physicians, specialists, and other medical staff to develop treatment plans for chronic conditions.
- Discussed care plans with patients and explained test results and proper use of medications.
- Implemented individualized patient care plans to address assessment findings.
- Provide education to patients and caregivers on clinical course and treatments.
- Provide education to nursing staff regarding care of complex patient population through Lunch and Learn Presentations for individual medical floors.
- Presents 1-3 complex medical patients weekly at Multidisciplinary Liver Biliary Pancreas Conference x 13 years and participate in decision making and plan.
- Lead APP for MGB outreach program (scheduled 5/2024).
- Present management of patients with ascites and spontaneous bacterial peritonitis at MGB Outreach (5/2023)
- Assessed care needs of patients and families utilizing nursing process.
- Build rapport with patients and members of patients' support systems.
- Evaluate patient progress and responses to various treatments.
- Delivered high level of care and service to patients through email, video chat and online assessments.
- Facilitated patient referrals to specialists and other healthcare providers.
- Evaluated patient histories, complaints, and current symptoms.
- Assessed patient needs, clearly communicating diagnosis and treatment plans to patients and families.
- Utilized Electronic Medical Records (EMR) systems to record patient data.
- Participate in team meetings to discuss patient progress and plan for care.
- Complete necessary reports and documentation on time and to specifications.
- Monitor patient progress and reported changes to healthcare professionals.
- Supported office operations by expertly handling administrative needs.
- Developed individualized treatment plans for patients with complex medical needs.
- Scheduled and followed up on patient appointments, maximizing continuity of care.
- Recorded patient medical history, applicable test results, and vitals into medical records.
Nurse Practitioner, Inflammatory Bowel Disease
Beth Israel Deaconess Medical Center
01.2007 - 07.2010
- Provide care for patients with Inflammatory bowel disease. Responsibilities including but not limited to: assessment and management of patients with Crohn's Disease and Ulcerative Colitis.
- Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
- Performed comprehensive physical examinations and documented patient histories to gather information and identify health issues.
- Educated patients on treatment options, medical needs, and non-medical options for treatments and therapy.
- Prescribed appropriate pharmacologic and non-pharmacologic treatment modalities to support health and comfort of patients.
- Prescribed and managed pharmacological and non-pharmacological treatments to treat underlying causes and relieve symptoms.
- Coordinated with physicians, specialists, and other medical staff to develop treatment plans for chronic conditions.
- Discussed care plans with patients and explained test results and proper use of medications.
- Implemented individualized patient care plans to address assessment findings.
- Worked with families, caregivers and patients to determine best options for treatment, diagnosis, and prevention.
Staff Nurse, Division of Dermatology
Beth Israel Medical Center
01.2004 - 12.2006
- Performed focal and non focal physical examinations.
- Evaluated patient histories, complaints, and current symptoms.
- Performed various interventions including biopsies, suturing, wound dressing, specimen collection and interpretation.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
Liver Transplant Coordinator
New England Medical Center
08.1996 - 01.2004
- Provided direct and indirect care for patients awaiting and patients who have undergone Liver Transplantation.
- Assessed test and laboratory results in collaboration with attending physician and communicated to patient.
- Evaluated patient histories, complaints, and current symptoms.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Coordinated nursing activities and staffing with health-related, therapeutic and support services to streamline service delivery.
- Educated family members and caregivers on patient care instructions.
- Documented treatments delivered, medications and IVs administered, procedures, discharge instructions, and follow-up care.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
- Participated in numerous clinical research studies, with patient recruitment.
- Wrote and copyrighted the Pre and Post Liver transplant patient teaching manual.
- Listed and removed patients as appropriate with the United Network for Organ Sharing.
- Attended regional meeting for United Network for Organ Sharing and the New England Organ Bank.
- Chair for United Network for Organ Sharing Region I annual meeting.
Liver Transplant Coordinator
Mount Sinai
10.1995 - 08.1996
- Provided direct and indirect care for patients awaiting and patients.
