Lee Hayley Grammer
Mililani,HI
Summary
Compassionate healthcare professional with a background in advanced practice nursing. Possess specialized skills in acute care management, patient education, and diagnostic reasoning. Excel at communication, empathy, and teamwork, ensuring comprehensive care and positive outcomes for patients.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Nurse Practitioner
Kaiser Permanente
Honolulu, Hawaii
03.2025 - Current
- Per diem NP in the Cardiology Device Clinic.
- Perform preoperative H&Ps for individuals who are preparing to have cardiac implantable electronic devices (CIEDs) implanted, or who are preparing to have their current CIED generator/battery replaced.
- Perform postoperative assessments and discharge teaching immediately after the implant or generator change of a CIED.
- Perform in-clinic postoperative follow-up exams after a CIED implant or generator change.
- Review CIED interrogations, guiding the reprogramming of device settings as needed.
- Review and monitoring of the remote monitoring transmission of approximately 2,800 CIED patients.
Nurse Practitioner/Owner
Hydraline LLC
Mililani, HI
09.2023 - Current
- Client consultations.
- Perform IV infusion therapy.
Nurse Practitioner
Oahu Community Correctional Center
Honolulu, HI
10.2023 - 03.2025
- Intake exams for new inmate admissions to the facility.
- Research and review each individual's chronic medical conditions, and continue medications and treatments that were being prescribed in the community.
- Acute care visits in the medical unit.
- Assessing chief complaints, ordering and reviewing labs and diagnostic imaging, formulating diagnoses, and establishing a treatment plan, prescribing medications.
Nurse Practitioner
Insulinic Hawaii
Waipahu, HI
04.2023 - 02.2024
- New patient consultation based on referrals from primary care clinicians.
- Diabetes management through insulin infusion therapy.
- Review of lab testing and ANS testing, when applicable.
- Collaborate with the health care team to improve overall health.
Nurse Practitioner
Jacksonville Children’s Multispecialty Clinic, Urgent Care
Jacksonville, NC
02.2022 - 04.2023
- Complete HPI and physical exams on patients of all ages – infants through geriatrics.
- Ordering of appropriate lab work and imaging.
- Formulate diagnoses.
- Prescribe medications appropriate for clinical diagnoses.
- Sutures, I&Ds, and digital blocks.
- Complete monthly schedules for the urgent care providers.
Staff Nurse
Onslow Memorial Hospital
Jacksonville, NC
10.2017 - 06.2022
- Comprehensive care and management of patients requiring emergency department visits, along with encouragement of family involvement and participation.
- Triage and assessment of patients of all ages (infant to geriatric); phlebotomy skills, peripheral IV placement, and peripheral IV management of patients of all ages (infant to geriatric); assist MD with central line placement; medication administration via all routes; IV medication drip management with/without titration; cardiac and vital sign monitoring; cardiac rhythm interpretation; conscious sedation monitoring; assisting MDs/FNPs/PAs with procedures; assisting MD with rapid sequence intubation; care of the trauma, burn, cardiac, or respiratory arrest patient; management of ventilated patients; report/hand-off communication to other nursing units and tertiary facilities; etc.
- Participate in the orientation of new nursing staff.
- Charge Nurse.
Staff Nurse
Vidant Duplin Hospital
Kenansville, NC
07.2014 - 03.2020
- Comprehensive care and management of patients requiring emergency department visits, along with encouragement of family involvement and participation.
- Triage and assessment of patients of all ages (infant to geriatric); phlebotomy skills, peripheral IV placement, and peripheral IV management of patients of all ages (infant to geriatric); assist MD with central line placement; medication administration via all routes; IV medication drip management with titration; cardiac and vital sign monitoring; cardiac rhythm interpretation; conscious sedation monitoring; assisting MDs/FNPs/PAs with procedures; assisting MD with rapid sequence intubation; care of trauma, burn, cardiac, or respiratory arrest patients; management of ventilated patients; report/hand-off communication to other nursing units and tertiary facilities; etc.
- Participate in the orientation of new nursing staff.
- Fill in the charge nurse.
- Chart audits for all behavioral health patients seen in the ED in 2017 and 2018.
Clinical Instructor
Coastal Carolina Community College, Emergency Medical Services
Jacksonville, NC
01.2012 - 12.2015
- Provide instruction, supervision, and assistance to paramedic students during their hospital clinical rotations.
Staff Nurse
Onslow Memorial Hospital
Jacksonville, NC
07.2009 - 08.2015
- Comprehensive care and management of patients requiring emergency department visits, along with encouragement of family involvement and participation.
