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1 Joelle Denise Hargraves DNP, MSN, RN, APN, CCRN, CCNS Department of Nursing, 523 Jones Hall 3307 North Broad Street, Philadelphia, PA 19140 Phone: (215)707-2353 (W) Email: [email protected] EDUCATION 2012 DNP - Doctor of Nursing Practice Chatham University, Pittsburgh, PA Capstone Project: Glycemic Control in Cardiac Surgery: Revising and Educating Nurses on an Evidence-based Insulin Infusion Protocol 1990 MSN - Critical Care Widener University, Chester, PA 1988 BSN Widener University, Chester, PA 1982 AAS – Nursing Luzerne County Community College, Nanticoke, PA LICENSURE 26NJ00095000 - Advanced Practice Nurse with Prescriptive Authority NJ #NR 68124 PA #RN - 255007 -1 NPI 1396184404 CERTIFICATIONS CCNS (Critical Care Clinical Nurse Specialist) - 2008 to present CCRN (Critical Care Registered Nurse) - 1984 to present ACLS and BLS - current AWARD Excellence in Advancing Nursing Practice - Honorable Mention - October 2013 American Association of Colleges of Nursing Glycemic Control in Cardiac Surgery: Revising and Educating Nurses on an Evidence- based Insulin Infusion Protocol PROFESSIONAL ORGANIZATIONS Chatham University - Sigma Theta Tau - 2013 present Chatham University - Nursing Honor Society – 2012 American Association of Critical Care Nurse (AACN) - 1984 to present Southeastern Pennsylvania (SePA) Chapter AACN Chair-elect Education Committee - 2000 – 2001 Education Committee Chairperson - 2001 - 2002

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Joelle Denise Hargraves DNP, MSN, RN, APN, CCRN, CCNS Department of Nursing, 523 Jones Hall

3307 North Broad Street, Philadelphia, PA 19140 Phone: (215)707-2353 (W)

Email: [email protected]

EDUCATION 2012 DNP - Doctor of Nursing PracticeChatham University, Pittsburgh, PACapstone Project: Glycemic Control in Cardiac Surgery: Revising and Educating Nurses on an Evidence-based Insulin Infusion Protocol 1990 MSN - Critical Care Widener University, Chester, PA 1988 BSNWidener University, Chester, PA 1982 AAS – NursingLuzerne County Community College, Nanticoke, PA LICENSURE 26NJ00095000 - Advanced Practice Nurse with Prescriptive Authority NJ #NR 68124PA #RN - 255007 -1NPI 1396184404 CERTIFICATIONS CCNS (Critical Care Clinical Nurse Specialist) - 2008 to present CCRN (Critical Care Registered Nurse) - 1984 to presentACLS and BLS - current AWARD Excellence in Advancing Nursing Practice - Honorable Mention - October 2013 American Association of Colleges of Nursing

Glycemic Control in Cardiac Surgery: Revising and Educating Nurses on an Evidence- based Insulin Infusion Protocol

PROFESSIONAL ORGANIZATIONS Chatham University - Sigma Theta Tau - 2013 – present Chatham University - Nursing Honor Society – 2012American Association of Critical Care Nurse (AACN) - 1984 to present Southeastern Pennsylvania (SePA) Chapter AACN Chair-elect Education Committee - 2000 – 2001Education Committee Chairperson - 2001 - 2002

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PROFESSIONAL EXPERIENCE ASSISTANT PROFESSOR OF NURSING August 2015 – present Department of Nursing, College of Public Health of Temple University • Responsibilities include: teaching seniors critical care and advanced medical/surgical

nursing; clinical coordination of senior clinical including the internship, ATI remediation for seniors, and chair DNP capstone project, evidence-based practice

• Courses taught: General Nursing Practice IV (GNP IV), Senior Seminar, Senior Internship, Health Assessment, reader for Genetics course

• Research interests: critical care and cardiovascular (CV) nursing with specific interest in CV disease prevention, heart failure, and cardiac surgery

• DNP Capstone Chairperson (2016-2017) – “Implementing an Evidence-based Practice Educational Program for Cardiac Rehabilitation Patients"

CARDIAC REHABILITATION NURSE June 2016 to present (per diem position) Cape May Courthouse, NJ • Provided direct nursing care to outpatients participating in cardiac and pulmonary rehab. • Evaluated patient response to exercise and revised plan of care. • Supervised the Fitness Center when exercise physiologist took days off • Assessed (focused) members (many former cardiac and pulmonary rehab patients) prior to

and following exercise. As required sent members to the Emergency Department or Health Care Provider.

