Nikki Mills
London,Canada
Summary
Experienced healthcare professional with a proven track record in advanced clinical positions. Demonstrates precision and compassion in providing patient care. Possesses extensive expertise in diagnosing, treatment planning, and patient education. Highly skilled at collaborating with multidisciplinary teams and adapting to the evolving demands of the healthcare industry. Committed to implementing best practices for optimal patient outcomes.
Overview
37
37
years of professional experience
1
1
Certification
Work History
Nurse Practitioner Primary Health Care & Addiction Services
Addiction and Mental Health Services of Thames Valley
10.2019 - Current
- Comprehensive knowledge base in a specialty practice area for patients experiencing chemical addiction and/or withdrawal to opioids, tobacco, marijuana and alcohol
- This population represents a select patient group with acute and specialized health care needs requiring a team based approach to their care management with clinical therapeutics for treatment of substance use disorder or withdrawal, along with use of advanced assessment skills for safety and well-being
- Working together with a collaborative interdisciplinary team including physicians, other NP’s, RN’s, Social workers, and administrative staff, the NP would manage, direct and provide care within this specialized high risk population
- This position requires comprehensive knowledge for smoking cessation strategies including nicotine replacement therapy and ability to prescription of narcotic; Suboxone for chemical addiction management
- Care management planning and case review within a team to therapeutically treat alcohol dependence using behavioral strategies and medications to reduce /limit cravings, along with compassionate care to this high risk and diverse population with the lens of trauma-informed care
Registered Midwife (President & Shareholder)
Wind Rose Midwifery Inc
11.2006 - Current
- A founding shareholder of this corporation, I have enjoyed establishing this successful business that has grown to be a strong teaching focused and innovative proactive thinking practice with eight full time midwives
- We hold privileges at Victoria site, London Health Sciences Centre as primary health care providers that have served to enhance both leadership qualities and collaboration within hospital and community settings
- We provide excellent quality care, and have a strong team based care model, supporting women’s health through informed choice
- As a team lead, this has led to extensive community networking, team building exercises, case management review to junior team members, strong connectivity and effective leadership, leading to innovative clinical assessment, teaching and management skills
- Additional roles in this setting include head midwife duties, MoreOB Team Leader and clinical instructor of Emergency Skills
- I drew up a research and was a co-investigator of qualitative research examining barriers that exist to skin-to-skin practices in the operating room
- In combination with my midwifery role, I continue to work as a Locum Nurse Practitioner and currently provide an advanced skill set to that of a midwife given my passion for Obstetrics and Midwifery care
Nurse Practitioner – Primary Health Care
450 Central Avenue
04.2016 - 11.2018
- This Locum position was on an ad-hoc basis, in addition to working as a full-time midwife where I cared for patients who were with one family practice physician
- Here I worked full scope as a Nurse Practitioner in an independent clinic with one physician who was remotely available for complex disease planning or need for diagnostic testing outside the scope of practice of a Nurse Practitioner
- Patients were of all ages and diversity in socio-economical, cultural, psychological, pathophysiological need with differing health education continuums
Nurse Practitioner Primary Health Care
Forest City Family Health Team
09.2014 - 01.2016
- Using grounded knowledge in values and theories of professional nursing practice as a Nurse Practitioner providing comprehensive compassionate care to this diverse population of 'family all ages' across the health illness continuum in a holistic model family health team
- My focus was on complex palliative care or patients who had a complex health history working with physicians, nurses, social workers, dieticians, pharmacist, respiratory therapists, and administration staff in a multi-disciplinary team based approach
- A multi-task approach in supporting/leading an RN team while supporting physicians for their patient care needs
- Teaching patients to advocate for themselves, being a resource to the patients, providing leadership to patients and assessing teaching relating to health promotion, illness and injury prevention while advocating for patient’s whatever their life stage was an essential component of my role in both primary care setting in a family practice office and at home
Registered Midwife
Thames Valley Midwives
07.2003 - 11.2006
