Melissa Thomas, MSN, APRN, FNP-BC
406 4th Street Maddock
Summary
Compassionate Family Nurse Practitioner with two years experience in primary care and family medicine, supported by 12 years as a registered nurse and eight years as a licensed practical nurse. Dedicated to building positive relationships with patients, families, community, and healthcare professionals while promoting ethical decision-making, collaboration, consultation, health promotion, and disease prevention.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Family Nurse Practitioner
Spirit Lake Tribe
Fort Totten
05.2024 - Current
- Conducted comprehensive health assessments for patients in tribal communities.
- Developed and implemented individualized care plans for diverse patient populations.
- Collaborated with interdisciplinary teams to enhance patient care delivery.
- Provided health education and resources to promote wellness initiatives.
- Monitored chronic disease management and preventative care practices.
- Utilized evidence-based practice guidelines for assessment, diagnosis and treatment planning decisions.
- Provided comprehensive primary care services to patients of all ages, including physical examinations, health assessments, and immunizations.
- Maintained accurate documentation in electronic medical records system according to established standards.
- Counseled patients on health risks associated with smoking, obesity, stress management and addiction.
- Performed routine diagnostic tests such as laboratory work, EKGs, x-rays, ultrasounds and other imaging studies.
- Collaborated with physicians in the diagnosis and management of acute and chronic illnesses.
- Prescribed medications and monitored progress for effectiveness of treatments.
- Educated patients about preventative healthcare measures including nutrition, exercise and lifestyle modification.
- Developed individualized patient treatment plans based on identified needs and medical history.
- Evaluated and treated sexually transmitted diseases.
- Offered preventive services such as well-child, adult and gynecological examinations.
Registered Nurse- Clinic
SMP Health- St. Aloisius
Harvey
08.2023 - 05.2024
- Family Practice
- Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Acted as patient advocate and implemented total patient care through team nursing process.
- Provided patient and family health education focusing on self-management, prevention and wellness.
Advanced Practice Registered Nurse
Signify Health
Dallas
02.2023 - 07.2023
- In-Home Health Evaluations
- Performed physical exams including vital signs.
- Modified treatment and care plans, as necessary.
- Promoted health by advising patients about diet, hygiene and methods for prevention of disease.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Utilized computerized Electronic Health Record (EHR) system.
Registered Nurse- Clinic
SMP Health- St. Aloisius
Harvey
08.2019 - 07.2020
- Family Practice
- Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Acted as patient advocate and implemented total patient care through team nursing process.
- Provided patient and family health education focusing on self-management, prevention and wellness.
Paraprofessional
Maddock Public School
Maddock
01.2018 - 05.2019
- Public School
- Supported students throughout academic instruction and assignments.
- Applied positive reinforcement to redirect negative behaviors.
- Supplied one-on-one attention to each student during group activities.
- Assisted children at stations during small-group learning periods.
- Assisted with implementation of student's individualized IEP at discretion and direction of teachers and administrators.
- Communicated and collaborated well with educators from various grade levels.
- Communicated confidential details about student behavior and performance with parents and authorized parties.
- Supervised students in classrooms, halls, cafeterias, gymnasiums and field trips.
- Attended in-services, workshops and seminars.
Registered Nurse
Altru Clinic
Devils Lake
06.2016 - 11.2017
- Family Practice.
- Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Acted as patient advocate and implemented total patient care through team nursing process.
- Administered medications, tracked dosages and documented patient conditions.
- Provided patient and family health education focusing on self-management, prevention and wellness.
Registered Nurse- Director of Nursing
Maddock Memorial Home
Maddock
08.2014 - 06.2016
- Basic Care
- Assessed competency of clinical staff to promote quality, continuity and safety.
- Implemented changes needed to correct deficiencies found during government inspections.
- Monitored development, implementation and updates of individualized care plans.
- Oversaw explanation of personnel policies and job descriptions as part of nursing employee orientation process.
- Administered executive supervision, exercising independent judgment to select proper course of action in policies and procedures.
- Reviewed daily documentation of dispensing of controlled substances, immediately noting discrepancies from shift to shift.
- Communicated with patients with compassion while keeping medical information private.
- Explained policies, procedures and services to patients.
Registered Nurse- Supervisor
St. Aloisius Medical Center
Harvey
08.2011 - 08.2014
- Skilled Nursing
- Partnered with organizational and unit leaders to devise QA/QI initiatives, continuously improving delivery of care, patient outcomes and overall services.
- Monitored infection control and critical incidents and made changes and improvements to processes where necessary.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Oversaw patient admission and discharge processes to coordinate related paperwork.
