KRISTA M. BONER, MSN, NNP-BC

Transcription

1 KRISTA M. BONER, MSN, NNP-BC CLINICAL & RESEARCH INTERESTS Broad clinical and research interests in the care of the pre-term and term infant including: Assisting in the development and establishment of care guidelines that result in decreasing the incidence of IVH, ROP and CLD while maximizing nutrition and growth in the very low birth weight infant. Identifying and managing infants at risk for developing PPHN Pain management in the surgical and ventilated infant EDUCATION 2007 M.S. in Nursing, Neonatal Nurse Practitioner track University of Louisville, School of Nursing 1995 B.S. in Nursing, University of Southern Maine, School of Nursing, Portland, ME PROFESSIONAL AFFILIATIONS National Association for Neonatal Nurse Practitioners, 2008 to present National Association for Neonatal Nurses, 2004 to present CLINICAL EXPERIENCE Present Neonatal Nurse Practitioner, University Physicians Healthcare Department of Pediatrics, Tucson, AZ. Provide a comprehensive plan of care for pre-term and term neonates and their families in Level II and III NICUs in the Tucson area medical centers (University Medical Center/Diamond Children s Hospital and Northwest Medical Center). Care for neonates with complicated medical and surgical needs with collaboration with the attending medical staff. Oversee and assist in the coordination of care for high risk infants on the medical resident team. Attend high risk deliveries. Provide 1

2 education to the residents, new nurses, and neonatal nurse practitioner students regarding procedures and diseases/disorders Neonatal Nurse Practitioner, Neonatal Associates, P.S.C., Department of Pediatrics, University of Louisville, Provided a comprehensive plan of care for pre-term and term neonates and their families in Level II and III NICUs in the Louisville area medical centers (Kosair Children s Hospital and University Hospital). Care for neonates with complicated medical and surgical needs with collaboration with the attending medical staff. Attend high risk deliveries. Perform medically necessary procedures. Provide education to the residents, new nurses, and neonatal nurse practitioner students regarding procedures and diseases/disorders. Participate in the recruitment, consent, screening, data collection, and data entry for multiple neonatal studies, both NIH and private sponsor funded Registered Nurse, Level II/III Neonatal Intensive Care Unit, Kosair Children s Hospital, Provided clinical bedside care of neonates that ranged from extremely premature to term infants with a wide array of medical and surgical complications. Served as a preceptor for new hires to the neonatal intensive care unit that included both new graduates and nurses that arrived with several years experience. Served as relief charge nurse during night shift coordinating admissions, transports, and staff needs Registered Nurse, Level II/III Neonatal Intensive Care Unit Maine Medical Center, Portland, ME Provided clinical bedside care of neonates that ranged from extremely premature to term infants with a wide array of complications, both medically and surgically. Served on the neonatal transport team that consisted of a registered nurse, respiratory therapist, and a neonatal nurse practitioner covering the Southern Maine and New Hampshire geographical areas Registered Nurse, Captain, United States Air Force Reserve 439 th Aeromedical Staging Squadron (ASTS) Westover Air Reserve Base, MA Provided war-time and peace time medical evacuation nursing care. Served as officer in charge of in-service training for the enlisted personnel in the unit. Provided education on cardiovascular drugs to nurses in the squadron. Provided care to Veterans during the Massachusetts VA stand-down by assisting with blood pressures, glucose monitoring, and education. Participated in medical readiness 2

3 training that involved triaging and transporting of patients during mock mass casualty exercises Registered Nurse, Contemporary Nursing Solutions Annandale, VA Provided clinical bedside care of adult, pediatric and neonatal patients for a nursing agency that provided staff to local area hospitals. Primary assignment was working in a level II NICU at Fairfax Hospital in Virginia Registered Nurse, Lieutenant, United States Air Force (active military) Adult and Pediatric Medical Surgical Units 89 th Medical Operations Squadron (MDOS), Andrews Air Force Base, MD Provided medical and surgical care to adults with multiple co-morbid diseases, including but not limited to patients with VIP status, such as Joint Chiefs of Staff, General Staff, Congressional, Presidential and ambassadorial staff, Colonels, Chiefs and their dependants. Served as charge nurse for the ward, coordinating assignments, admissions and transfers. Participated in patient transports to Walter Reed Army Medical Center and Bethesda Naval Hospital. Was a preceptor for the Nurse Transition Program, which helped new officers and nurses become acclimated to military life. Participated in a 3-month rotation at Walter Reed Army Medical Center caring for pediatric patients. Responsible for the training and competencies of the nurses and medical technicians on the ward. Also served as part of the flight line rescue team for base events Registered Nurse Adult Medical/Surgical Unit Maine Medical Center Portland, ME Provided medical and surgical care to adults with multiple, complex medical and surgical needs. CLINICAL COMPETENCY SKILLS Competencies that I have been certified in include but are not limited to: Placement of Umbilical Arterial/Venous Line Placement of Chest tubes, Trocar and Pigtail styles Thoracentesis Endotracheal tube intubations Suprapubic Taps 3