- Triage and assessment of patients of all ages (infant to geriatric); phlebotomy skills, peripheral IV placement, and peripheral IV management of patients of all ages (infant to geriatric); assist MD with central line placement; medication administration via all routes; IV medication drip management with titration; cardiac and vital sign monitoring; cardiac rhythm interpretation; conscious sedation monitoring; assisting MDs/FNPs/PAs with procedures; assisting MD with rapid sequence intubation; care of trauma, burn, cardiac, or respiratory arrest patients; management of ventilated patients; report/hand-off communication to other nursing units and tertiary facilities; etc.
- Participate in the orientation of new nursing staff.
- Fill in charge nurse.
Staff Nurse
Methodist Hospital, Indiana University Health System
Indianapolis, IN
11.2007 - 06.2009
- Comprehensive care of patients with CHF and other medical diagnoses, and encouragement of family involvement and participation.
- Patient assessment, phlebotomy skills, peripheral IV placement and management in the adult patient, management of central lines, cardiac and vital sign monitoring, cardiac rhythm interpretation, medication administration via all routes except ET tubes, IV medication drip management, management of post-ablation and post-cardiac catheterization patients, to include pulling of arterial and venous sheaths, and giving and receiving report/hand-off communication between other nursing units, etc.
- Participate in the orientation of new nursing staff.
- Fill in charge nurse.
Staff Nurse
Maui Memorial Medical Center
Wailuku, HI
05.2006 - 09.2007
- Medical care for patients requiring hospitalization.
- Assessment of pediatric, adult, and geriatric patients; telemetry monitoring; peripheral IV placement and management in the pediatric, adult, and geriatric patients; medication administration via PO, IV, IM, PR, SQ, and topical routes; wound care, and dressing changes; etc.
Cardiology Technician
Kaiser Permanente Moanalua Medical Center
Honolulu, HI
01.2002 - 12.2004
- Perform inpatient and outpatient EKGs; 12-lead monitoring during cardiac stress tests; placement and interpretation of 24-hour and 48-hour Holter monitors; interrogation of implanted pacemaker and defibrillator devices, and working with cardiologists in reprogramming such devices for optimal function; scheduling cardiac stress tests.
Cardiac Monitor Technician
Kaiser Permanente Moanalua Medical Center
Honolulu, HI
01.2001 - 12.2002
- Continuous cardiac monitoring of approximately 20 admitted patients; communicate to the nursing staff changes in cardiac rhythms and/or lethal rhythm changes.
Education
Master of Science - Nursing, FNP
South University
Savannah, GA01.2021
Bachelor of Science - Nursing
Western Governor’s University
Salt Lake City, UT01.2018
Associate of Science - Nursing
University of Hawaii – Maui College
Kahului, HI01.2006
Skills
- Patient examination
- HIPAA guidelines
- Telehealth proficiency
- Lab result evaluation
- American Academy of Nurse Practitioner's member
- Clinical decision making
- Diagnosis and treatment
- Sound judgment
- Treatment plan development
- Interprofessional collaboration
Certification
- Nurse Practitioner, Hawaii, APRN-3935, 06/30/25
- RN, Hawaii, RN-59633, 06/30/25
- RN, North Carolina, 235156, 04/30/25
- Basic Life Support (BLS), 09/01/25
- Advanced Cardiovascular Life Support (ACLS), 09/01/25
References
- Raeanna Sprouse, Registered Nurse, 910-545-2229
- Elizabeth Raynor, Nurse Practitioner, 843-252-8460
- Ed San Miguel, Physician, 910-620-5630
- Jennifer Fowlkes, Registered Nurse, 919-710-4892
- Laura Barbee, Nurse Practitioner, 910-459-2624
Timeline
Nurse Practitioner
Kaiser Permanente
03.2025 - Current
Nurse Practitioner
Oahu Community Correctional Center
10.2023 - 03.2025
Nurse Practitioner/Owner
Hydraline LLC
09.2023 - Current
Nurse Practitioner
Insulinic Hawaii
04.2023 - 02.2024
Nurse Practitioner
Jacksonville Children’s Multispecialty Clinic, Urgent Care
02.2022 - 04.2023
Staff Nurse
Onslow Memorial Hospital
10.2017 - 06.2022
Staff Nurse
Vidant Duplin Hospital
07.2014 - 03.2020
Clinical Instructor
Coastal Carolina Community College, Emergency Medical Services
01.2012 - 12.2015
Staff Nurse
Onslow Memorial Hospital
07.2009 - 08.2015
Staff Nurse
Methodist Hospital, Indiana University Health System
11.2007 - 06.2009
Staff Nurse
Maui Memorial Medical Center
05.2006 - 09.2007
Cardiology Technician
Kaiser Permanente Moanalua Medical Center
01.2002 - 12.2004
Cardiac Monitor Technician
Kaiser Permanente Moanalua Medical Center
01.2001 - 12.2002
Master of Science - Nursing, FNP
South University
Bachelor of Science - Nursing
Western Governor’s University
Associate of Science - Nursing
University of Hawaii – Maui College
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