WYNETTA FLETCHER
Summary
Highly qualified board-certified Advanced Practice Registered Nurse with a reputation for excellent patient outcomes and healthcare leadership, ready to join a patient-centered, mission-focused system. Intrinsically motivated, dependable, detail-oriented professional seeking a team of like-minded providers and staff to share the calling to care for God's people.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Clinical Director Advanced Practice
St. Claire HealthCare
09.2017 - 07.2020
- Developed positive employee relations, incentives, and recognition programs to promote teamwork and mutual respect.
- Established new quality monitoring programs, policies and procedures, provided reviews and updated existing policies to improve standard of care for patients.
- Trained new advanced practice providers, provided direct supervision, ongoing staff development and continuing education.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care and community wellness.
- Evaluated work performance of more than 50 advanced practice providers to determine wage increases, goal-setting and performance improvement plans.
- Identified department issues to recommend corrective actions.
- Facilitated continuing education and training programs to drive staff competency and promote professional development.
- Worked closely with other leaders in administration to develop and implement best practices to improve patient outcomes, diminish risk and contain costs.
- Participated in management team meetings to discuss system status, quality improvement, staff complaints or concerns associated with risk or liability.
- Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Chaired Opioid Stewardship Committee and collaborated with information technology and medical records teams to transition and integrate electronic health records across system.
- Developed, implemented, revised, and evaluated policies and procedures
- Coached and trained newly hired employees so that each understood job responsibilities and requirements of positions
APRN
KDMS Health Plus
09.2011 - 09.2017
- Assessed patient conditions by performing thorough examinations and asking appropriate medical questions.
- Diagnosed and responded to illnesses and physical conditions through prescription of medication and health counseling and education.
- Recommended medications and other treatments such as physical therapy and inhalers for variety of different health conditions.
- Evaluated patient progress and responses to various treatments.
- Managed patient panel of over 1800 primary care patients.
Chief Executive Officer, Chief Operating Officer, APRN
Health Plus, PSC
08.2005 - 09.2011
- Established foundational processes for business operations.
- Built productive relationships with industry partners and competitors to support strategic business objectives.
- Made large-scale financial decisions and supervised company spending to reduce material losses and maximize profits.
- Identified new revenue generation opportunities to maximize bottom-line profitability.
- Analyzed and tracked business metrics and made appropriate adjustments to meet supply and demand needs.
- Managed financial, operational and human resources to optimize business performance.
- Maintained P&L and shouldered corporate fiscal responsibility.
- Directed technological improvements, reducing waste and business bottlenecks.
- Designed and oversaw building of 2,500 sq ft clinic and successful relocation of services without interruption.
- Maintained client base of over 5,000 active patients and occupational clients, spanning 6-year period.
APRN
Family Care Clinic
09.2004 - 08.2005
- Independently assessed patient conditions by performing thorough histories and physical examinations on up to 40 patients daily.
- Diagnosed and responded to illnesses and physical conditions through health counseling and education, prescription medication and allied health therapies.
- Ordered labs, imaging and other studies, and interpreted test results.
- Evaluated patient progress and responses to various treatments.
- Maintained patient records and interactions in strict confidence.
Office Manager, APRN
Integrity Orthopaedics, Sports Medicine and Rehabilitation
06.2003 - 09.2004
- Assessed, diagnosed, and implemented plans of care for orthopedic patients seen in clinic, independently and in coordination with orthopedic surgeons.
- Collaborated with orthopedic surgeons, clinic and hospital surgery coordinators and primary care providers, to ensure seamless transitions of patients from referral through surgery and back, as well as throughout rehabilitation with physical therapy partners.
- Managed supervisor itinerary and appointments and streamlined scheduling procedures.
- Improved office operations by automating client correspondence, record tracking and data communications through electronic health records implementation.
- Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Created and implemented organizational policies and procedures.
APRN-Orthopedics
Cave Run Surgical Specialists
04.2002 - 06.2003
- Assessed patient conditions by performing thorough examinations and asking appropriate medical questions.
- Diagnosed and responded to illnesses and physical conditions through prescription of medication and health counseling and education.
- Recommended medications and other treatments such as physical therapy and inhalers for variety of different health conditions.
- Evaluated patient progress and responses to various treatments, including surgery.
