Noelle Jauregui
Advanced Practice Nurse Practitioner
Waukesha,WI
Overview
25
25
years of professional experience
1
1
Certification
1
1
DEA waiver
Work History
Hospitalist APNP
ST. Luke’s Hospital
06.2018 - Current
- Admissions and triage in the emergency room
- Round and provide care on the inpatient setting
- H&P, Discharge, transfer patients, order consults, monitor evaluate and direct patient care until they meet qualifications for discharge
- ACLS/BLS/Trauma/Critical Care and Stroke certified
- Preceptor for new staff and Nurse practitioner students
- Develop and present education for nursing staff
- Sepsis program co-development, notify nurses and physicians if patient meets sepsis criteria
- Sepsis early intervention program
- Work with IT on algorithm development.
Psychiatric APNP
Horizon Health Care
02.2016 - 01.2021
- Telehealth program
- Intakes of new patients
- Discharge patients that have completed the program
- Diagnose patients, devise a treatment plan, prescribe medical therapy, and assess effectiveness of therapy
- Medically manage Depression, Anxiety, ADHD, Bipolar Disorder, and Schizophrenia
- Develop a professional provider client relationship so that client feels comfortable communicating with the provider about their concerns
- Recognize when a patient is in crisis, respond to their needs and hospitalize if necessary emergent care
- Evaluate for any side effects of medical therapy and revise medications accordingly
- Trained in opioid withdrawal program, with DEA Waiver
- Developed a Benzodiazepine wean program that was utilized for Benzo
- Addiction
- Smoking cessation support, developed program to assist in tobacco abuse
- ETOH addiction support, assistance utilizing MAT therapy, often require hospitalization coordination
- SSI-D evaluations, Chart utilization reviews, Medicare/Medicaid compliance evaluations
- Insurance preauthorization for medications
- Precept new staff and Nurse practitioner students.
Cardiology APNP
Waukesha Heart Institute
08.2016 - 06.2018
- Cardiology and Interventional Cardiology
- Provide cardiac care in both the inpatient setting and clinic setting
- Manage labs and anticoagulation for the clinic’s patients
- Assess patients and provide cardiac clearance for surgery
- Admit and complete new patient H&P
- Assess, Identify, and care for the ST Elevated Myocardial Infarction patient and the patient with the Non-Q Wave Myocardial Infarction
- Interpret Echocardiograms and Lexi scans
- Monitor, evaluate and provide direct care of patients on IABP, Ventilators and CVVH
- Assist with heart catheterizations, coronary and peripheral stent placement
- Teach cardiovascular health and post MI class for patients
- Skills: place IV’s, pull sheaths, pull IABP, ultrasound for PSA identification and hematoma monitoring, suturing and cauterizing groin sites.
Hospitalist APNP
Wisconsin Heart Hospital
09.2013 - 08.2016
- Hospital Medicine, Cardiology, CV Surgery, Electrophysiology and Wound Care
- Admit, Discharge, Consult and Transfer patients
- Evaluate acute or chronic conditions that could result in rapid physiological condition decline, Evaluate for surgical clearance
- Formulate plan of care, order and evaluate interventions for treatment with the goal of recovery or home management of chronic conditions and preventing readmissions
- Prescribe and evaluate medications
- Order, perform, or interpret the results of diagnostic tests and screening procedures based on assessment results, differential diagnoses, and knowledge about age, gender and health status of clients
- Assess urgent and emergent health conditions using both physiologically and technologically derived data
- Respond to all emergencies and Rapid Responses
- Lead the Code 4 team
- Monitor, evaluate and direct care of patients on IABP, Ventilators and CVVH
- Provide staff education materials and instruction on Trauma care
- Wound care certification, provide wound care, order treatments and set up outpatient wound care for after discharge
- Check, evaluate, reprogram pacemakers and ICD’s
- Download and interpret information from cardiomems, watchman or loop device.
APNP Geriatric Program
United HealthCare
04.2013 - 04.2015
- Home Health Assessments
- Determine if additional services were needed
- Evaluate chronically ill members
- Access acute care for members who needed immediate care
- Provide Wound care
- Develop the home safety (watch) program for providers.