- Assessed test and laboratory results in collaboration with attending physician and communicated to patient.
- Evaluated patient histories, complaints, and current symptoms.
- Responsible for calling in organ recipients when an organ offer became available.
- Responsible for arranging logistics of organ retrieval, perfusion and travel.
- Collaborated with multi disciplinary healthcare team members to plan, implement and enhance treatment strategies.
- Coordinated nursing activities and staffing with health-related, therapeutic and support services to streamline service delivery.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
Transplant Team Supervisor, Medical Review
Private Healthcare Systems
01.1994 - 01.1995
Staff Nurse, Intensive Care Unit
Tufts Medical Center
08.1988 - 01.1994
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
- Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Monitored patient reactions after administering medications and IV therapies.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
Staff Nurse
New England Medical Center
08.1988 - 01.1994
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
- Coordinated patient discharge planning to provide post-discharge patient care, promoting healing and recovery.
- Developed and implemented individualized patient care plans for optimal outcomes.
- Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
- Participated in hospital committees to recommend quality improvement initiatives.
- Evaluated patient histories, complaints, and current symptoms.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Education
Master of Science - Nursing/Adult Nurse Practitioner
Northeastern University
Boston, MA09.2004
Bachelor of Science - Nursing
Boston University
Boston, MA05.1988
Skills
- Direct patient care
- Multisystem Disease Management
- Examination and Evaluation
- Interpretation of laboratory and test results
- Mutlidisciplinary collaboration
- Proficient in EPIC, Microsoft Outlook, Powerpoint and Excel
- Medication management
- Knowledgeable about acute and chronic health issues
Affiliations
- 2020 - Present Member American Association for the study of Liver Disease.
- 2004-present American Nurse Credentialing Center (ANCC) Certification
- 1988 Hadassah Landy Kaplan Nurses organization
- Member elect Advisory Committee to the HMS Center for Palliative Care Education Committee for 2024-2026
Certification
1988-present Basic Life Support for Health Care Providers, American Heart
Association
2004-present American Nurse Credentialing Center (ANCC) Certification
1988-present Registered Nurse, Massachusetts, License No.186810
1997-2006 Certified Clinical Transplant Coordinator, Certification No. 1525
American Board of Transplant Coordinators
1995 Registered Nurse, New York State, License No. 477929
Awards and Accomplishments
Continuum Scholar - Harvard Medical School, Palliative Care Education and Practice (PCEP, December 2023, April 2024)
Nominated for MGH APP of the year award (10/2023)
Presenter at Liver Biliary Pancreas Conference, 1-3 patients per week (2010 - present)
Presenter, MGB Outreach "Patients with ascites and spontaneous bacterial peritonitis" at MGB Outreach (5/2023)
Presenter - Medical Grand Rounds (5/2021)
Presenter - MGH Nursing Lunch and Learn (4/2018, 2019/2023)
Nominated for and served on Education Committee for the American Association for the Study of Liver Disease (2019)
Presenter - End of Life in the setting of advanced liver disease, Georgia southern University (2017, 2018)
Presenter - The Role of the NP in the United States, St. Vincent’s University Hospital Dublin, Ireland
Publications
Pilot Randomized Controlled Trial of Advance Care Planning Video Decision Tool for Patients with Advanced Liver Disease. Clinical Gastroenterology and Hepatology 2022 October; 20 (10) 2287-2295. Nneka N Ufere, Blair Robinson 2, John Donlan 3, Teresa Indriolo 4, Judith Bloom 4, Abigail Scherrer 4, Nancy M Mason 5, Arpan Patel 6, Jennifer C Lai 7, Raymond T Chung 4, Angelo Volandes 8, Areej El-Jawahri 9
A Smartphone App to Manage Cirrhotic Ascites Among Outpatients: Feasibility Study. JMIR Medical Informatics 2020: Vol 8, No 9. Patricia Bloom1 , MD; Thomas Wang2 , MD; Madeline Marx1 , BA; Michelle Tagerman2 , MPH, MSc; Bradley Green1 , BA; Ashwini Arvind1 , MBBS; Jasmine Ha1 , BA; Judith Bloom1 , NP; James M Richter1 , MA, MD
An Open-Label Study to Explore the Clinical Efficacy of GS-7977 with Ribavirin Administered Pre- Transplant in Preventing
Hepatitis C Virus (HCV) Recurrence Post-Transplant (Protocol No. P7977- 2025) 2011-2015. Co-Investigator: Judith A.