NURSE REVIEWER May 2015 – August 2015 (summer/seasonal position) HMS, Hamilton, NJ • HMS 5-year contract with the New Jersey (NJ) Department of Health to review

cardiovascular programs offering percutaneous coronary intervention (PCI) for ST elevation myocardial infarction (STEMI) and cardiac surgery programs

• Summer 2015 – Reviewed medical records at PCI centers in NJ to: validate data submitted to the NJ Cardiac Catheterization Registries (electronic database); correct data discrepancies; review and reconcile data changes with site coordinator; and identify and communicate serious quality/safety issues requiring immediate attention to project manager and ultimately the NJ Cardiovascular Health Advisory Panel (CHAP)

• Findings will be publically reported to inform patients and families; and used to assess current care as well as improve overall quality of cardiovascular care

CARDIOVASCULAR DISEASE PROGRAM MANAGER/ ADVANCED PRACTICE NURSEJuly 2013 - February 2015AtlantiCare Regional Medical Center, Pomona, NJ

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• Responsible for developing the infrastructure and growth of key Heart Institute initiatives including the Valve Clinic - Transcatheter Aortic Valve Replacement (TAVR) Program in collaboration with Valve Program Coordinator; inpatient and outpatient Heart Failure (HF) Program including aquapheresis; Chest Pain Program; Arrhythmia Management Program; Pulmonary Hypertension; and Vascular Program in collaboration with the Assistant Vice President - Cardiovascular Service Line, Director of Cardiovascular Inpatient Services, and the Medical Director of Cardiovascular Integration.

• Implementation of the evidence-based cardiovascular disease specific clinical practice guide- lines and evaluation on quality patient outcomes

• Patient care and supervision of the HF Resource Center in collaboration with HF Nurse Navigator to assess and educate patients on self-management to prevent readmission and improve quality of life utilizing AtlantiCare's WOW ME 2000:Weight - Output - Walking - Medications- Evaluation of Symptoms - 2000 mg Na and 2000 ml fluid/day

• Responsible for achievement of cardiovascular core measures, reducing readmissions for HF and STEMI patients, and Joint Commission accreditation of heart failure

• Education of registered and advanced practice nurses on cardiovascular topics. Mentoring of new staff.

• Supervision of three Advanced Practice Nurses, three HF Nurse Navigators of which one also does Cardiology Outreach Coordinator, Valve Program Coordinator (CV RRT), and CMA

• Chairperson of the annual Current Tides and Future Waves in Nursing Practice conference sponsored by the APN Council. The conference has grown into a regional event with over 215 nurses from four states attending in 2014.

CRITICAL CARE CLINICAL NURSE SPECIALIST July 2007 - July 2013AtlantiCare Regional Medical Center, Pomona, NJ • Responsible for the Cardiovascular Unit (CVU), Intensive Care Unit (ICU) & 3 Harbor

Progressive Care Unit (3 H PCU) • Authored the successful Beacon Award application for ICU - Silver Level • Clinical consultation, education (formal and informal), program development, competency

validation, nursing management, and ongoing performance improvement activities including, but to limited to: Surgical Care Improvement Project (SCIP), preventing hospital acquired infections (ventilator-associated pneumonia, central line-associated blood stream infections, catheter-associated urinary tract infections), and NDNQI (pressure ulcer prevention, falls, restraints).

• Development and implementation of evidenced based nursing practice. - glycemic control in critical illness and urinary catheter protocol which empowers nurses to remove a urinary catheter when the patient no longer meets criteria

• Collaborated with Nursing Director in establishing 3 H PCU in January 2009 including development of the plan/timeline for opening, staff education, standard of care, policy and procedures, hiring of staff nurses and a nurse manager, ongoing clinical support.

