Leslie Bruna
La Junta,CO
Summary
ANCC Certified Family Nurse Practitioners graduate of Walden University graduate with a degree as a Master of Science Nursing. Diversified health care experience in rural health and practice principles to include quality improvement processes. Proficient in oversight and management of multiple staff ensuring accountability and ability to work with a diverse group of medical professionals. Dependable with excellent attention to detail. Personable, enabling the development of a positive rapport with patients and their families. Experience with a collaborative team-based approach to achieve quality patient care. Patient centered care with understanding of National Guidelines with 640 didactic hours as well as 8 years of nursing experience, that has helped to further develop comprehensive knowledge in disease management that leads to improved patient outcomes.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Owner/Operator
BB Land And Cattle
05.2018 - Current
- Managed day-to-day business operations.
- Provided exceptional customer service, addressing issues promptly to ensure customer satisfaction and repeat business.
- Increased customer satisfaction by providing high-quality services and timely communication.
- Managed daily operations for optimal efficiency, streamlining processes to reduce costs.
- Established strong relationships with suppliers, ensuring consistent delivery of goods and services at competitive prices.
- Managed daily tasks required, ensuring smooth day to day operations
Family Nurse Practitioner
Arkansas Valley Hospice
12.2020 - 07.2021
- Monitored patient progress and adjusted treatment plans accordingly.
- Educated patients and families on disease processes, treatment options, advance directives, and end-of-life care planning.
- Promoted continuity of care by maintaining thorough documentation and communication with other healthcare providers involved in patients'' care plans.
- Provided emotional support for patients and their families during difficult transitions in illness trajectories.
- Developed individualized care plans for optimal symptom management and improved quality of life for patients and families.
- Managed complex pain symptoms through medication adjustments, non-pharmacological interventions, and referral to appropriate specialists when necessary.
- Participated in ongoing professional development activities related to palliative care nursing practice to remain current on industry trends and standards of practice.
- Conducted thorough assessments of patients'' physical symptoms, psychosocial issues, spiritual concerns, and family dynamics to inform tailored treatment plans.
- Served as a resource for nursing staff and other interdisciplinary team members seeking guidance on palliative care best practices and symptom management techniques.
- Collaborated with interdisciplinary teams to provide a holistic approach to patient care, addressing physical, emotional, social, and spiritual needs.
- Improved patient comfort by providing compassionate and comprehensive palliative care to patients with chronic and life-limiting illnesses.
- Prescribed medications or treatments based on patient medical assessments.
- Assessed patient needs, clearly communicating diagnosis and treatment plans to patients and families.
Certified Family Nurse Practitioner
Locumtenens.com
10.2022 - 10.2023
- Provide locums coverage at designated locations as directed by Locumtenens.com
- Reviewed medical histories and current complaints.
- Elevated standards of clinical excellence by participating in ongoing professional development opportunities, staying current on best practices in family medicine.
- Enabled timely referrals to specialist services as required, facilitating optimal patient outcomes.
- Coordinated patient care integral part of interdisciplinary team.
- Increased patient adherence to treatment plans by offering personalized guidance and education on chronic disease management.
- Promoted a culture of safety within the healthcare environment.
- Met with up to 25 patients each day in outpatient office.
- Enhanced patient satisfaction by providing comprehensive family healthcare services, including diagnosis, treatment, and follow-up care.
- Reviewed test results and information gleaned during examinations to properly diagnose illnesses or conditions.
- Contributed to clinical research initiatives, enhancing evidence-based practice within the field of family medicine.
- Strengthened patient-provider relationships by maintaining open lines of communication and addressing concerns with empathy and understanding.
- Completed physical examinations and required immunizations for school-aged patients.
- Discussed preventive measures to improve health and avert further medical issues.
- Streamlined clinic operations by effectively collaborating with interdisciplinary healthcare teams to coordinate patient care plans.
- Reduced waiting times for appointments through effective scheduling practices.
- Ordered and interpreted diagnostic tests to develop and implement treatment plans.
- Assessed and treated STDs in both males and females.
Family Nurse Practitioner
Front Range Clinic
07.2021 - 08.2022
- Developed patient care plans and documented progress toward goals.
- Assessed and treated patients through alcohol, opioid, stimulant, and benzodiazepine addictions, making referrals for comorbid conditions.
- Offered professional, respectful therapy to addicted individuals in outpatient and inpatient treatment facility.
- Developed professional relationships with referring agencies to improve communication related to intakes and to increase business for facility.
- Provided crisis intervention services when needed, effectively deescalating situations and supporting patient safety.
- Assisted patients in developing healthy coping skills, reducing the likelihood of relapse.
- Promoted harm reduction strategies as part of a holistic approach to treating substance use disorders.
- Improved patient outcomes by implementing evidence-based treatment approaches in addiction therapy.
- Evaluated patient progress regularly, adjusting treatment plans as needed to ensure continued growth and success in recovery.
- Mentored new staff members on best practices in addiction treatment, fostering a culture of continuous improvement within the clinic setting.
- Maintained detailed records of patient progress, ensuring accurate tracking and appropriate adjustments to treatment plans.