Bloom. Protocol: Title: Emergency and proof of concept use of preemptive treatment with sofosbuvir (400 mg)/velapatasvir (100
mg) for a single donor HCV-positive to recipient HCV-negative liver and possible pancreas transplant. Principal Investigator:
Karin Andersson, MD, MPH, Co-Investigator: Judith A. Bloom APRN-BC. IRB Approval Version/Number: 17 October 2016.
Bloom, Judith A., Liver Transplant Patient Teaching Manual, copyright 2000.
Bloom, Judith A., Pre-Operative Liver Transplant Patient Teaching Manual, copyright 1998. Fernandez J., Bloom J.A., Rohrer R.J., and Freeman R.B. The piggyback technique without porto-caval shunt is superior to standard veno-venous by-pass technique for liver transplantation.
Poster Presentation, American Society of Transplant Surgeons Meeting, May, 13, 1998, Chicago, Illinois. Golan, Y., Doron, S, Griffith, S., El Gamal, H., Tanios, M., Blunt, K., Barefoot, L., Bloom, J., Gamson, K., Snydman, L., Hansjosten, K., Elnekave, E., Nasraway, S. Snydman, D. The Impact of Gown-Use Requirement on Hand Hygiene Compliance. Clinical Infectious Disease, 2006, 42, 370-6.
Poster presentation, 13th Annual Scientific Meeting of the Society of Healthcare Epidemiology for America (SHEA). Abstract 163.
April 200. Arlington, VA.Mithoefer A., Supran S., Rohrer R., Angelis M., Cooper J., Pratt D., Epstein M., Bankoff M., FitzMaurice S., Bloom J., Freeman R. CT Scan-Measured Liver Volumes overestimate calculated standard liver volumes and actual operative liver volumes. Oral and poster presentation, American Transplant Congress, April 26th-May 1st, 2002. Washington D.C.
Oral and poster presentation. International Liver Transplantation Society 8th Annual Congress, June 13-15, 2002. Chicago, Illinois.
Mithoefer A., Supran S., Rohrer R., Angelis M., Cooper J., Pratt D., Epstein M., Bankoff M., FitzMaurice S., Bloom J., Freeman R. Donor Residual Liver Volume to Body Weight Ratios do not correlate with donor complications after living liver donation. Poster presentation, American Transplant Congress, April 26th-May 1st, 2002. Washington D.C.
Timeline
Liver Transplant Advanced Practice Provider
Massachusetts General Hospital
08.2010 - Current
Nurse Practitioner, Inflammatory Bowel Disease
Beth Israel Deaconess Medical Center
01.2007 - 07.2010
Staff Nurse, Division of Dermatology
Beth Israel Medical Center
01.2004 - 12.2006
Liver Transplant Coordinator
New England Medical Center
08.1996 - 01.2004
Liver Transplant Coordinator
Mount Sinai
10.1995 - 08.1996
Transplant Team Supervisor, Medical Review
Private Healthcare Systems
01.1994 - 01.1995
Staff Nurse, Intensive Care Unit
Tufts Medical Center
08.1988 - 01.1994
Staff Nurse
New England Medical Center
08.1988 - 01.1994
Master of Science - Nursing/Adult Nurse Practitioner
Northeastern University
Bachelor of Science - Nursing
Boston University