• Chairperson of the annual "Current Tides and Waves in Nursing Practice" sponsored by APN Council from the inaugural year to present.

• Co-chairperson of the annual Cardiovascular Nursing Symposium

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ADJUNCT NURSING FACULTY August 2006 - December 2006Joint Appointment - Atlantic Cape Community College, Mays Landing, NJ &AtlantiCare Regional Medical Center, Pomona, NJ• Clinical Instructor - Nursing 200 - Supervised 12 senior student nurses on 2 South (Surgical

Floor with Telemetry). • Responsible for clinical assignments, pre and post-conference education, completion of

patient care, medication administration and evaluation of each student's clinical practice. ICU POOL/CVU STAFF NURSE June 2005 to July 2007AtlantiCare Regional Medical Center, Pomona, NJ• Provided direct patient care to critically ill adults in the Cardiovascular Unit (CVU) post

cardiac surgery, post interventional cardiology procedure or post myocardial infarction. • Lecturer Critical Care Bridge Program VENTRICULAR ASSIST DEVICE (VAD) COORDINATOR December 2001 to June 2005 Montefiore Medical Center, Bronx, NY • Developed the infrastructure of the Cardiac Transplantation and Assist Device Program

during the start-up phase • Authored the successful Medicare Application for Heart Transplant Program approval in col-

laboration with the Vice President of the Heart Center • Achieved approval from Medicare for VAD Destination Therapy • Leadership responsibilities for the Continuous Quality Improvement Program • Coordinated the successful UNOS Survey • Established the VAD Transport Program • UNOS Transplant Administration • Created the Cardiac Transplantation and Assist Device Program Manual which included

protocols for the pre- and post-op management of patients receiving a heart transplant and/or a ventricular assist device

• Created computerized order sets for the patient being evaluated for heart transplant, pre- and post-op orders for heart transplant and ventricular assist device patients

• Provided interdisciplinary education (Nurses, Attending Physicians, CT Residents, Critical Care fellows, Residents, Physical and Occupational Therapists) on ventricular assist device as each new device was introduced

• Provided education to patients/family in the management of the HeartMate LVAD and Nova-cor LVAS in preparation for discharge to home

• Clinical expert o Abiomed Circulatory Support System: BVS 5000 and AB 5000 Ventricl o HeartMate XVE Left Ventricular Assist Device (LVAD) o Thoratec Ventricular Assist Device (VAD) o Novacor Left Ventricular Assist System (LVAS) o Heart Transplant o Critical Care Nursing

• Administrative responsibilities for outpatient office & personnel

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• JCAHO preparation • Research

o IRB preparation, submission and follow-up of VAD protocols o RELIANT Study - Co-investigator o Evaluation and ongoing management of study participant

CLINICAL ABSTRACTOR December 2001 - March 2003University of Pennsylvania, School of Nursing, Philadelphia, PA • Clinical abstractor for the NIH funded study Collaborative Care for Elders with Heart

Failure. Principal Investigator - Mary Naylor RN, Ph.D. INDEPENDENT CONTRACTOR July 2001 - December 2001Independent Nursing Services• Direct nursing care to patients in the ICU/CCU and Telemetry Floor COORDINATOR, MECHANICAL CARDIAC ASSIST PROGRAM August 1997 to July 2001Temple University Hospital, Philadelphia, PA • Clinical management of:

o Patients on an Abiomed VAD, HeartMate LVAD and Thoratec VAD o Patients receiving medical therapy in The REMATCH Trial.

• Research Coordinator o HeartMate Vented Electric Left Ventricular Assist Device Trial, ThermoCardiosystems

Inc. (TCI - now Thoratec Corporation) • Co-investigator

o The REMATCH Trial (The Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure)

o Protocol preparation and submission to the IRB, data collection/monitoring, and reporting of adverse events.