4 Lumbar Puncture Circumcision using the Mogan Clamp Peripheral Arterial line insertion Insertion of PICC lines Arterial and Femoral Punctures Attendance at high risk deliveries including VLBW, congenital anomalies, premature, late preterm and term deliveries Perinatal Consults PUBLICATIONS Bonner, K. M. & Mainous, R. O. (2008). The Nursing Care of the Infant Receiving Bubble CPAP Therapy. Advances in Neonatal Care, 8(2), Bonner, K. M. (2008). A case study of the effect of kangaroo care on physiologic parameters and ventilator settings in very low birth-weight fraternal twins. Advances in Neonatal Care, 8(2), CONFERENCE PRESENTATIONS Bonner, K. M. & Mainous, R.O. A Case Study Comparing Kangaroo Care with Conventional Holding and the Effects on Heart Rate, Respiratory Rate, Oxygen Saturations and Ventilator Settings in the Very Low Birth Weight Infant. Presented at the 2 nd Annual Research Summit, April 2007, Scottsdale, AZ, and NANN Conference, November, 2006, Nashville, TN. RESEARCH EXPERIENCE 2009 Study Coordinator A multicenter, open-label, single and multiple dose pharmacokinetics study of intravenous Pantoprazole in preterm infants & infants 0-11mths with a clinical diagnosis of gastro esophageal reflux disease (GERD) or the need for acid suppression. Responsibilities: Subject recruitment and obtaining informed consent. Sponsor: Wyeth Pharmaceutical PI: Angela Jefferies, MD 4

5 2008 Co-investigator A phase 2b, Multicenter, Single-dose, Blinded, Randomized, Placebocontrolled, Dose-escalation, Safety and Efficacy Trial of Stannsoporfin in Neonates with Hyperbilirubinemia; A 5-Year, Extension, Follow-up, Blinded-Outcomes, Trial of Subjects Having Received Stannsoporfin or Placebo in Clinical Trial 64, Responsibilities: Subject recruitment, obtaining informed consent, screening procedures, data collection and processing, entering data into the electronic data base, contacting subjects for follow up. Sponsor: InfaCare Pharmaceutical PI: Dan Stewart, MD Study Coordinator Longitudinal INOMax Observational Neonatal Study INOT-14 Responsibilities: Subject recruitment, obtaining informed consent, collection and entry of data, contact and follow-up with subject for followup visits. Sponsor: INO Therapeutics, INC. PI: Dan Stewart, MD Study Coordinator Fluconazole Prophylaxis for the prevention of candidiasis in infants < 750 grams birth weight Responsibilities: Subject recruitment and obtaining informed consent Sponsor: National Institute of Child Health and Human Development PI: Dan Stewart, MD Study Coordinator Multiple Dose Pharmacokinetic Study of Meropenem in Young Infants (<91 days) with Suspected or Complicated Intra-abdominal Infections Responsibilities: Subject recruitment and obtaining informed consent Sponsor: National Institute of Child Health and Human Development PI: Janice Sullivan, MD Co-Investigator Optimizing Pain Treatment in Pre-Term Neonates Responsibilities: Subject recruitment, obtaining informed consent, and performing histories and physicals on newly enrolled subjects. Sponsor: National Institute of Child Health and Human Development PI: Dan Stewart, MD Study Coordinator Antimicrobial Pharmacokinetics in High Risk Infants Responsibilities: Subject recruitment and obtaining informed consent 5

6 Sponsor: National Institute of Child Health and Human Development PI: Janice Sullivan, MD Study Coordinator A Multicenter, Open-Label, Pharmacokinetic, Pharmacodynamic, Clinical Symptoms and Safety Study of Pantoprazole Delayed-Release Granules Administered as a Suspension in Neonates and Preterm Infants with a Clinical Diagnosis of Gastroesophageal Reflux Disease. Responsibilities: Subject recruitment and obtaining informed consent Sponsor: Wyeth Pharmaceutical PI: Dan Stewart, MD PROFESSIONAL ACTIVITIES 2010-Present 2009-Present Student Nurse Practitioner Preceptor University Medical Center Tucson, AZ Responsible for the oversight and teaching of the neonatal nurse practitioner students including reviewing the plans of care, supervising procedures, co-signing orders, and reviewing progress notes Humidification for Very Low Birth Weight Infants Responsible for literature review and instruction of staff regarding the use of humidification in the incubators of the very low birth weight infants and developing a protocol to allow for its implementation Whole Body Cooling Committee University Medical Center Tucson, AZ Participated in the development and implementation of the whole body cooling protocol for infants with HIE NICU Round Table NICU, Kosair Children s Hospital Responsible for updating and informing the ancillary staff and NICU staff on research that is occurring within the unit to help improve our implementation of evidence based medicine. 6