APRN, CT Surgery Coordinator
University of KY, College of Medicine, Department of CT Surgery
03.2001 - 03.2002
- Provided on-site and remote clinic care coordination and anticipatory guidance to pediatric and adult patients and families undergoing cardiothoracic and cardiopulmonary surgical procedures at University of Kentucky.
- Ensured timely clinic visits, hospital admissions and discharges, and coordinated all outpatient testing and follow-up visits for CT surgery patients.
- Developed surgical pre-operative plan of care for pediatric congenital heart patients and coordinated all aspects of care with other healthcare professionals and community service providers, promoting optimal patient outcomes.
- Facilitated rounds, multidisciplinary conferences, and procedural scheduling for medical residents and CT Surgery physicians across UK system and its adjacent hospital, Veterans' Administration Medical Center.
- Monitored patient condition and progress, ordering appropriate laboratory tests and outpatient follow-up post discharge.
- Collaborated with transplant teams for all heart and lung transplant patients.
- Assessed needs and facilitated consults to overcome social determinants of health.
- Discussed care plans with patients and explained test results and proper use of medications.
- Acted as surgical liaison to families with loved ones undergoing by-pass related procedures.
- Performed post-op rounds on patients, pulled chest tubes and pacer wires, wrote notes and completed discharge planning in coordination with physician supervisors.
APRN Director of Quality
Health Associates of KY, Inc.
06.1999 - 02.2001
- Oversaw company-wide Quality Assurance Program (QAP), collaborating with director of compliance and clinic managers to enhance internal outcomes.
- Performed operational activities such as sampling, inspection and monitoring, verifying compliance with prescribed goals.
- Established and tracked quality department goals and objectives.
- Scheduled and chaired quality review meetings to review effectiveness of performance mitigating risk, improving throughput and achieving customer satisfaction.
- Recorded, analyzed, and distributed statistical information.
- Evaluated interactions between associates and customers to assess personnel performance.
- Oversaw company-wide Quality Assurance Program (QAP), collaborating with director of compliance and clinic managers to enhance internal outcomes.
- Provided direct patient care as APRN from float position, covering clinical sites managed by Health Associates of KY, Inc.
Clinical Nurse Manager, ICU/CTVU
St. Joseph Hospital
01.1997 - 05.1999
- Fostered improvement in staff development, personnel training, and standards of patient care.
- Evaluated nursing staff's performance and developed education programs and professional development opportunities to improve individual and team competencies, clinical knowledge and delivery of care.
- Interacted effectively with department managers to promptly correct problems and improve services.
- Collaborated with physicians and interdisciplinary teams to devise and manage individualized plans of care.
- Supervised professional and paraprofessional nursing staff and delegated tasks to maintain continuum of care.
- Directed day-to-day nursing and operational functions for 24-bed intensive care unit, ensuring exceptional delivery of care by well-rounded nursing care teams.
- Responded to medical crises codes.
- Educated patients and families on treatment, expected outcomes and discharge instructions, serving as advisory resource to patients and families to facilitate recovery.
- Introduced initiatives based on staff education, infection control audits, safe medication administration and proper wound care to achieve unit and facility goals.
- Reviewed charts weekly to complete quality control checks.
- Oversaw admissions and discharges and scheduling of nursing staff.
- Provided exceptional care to high-acute patients needing complex care such as ventilator management, CVVHD, balloon pumps, deep lines, and extensive post-operative and critical care conditions.
RN, ICU
King's Daughters Medical And St. Joseph Hospital
06.1994 - 05.1999
- Provided exceptional care to high-acute patients needing complex care such as ventilator management, CVVHD, balloon pumps, deep lines, ICP drains, and other extensive post-operative and critical care conditions.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment plans, post-operative management.
- Managed care from admission to transfer or discharge.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment plans, and updated on any changes to patient status.