• Patient/family and staff education • Heart transplant and VAD on-call CRITICAL CARE CLINICAL NURSE SPECIALIST September 1990 to August 1997 Temple University Hospital, Philadelphia, PA

• Clinical consultation, education (formal and informal), program development, management, research, and ongoing performance improvement activities for assigned nursing units. 1990 to 1997 Surgical Intensive Care Unit - Cardiothoracic (SICU-CT) 1995 to 1997 Heart Failure Care Unit (HFCU) 1996 to 1997 Cardiac/Cardiothoracic Nursing Unit (7 East) 1990 to 1996 Coronary Care Unit (CCU) 1990 to 1995 Neurosurgical Intensive Care Unit (NICU) 1993 to 1995 Neuroscience Nursing Unit (4 East)

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• Expertise in the nursing care of critically ill patients experiencing cardiac surgery (coronary

artery bypass grafting, valve repair/replacement, ventricular assist device insertion, heart and/ or lung transplant), heart failure, myocardial infarction, arrhythmias, post-interventional cardiology procedures, and multi-system organ failure.

• Leadership Activities: o Coronary Artery Bypass Graft (CABG) Care Map Author Team - Co-chairperson o Cardiac Services Nursing Performance Improvement Committee - Co-chairperson o Nursing Performance Improvement Committee o Healthcare Evaluation Committee o Systems Committee o Intensive Care Unit Committee o Nursing Education and Quality Improvement Division o Cardiac Services Division – Consultant o Nursing Leadership o Policy and Procedure o Product Standardization o Peer Review Committee o Preceptor - Graduate Nursing Students o JCAHO Survey - preparation

EDUCATIONAL CONSULTANT/FACULTY 1996American Healthcare Institute (AHI) Silver Spring, Maryland • Presented full day seminars on cardiac and critical care nursing on a per diem basis. NURSE CONSULTANT 1996White & Williams1500 Lancaster Avenue Paoli, PA • Review medical records and provide expert testimony in malpractice cases CRITICAL CARE INSTRUCTOR September 1989 - August 1990Roxborough Memorial Hospital, Philadelphia, PA • Education for the Intensive Care/Coronary Care Unit (ICU/CCU), Progressive Care Unit (PCU), and Emergency Department (ED).

• Orientation and evaluation of new nurses in critical care. • CPR instructor. • Policy and Procedure Committee. STAFF NURSE - INTENSIVE CARE UNIT/CORONARY CARE UNIT POOL September 1987 - August 1990

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Roxborough Memorial Hospital, Philadelphia, PA• Provided nursing care to critically ill medical, surgical and cardiac patients. STAFF NURSE - CRITICAL CARE (SUMMER POSITION) June 1988 - August 1988Shore Memorial Hospital, Somers Point, NJ• Provided nursing care to patients in the Intensive Care Unit and Progressive Care Unit STAFF NURSE - SURGICAL INTENSIVE CARE UNIT September 1986 - August 1987Hospital of the University of Pennsylvania, Philadelphia, PA• Provided nursing care to critically ill adults experiencing major surgery (i.e. - cardiothoracic,

neurosurgery) and/or multiple trauma. STAFF NURSE - MEDICAL SURGICAL INTENSIVE CARE UNIT (MSICU) June 1982 - August 1986Wilkes-Barre General Hospital, Wilkes-Barre, PA• Provided nursing care to critically ill adults and children experiencing major surgery and

acute medical problems. RESEARCH 2004-2005RELIANT - Randomized Evaluation of the Novacor LVAS in A Non Transplant Population Co-investigatorSponsored by WorldHeart Inc. 2001 – 2003Collaborative Care for Elders with Heart FailureClinical AbstractorNIH funded study, University of Pennsylvania, School of Nursing 2000Myoblast Transplantation for the Treatment of End-stage Congestive Heart FailureCo-Investigator & Coordinator- Temple University Hospital Sponsored by Diacrin Inc., MA 1999Mechanism of Improved Diastolic Function in Human Heart Failure: Protocol 2 - Dobutamine ResponsivenessCo-Investigator - Temple University Hospital 1999EKG Changes in Patients with End Stage Heart Failure with and Without a Left Ventricular Assist DeviceCo-Investigator - Temple University Hospital