- As a newly registered midwife in Ontario, I gained experience in health care and learned to cope and adapt to the model of midwifery care in Ontario
- A steep learning curve as a new immigrant to Canada, and one that was adapted to with enormous success
- Midwifery competencies were continued in the Ontario model of midwifery care in both hospital and community setting including all aspects of low risk prenatal, intrapartum and postpartum care
- Knowledge enhanced relating to community policy and procedures in the London- Middlesex, Oxford and Elgin counties including diligent referral skills needed to consult with other health care practitioners
- Also, in October 2004, registration was obtained as an Ontario Registered Nurse as I intended to pursue a broader scope of practice to the current model of midwifery care
Midwife from England (seeking registration in Ontario)
International Midwifery Pre-Registration Program, Ryerson University
09.2002 - 07.2003
- One of the first midwives to accelerate the completion of the bridging program designed to successfully integrate internationally educated midwives into practice in Ontario
- The change from a fully integrated hospital and community based midwife into the Ontario model of midwifery care was successful
- Graduated with distinction
Registered Midwife
Cheltenham General Hospital, Maternity Unit-St Paul’s Wing
04.1996 - 05.2002
- A registered midwife on a 6,000-8,000 births per year in a high risk obstetrical unit
- Care was not transferred in any care management situation, regardless of gestational age or complexity of case but supported by involvement
- Continuity of care was not a factor in the UK model of hospital based midwifery care and a consultant led unit supported growth of the midwifery profession with a fully integrated approach to care by all practitioners who were involved
- Skills included scrub assist in the operating room, a large component to care in teaching and management courses to junior staff; midwives and junior doctors in maternity care
- I taught aqua natal classes, and enjoyed the challenge of complex care in a rotational role on a day to day basis through prenatal care, delivery unit care and postpartum care, including skills pertaining to those of an obstetrical nurse, but with delivery and post partum care as per the role of a UK educated midwife
Registered Nurse
Noble’s Isle of Man Hospital
01.1995 - 04.1996
- Here I gained further experience in the management of an acute female medical ward and intensive care nursing, enjoying a team nursing approach and nomination to team leader, providing an individualized and holistic approach to patient care while liaising with all members of the multi-disciplinary team
- Completion of the ENB 931 course Care of the dying patient and their family, involved time spent in a hospice increasing awareness of importance of chronic disease management, pain control, effective counseling skills and the bereavement process -92%
- Additionally a flight nurse education course meant a role in aiding to transfer or escort critically ill patients to world renowned tertiary care centres on mainland UK and sparked the incentive to internationally work and travel
Student to Registered Midwife
Worcester Royal Infirmary
07.1992 - 01.1995
- The start of a career in maternity care and here I gained experience in normal childbirth and then at risk and complicated pregnancies
- Enjoyed working on a consultant led unit that had 4,000 births annually
Registered Nurse
Queen Elizabeth College of Nursing
11.1987 - 02.1991
- As a registered nurse my role was to advise on the promotion of health and prevention of illness, whilst maintaining a high standard of care
- My passion is for the art and science of nursing
- Here I learned the foundation of the importance of research utilized to aid best practice and importance of the art of ‘knowing.’
- As a person and a nurse; I grew in many dimensions and enjoyed fine tuning of analytical skills and reflective practice when caring for the wonderful patients I met and nurtured on a day to day basis
- In this position communication, managerial and teaching skills were enhanced
- In January 1992, I decided to professionally develop my career and commenced education in midwifery with a view to having an ‘extra notch’ in my belt to aid international travel
Education
Masters of Nursing – MN - Primary Health Care Nurse Practitioner
The University of Western
10.2014
Post Registered Nurse – BScN -
University of Western
London, ON01.2011
Internationnal Midwifery Pre-Registration Program -
Ryerson University
Toronto, ON07.2003
Registered Nurse -
Queen Elizabeth College of Nursing
02.1991
Skills
- Strong Teaching Skills
- Experience in Serving Diverse Patient Populations
- Certified BLS Instructor
- Obstetric Emergency Training Instructor
- Addiction Recovery Specialist
- Point-Of-Care Ultrasound Certification
Accomplishments
- Worked with midwives throughout the London area and resolved numerous midwifery issues which has led to improved care management and reduced litigation risk.