Education
Doctor of Nursing Practice - Advanced Practice Nursing
Texas Christian University
Fort Worth, TX05.2012
Master of Science - Nursing
University of Kentucky
Lexington, KY05.1999
Bachelor of Science - Nursing
Morehead State University
Morehead, KY05.1994
Skills
- Leadership, critical thinking, problem-solving
- Project Management
- Patient-Centered Care
- Physical Assessment
- Acute and Chronic Health Issues
- Preventive Care
- Interpreting Laboratory Results
- Electronic Health Records
- OUD/SUD Management
- Regulatory Compliance
- Excellent Oral Communication
Licensure Certifications Registrations
American Nurses Credentialing Center (Family Nurse Practitioner) Certification: 0340983-22
KY Licenses: APRN 3002992, RN 1077400
DEA Registration: MF1451145
Current Position
APRN, Chief Operating Officer
Main Street Medical Associates, LLC, Morehead, KY
Prior Work Experience
- 09/01/17-07/01/20: APRN/Clinical Director Advanced Practice, St. Claire HealthCare, 222 Medical Circle Drive, Morehead, KY
- 09/01/11-09/01/17: APRN, KDMS Health Plus, 255 Old Viking Drive, Morehead, KY
- 08/17/05-09/01/11: Chief Executive Officer, Chief Operating Officer, APRN, Health Plus, PSC, 255 Old Viking Drive, Morehead, KY
- 09/01/04-08/01/05: APRN, Family Care Clinic (Rural Health Clinic), 624 N Maysville St, Mt. Sterling, KY
- 06/01/03-09/01/04: APRN, Office Manager, Integrity Orthopaedics, Sports Medicine and Rehabilitation, 644 N Maysville St, Mt. Sterling, KY
- 04/01/02-06/01/03: APRN, Cave Run Clinic Orthopedics, 425 Clinic Drive, Morehead, KY
- 03/01/01-03/01/02: APRN, CT Surgery Coordinator, University of KY, College of Medicine, Department of CT Surgery, 800 Rose St., Lexington, KY
- 06/01/99-02/01/01: APRN and Director of Quality, Health Associates of KY, Inc., 1501 Newtown Pike, Lexington, KY
- 10/01/98-05/01/99: Registered Nurse, Urgent Care Centers, 1501 Newtown Pike, Lexington, KY
- 01/01/97-05/01/99: Clinical Nurse Manager, ICU/CTVU, St. Joseph Hospital, 1 St. Joseph Drive, Lexington, KY
- 06/01/94-02/01/97: ICU/Critical Care Fellow, King's Daughters Medical Center, 2201 Lexington Avenue, Ashland, KY
Professional Boards Commissions Appointments
KY Cabinet for Health and Family Services, Office of Inspector General, Controlled Substance Prescribing Committee 2023-2025
KY Board of Nursing, Advanced Practice Council, 2022-2025
Professional Memberships Positions Held
- Fellows of the American Association of Nurse Practitioners, 2019-Present
- American Association of Nurse Practitioners, 2008-Present
- Kentucky Coalition of Nurse Practitioners and Nurse Midwives, 1996-Present
Awards
- American Association of Nurse Practitioners State Award of Excellence, 2020
- Fellow, American Association of Nurse Practitioners, 2019
- Point of Care Network America’s Top 10 Nurse Practitioner, 2018
Certification
- ACLS Healthcare Provider
- BLS Healthcare Provider
- PALS Healthcare Provider
Timeline
Clinical Director Advanced Practice
St. Claire HealthCare
09.2017 - 07.2020
APRN
KDMS Health Plus
09.2011 - 09.2017
Chief Executive Officer, Chief Operating Officer, APRN
Health Plus, PSC
08.2005 - 09.2011
APRN
Family Care Clinic
09.2004 - 08.2005
Office Manager, APRN
Integrity Orthopaedics, Sports Medicine and Rehabilitation
06.2003 - 09.2004
APRN-Orthopedics
Cave Run Surgical Specialists
04.2002 - 06.2003
APRN, CT Surgery Coordinator
University of KY, College of Medicine, Department of CT Surgery
03.2001 - 03.2002
APRN Director of Quality
Health Associates of KY, Inc.
06.1999 - 02.2001
Clinical Nurse Manager, ICU/CTVU
St. Joseph Hospital
01.1997 - 05.1999
RN, ICU
King's Daughters Medical And St. Joseph Hospital
06.1994 - 05.1999
Doctor of Nursing Practice - Advanced Practice Nursing
Texas Christian University
Master of Science - Nursing
University of Kentucky
Bachelor of Science - Nursing
Morehead State University
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