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1998Driveline Infections: A Comparison of Two Dressing Change Methods for Care of the Exit SitePrincipal InvestigatorThermoCardiosystems Inc. Investigator's MeetingBaltimore, MD1998 – 2001The Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure (The REMATCH Study) - Funded by NHLBI Co-Investigator and Coordinator, Temple University Hospital 1997 - 1999 TCIHeartMate Vented Electric Left Ventricular Assist System for Mechanical Circulatory Support Study Coordinator, Temple University Hospital 1994The Effects of Endotracheal Suctioning On Regional Cerebral Blood Flow Poster presentationAmerican Association of Critical-care Nurses Southeastern Pennsylvania 1993The Effects of Closed Endotracheal Suctioning on Regional Cerebral Blood FlowPrincipal InvestigatorGrant Award - $1,000.00American Association of Critical-Care Nurses, Southeastern PA Chapter 1990TPA in a Community Hospital Crozer-Chester Medical Center Graduate Clinical Rotation 1989Relationships between Critical Care and Emergency Nurses: A Study of Communication, Conflict, and TerritorialityPrincipal InvestigatorWidener University ACADEMIC EXPERIENCE Adjunct Clinical Instructor2014, 2001, 1991 – 1997Widener University Graduate Program - School of Nursing

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Adjunct Clinical Preceptor 2012 - Undergraduate Program2007 & 2010 - Graduate Program University of Delaware - School of Nursing Adjunct Clinical Preceptor2011 - RN - BSN StudentThomas Jefferson University - School of NursingAdjunct Clinical FacultyJoint Appointment - Atlantic Cape Community College, Mays Landing, NJ & AtlantiCare Regional Medical Center, Pomona, NJ Adjunct Clinical Preceptor1996Villanova University Graduate Program - School of Nursing Clinical Preceptor1991 – 1994University of Pennsylvania Graduate Program - School of Nursing Mentor1993 - 1994, Opportunities in Healthcare Program Temple University Hospital PUBLICA TIONS Hargraves, J.D. (2014). Glycemic Control in Cardiac Surgery: Implementing an Evidence-based

Insulin Infusion Protocol. American Journal of Critical Care, 23(3), 250-258. doi:10.4037/ajcc2014236

Hargraves, J.D. (2012). Glycemic Control in Cardiac Surgery: Revising and Educating Nurses on

an Evidence-based Insulin Infusion Protocol. Capstone, Chatham University: Pittsburgh, PA.

Fleck, D.A., & Hargraves, J. (2005). Ventricular Assist Devices. In AACN Procedure Manual

for Critical Care (5th Ed.). (pp. 387-409). Philadelphia, PA: Saunders. Hargraves, J. (1996). Contributor: Managing the diagnostic workup: cardiovascular testing. In

The Clinical Answer Book (pp. 48-57). Springhouse, PA: Springhouse Corporation. Hargraves, J. & Larese-Ortiz, G. (1993, August) Unit-based nursing research. Nursing Spectrum. PRESENTATIONS October 2016N4885 General Nursing Practice Internship Temple University, College of Public Health

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December 2014Chest Pain and Myocardial Infarction: Pre-Hospital Care for the EMT Little Egg Harbor - Parkville Fire House: December 2014Atlantic County Training Center - November 2014Cape May County Training Center - October 2014 October 2014Transcatheter Aortic Valve Replacement (TAVR) Tri-State Society for Cardiovascular and Pulmonary Rehab Pomona, NJ May 2014Transcatheter Aortic Valve Replacement (TAVR) Stockton Center on Successful Aging 2014 Pomona, NJ April 2013Glycemic Control in Cardiac Surgery: Implementing an Evidence-basedInsulin Infusion ProtocolPodium PresentationAtlantiCare Regional Medical Center - 10th Annual Nursing Research Conference Atlantic City, NJ September 2012Glycemic Control in Cardiac Surgery: Revising and Educating Nurses on an Evidence-based Insulin Infusion ProtocolPoster PresentationChatham University, Pittsburgh, PA April 2012Simulation - Cardiac Case StudyTrends in Cardiovascular Nursing, Atlantic City, NJAmerican Association of Critical-Care Nurses Southeastern Pennsylvania Chapter April 2012Preventing Heart Failure Readmissions: Implementation of an Aquapheresis Program Poster PresentationAtlantiCare Regional Medical Center- 9th Annual Nursing Research DayAtlantic City, NJ June 2010Strategies for the Management of the Patient with Heart Failure: Preventing Readmission to the HospitalCurrent Tides and Future Waves Advanced Nursing PracticeAtlantic City, NJ

