Michelle Rhyner
Long Beach,California
Summary
Experienced nurse practitioner with over 20 years in the medical field. I began as a Radiology Tech then worked in critical care for many years after completing my BSN. Currently have dedicated 7 years as a Nurse Practitioner in various settings. I have the most experience in Hospitalist and Intensivist, Urgent care and FQHC including street medicine. I am deeply passionate in caring for underserved communities. I pride myself on delivering tailored, high quality care. My communication skills with all patients are impeccable as I have a unique ability to connect with patients from all walks of life. My knowledge base includes various acute and chronic disease processes. Ongoing learning of the most up to date EBP motivates me . I can guarantee I am a very adaptable, quick learner and thrive in many settings.
Overview
20
20
years of professional experience
Work History
Family Nurse Practitioner, Urgent Care Per Diem
SoCal Urgent Care
2022.12 - Current
- Autonomous position seeing patients infant to elder with acute issues and underlying complexities
- Procedures including splinting, I&D, foreign body removal, suturing/staples, etc
Hospitalist Nurse Practitioner
Coalinga Regional Medical Center- Rural Health Clinic
2004.02 - 2024.06
- Provided appropriate triage due to the setting of Critical Care Access Hospital in a very rural area. Census was 10-15 PPD including a mix of Telemetry, Med-Surg and Rehab patients.
- Worked very closely with the ER physician and would see ER patients if busy. Also lead codes when needed.
- Provide patient education on lifestyle changes for preventing and treating chronic conditions for a community of 1,000 patients
- Streamlined workflow for nursing staff, coordinating admissions, discharges, and transfers of patients within the hospital setting.
- Acted as a patient, navigating complex healthcare systems and ensuring patients'' rights, values, and preferences were respected throughout their care journey.
- Developed individualized treatment plans for patients with complex medical needs.
Nurse Practitioner Telemedicine
MD Triage
2023.01 - 2024.03
- Provided night/weekend on call coverage via telemedicine for several medical practices including PAMF covering services such as Internal medicine, Cardiology, OB/GYN, Ortho, Urology, GI, Urgent Care issues
- Prevented complications by identifying early warning signs of potential issues through careful triage and history-taking techniques.
- Educated patients on treatment options, medical needs, and non-medical options for treatments and therapy.
Nurse Practitioner Locum Tenens
Soloman Medical Group
2023.11 - 2024.02
- Post-acute, SNF and long-term care (PALTC) practice building exceptional healthcare teams that help patients transition seamlessly between hospital and home. Large facility up to 100 beds.
- Managed complex cases involving multiple co-morbidities through diligent monitoring of disease progression and proactive intervention strategies.
- Prevented complications by identifying early warning signs of potential issues through careful examination and history-taking techniques.
Nurse Practitioner
Share Our Selves/Provider Healthcare(Locum Tenens)
2023.05 - 2023.08
- Provided comprehensive healthcare services for diverse populations, addressing acute and chronic conditions.
- FQHC providing underserved medical care, both acute and chronic(most are complex patients requiring individualized care while also determining barriers to care)
- Provide care of all ages infant to geriatric-acute issues, chronic issues, well-women, well-child
Hospitalist Nurse Practitioner
St Francis Medical Center
2020.08 - 2023.02
- Autonomous care management of patients ER, ICU and inpatient floor
- Coordination of admissions, discharge, plan of care with specialists while working with multidisciplinary groups. In addition, provide medical care for the psych unit
- Run code blues, RRT, code stroke including emergent procedures such as intubation ● STEMI, Stroke and level 1 trauma center
- Provide care for multitude of medical issues including COVID-19, CVA, trauma, STEMI/Cardiac Cath, Sepsis, etc
- ICU medical care for Neuro/trauma/MRICU/CCU- coordination with intensivist however high ICU overflow currently so providing majority of management for those patients
- Provided significant amount of Palliative and Comfort Care during COVID
- Contributed to quality improvement initiatives within the organization through data analysis, identification of areas for improvement, and implementation of recommended changes.
- Maximized resource utilization with careful prioritization of tasks according to urgency and level of complexity in a fast-paced hospital setting. Especially during the COVID Pandemic
Nurse Practitioner Hospitalist and Intensivist
Seton Medical Center
2022.05 - 2022.09
- Autonomous on rotations for hospitalist service and also nocturnal intensivist coverage. Utilized during hospital owner buy out process as have done so also at St Francis. Quickly can adapt to the circumstances surrounding.
- CVA and STEMI center, run all codes/RRT
- Competent with hospital admissions/discharges as well as procedures ie. intubation, central line placement, arterial line insertion, etc
- Managed complex cases involving multiple co-morbidities through diligent monitoring of disease progression and proactive intervention strategies.
Hospitalist/ER/PEDS/Acute Care Nurse Practitioner
Fort McGuire/Dix/Lakehurst Military Base
2021.09 - 2022.03
- Contract for Humanitarian Refugees -assisted in developing a functioning hospital in collobaration with the military. Care for very specialized population. Initiation of policies and engagement of specific cultural components with the patients.