- Monitored and managed various treatment and care interventions.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
- Advocated for patients by supporting and respecting basic rights, values and beliefs.
- Created, implemented and evaluated patient care plans with medical team.
- Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
- Provided patient and family health education focusing on self-management, prevention and wellness.
- Acted as patient advocate and implemented total patient care through team nursing process.
- Conducted intake assessments with patients and relatives to gather case history.
Registered Nurse
Mercy Hospital and Home Care
Devils Lake
05.2011 - 08.2011
- Hospice/Home Care
- Listened to patients and loved ones, offering emotional support and kindness to help with end-of-life transition.
- Delivered respectful, compassionate care to each patient and family member.
- Guided patients' loved ones and caregivers in pain management, wound care and medication dosing.
- Created and applied tailored care plans that would meet each patient's individualized needs.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
Registered Nurse
Manor Care
Fargo
02.2011 - 05.2011
- Skilled Nursing/Rehabilitation
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Acted as patient advocate and implemented total patient care through team nursing process.
- Monitored and managed various treatment and care interventions.
- Advocated for patients by supporting and respecting basic rights, values and beliefs.
- Administered medications, tracked dosages and documented patient conditions.
- Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
- Provided patient and family health education focusing on self-management, prevention and wellness.
- Oversaw patient admission and discharge processes to coordinate related paperwork.
- Conducted intake assessments with patients and relatives to gather case history.
Licensed Practical Nurse
Manor Care
Fargo
07.2010 - 02.2011
- Skilled Nursing
- Communicated concerns regarding patients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.
- Monitored patient's respiration activity, blood pressure and blood glucose levels in response to medical administration.
- Collected and documented vital signs to track current patient conditions.
- Interviewed patients to obtain medical history.
- Promoted culture of safety for patients and employees through proper identification, reporting documentation and prevention.
- Administered prescribed medications or started intravenous fluids, noting times and amounts on patient charts.
- Administered medications and therapies in accordance with physicians orders.
- Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
- Took temperatures or blood pressures, dressed wounds and provided other basic patient care or treatments.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Monitored infection control procedures to verify facility-wide health and safety.
Licensed Practical Nurse
Sanford Medical Center
Fargo
07.2009 - 07.2010
- Utilization Management
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
- Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.
- Contacted insurance carriers to obtain authorizations for services delivered to patients.
- Kept detailed documentation on all utilization reviews by using Epic.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Licensed Practical Nurse
Sanford Medical Center
Fargo
11.2006 - 07.2009
- Medical/Surgical Resource Team
- Assessed patients using comprehensive evaluation techniques and sound clinical judgment.
- Administered treatments, therapies and medication according to prescribed methods and protocols.
- Demonstrated high degree of confidentiality, positive interpersonal skills and adaptability in fast-paced and unpredictable medical environment.
- Maintained aseptic environment to prevent patient infections or other unwanted outcomes.
- Delivered physician-ordered treatments and monitored responses to quickly spot complications and side effects.
- Cared expertly for individuals with wide array of medical issues such as pulmonary, cardiology and infectious disease patients.
- Coordinated with patient and attending physician in facilitating discharge and continuing needs for home care or transfer to extended care facility.
- Supported patients receiving treatment by carefully listening and offering comfort.
- Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
- Worked as part of healthcare team to assess patient needs, plan and modify care and implement interventions.
- Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
- Assembled and used catheters, tracheotomy tubes or oxygen suppliers.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Licensed Practical Nurse
Sanford Health Clinic
Fargo
01.2005 - 11.2006
- Internal Medicine
- Collected and documented vital signs to track current patient conditions.
- Delivered compassionate care to increase comfort and psychological, social and spiritual well-being.
- Used sterile techniques to prepare patients for procedures.
- Observed and carried out physician and nursing orders.
- Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care.
- Triaged patients by phone and provided general assistance for basic and advanced needs.
Licensed Practical Nurse
Sanford Health Clinic
Fargo
01.2004 - 01.2005
- Pediatrics
- Evaluated patient care needs, prioritized treatment and maintained patient flow.
- Treated pediatric patients with minor illnesses, acute and chronic health problems and growth and development concerns.
- Performed basic physical assessments of newborns and infants.
- Administered medications and therapies as prescribed by physicians.
- Helped pediatric patients understand and feel at ease with vaccines, tests and minor procedures.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Utilized computerized Electronic Health Record (EHR) system.
- Stocked clinical workstations and procedure rooms with necessary supplies.
