JUSTINE GAMBLE
Yuba City,CA
Summary
Experienced with patient care, emphasizing thorough assessments and tailored treatment plans. Utilizes advanced clinical skills to enhance patient well-being and satisfaction. Knowledge of healthcare protocols and collaborative practices, ensuring holistic and effective care.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Family Nurse Practitioner/Birth Assistant
Harmony Health FQHC
Marysville
05.2024 - Current
- Provide high-quality, comprehensive, and holistic primary care; promote healthcare maintenance to a diverse patient population for individuals across the lifespan providing health screenings, immunizations, medication and chronic disease management; averaging 20 patients per day
- Provide reproductive and gynecological care while adhering to appropriate billing practices of federal programs
- Provide assistance to Certified Nurse Midwife in labor, delivery, and postpartum care in an outpatient birth center; as well as provide newborn care, triage, and resuscitation, if necessary
- Provide MAT or addiction medicine services, including prescribing and managing medications like buprenorphine, Vivitrol and/or Sublocade in a comprehensive treatment plan
- Complete CHDP (Child Health and Disability Prevention) comprehensive health assessments and screenings for children under the CHDP program collaborating with social workers and community agencies to ensure appropriate follow-up care
- Perform urgent care for established patients addressing immediate non-emergency medical needs, encompassing diagnoses, treatments, medication prescriptions, and referrals to specialists or emergency departments as necessary
- Offer on call support to patient after-hours answering service
- Complete telehealth or virtual consultations for chronic disease management and education on wellness strategies
- Complete electronic charting promptly ensuring accurate and timely documentation of patient encounters in the EHR within 3 days of the visit
Staff RN - Medical/Surgical/Trauma
Kaiser Permanente
South Sacramento
10.2019 - Current
- Manage multiple priorities using analytical and problem solving skills in a complex environment, specifically for the care and conditions of trauma patients
- Manage the member experience through utilization of critical thinking, teamwork, effective communication, and nursing judgment/knowledge/skills
- Utilize resources to deliver quality care in a safe, efficient, and cost-effective manner
- Coordinate the activities of the health care team in a professional manner promoting a positive work environment
- Provide optimal care to members and family which is collaborative, evidence-based and meets national/facility standards to achieve the best possible outcome
- Care for members and their families according to cultural standards and beliefs ensuring the best care experience
- Adapt to a fast-paced, changing work environment with frequent interruptions
- Maintain professional demeanor and communicate effectively with members, family, responsible parties and allied personnel
Staff RN - Medical/Surgical
Sutter Surgical North Valley
Yuba City
11.2018 - 11.2019
- Performed professional nursing care of the patient by utilizing the nursing process and coordination with other disciplines involved in patient care
- Organized, planned, and documented the care of all patients according to policy and procedure; regulatory requirements, and accreditation
- Adhered to established hospital safety requirements and procedures to ensure safe patient care and working environment and demonstrated knowledge of and applied safety principles as identified within the institution.
- Participated as a member of the team to promote a positive working environment, and provided back-up support when requested or necessary, established effective working relationships with members of the healthcare team, patients, and families. Acknowledged staff rights and cultural and ethical beliefs
- Performed assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy
- Formulated a goal-directed plan of care that is prioritized and based on determined nursing diagnosis and patient outcomes and delegated appropriately and coordinated duties
- Implemented care in a thorough, skillful, consistent, and continuous manner
- Established priorities or patient care based on essential patient needs and available unit resources of time, personnel, equipment, and supplies
- Identified patient/family learning needs and implemented appropriate measures, demonstrated an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs
- Documented patient care and unit activities in a timely, accurate, and concise manner
- Performed efficiently in emergency patient care situations followed established protocols, remained calm, informed appropriate persons, and documented events
- Demonstrated sound knowledge base and actions in the care of a designated patient population and evaluated effectiveness of care given by staff
- Demonstrated responsibility and accountability for own professional practice
- Demonstrated knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning
- Utilized effective communication methods and skills, following lines of authority, as appropriate and demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team
- Provided data for staffing decisions and demonstrated flexibility in the resolution of staffing issues
- Ability to navigate in a windows environment, utilizing a mouse and the ability to learn electronic medical record system application
- Identified and solved problems effectively, actively participated in nursing research activities, staff development activities for unit and nursing personnel, and unit Department Performance Improvement as requested
Staff Nurse - Med Surg Tele, Mother/Baby, Charge Nurse
Adventist Rideout Hospital
Marysville
02.2016 - 03.2019
- Med/Surg Tele floor with post-surgical bariatric, cardiology, nephrology, ortho, obstetric, etc. Performed goal directed patient care for Pre-op, Post-op, telemetry, and/or medical patients while identifying abnormal symptoms, arrhythmias and responding appropriately based on nursing diagnosis and patient outcomes
- Served as primary and/or charge nurse to Mother/Baby couplet care, OB/GYN medical, high risk OB, and antenatal patients.