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July 2007- 2015Ongoing Courses/Presentations - AtlantiCare Regional Medical Center Cardiac Surgery ProgramVentricular Assist Device ClassCardiac Care CourseCritical Care Bridge Program12 Lead EKGABG InterpretationFluid & Electrolyte ImbalanceCardiovascular Pharmacology Cardiac Case StudiesAbiomed Course2002 – 2004Patient ManagementAbiomed Training Course - Animal LabMontefiore Medical Center May 2003Management of the Patient Post Heart Transplant in the Emergency Department Setting the Pace 2003New York State Emergency Nurses Association November 2002Mechanical Cardiac Assist DevicesAmerican Association of Critical-Care Nurses Jersey Shore Chapter October 2002Mechanical Cardiac Assist DevicesTrends in Critical Care Nursing, Philadelphia, PAAmerican Association of Critical-Care Nurses Southeastern Pennsylvania Chapter April 2002Mechanical Cardiac Assist DevicesTrends in Cardiovascular Nursing, Philadelphia, PAAmerican Association of Critical-Care Nurses Southeastern Pennsylvania Chapter October 2001Mechanical Cardiac Assist Devices: 2001 and Beyond Trends in Critical Care Nursing, Philadelphia, PA American Association of Critical-Care Nurses Southeastern Pennsylvania Chapter April 2001Mechanical Cardiac Assist Devices: 2001 and BeyondTrends in Critical Care Nursing, Philadelphia, PAAmerican Association of Critical-Care Nurses Southeastern Pennsylvania

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October 2000Advances in the Medical and Surgical Management of Heart FailureTrends in Critical Care Nursing, Philadelphia, PAAmerican Association of Critical-Care Nurses Southeastern Pennsylvania Chapter September 2000Expanding Indications for LVAD Support ThermoCardiosystems Inc. Investigator's Meeting, Miami, FL April 2000Surgical Management of Heart FailureLiving Life on the Edge: A Patient Perspective on Heart Failure - Living on a Left Ventricular Assist Device (LVAD) Waiting for Heart TransplantTrends in Cardiovascular and Trauma NursingAmerican Association of Critical-Care Nurses Southeastern Pennsylvania Chapter October 1999LVAD as a Bridge to Transplant and Destination TherapyTrends in Critical Care Nursing, Philadelphia, PAAmerican Association of Critical-Care Nurses Southeastern Pennsylvania Chapter and Allegheny University of the Health Sciences April 1999Nursing Management of the Post Cardiotomy Ventricular Assist Device Patient Left Ventricular Assist Devices as a Bridge to Heart TransplantTrends in Cardiovascular and Trauma NursingAmerican Association of Critical-Care Nurses Southeastern Pennsylvania Chapter October 1998Driveline Infections: A Comparison of Two Dressing Change Methods for Care of the Driveline Exit SiteThermoCardiosystems Inc. Investigator's Meeting, Baltimore, MD October 1998Nursing Management of the Post Cardiotomy Ventricular Assist Device PatientLeft Ventricular Assist Devices as a Bridge to Heart TransplantationTrends in Critical Care Nursing, Philadelphia, PAAmerican Association of Critical-Care Nurses Southeastern Pennsylvania Chapter and Allegheny University of the Health Sciences October 1997Heart and Heart/Lung TransplantationMechanical Cardiac AssistanceTrends in Critical Care Nursing, Philadelphia, PAAmerican Association of Critical-Care Nurses Southeastern Pennsylvania Chapter and Allegheny University of the Health Sciences