Licensed Practical Nurse
Medcenter One Health Systems
Bismarck
07.2003 - 01.2004
- Pediatrics
- Evaluated patient care needs, prioritized treatment and maintained patient flow.
- Treated pediatric patients with minor illnesses, acute and chronic health problems and growth and development concerns.
- Performed basic physical assessments of newborns and infants.
- Administered medications and therapies as prescribed by physicians.
- Helped pediatric patients understand and feel at ease with vaccines, tests and minor procedures.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Utilized computerized Electronic Health Record (EHR) system.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
- Stocked clinical workstations and procedure rooms with necessary supplies.
Licensed Practical Nurse
Sanford Medical Center
Fargo
08.2002 - 07.2003
- Oncology
- Promoted kind, compassionate environment, utilizing active listening and effective communication skills for cancer patients receiving treatment.
- Provided emotional support for patients receiving physically taxing treatments.
- Supported patients receiving treatment by carefully listening and offering comfort.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
- Utilized computerized Electronic Health Record (EHR) system.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
- Stocked clinical workstations and procedure rooms with necessary supplies.
Education
Master of Science - Family Nurse Practitioner
Presentation College
Aberdeen, SD12.2021
Bachelor of Science - Registered Nurse
Presentation College
Aberdeen, SD05.2010
Associate of Science - Licensed Practical Nurse
Minnesota State Community And Technical College
Moorhead, MN08.2002
Bachelor of Science - Child Development And Family Science
North Dakota State University
Fargo, ND12.1999
Skills
- Patient-centered care
- Preventive care
- Physical assessments
- Geriatric treatment
- Customer service
- Relationship building
- Laceration repair
- Diabetes management
- Cardiovascular management
- STD care and counseling
- Interpreting laboratory results
- Microsoft Office
- Electronic health records systems
- Conduct PAD assessments
Certification
Family Nurse Practitioner, NP- BC
- American Nurses Credentialing Center, credentialing number 2022057159, valid through 09/19/2027
- Registered Nurse Practitioner in the State of North Dakota, license number R36084, valid through 12/31/2027
- Registered Nurse Practitioner in the State of North Dakota, prescriptive authority, valid through 12/31/2027
- Registered Nurse Practitioner, National Provider Identifier, 1780395285
- DEA Registration Number, MT8280125, valid through 11/30/2026
Registered Nurse
- North Dakota Board of Nursing Number R36084
- Valid through 12/31/2027
Basic Life Support
- American Heart Association
- Valid through 10/2026
Professional References
Shayla Jegtvig, MSN, APRN, NP-C, CCCTM
Aberdeen, SD
Email: shayjet76@gmail.com
Cell: 218-790-3794
Nicole Lemieux, PA
Rugby, ND
Email: nlemieux@hamc.com
Cell: 701-208-0699
Wendy Wagner, RN
Harvey, ND
Email: wsjnels.91920@gmail.com
Cell: 701-399-9207
Timeline
Family Nurse Practitioner
Spirit Lake Tribe
05.2024 - Current
Registered Nurse- Clinic
SMP Health- St. Aloisius
08.2023 - 05.2024
Advanced Practice Registered Nurse
Signify Health
02.2023 - 07.2023
Registered Nurse- Clinic
SMP Health- St. Aloisius
08.2019 - 07.2020
Paraprofessional
Maddock Public School
01.2018 - 05.2019
Registered Nurse
Altru Clinic
06.2016 - 11.2017
Registered Nurse- Director of Nursing
Maddock Memorial Home
08.2014 - 06.2016
Registered Nurse- Supervisor
St. Aloisius Medical Center
08.2011 - 08.2014
Registered Nurse
Mercy Hospital and Home Care
05.2011 - 08.2011
Registered Nurse
Manor Care
02.2011 - 05.2011
Licensed Practical Nurse
Manor Care
07.2010 - 02.2011
Licensed Practical Nurse
Sanford Medical Center
07.2009 - 07.2010
Licensed Practical Nurse
Sanford Medical Center
11.2006 - 07.2009
Licensed Practical Nurse
Sanford Health Clinic
01.2005 - 11.2006
Licensed Practical Nurse
Sanford Health Clinic
01.2004 - 01.2005
Licensed Practical Nurse
Medcenter One Health Systems
07.2003 - 01.2004
Licensed Practical Nurse
Sanford Medical Center
08.2002 - 07.2003
Master of Science - Family Nurse Practitioner
Presentation College
Bachelor of Science - Registered Nurse
Presentation College
Associate of Science - Licensed Practical Nurse
Minnesota State Community And Technical College
Bachelor of Science - Child Development And Family Science
North Dakota State University