- Addressing chronic and acute diseases, trauma, cardiac, transplant, orthopedics/prosthetics, immigration physicals(Civil Surgeon certified), OB/GYN. Also managed MANY disease processes not seen in the US
- Demonstrated adaptability during high-stress situations, effectively managing competing priorities to ensure timely attention was given to all patients under my care.
Family Nurse Practitioner, Urgent Care
Vital Urgent Care Temporary Relief During Covid
2021.06 - 2021.09
- Performed minor procedures such as suturing, wound care, and splinting when required for urgent care patients.
- Streamlined clinic operations with effective communication between providers, support staff, and administration.
- Collaborated with team members to offer on-site Covid testing for up to 300 PPD
Hospitalist Nurse Practitioner Paid Internship
Queen Of The Valley Hospital
2020.02 - 2020.05
- Completed accurate diagnostic evaluations using advanced physical assessment skills coupled with critical thinking abilities grounded in clinical expertise.
- Liaised with healthcare teams to determine best course of action for patients.
FQHC Nurse Practitioner
OC Rescue Mission/HURTT Family Health Clinic
2019.03 - 2020.03
- FHQC serving several different populations to include homeless, underinsured, non-insured, residents(over 300 people living onsite)
- Sole provider providing mobile medical services/street medicine- typically for homeless refusing the ER, shelters, encampments- performed procedures in the field including I/Ds, sutures, etc
- Many levels of care to include primary care needs, urgent care needs, recuperative care, addiction medicine, HCV, HIV
- ● Provide psych medication management for MDD, GAD, Bipolar, addiction disorders with ability to triage care when necessa
Nurse Practitioner
Genesis Medical Center/Health Atlast/New Existence
2017.03 - 2019.08
- Oversight of approximately 100 patients including Inpatient detox, PHP and IOP with multi-dimensional treatment of counseling and advising. Prescribe and manage Suboxone dosages specific to patients. Address addiction, psych and all primary care health concerns In-patient medical detox poly-substance
- Initiated HCV treatment at partnering facility and manage patients with HCV as well as HIV
- Initiated the Sub-maintenance program and managed all patients receiving MAT. Prescribe and manage Suboxone dosages specific to patients.
- Autonomous providing care for all Orange County patients at several sites experience with regenerative medicine primarily PRP, Stem cell, IV vitamin therapy, joint injections, trigger points
Skills
- Adaptability and leadership
- Medical Imaging
- Drug Regimen Counseling
- Inpatient Care
- Patient Advocacy
- Critical Thinking
- Attention to Detail
Brief RN Career Overview
REGISTERED NURSE POSITIONS - 13 years experience Primarily critical care background at several large institutions. Lots of experience with neurosurgical, surgical(including transplant program, Trauma ICU, MRICU, CCT, CCU, CVICU and PACU. Charge RN since 12/2011 with additional experience as in assistant management. Have been on the stroke team as well as the rapid response team most of my nursing career.
Medely, ICU RN, Pre-op/PACU, Nurse Practitioner per diem March 2020-December 2022
Orange/LA/San Diego/Riverside/ Ventura county PRN Ambulance, Registered Nurse-Critical Care Transport March 2017- November 2019 Orange County and Los Angeles County ● Management of critically ill without having the typical oversight such as in a hospital setting, high level of critical thinking d/t being outside of environment with all resources readily available ● Autonomous role for life-threatening health problems such as NSTEMI/STEMI, CVA, trauma, transplant, pulmonary diseases acute/chronic, cardiogenic/distributive/obstructive/dissociative/hemorrhagic shock ● Expanded scope practice to deliver high quality patient care in the transport environment for infant, pediatric and adult patients ● Fully competent to manage high acuity patients with ventilator, BiPAP, trachs, all necessary gtts(vasoactive, sedatives, Anti-arrhythmics, anticoagulants, neuromuscular blockades) ECMO
UCSF Medical Center, Registered Nurse-Main OR PACU November 2016-August 2018 San Francisco, CA ● Please see description below NursesRx Travel Nursing, UCSF, Registered Nurse- ICU, MAIN OR PRE-OP/PACU June 2016-November 2016 (5 month contract) San Francisco, CA ● Care of patients in the ICU, pre-op and PACU. Various surgeries including; pulmonary, neuro, GI/GU, vascular, ENT, GYN, CV, transplant, sex reassignment, plastics, cardiac cath, ECT