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June 1997The Critical Edge: Advanced Concepts in Critical Care Nursing Program Co-coordinator February and April 1997Critical Care EmergenciesAmerican Healthcare Institute, Fairfield, New Jersey February 1997How Your Heart WorksWaldron Mercy Academy, Ardmore, PA November 1996When a Code is Called ... Rapid Nursing Response American Healthcare Institute, Long Island, New York October 1996The Wearable LVAD: New Hope for the Failing HeartTrends in Critical Care Nursing, Philadelphia, PAAmerican Association of Critical-Care Nurses Southeastern Pennsylvania Chapter and Allegheny University of the Health Sciences June 1996Critical Care Skills for Non-ICU NursesAmerican Healthcare Institute, Baltimore, Maryland June 1996Cardiac TriageConference Co-coordinatorThe Critical Edge: Advanced Concepts in Emergency Nursing Temple University Hospital June 199512 Lead EKG Interpretation: Ischemia, Injury, Infarction Conference Co-coordinatorThe Critical Edge: Advanced Concepts in Emergency Nursing February 1995Neuromuscular Blocking AgentsEmergency Nursing Today '95Philadelphia Chapter Emergency Nurses Association

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July 1994Head TraumaTrauma Nurse Course Temple University Hospital June 1994Ethical Issues and Medical Futility JCAHO Preparation Poster Temple University Hospital June 1994Intracranial Pressure MonitoringConference Co-coordinatorThe Critical Edge: Advanced Concepts in Emergency Nursing May 1994Vented Electric Left Ventricular Assist DeviceEducation and clinical consultation for initiation of FDA research protocol Temple University Hospital April 1994The Effects of Endotracheal Suctioning On Regional Cerebral Blood Flow Poster PresentationAmerican Association of Critical-care Nurses Southeastern Pennsylvania February 1994Unusual Neurological PresentationsEmergency Nursing Today '94Philadelphia Chapter Emergency Nurses Association 1993 – 1994Lung Transplantation CourseEducation for initiation of Lung Transplant Program Temple University Hospital June 1993Neuromuscular Blockade Conference Co-coordinator Temple University Hospital August 1992Spinal Cord Injuries Trauma Nurse Course Temple University Hospital

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1992Nursing Management of the Patient with a Pneumatic Ventricular Assist Device Temple University Hospital 1992Neuro AssessmentConference Co-coordinatorThe Critical Edge: Advanced Concepts in Emergency Nursing Temple University Hospital April 1992Medical Management of Valvular Heart Disease ITI, Wilmington, Delaware April 1992Continuous Renal Replacement Therapy (CCRT) Advanced Renal NursingTemple University Hospital March 1992Peripheral Vascular Disease and AneurysmsGraduate Program - Temple University School of Nursing September 1991Medical Management of Valvular Heart DiseaseHorizons in Cardiovascular Nursing: Valvular Hear Disease Update Temple University Hospital, Department of Cardiac and Thoracic Surgery June 1991Thrombolytic UpdateConference Co-coordinatorThe Critical Edge: Advanced Concepts in Emergency Nursing Temple University Hospital May 1991Nursing Management of the Patient with a Ventricular Assist Device (Thoratec) Education and clinical consultation for initiation of programTemple University Hospital 1990 – 1997Basic Critical Care/Emergency and Cardiovascular Nursing Course Intra-aortic Balloon Pump WorkshopCardiac Surgery and Ventricular Assist Device ProgramPreceptor WorkshopTemple University Hospital

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1989 – 1990Roxborough Memorial HospitalPhysical Assessment Course and Critical Care CourseHead and NeckNeuroAbdomenAdult Physical AssessmentAdvanced Hemodynamic MonitoringCardiogenic ShockAdvanced Hemodynamic Monitoring: Care of the Patient in Shock Axis DeviationMI InterpretationAdvanced EKG Interpretation REVIEWER 2014Diabetes Technology and Therapeutics