Monique GIBBS CRNP APRN FNP-C

• Establishes medical diagnosis, prescribes medications, and develops treatment plans based on evidence-based guidelines for common short-term or chronic stable health problems for a pediatric and adolescent population.
• Prescribes medications, orders and plans treatments according to current guidelines from nationally-recognized professional organizations.
• Assesses and manages minor somatic and behavioral health problems.
• Orders, performs, and interprets laboratory tests and develops appropriate treatment plans.
• Efficiently and accurately utilizes and documents patients’ visits and health information in the health department’s EMR, abiding by ethical and medical standards of care and practice and utilizing appropriate ICD and CPT codes.
• Provides guidance and instruction in health maintenance and disease prevention in conjunction with other health professionals, including patients’ other medical providers.
• Plans and provides for the continuing care of patients.
• Coordinates patients’ health care with other medical providers, community and hospital services, determines appropriate community referrals and assists in making appointments and referrals needed by patients and families.
• Appropriately refers patients to other health care providers.
• Encourages and assists patients and their families to understand health conditions and assist them in developing and performing self-care measures to improve health and promote optimum wellness.
• Provides advice, training and guidance to health suite and school personnel.
• Reviews, studies and updates knowledge on developments and trends in medicine, public health, and school health.
• Assigns and supervises the Direct Care Associates.
• Maintains professional demeanor and rapport with patients, their parents/guardians, schools’ staff and administrators, health suite staff, other health care providers, health department personnel, and community members.
• Identifies training needs and assists with the education and training of program and health department staff.
• Assists in the assessment, evaluation, and implementation of program and health department operations, procedures, policies, and services for program improvements.
• Provides data and other information required for reports and quality improvement projects according to schedule and as requested

• Taking clinical histories or assessments
• Conducting physical examinations and evaluations as appropriate
• Determining diagnostic and screening tests needed and interprets the results
• Medical and clinical decision-making including diagnosis and treatment plan, emergently if needed
• Preventive health maintenance and education
• Referrals to hospitals, specialists, social services or other providers when needed
• Actively participates in quality improvement initiatives at Bowie State University and seeks to continuously improve the quality of care for their patients.
• Conducts thorough peer reviews and provides constructive feedback to peers
• Documents in the medical chart in an appropriate and timely manner
• Reviews and implements clinical best practices and optimizes CME time to stay up to date
• Maintains a culture of safety and completes incident reports when issues arise and participates in the problem solving and improvement process
• Collaborates with Bowie State University leadership and staff on panel and population management
• Maintains clinical privileges and responds to inquiries in a timely and complete manner

• Reports to assigned facility at designated hour to examine referred patients.
• Conducts on-site chronic care clinics and sick call as established by Site Medical Director, Health Services Administrator or designee.
• Conducts infirmary rounds as established by Site Medical Director, Health Services Administrator or designee and records encounters in the patient's progress notes.
• Ensures progress note documentation is in SOAP format, problem oriented, corresponds to the therapeutic order and is dated, timed and legible.
• Adheres to the established formulary for therapeutic regimens before using non-formulary procedure.

• Navigate the patient through the testing experience from the point of intake to discharge.
• Educate the patient and explain the process for the test to be performed.
• Adhere to specimen collection protocols and utilize standard and safety laboratory practices in handling specimens.
• Follow CDC established guidelines for specimen handling and processing.
• Manage PPE inventory to ensure availability.
• Maintain patient confidentiality at all times.
• Ensure testing sites where well prepared, clean, and adequately stocked to deliver quality and safe patient experience.
• Assist with testing site setup and take down as needed.
  

• Conducts physical assessments, administers prescribed treatments and dispenses medications, performs diagnostic tests, reviews and interprets laboratory findings and follows up with patients as needed.
  Provides surveillance of medical regimens and adjusts the regimes within established procedures. Refers to and collaborates with the Primary Care physician for further assessment and advice with complex medical problems.
  Works in collaboration with the supervising physician, as well as the other providers within the office to provide seamless, quality care to patients.
  Provides teaching and counseling aimed at maintenance of health and prevention of accident risk factors.
  Accurately and concisely documents in the patient’s medical record complete visit motes, including findings, diagnosis, treatment rendered and instructions given. The note will also reflect a plan for follow-up care, and any consultations done on behalf of the patient.
  Collaborates with families and other health agencies, both within and outside of the St. Joseph System, to provide continuity in the physical and emotional care of patients.
  Maintains knowledge of cultural diversity and demonstrates sensitivity in the development of the plan of care.
  Demonstrates knowledge of the principals of growth and development over the life span, to provide optimal, age appropriate care.
  Provides initial care, emergent care and arranges for continuing care.
  Actively participates in Quality Assurance programs on an on-going, as needed basis

