Trisha Hittenmiller
Grimes
Summary
Advanced Registered Nurse Practitioner with 10 years of experience in urgent, emergency, and neurotology healthcare settings. Eight years of prior RN experience across diverse hospital environments. Demonstrated excellence in delivering high-quality patient care, emphasizing detail and compassion. Proficient in clinical assessment, patient management, medical treatment and interdisciplinary collaboration in fast-paced settings.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Advanced Registered Nurse Practitioner
Doctors Now
Altoona
05.2025 - Current
- Diagnose and treat various urgent health conditions in diverse patient populations.
- Educate patients on preventive, acute and chronic illness management strategies.
- Provide compassionate support and listening during urgent care visits to address patient concerns.
- Maintain accurate documentation in electronic medical record system.
- Perform physical examinations and interpret laboratory results to ensure accurate diagnoses.
- Evaluate mental health issues such as depression and anxiety disorders.
Botox by Trish
Self-employeed
Grimes
11.2018 - Current
- Administer Xeomin for facial botulinum toxin treatments while providing individualized options.
- Achieved certification and training from the American Academy of Facial Esthetics.
- Certified TMJ injector
Advanced Registered Nurse Practitioner
Iowa Ear Center
Cive
09.2015 - Current
- Develop individualized care plans through comprehensive patient assessments.
- Perform diagnostic procedures and accurately interpret results for ear conditions as well as treatment.
- Manage medication prescriptions while effectively monitoring patient responses.
- Trained staff on clinical procedures and patient care best practices.
- Contribute to quality improvement initiatives aimed at enhancing clinic services.
- Screen for mental health conditions associated with chronic illness.
Advanced Registered Nurse Practitioner
Mercy Medical Center
Des Moines
08.2014 - 09.2015
- Collaborated with physicians to create effective and safe patient care plans.
- Assessed, diagnosed, and treated emergent medical conditions in the Emergency Room setting.
- Utilized critical thinking skills to evaluate urgent situations and initiate timely interventions.
- Delivered emotional support to patients and families during critical moments.
Education
Post-Degree Certificate - Psychiatric Mental Health Nurse Practitioner
University of Iowa
Iowa City, IA08-2026
Master of Science - Family Advanced Registered Nurse Practitioner
Clarkson College
Omaha, NE08-2014
Bachelor of Science - Nursing
Mount Mercy University
Cedar Rapids, IA05-2007
Skills
- Patient assessment
- Care plan development
- Medical treatment
- Health education
- Electronic medical records
- Diagnostic procedures
- Critical thinking
Certification
Family certified through The American Academy of Nurse Practitioners
Timeline
Advanced Registered Nurse Practitioner
Doctors Now
05.2025 - Current
Botox by Trish
Self-employeed
11.2018 - Current
Advanced Registered Nurse Practitioner
Iowa Ear Center
09.2015 - Current
Advanced Registered Nurse Practitioner
Mercy Medical Center
08.2014 - 09.2015
Post-Degree Certificate - Psychiatric Mental Health Nurse Practitioner
University of Iowa
Master of Science - Family Advanced Registered Nurse Practitioner
Clarkson College
Bachelor of Science - Nursing
Mount Mercy University