Peggy Towles

• Conducting thorough in-home diagnostic evaluations leading to improved patient outcomes and satisfaction among Veterans, as measured by patient feedback and follow-up metrics.
• Making critical assessments of Veterans over telephone, as well as reviewing labs, imaging, and other findings with veterans over telephone to offer them efficient, immediate medical care.
• Advocating for Veterans to ensure they receive necessary resources to support their independence and dignity.
• Coordinated with physicians, specialists, and other medical staff to develop evidence-based treatment plans for complex chronic conditions.
• Maintained thorough documentation of all clinical encounters, completed within 48 hours of patient contact, adhering to HIPAA regulations while facilitating clear communication among team members.

• Coordinated with Veterans and their families to honor Veterans' wishes at last stage of life, including end-of-life pain management.
• Coordinated with physicians, specialists, and other medical staff to develop treatment plans for chronic conditions and Veterans with CLC rehabilitation needs.
• Participated in monthly case conferences with other healthcare providers to collaboratively develop comprehensive care plans, resulting in well-coordinated patient treatments.
• Completed detailed assessments of new admissions within 24 hours, identifying specific rehabilitation needs for each patient.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Managed patients recovering from medical or surgical procedures.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Maintained national certification (HPCC) as Advanced Certified Hospice and Palliative Nurse Practitioner.

• Provided patient-tailored pain management regimens for terminal cancer patients.
• Maintained thorough documentation of all clinical encounters within 48 hours, adhering to HIPAA regulations while facilitating clear communication among team members.
• Worked with families, caregivers and patients to determine best treatment options for end-of-life care.
• Assessed patients to determine whether appropriate for ongoing hospice care.
• Earned and maintained national certification (HPCC) as an Advanced Certified Hospice and Palliative Nurse Practitioner.

• Walk-in Urgent-Care clinic that triaged, gathered histories, assessed, diagnosed and treated acute and chronic medical conditions.
• Performed physical assessments, accurately diagnosing conditions, and determining appropriate interventions.
• Educated patients on treatment options, medical needs, and non-medical options for treatments and therapy.
• Provided clear and thorough documentation on each patient by end of shift each day.
• Optimized clinic operations, contributing to improved patient access and reduced wait times for appointments.
• Advanced cultural competence within the practice environment through ongoing education efforts focused on diversity and inclusion.

Mobile clinic in rural location for uninsured and underinsured grade-school students.

• Assessed, diagnosed, prescribed and dispensed appropriate medications for self-limited childhood illnesses.
• Administered immunizations and monitored responses.
• Educated patients on disease management, self-care techniques, and wellness strategies to improve long-term health outcomes.
• Performed accurate documentation of patient assessments, interventions, and outcomes in compliance with regulatory standards.

• Performed comprehensive physical assessments, accurately diagnosing conditions, and determining appropriate interventions.
• Promoted health maintenance and disease prevention through patient education and counseling on lifestyle modifications.
• Monitored patient condition and progress, ordering appropriate laboratory tests.
• Ordered and interpreted diagnostic tests to develop and implement treatment plans.
• Performed minor surgical procedures, handling suturing and wound care.
• Coordinated with insurance companies, negotiated contracts, managed personnel, maintained business license and corporation standing.
• Participated in HEDIS self-audits to evaluate 90 measurements over six critical domains of patient care.

Temporary position taking over full duties of internal medicine office while owners were overseas.

• Performed comprehensive physical assessments, accurately diagnosing conditions, and determining appropriate interventions.
• Ordered and interpreted diagnostic tests to develop and implement treatment plans.
• Promoted health maintenance and disease prevention through patient education and counseling on lifestyle modifications.
• Monitored patient condition and progress, ordering appropriate laboratory tests.
• Coordinated with physicians, specialists, and other medical staff to develop treatment plans for chronic conditions.
• Educated patients on treatment options, medical needs, and non-medical options for treatments and therapy.
• Performed patient physicals and compared and contrasted results with established medical records to provide proper diagnosis and facilitate appropriate treatment.
• Participated in HEDIS self-audits to evaluate 90 measurements over six domains of care.

One-MD, one-NP family practice in rural Colorado, treating all ages and all levels of acuity, including OB.

• Referred to and consulted with physicians and other healthcare providers on patient care.
• Educated patients on variety of infectious disease issues, nutrition, obesity, and smoking cessation to improve overall health and wellness.
• Rapidly analyzed and responded to critical situations such as cardiovascular, abdominal, and neurological maladies in emergency situations. Covered the community ER when needed.
• Optimized time management skills to prioritize urgent cases while maintaining high-quality care for all patients.
• Exhibited excellent problem-solving skills when encountering complex medical cases, collaborating with physicians and other healthcare professionals to determine the most appropriate course of action for optimal patient outcomes.

Full family practice/urgent care/house calls on extremely remote corner of the Navajo Reservation (designated "frontier" by National Health Services Corps). Clinic was a "Tribal 638 Federally Qualified Health Center", owned and operated by the Navajo people.

• Rapidly analyzed and responded to critical situations such as cardiovascular, abdominal, multi-injury industrial accidents, multi-casualty incidents (eg bus crashes), supporting elders in end-of-life crises, and delivering babies in emergency situations.
• Demonstrated adaptability by providing coverage across various disciplines within healthcare facility, including primary care, urgent care, and specialty clinics as needed.
• Exhibited excellent problem-solving skills when encountering complex medical cases, collaborating with physicians and other healthcare professionals to determine the most appropriate course of action for optimal patient outcomes.
• Managed chronic conditions by monitoring patient health and treatment plan progress to make necessary adjustments in care.
• Completed in-depth physical evaluations and gathered patient medical data, labs, and imaging where indicated.
• Provide in-depth evaluations for Downwinder Screening in this high-risk population.
• Participated in ongoing professional development activities to remain current on industry advancements, applying new knowledge to improve patient care practices continually.
• Trained and served with National Health Services Corps in context of then-current anthrax threats and recent 911 attacks.
• Coordinated with CDC regarding suspected incidence of Chagas Disease in surrounding area, contributing evidence for need for government grant to study situation (awarded to University of Arizona).

The Tohono O'Odham people had the highest incidence of Type 2 Diabetes in the world, resulting in general complications and high acuity of conditions. In addition, this remote government hospital/clinic was situated just north of an open border with Mexico. (The Tohono O'Odham's traditional lands extended into Mexico, so no border barriers were allowed.) Unfortunately, the land became a corridor for drug trafficking (and accompanying violence) and for undocumented migrant families who were unprepared for the challenging terrain and extreme conditions they faced.

• Rapidly analyzed and responded to critical situations such as trauma/trauma codes from gang violence, MI's, heart failure, sepsis, rhabdomyolysis from extreme heat exposure, severe hypothermia from extreme cold exposure, bites from rabid animals, etc.
• Analyzed, researched, tested and treated unusual lesions, such as cutaneous anthrax, lupus pernio sarcoidosis, and lesions from secondary syphilis.
• Exhibited excellent problem-solving skills when encountering complex medical cases, collaborating with physicians and other healthcare professionals to determine most appropriate course of action for optimal patient outcomes.
• Conducted rounds in hospitals to check on admitted patients and provide care.
• Worked with traveling surgeon, debriding wounds, evaluating and treating stasis ulcers, performing minor surgeries, suturing incisions, etc.
• Recorded patient history to accurately track conditions, progress and diagnosis for comprehensive medical records.