Stanford Health Care, Registered Nurse-Main OR PACU May 2015-May 2016 Palo Alto, CA ● Assess patient’s clinical condition before surgery while ensuring safety measures including correct site and consent ● Carefully monitor patient surgical site, airway and vitals in the postoperative phase of care ● Competence in taking care of various surgical patients including ICU level care to discharging patients ● Adequately care for patients undergoing a variety of surgeries including: Neuro, GI/GU, OB/GYN, ENT, kidney transplant, bronch, trauma, ortho ● Charge/Resource RN- assess staffing, collaborate with nursing supervisor and physicians to transfer/admit patients, evaluate the needs of the unit as a whole ● Interim 7 months of Assistant Manager
Stanford Health Care, Registered Nurse-Neuro/Medical/Trauma/Surgical ICU August 2014- May 2015 Palo Alto, CA ● Planned and delivered care to high acuity patients that are critically injured and terminally ill ● Serve a vastly diverse clientele that includes trauma, neurological injury, post cardiac arrest, ESRD, ESLD, transplantation, MSOF, ARDS, Oncology and many rare diseases ● Competent with CRRT, EVD, Swan-ganz, CVP, Some ECMO exposure. Highly knowledgeable of all ICU cont. infusions NursesRx Travel Nursing, Stanford Hospital, Registered Nurse ICU January 2014 – August 2014 (26 week contract) Palo Alto, CA ● Experience in a 32 bed ICU, providing nursing care for trauma, surgical, cardiac, neuro and medical patients
Aurora St. Luke’s Medical Center, Registered Nurse - Neurosurgical ICU and Surgical ICU
Care for critically ill patients with emphasis on neurosurgical patient base ● Work with arterial lines, central lines, PICC lines, chest tubes, swans, BIS monitoring, CCO monitoring, monitor intracranial pressures, and drainage with EVDs ● Monitor vital signs and patient status, management of multiple drips, hypothermia protocol, code patients, withdrawal of care, collaborate with physicians, pharmacists, and other care providers ● Float experience to PACU on a regular basis to care for a variety of post surgical patients such as neuro, ortho, GI/GU, GYN, general, etc. ● Stroke/STAT team- respond to pages for all patients entering the ER and /or hospital with both acute and non acute stroke symptoms, also respond to STAT calls throughout the hospital for patients with acute changes in condition ● Charge RN- assess staffing, collaborate with nursing supervisor and physicians to transfer/admit patients, evaluate the needs of the unit as a whole
Achievements
- Initiated and Implemented MAT programs for 3 facilities. Established protocol, policy and proper management. Educated staff on MAT.
- Initiated HCV treatment program for addiction medicine patients. Provided high quality compassionate care with very high patient/staff compliance and cure rates
- Served on US Advisory Board for Addiction medicine as well as HCV treatment amongst thus patients
- Serve on the Council for Mental Well Being
- Human rights activist especially for women's rights, BIPOC communities and Mental Health
CERTIFICATIONS AND LICENSES
- AANPBC - Family Nurse Practitioner
- Nurse Practitioner (NP) licensure California
- Registered Nurse (RN) licensure California
- Unrestricted DEA
- ACLS, BLS, PALS, NIHSS
Professional Goals
- Obtain Post Masters ACNP
- First Assist training for OR
- Obtain further certifications such as Palliative and Wound Care
- Establish a a group to address Mental Health Disparities amongst health care workers and address burn out
Education
Lakeshore Technical College — Associates in Radiology, Graduated 2005
Carroll University — Bachelors of Science, Nursing, Graduated 2011
Concordia University — Masters of Science, Nursing, Family Nurse Practitioner, over 30 credits completed then transferred due to move Chamberlain College of Nursing-Master’s of Science, Family Nurse Practitioner, Graduated December 2017
Nurse Practitioner clinicals done at Stanford Hospital and Clinics
Timeline
Nurse Practitioner Locum Tenens
Soloman Medical Group
2023.11 - 2024.02
Nurse Practitioner
Share Our Selves/Provider Healthcare(Locum Tenens)
2023.05 - 2023.08
Nurse Practitioner Telemedicine
MD Triage
2023.01 - 2024.03
Family Nurse Practitioner, Urgent Care Per Diem
SoCal Urgent Care
2022.12 - Current
Nurse Practitioner Hospitalist and Intensivist
Seton Medical Center
2022.05 - 2022.09
Hospitalist/ER/PEDS/Acute Care Nurse Practitioner
Fort McGuire/Dix/Lakehurst Military Base
2021.09 - 2022.03
Family Nurse Practitioner, Urgent Care
Vital Urgent Care Temporary Relief During Covid
2021.06 - 2021.09
Hospitalist Nurse Practitioner
St Francis Medical Center
2020.08 - 2023.02
Hospitalist Nurse Practitioner Paid Internship
Queen Of The Valley Hospital
2020.02 - 2020.05
FQHC Nurse Practitioner
OC Rescue Mission/HURTT Family Health Clinic
2019.03 - 2020.03
Nurse Practitioner
Genesis Medical Center/Health Atlast/New Existence
2017.03 - 2019.08
Hospitalist Nurse Practitioner
Coalinga Regional Medical Center- Rural Health Clinic
2004.02 - 2024.06
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