Laura L Signing

• Nurse Practitioner at minimal security correctional facility medical clinic providing primary care, sick calls/urgent care and chronic care disease management to offenders.
• Assessing offenders needs, clearly communicating diagnosis, treatment plans on disease management and preventative measures to offenders.
• Improved patient outcomes by utilizing evidence-based practice and collaborating with multidisciplinary healthcare teams.
• Facilitate patient referrals to specialists and other healthcare providers to ensure continuity of care.

• Charge nurse overseeing delivery of evidence-based patient care, delegating nursing assignment, planning unit schedule and general flow in a busy 37-bed medical-surgical unit.
• Precepted new grads, travel nurses and new hires, fostering a supportive learning environment within the unit.
• Collaborated with physicians and advanced practice providers to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management, discharge planning, safe medication use and lifestyle options.
• Managed caseload of 5-6 patients simultaneously by providing bedside care to patients undergoing various therapies, procedures and surgeries (general surgery, jaw, orthopedic, gynecology, urology).

• Worked under the supervision of FNPs to diagnosed acute and chronic illnesses through patient examination and diagnostic testing to develop and implement treatment plans.
• Monitored patient progress and adjusted treatments under the supervision of advanced practice providers.
• Independently performed patient initial assessments in the geriatric population admitted in skilled nursing facilities.

• Float nurse between Dermatology and Pulmonary clinics.
• Participated in yearly free skin cancer screening and education on prevention of skin cancers.
• Rooming in patients, taking histories, complaints and current symptoms.
• Accurately documenting treatment including biologics subcutaneous injections and education on discharge instructions and follow-up care.
• Performed phone triage, return calls, medication refills and set up of delivery of durable medical equipment
• Assisted physicians during examinations and procedures, providing skilled support and anticipating needs.

Practicum attended at; PACE Of the Blue Ridge, Neighborhood Family clinic and UVA Health system UMA.

• Completed 618 clinical hours prior to graduation (05/2018) and additional 160 clinical hours, 40 contact hours of education, 24 pharmacology hours during the FNP refresher program (09/2021).
• Worked under the supervision of FNPs to order and interpreted diagnostic tests to develop and implement treatment plans to manage acute and chronic diseases.
• Enhanced patient satisfaction by providing compassionate and empathetic care to diverse populations under supervision.
• Monitored patient progress and adjusted treatments accordingly under supervision..
• Coordinated with physicians, specialists, and other medical staff to develop treatment plans for chronic conditions.
• Informed patients and families on disease prevention and health promotion.
• Provided preventive care such as well-child checks, adult physicals and gynecological examinations under supervision.

• Initiated emergency interventions to stabilize patients with post-partum hemorrhage.
• Promoted early recovery post-partum through breastfeeding, rooming in, early ambulation and pain management.
• Supported parents in coping with miscarriages, termination of pregnancy, stillbirths and neonatal deaths.
• Managed patient recovery post medical or surgical procedures including hysterectomy, myomectomy, cesarean section.
• Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.