• Perform Medical Screening Evaluations (MSE) in person at the hospital for all patients presenting to the hospital who require a MSE
• Diagnose and treat acute, episodic or chronic illness, independently or as part of a healthcare team
• Assess physical and psychiatric health of patient and formulate measures to meet patient needs
• Provide direct patient care
• Chart clinical observation (direct or through dictation), evaluations and treatment of patient in required time frames according to facility guidelines
• Communicate with physicians and other staff as necessary to provide quality care for patient within appropriate guidelines
• Provide on-call responsibilities on scheduled basis as directed by the facility
• Make recommendations, write orders and prescribe appropriate treatment
• Maximize opportunities for quality care
• Contribute to and participate in performance improvement
• Maintain appropriate and safe physical management skill requirements
• Develop an individualized treatment plan with measurable goals that reflects understanding of treatment process
• Encourage family involvement in patient care. Respond to identified patient and family educational needs
• Support and follow legal requirements, hospital policy and procedures, medical staff bylaws and regulatory requirements
• Provide services that are in accordance with the state guidelines for Psychiatric Nurse Practitioner
• Coordinated with psychiatrists to develop treatments for wide-ranging mental health problems
• Explained details of mental illness and medication administered to patients' families

Deliver high quality and compassionate care to incarcerated patients. Obtain health histories and perform physical examinations. Design and implement treatment plans in the management of chronic and acute health issues. Manage the pharmacological an non-pharmacological treatment of various disorders and diseases. Assess need for order, and interpret appropriate laboratory and diagnostic test. Respond to emergent situations at WTRC. Provide acute care including the evaluation of orthopedic/trauma injuries sustained by the inmates. Routine health maintenance. Detoxification management.

• Perform physical examinations, evaluations, diagnosis and treatment for all inmate patients in a variety of settings under the supervision of physician. With physician, manages acute and/or chronic conditions. Responds to and initiates care for medical emergencies throughout the facility. Orders appropriate lab tests and medications according to interpretation of diagnostic testing and response to treatment, within established written protocol, and consistent with institution formulary and state and company regulations. Coordinates health treatment with other disciplines as necessary. Maintain working knowledge of pharmacology including drug reaction/overdose.Responsible for complete and accurate documentation in the inmate patient\'s health record for careprovided. Maintains health services records and logs as appropriate. Makes rounds, checks medications, observes and records the progress and the condition of inmates housed in confinement and receiving health care services. Performs consultation evaluations as requested. Coordinates the referral of inmates to specialists or hospitals as necessary. Compiles inpatient admission, discharge and/or transfer summaries as required. Counsels inmates on preventative care, medical problems and use of prescribed treatment. Adheres to Universal Precautions and other appropriate infection control practices. Draws blood specimens or testing and performing other comparable procedures when personnel that customarily perform these procedures are not available. Provide/present/participate in education to inmate patient, health care and correctional staff. Follows security regulations for keys, sharps and controlled medications. Delegates to and supervises other team members as appropriate. Maintains confidentiality of inmate records. Recommends improved procedures, equipment and supplies to the supervisor

• Perform physical examinations, evaluations, diagnosis and treatment for all inmate patients in a variety of settings under the supervision of physician. With physician, manages acute and/or chronic conditions. Responds to and initiates care for medical emergencies throughout the facility. Orders appropriate lab tests and medications according to interpretation of diagnostic testing and response to treatment, within established written protocol, and consistent with institution formulary and state and company regulations. Coordinates health treatment with other disciplines as necessary. Maintain working knowledge of pharmacology including drug reaction/overdose. Responsible for complete and accurate documentation in the inmate patient\'s health record for care provided.Maintains health services records and logs as appropriate. Makes rounds, checks medications, observes and records the progress and the condition of inmates housed in confinement and receiving health care services. Performs consultation evaluations as requested. Coordinates the referral of inmates to specialists or hospitals as necessary. Compiles inpatient admission, discharge and/or transfer summaries as required. Counsels inmates on preventative care, medical problems and use of prescribed treatment. Adheres to Universal Precautions and other appropriate infection control practices. Draws blood specimens or testing and performing other comparable procedures when personnel that customarily perform these procedures are not available. Provide/present/participate in education to inmate patient, health care and correctional staff. Follows security regulations for keys, sharps and controlled medications. Delegates to and supervises other team members as appropriate. Maintains confidentiality of inmate records.Recommends improved procedures, equipment and supplies to the supervisor

• Performed comprehensive physical assessments, accurately diagnosing conditions, and determining appropriate interventions.
• Handled complex cases involving multiple comorbidities effectively by employing critical thinking skills and seeking expert consultations when necessary.
• Ordered and interpreted diagnostic tests to develop and implement treatment plans.
• Performed patient physicals and compared and contrasted results with established medical records to provide proper diagnosis and facilitate appropriate treatment.
• Managed acute and chronic illnesses, developing personalized treatment plans that addressed patients'' unique needs.
• Educated patients on treatment options, medical needs, and non-medical options for treatments and therapy.
• Educated and guided patients on disease prevention and healthy lifestyle habits to prevent Type-2 diabetes and other complications.
• Enhanced patient satisfaction through effective communication, empathy, and timely response to concerns.
• Monitored patient progress and adjusted treatments accordingly.
• Served as a preceptor for nursing students, fostering their clinical skills development in primary care settings.
• Promoted health maintenance and disease prevention through patient education and counseling on lifestyle modifications.
• Improved patient outcomes by implementing evidence-based care and treatment plans tailored to individual needs.
• Advanced cultural competence within the practice environment through ongoing education efforts focused on diversity and inclusion.
• Optimized clinic operations, contributing to improved patient access and reduced wait times for appointments.