- Managed vaginal and cesarean delivery recovery, postpartum hemorrhage, NRP codes, close monitoring of high risk mom/baby, antenatal monitoring and medical management, caring for low birth weight newborns, continuous monitoring of neonatal abstinence drug-withdrawal scoring and screening of Neonatal Abstinence Syndrome, performing newborn care tests and procedures
- Managed shift staffing and assignments, coordinated patient transfers and admissions with House Supervisor and L&D per hospital needs and patient acuity, ensured proper execution of policy and procedure, serving as a resource to staff nurses, identified and solved problems, solved staffing issues and provided unit flexibility to hospital needs
- Delegated appropriately, demonstrated responsibility and accountability, responded to emergencies while remaining calm and following protocols, using appropriate documentation and notifying appropriate persons
- Managed and coordinated care for multiple admissions, discharges, and transfers throughout the shift
- Diligently worked to reduce errors, improve safety, and increase satisfaction with hourly rounding, participating in performance improvement activities, sensitivity to patient rights, cultural and ethical beliefs, and age specific needs
- Offered patient centered plan of care working with fellow staff for a team approach to improve overall health of patients
Public Health Nurse – Sutter County Jail
Sutter County Public Health Department
05.2013 - 02.2017
- Developed discharge treatment plans for patients incarcerated in Sutter County Jail; coordinated services, not limited to, healthcare, housing, substance abuse, food, education, employment, & mental health
- Facilitated Medi-Cal, Covered CA, and public benefit (e.g. CalFresh) applications for qualifying applicants; directed and referred patients to low-cost community services
- Established primary care and ensured continuity of medical, vision, and dental care; offered health education, post-release follow-up and assistance
- Resolved medical grievances directly with patients by correcting care plan, addressing issues with staff, implementing patient improvement programs, opening and resolving investigations of poor patient outcomes, and created new policies and procedures with the goal of improved patient outcomes
- Worked with RN manager to receive accreditation through NCCHC by creating policies, implementing clinic improvements, amending protocols to support accreditation goals
Staff Nurse - Crisis Stabilization Unit/Adult Outpatient/Psychiatric Health Facility
Butte County Behavioral Health Department
05.2012 - 05.2016
- Developed treatment plans for admission, discharge and transfers, process client referrals from local hospitals and law enforcement and/or self-referral, coordinated patient transfers to and from hospitals in and out of county
- Responded to incoming Crisis telephone calls for suicide prevention hotline and walk-in referrals offering education, individual and group counseling services, de-escalation of clients in crisis, and effectively triaged using nursing assessment and diagnosis
- Provided thorough, skilled, and consistent patient care individualized to acute, severe, and/or chronic suicidality, dual diagnosis, mental health diagnoses, and comorbid health disorders
- Provided client centered education, lead individual and group therapy sessions with patients and families
- Provided resources and referrals for community services upon discharge, managed follow-up and maintained continuity of care as needed with other departments and/or agencies
- Performed assessment and collection of data systematically, focusing on psychosocial, cultural, spiritual, physiologic and cognitive status as well as nutrition, pain, patient education, family involvement and patient advocacy and providing appropriate referral for specific needs
- Administered medications, and performed prescribed medical treatments according to patient's specific plan of care, provided close monitoring and observation recommending treatment adjustments as needed
- Appropriately managed patients' behavior providing interventions as needed, including de-escalation of aggressive behavior and environmental safety, and demonstrated a calm and sensitive manner
- Responded effectively to emergencies adhering to department cascade of actions, protocol, policy and procedure
Psychiatric Assessment Nurse
Enloe Hospital
Chico
10.2015 - 02.2016
- Conducted thorough intakes and assessments for the 22 bed Acute Psychiatric Inpatient unit at Enloe Medical Center. After an average 2 hour intake interview, made nursing diagnosis of medical and emotional status and recommended treatment and placement options
- Coordinated with multidisciplinary team including psychiatrists, social workers, case managers, and outside agencies to design appropriate treatment plans for patients
- Provided patient care, maintained safe environment, maintained accurate records, all while providing the highest level of service and confidentiality
- Provided alternative resources for crisis and community referrals as appropriate
- Provided psychiatric nursing care on the inpatient unit
Education
Master's of Science in Nursing - FNP
Sonoma State University
Rohnert Park05-2024
Bachelor’s of Science in Nursing - undefined
Samuel Merritt University
Oakland04-2011
Skills
- Basic Medical Spanish - Read, write, and speak
- Preventive healthcare
- Patient education
- Chronic disease management
- Family health
Affiliations
AANP Member and Certification
Certification
- CA BRN License #797849, Expires 2027-03
- CA Public Health Nurse License #86949, Expires 2027-03
- CA NP License #95031365, Expires 2027-03
- CA NP Furnishing License for Controlled Substances II #F95031365, Expires 2027-03
- AANP Certification #F06241758, Expires 2029-06-23
- BLS for Healthcare Providers, Expires 2026-08
- NRP, Expires 2026-05
- DEA #MG9008865
Languages
Spanish
Limited Working
Timeline
Family Nurse Practitioner/Birth Assistant
Harmony Health FQHC
05.2024 - Current
Staff RN - Medical/Surgical/Trauma
Kaiser Permanente
10.2019 - Current
Staff RN - Medical/Surgical
Sutter Surgical North Valley
11.2018 - 11.2019
Staff Nurse - Med Surg Tele, Mother/Baby, Charge Nurse
Adventist Rideout Hospital
02.2016 - 03.2019
Psychiatric Assessment Nurse
Enloe Hospital
10.2015 - 02.2016
Public Health Nurse – Sutter County Jail
Sutter County Public Health Department
05.2013 - 02.2017
Staff Nurse - Crisis Stabilization Unit/Adult Outpatient/Psychiatric Health Facility
Butte County Behavioral Health Department
05.2012 - 05.2016
Bachelor’s of Science in Nursing - undefined
Samuel Merritt University
Master's of Science in Nursing - FNP
Sonoma State University