Trauma/ICU/Emergency/Flight RN
Froedtert Hospital
10.2008 - 11.2013
- Specialized training for: Trauma (TNCC, ATCN) Critical care (CCRN), Surgical, Plastics, Transplant surgery, Neurotrauma and Neurosurgical
- Emergency and Disaster Response Team
- Set up, operate, or monitor invasive equipment and devices such as: cardiac monitors, tracheotomy equipment, mechanical ventilators, cardiac catheters, gastrointestinal tubes, central lines, continuous renal replacement therapy, aortic balloon pump, left ventricular assist system, hypothermia therapy, continuous EEG monitors, transcranial monitor, external ventricular drains and extracorporeal membrane therapy
- Under supervision intubate patients, insert chest tubes, place arterial lines
- Member of code 4 resuscitation emergency response team.
Critical Care Registered Nurse ICU Pool
Waukesha/Oconomowoc Memorial
11.2009 - 01.2011
- Staff RN
- ProHealth care critical Care pool, ICU
- Emergency room PRN staff.
Charge staff RN
Froedtert Hospital
01.2005 - 01.2008
- Specialized training for: urology, Uro/gyn, Gyn/oncology and Brachy therapy
- Direct patient care, delegate nursing assignments, determine staffing needs, supervise, monitor, support nursing staff and collaborate with MD to determine needs of unit while maintaining ability to accommodate specialized patients in a 34-bed unit.
Staff RN/PM Supervisor
Linden Grove
05.2005 - 12.2005
- Supervised Nursing and CNA staff of a 160 bed sub-acute/long term care facility
- Consulted and coordinated with health care team members to assess, plan, implement and evaluate patient care plans
- Modified patient treatment plans as indicated by patients' responses and conditions
- Monitored, recorded and reported symptoms and changes in patients' conditions
- Assessed the needs of individuals and families prior to discharge.
Staff LPN
Linden Grove
05.1999 - 05.2005
- Monitored, recorded, and reported symptoms and changes in patient’s condition to RN
- Administered medications and treatments to 32 patients
- Directed and supervised less skilled health care personnel.
Education
Diploma - General Studies
South High School
Waukesha, WI01.1995
DNP-student -
Rush University
Master of Science Nursing -
Marian University
05.2012
Bachelor of Science Nursing -
Marian University
12.2010
Associate Degree Nursing -
Waukesha County Technical College
05.2005
Practical Nursing Degree -
Waukesha County Technical College
12.1999
Associate Degree Accounting -
Waukesha County Technical College
12.1997
Certified Nursing Assistant -
Waukesha County Technical College
05.1995
Skills
- Medical Testing
- Medical Diagnosis
- Resource Utilization
- Diagnostic Skills
- Patient Health Assessments
- In-House Patient Care
- Teaching and Mentoring
- Geriatric Health
- Medical Knowledge
- Ethical Practice
- Medication Management
- Patient Care
- Patient Safety
- Hospital Medicine
- Attention to Detail
- Flexible and Adaptable
- Analytical Thinking
- Healthcare regulations
Certification
- Adult- Advance Practice Nurse Practitioner/Prescriber
- Basic Life Support
- Advanced Cardiovascular Life Support
- Trauma Nurse Critical Care
- Acute Trauma Care Nursing
- Critical Care RN
- Wound Care Certified
Awards
Extra Miler Award (2008, 2009, 2010)
References
Available upon request
Timeline
Hospitalist APNP
ST. Luke’s Hospital
06.2018 - Current
Cardiology APNP
Waukesha Heart Institute
08.2016 - 06.2018
Psychiatric APNP
Horizon Health Care
02.2016 - 01.2021
Hospitalist APNP
Wisconsin Heart Hospital
09.2013 - 08.2016
APNP Geriatric Program
United HealthCare
04.2013 - 04.2015
Critical Care Registered Nurse ICU Pool
Waukesha/Oconomowoc Memorial
11.2009 - 01.2011
Trauma/ICU/Emergency/Flight RN
Froedtert Hospital
10.2008 - 11.2013
Staff RN/PM Supervisor
Linden Grove
05.2005 - 12.2005
Charge staff RN
Froedtert Hospital
01.2005 - 01.2008
Staff LPN
Linden Grove
05.1999 - 05.2005
Diploma - General Studies
South High School
DNP-student -
Rush University
Master of Science Nursing -
Marian University
Bachelor of Science Nursing -
Marian University
Associate Degree Nursing -
Waukesha County Technical College
Practical Nursing Degree -
Waukesha County Technical College
Associate Degree Accounting -
Waukesha County Technical College
Certified Nursing Assistant -
Waukesha County Technical College
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