Nessa Quane
Philadelphia,PA
Summary
Versatile Certified Acute Care Nurse Practitioner seeking a position in an inpatient surgical specialty setting. Areas of expertise include Orthopedic Surgery, Vascular Surgery, Transplant Surgery, and medical management of inpatient chronic and acute disease states, in addition to eight years of bedside nursing experience in an ICCU, catering to a variety of acutely ill and postoperative patients.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Nurse Practitioner
Inpatient Abdominal Transplant Surgery, HUP
Philadelphia, PA
11.2022 - Current
- Management of a complex variety of abdominal transplant surgery patients undergoing kidney, liver, pancreas, and uterus transplant, in addition to care of organ donors.
- Management of these patients from admission, as either direct admit, post-clinic admission, post-surgical, or admission through the emergency room, through to complex discharge planning.
- Performed minor surgical procedures such as drain removal, suturing, staple removal and feeding tube placement.
- Complex care, including immune suppression management, infectious disease management, and performance of pre-operative evaluation and surgical consents, in deceased donor organ recipients.
- Provided comprehensive physical examinations, including ordering appropriate diagnostic tests.
- Daily patient rounding and patient presentations to oncoming attending on call, and discharge/complex care management in conjunction with a large multidisciplinary team.
- Solo APP management of an average of 20-35 patients for overnight coverage, and up to 20 patients per assignment for day shift.
- Large volume of readmission and primary management of transplant patients with multiple variations of diagnoses beyond surgical management.
- Direct oversight and management of patients in the surgical ICU, in conjunction with the critical care team.
Nurse Practitioner
Pennsylvania Hospital, Orthopedic In-patient Service
Philadelphia, PA
01.2015 - Current
- Evaluation of inpatient orthopedic patients each shift, ordering and review of lab work, vitals and medications & management and adjustment of pain regimen as necessary
- Attainment of key case information and updating service reports throughout day
- Daily care and medical management of between 10-20 orthopedic patients post hip & knee replacement, minor and major spine surgeries including spine deformity corrections, & foot and ankle surgeries
- Provide medical services and care to patients with both chronic and acute conditions, including patients with multiple co-morbidities across a wide variety of disease states including endocrine, cardiac, pulmonary, rheumatology, oncology and psychiatric conditions
- Management of patients from initial admission to service including admission H&P, pre-operative checklist, management of home medications, post-operative checks in PACU, through to discharge planning in conjunction with the interdisciplinary team
- The position when required, also involves the application and removal of casts, removal of surgical drains, and surgical wound management and management of surgical dressings
- Patient status ranges from stable on the medical-surgical floors, to patients requiring higher levels of care in the ICCU and ICU
- It is a very fast paced service which requires critical thinking, excellent decision making and fluid communication skills as it is necessary to interact with multiple interdisciplinary teams on a daily basis.
Nurse Practitioner
Peripheral Vascular Institute
Philadelphia, PA
05.2019 - 12.2022
- Assessment, evaluation and workup of patients experiencing symptoms of peripheral vascular disease, primarily peripheral arterial and venous disease
- New patient consults to direct care and further evaluate disease process utilizing diagnostic studies as appropriate
- Ordering and interpreting diagnostic studies and coordinating with supervising physician
- Follow up care including office visits and phone consults to determine patient outcomes are as expected
- Preoperative evaluation of patients undergoing procedures
- Management of anti-coagulation and anti-platelet regimen
- Counseling patients regarding chronic disease management and smoking cessation
- Lead NP in practice managing patients in multiple offices in greater Philadelphia area.
Nurse Practitioner
Signify Health
Philadelphia Region, Pennsylvania
05.2019 - 12.2022
- Assessment, evaluation and concise documentation of patients in the home setting
- Evaluations included a head to toe assessment, home medication verification, completion of a broad evaluation regarding patient's history and current/past diagnoses
- Teaching about chronic disease management
- Evaluation for appropriate intervention if needed
- Additionally some on site testing may be required to be collected such as collection of blood or urine samples as needed, or conduction of PAD testing
- Functionedd on a per diem basis, seeing patients several times a month with approximately 6-7 patients per day in my geographical area.
- Counseled patients on lifestyle modifications to improve their overall health.
ICCU Staff Nurse
Pennsylvania Hospital
Philadelphia, PA
06.2006 - 12.2014
- Daily care of up to four critically ill, acute and chronic patients across a variety of disease states including postoperative recovery from cardiac catheterization & EP lab procedures amongst others
- Management of patient care activities including wound care, phlebotomy, IV line care and medication management
- Assessment and documentation from admission through discharge
- Assisted patients with bathing, dressing, feeding and transferring
- Evaluating patient needs, prioritizing treatment, and maintaining patient flow
- Development of patient care plans, and education of patients and their families on discharge planning and medication management
- Continuous communication with medical and interdisciplinary team to ensure goal outcomes met
- During my time here I also served on unit committees and hospital based committees.
Education
Master of Science in Nursing: Acute Care Advance Practice Nursing -
Thomas Jefferson University
Philadelphia, PA08.2014
Bachelor of Science in Nursing -
La Salle University
Philadelphia, PA12.2010
Skills
- Acute care expertise
- Excellent communication and interpersonal skills
- Patient directed Care
- Compassionate care and attention to detail
- BLS & ACLS certified
- Preceptor for Nurse Practitioner students
- Decision making and problem solving skills
Certification
- ANCC certified Adult-Gerontology Acute Care Nurse Practitioner
- BLS & ACLS certified and up to date
- DEA certified
Affiliations
- Travel and Culture
- Certified Scuba Diver
- Currently studying Spanish with Bilingual certification goal
References
References available upon request.
Timeline
Nurse Practitioner
Inpatient Abdominal Transplant Surgery, HUP
11.2022 - Current
Nurse Practitioner
Peripheral Vascular Institute
05.2019 - 12.2022
Nurse Practitioner
Signify Health
05.2019 - 12.2022
Nurse Practitioner
Pennsylvania Hospital, Orthopedic In-patient Service
01.2015 - Current
ICCU Staff Nurse
Pennsylvania Hospital
06.2006 - 12.2014
- ANCC certified Adult-Gerontology Acute Care Nurse Practitioner
- BLS & ACLS certified and up to date
- DEA certified
Master of Science in Nursing: Acute Care Advance Practice Nursing -
Thomas Jefferson University
Bachelor of Science in Nursing -
La Salle University
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