Michelle Rhyner

Experienced Nurse Practitioner(9 years) 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. Most experience including: Hospitalist and Intensivist, Urgent care, Addiction Medicine and FQHCs including street medicine. Highly experienced in managing care for complex cases. I am deeply passionate about caring for underserved communities. I pride myself on delivering tailored, high-quality care. My communication skills 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. Adaptive, quick learner, and thrive in many settings.

• 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.
• 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

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

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