Victoria Ash MSN, RN
St. Augustine,Florida
Summary
Experienced RN specializing in patient-centered care for substance use disorders. Skilled in telemedicine and e-prescribing, with a strong record of collaboration in interdisciplinary teams. Focused on improving patient outcomes through education and comprehensive treatment strategies. Detail-oriented RN with expertise in electronic medical systems and documentation, patient advocacy skills, enhancing patient care and compliance.
Overview
8
8
years of professional experience
1
1
Certification
Work History
PMHNP-BC
New Season Treatment Center
, FL
03.2024 - Current
- Provide high quality patient centered care with persons suffering from opiate use disorder via outpatient services (MAT program/telemedicine).
- Prescribe and manage patients on methadone, buprenorphine, and Suboxone medications.
- Provide thorough assessment, diagnosis, and ongoing treatment for adults with substance use disorders and co-occurring mental health conditions.
- Collaborate with healthcare providers, multidisciplinary teams, and payers to develop and implement care plans that optimize patient outcomes
- Complete monthly PDMPs, educate on effects of other opiates while in MAT.
- Reviews and analyzes medical records, treatment plans, and documentation to ensure compliance
- Provide patient education and counseling support with overdose prevention and naloxone use/safe storage of take-home doses.
- Out patient care needs: On average 10-16 patients per day-3-4/hr.
Registered Nurse
New Season Treatment Center
, FL
12.2020 - 03.2024
- Dispense and administer methadone (often under physician/medical director orders and federal OTP regulations).
- Administer buprenorphine/Suboxone (including observed dosing when required).
- Verify patient identity before medication dosing.
- Monitor patients for adverse reactions, over-sedation, withdrawal symptoms, or intoxication.
- Assess dosing effectiveness and report concerns to providers.
- Observe and document ingestion to ensure compliance and prevent diversion.
- Monitor vital signs, level of consciousness, and mental status.
- Screen for opioid withdrawal or intoxication (e.g., COWS scale).
Registered Nurse Supervisor
Arbor Agency Daniel Kids
, FL
04.2018 - 05.2023
- Served as the night shift registered nurse in a child mental health lock down facility (ages 8-18 yrs).
- Consistently maintained client confidentiality.
- Appropriate reporting of ESI events and follow up with interdisciplinary team members including psychiatrist and follow protocol.
- Adhered to established guidelines for assessing, documenting and observing clients for seclusion/restraint or other special precautions.
- Completed hourly rounds on every child in three different cottages on the campus.
- Administered medications according to MAR and physician orders and input new orders and deactivate old order forms.
- Average census as sole nurse in a lockdown unit: 25 children per shift.
Admissions Registered Nurse
Haven Hospice
, FL
07.2020 - 10.2021
- Served as the hospital liaison to assess patient eligibility for hospice, and collaborated with the team medical director.
- Ensured appropriate and cost-effective allocation of healthcare resources, and facilitating appropriate hospice services.
- Performed detailed chart reviews and admission audits to confirm patient eligibility under Medicare/Medicaid criteria.
- Collaborated with providers and interdisciplinary teams to ensure accurate coding, documentation, and reimbursement compliance.
- Served as a patient advocate for patients and families.
Registered Nurse Supervisor
CSL Plasma
, FL
07.2019 - 05.2020
- Responsible for the evaluation of donor suitability for automated pheresis procedures.
- Administration and supervision of approved immunizations and client education on donor contraindications.
- Provides limited emergency medical care to donors and staff, including the administration of medication or treatments in accordance with licensure or certification.
- Assist in developing and updating clinical policies and SOPs and quality improvement projects.
Admissions Registered Nurse
Vitas Hospice
, FL
01.2018 - 05.2019
- Compassionately guided patients and families throughout the hospice admissions process.
- Led audits of admissions documentation for accuracy.
- Complete the hospice admission process and establish start-of-care.
- Obtain and review physician orders and certifications of terminal illness.
- Initiate plan of care in collaboration with the interdisciplinary team (IDT).
- Coordinate delivery of durable medical equipment (DME), medications, oxygen, and supplies.
- Arrange initial visits from hospice disciplines (RN case manager, aide, social worker, chaplain).
Education
Masters of Science - Nursing
Chamberlain University
FL10-2023
Bachelor of Science -
Florida A&M University
FL05-2016
Skills
- Chart review experience
- Ability to exercise independent and sound judgment, strong decision-making skills, and well-developed interpersonal skills
- Ability to function independently
- Solid assessment and clinical review skills
- Ability to tackle complex medical challenges including SDOH
- Gathers clinical information and applies the appropriate clinical criteria
Certification
- Florida APRN, 11030969, 04/30/27
- PMHNP-BC ANCC, 2023192784, 01/14/29
- DEA, MA8665929, 06/30/26
- CPR/BLS, 85491821-5593, 08/2027
- RN, 9434158, 04/26
Timeline
PMHNP-BC
New Season Treatment Center
03.2024 - Current
Registered Nurse
New Season Treatment Center
12.2020 - 03.2024
Admissions Registered Nurse
Haven Hospice
07.2020 - 10.2021
Registered Nurse Supervisor
CSL Plasma
07.2019 - 05.2020
Registered Nurse Supervisor
Arbor Agency Daniel Kids
04.2018 - 05.2023
Admissions Registered Nurse
Vitas Hospice
01.2018 - 05.2019
Masters of Science - Nursing
Chamberlain University
Bachelor of Science -
Florida A&M University