Assistant Director of Nursing
Valley Wide Health Systems, Inc
02.2015 - 06.2020
- Non-profit health center specializing in high-quality integrated health care services such as pediatrics, dental, prenatal care, preventive medicine, elder care, physical therapy, and much more
- With the mission to provide safe and effective personalized treatments for all with a particular focus on medically underserved populations
- Assistant Director of Nursing - Oversight of 25-30 nursing staff - Implementing and following up with Quality Improvement Metrics - Time Management - Implementing Nursing Guidelines - Collaboration of care with physicians and other specialties
- Collaborated with staff, management, and external groups to coordinate patient care.
- Managed nursing schedules and budgets, streamlining processes for cost savings while maintaining high-quality patient care.
- Collaborated with interdisciplinary teams to develop efficient care strategies tailored to individual patient needs.
- Contributed to the accreditation process by maintaining compliance with state and federal regulations for nursing standards.
- Mentored new nurses in clinical practice and procedures, fostering a supportive learning environment.
- Assisted in developing policies and procedures for safe medication administration, minimizing errors within the department.
- Served as a role model for nursing staff by demonstrating exceptional clinical skills, ethical behavior, and commitment to continuous learning.
- Enhanced staff performance through regular training sessions and professional development opportunities.
- Promoted a culture of teamwork by encouraging open communication among staff members and facilitating collaboration across departments.
- Optimized staffing levels to maintain an appropriate nurse-to-patient ratio, promoting quality of care without exceeding budget constraints.
- Evaluated staff performance regularly, providing feedback and guidance for improvement when necessary.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Participated in quality improvement initiatives aimed at enhancing overall service delivery within the facility.
- Identified department issues to recommend corrective actions.
- Played a key role in attaining high patient satisfaction scores by consistently delivering compassionate care and addressing concerns promptly.
- Developed comprehensive care plans for patients, ensuring optimal health outcomes and patient satisfaction.
- Developed positive employee relations, incentives, and recognition programs to promote teamwork and mutual respect.
- Established new policies and updated existing policies to improve standard of care for patients.
- Ensured adherence to safety guidelines for both patients and staff members during all aspects of clinical operations.
- Established strong relationships with community partners to expand access to healthcare services beyond facility walls.
- Worked closely administration to develop and implement best practices to improve patient outcomes.
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
Floor Nurse - LPN and RN
Valley Wide Health Systems, Inc
09.2012 - 02.2015
- Direct patient care to include taking a thorough health history - Vital signs - Assistance with procedures - Administering immunizations - Lab completion and follow up - Patient education - Ensuring completion of quality metrics
- Utilized NextGEN and Meditech to document nursing assessments, treatments, medications and discharge instructions.
- Provided effective patient education, ensuring understanding of medical conditions and treatment protocols for better selfmanagement.
- Promoted a safe environment by consistently adhering to infection control policies and procedures.
- Strengthened relationships between patients, families, and healthcare providers through clear communication and active listening skills.
- Ensured accuracy in patient records by meticulously documenting assessments, interventions, and outcomes, ultimately contributing to better-informed decision making by healthcare providers.
- Delivered treatments and direct nursing care according to physicians' orders in outpatient environment targeted in areas to include: chronic care, acute care, pediatric, family, and OBGYN.
- Established compassionate environment by providing psychological, emotional and spiritual support to patients and families.
CNA - Certified Nursing Assistant
Arkansas Valley Regional Medical Center
05.2010 - 02.2012
- Regional Medical Center located in a rural community
- Assisted patients with daily living activities, promoting independence and dignity.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Enhanced patient satisfaction by providing compassionate and attentive care.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Maintained confidentiality of patient information according to HIPAA guidelines while communicating effectively with team members about critical updates.
- Utilized proper body mechanics and assistance devices when transferring patients, minimizing the risk of injury for both parties.
Education
Master of Science - Nursing
Walden University
Minneapolis, MN01.2020
Bachelor of Science degree in Nursing -
Walden University
Minneapolis, MN01.2019
Associate Degree in Nursing -
Otero Junior College
La Junta, CO01.2014
Certification of Nursing Assistance -
Otero Junior College
La Junta, CO01.2010
Skills
- EMR Systems - NextGEN, Meditech, Epic
- Interprofessional Collaboration
- Conflict management
- Operations Management
- Telehealth Proficiency
- Addiction Treatment
- Quality Improvement
- Palliative Care
- Womens Health and Obstetric Care: up to 32 weeks
- Certified in CPR/AED
Certification
- BLS for Healthcare Providers
- Certified Nurse Practitioner
- DEA Certification Certified Family Nurse Practitioner
- MAT Certified September 2021 to Present
- Data 2000 waiver certified for prescribing suboxone
- RN, 09/01/22, CO
- CNP, 09/01/22, CO
Timeline
Certified Family Nurse Practitioner
Locumtenens.com
10.2022 - 10.2023
Family Nurse Practitioner
Front Range Clinic
07.2021 - 08.2022
Family Nurse Practitioner
Arkansas Valley Hospice
12.2020 - 07.2021
Owner/Operator
BB Land And Cattle
05.2018 - Current
Assistant Director of Nursing
Valley Wide Health Systems, Inc
02.2015 - 06.2020
Floor Nurse - LPN and RN
Valley Wide Health Systems, Inc
09.2012 - 02.2015
CNA - Certified Nursing Assistant
Arkansas Valley Regional Medical Center
05.2010 - 02.2012
Master of Science - Nursing
Walden University
Bachelor of Science degree in Nursing -
Walden University
Associate Degree in Nursing -
Otero Junior College
Certification of Nursing Assistance -
Otero Junior College