- Directed and collaborated with an intra-disciplinary team for the development and initiation of LHSC Waterbirth Policy
- Achieved Mental Health and Addictions certification with GPA average of 91% within 1 year through University of Toronto showing accuracy of content learned and efficiency in utilisation
Certification
- Certificate in Mental Health, 1 and 2 completed, 3 underway, 4 to be completed
- Fetal Health Surveillance Course, 05/01/24
- Emerging therapeutic options in treatment of opioid use disorder, 11/01/23
- Questions and Answers in Opioid Use Disorder, 10/01/23
- Spiritually Integrated Mental Health Care, 10/01/23
- Neonatal Resuscitation Program Certificate, Former Instructor, 09/01/23
- BLS – CPR Instructor, Instructing annually, 08/01/23
- AOM Emergency Skills Instructor, Instructing annually, 09/01/23
- Diversity, Equity and Inclusion Training, 09/21/23
- Trauma Informed Care for Midwives, 02/01/23
- Gastrointestinal and Liver Disease Update, 11/01/22
- Communication and Connection: End of Life Navigation, 10/01/22
- Intrapartum Care Conference (Mount Sinai), 10/01/21
- Working with co-dependency, 10/01/20
- Medical Records Keeping Workshop, 09/01/19
- Parish Nurse: Facilitating Wholistic Health through the Lifespan, 04/01/19
- Acquired Brain Injury & Smoking cessation (Training enhancement), 06/01/19
- Anxiety and Depression Workshop, 11/01/18
- The therapeutic use of medical cannabis, 03/01/18
- Prescribing Narcotics and controlled substances course, 03/01/17
- Chronic Pain Management Course, 04/01/17
- A comprehensive course on smoking cessation: Essential skills and strategies, 06/24/15
- Completed Comprehensive Advanced Palliative Care Education Programme, 05/01/15
- Evidence Based Tools for Developmental –Behavioural Screening and Surveillance in children, 05/01/15
- Up in Smoke – Effects of parental marijuana use on child development outcomes, 04/01/15
Publications
- Time: A concept analysis in relation to pregnancy
- Skin-to-skin post Caesarean Section
- Lived experience of Cannabis Hyperemesis Syndrome (research underway)
Timeline
Nurse Practitioner Primary Health Care & Addiction Services
Addiction and Mental Health Services of Thames Valley
10.2019 - Current
Nurse Practitioner – Primary Health Care
450 Central Avenue
04.2016 - 11.2018
Nurse Practitioner Primary Health Care
Forest City Family Health Team
09.2014 - 01.2016
Registered Midwife (President & Shareholder)
Wind Rose Midwifery Inc
11.2006 - Current
Registered Midwife
Thames Valley Midwives
07.2003 - 11.2006
Midwife from England (seeking registration in Ontario)
International Midwifery Pre-Registration Program, Ryerson University
09.2002 - 07.2003
Registered Midwife
Cheltenham General Hospital, Maternity Unit-St Paul’s Wing
04.1996 - 05.2002
Registered Nurse
Noble’s Isle of Man Hospital
01.1995 - 04.1996
Student to Registered Midwife
Worcester Royal Infirmary
07.1992 - 01.1995
Registered Nurse
Queen Elizabeth College of Nursing
11.1987 - 02.1991
Post Registered Nurse – BScN -
University of Western
Internationnal Midwifery Pre-Registration Program -
Ryerson University
Registered Nurse -
Queen Elizabeth College of Nursing
Masters of Nursing – MN - Primary Health Care Nurse Practitioner
The University of Western
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