7 Quality Improvement Committee NICU, Kosair Children s Hospital Participated in developing strategies to decrease rates of chronic lung disease, ROP and pneumothorax of infants that are admitted using VON as a marker for improvement Student Nurse Practitioner Preceptor, Neonatal Associates, PSC. Louisville KY Responsible for the oversight and teaching of the neonatal nurse practitioner students including reviewing the plans of care, supervising procedures, co-signing orders, and reviewing progress notes Relief Charge, NICU Kosair Children s Hospital Responsible for the coordination and placement of admissions, the flow of staffing, and the transfer/transportation of patients into and out to the unit Member of High Risk Delivery Team, NICU Kosair Children s Hospital, Responsible for attending high risk deliveries of all gestations. Maintaining the crash carts and admission beds in labor and delivery. Assisting with the admission process of new neonates to the NICU Nurse Preceptor, NICU Kosair Children s Hospital, Responsible for the teaching and instructing of new hires that included both new nurses to the profession, and nurses that had several years experience in the care and treatment of the neonate with both medical and surgical needs Neonatal Transport Team, NICU, Maine Medical Center, Portland, ME Responsible for the safe and efficient transport of sick neonates in need of higher levels of care from the outlying Southern Maine and New Hampshire areas back to Maine Medical Center Officer-in-Charge In-services / Medical Technician Training Westover Air Reserve Base, MA 7

8 Responsible for the continued education and competency training of the enlisted medical personnel by monitoring training records and establishing educational opportunities for them Organizer/Coordinator of the 439 th ASTS Personnel, Western Massachusetts Veterans Stand-down, Westover Air Reserve Base, MA Responsible for contacting, organizing and coordinating volunteers for the Western Massachusetts Veterans Stand-down. Also assisted in the medical care of the veterans and assisting with patient flow during the entire day Assistant Officer-in-Charge, In-services / Medical Technician Training, Westover Air Reserve Base, MA Assisted the officer in charge in maintaining the enlisted troops training and competencies. Assisted the officer in charge by coordinating educational opportunities for the troops Nurse Preceptor, Nurse Transition Program, 89 th MDOS, Andrews Air Force Base, MD Responsible for the orientation and training of new nurses to the U.S. Air Force nurse corps. Provided the nurses with education on procedures, and the care of patients with complex medical and surgical issues. TEACHING EXPERIENCE 2010 Hypoxic Ischemic Encephalopathy (HIE) Physiology Neonatal Intensive Care Units HIE Training University Medical Center Tucson, AZ One hour lecture for continuing education credit that examined the pathophysiology of HIE, the diagnosis, available treatments and research related to whole body cooling Neonatal Sepsis Neonatal Intensive Care Unit s High Tech Class for New Hires Kosair Children s Hospital One hour lecture to new hires that examined the identification and treatment of neonates diagnosed with sepsis Necrotizing Enterocolitis 8

9 Neonatal Intensive Care Unit s Neonatal Potpourri Kosair Children s Hospital One hour lecture for continuing education credits that examined the stages, symptomatology, treatment and outcome of infants that develop NEC Thyroid Disorders in the Neonate Neonatal Nurse Practitioner Program University of Louisville, School of Nursing One hour lecture for the school of nursing that examined the types of thyroid disorders that could be present in the neonate, the treatment and the outcomes that could be experienced Neonatal Diabetes and Infant of the Diabetic Mother Neonatal Nurse Practitioner Program University of Louisville, School of Nursing One hour lecture for the school of nursing that examined the pathology and treatment of neonatal diabetes as well as the management of the infant born to the diabetic mother. PROFESSIONAL AWARDS AND HONORS 2007 Deans Citation Award, University of Louisville, 2007 Better Care Award, Norton Healthcare 2005 Better Care Award, Norton Healthcare 2001 Air Force Outstanding Unit Award, 439 th ASTS, Westover Air Reserve Base 2000 Honorable Separation, Active duty, United States Air Force 2000 Air Force Commendation Medal 1998 Air Force Outstanding Unit Award, 89 th MDOS, Andrews Air Force Base 1996 Commissioned Officer, United States Air Force PROFESSIONAL CERTIFICATION AND TRAINING 2009-Present Advance Registered Nurse Practitioner, Arizona State Board of Nursing 2009-Present Registered Nursing Licensure, Arizona State Board of Nursing Advance Registered Nurse Practitioner, Kentucky State Board of Nursing (currently inactive) S.T.A.B.L.E. Certified 2006-Present CITI Trained 9

10 HIPAA Trained, University of Louisville, Registered Nursing Licensure, Kentucky State Board of Nursing (currently inactive) 1997-Present Neonatal Resuscitation Provider Continued Medical Readiness Training (Combat Field Medicine/Mass Casualty Training), US Air Force Reserve Registered Nursing Licensure, Maine State Board of Nursing (currently inactive) 1991-Present Basic Cardiac Life Support, Health Care Provider, Semi/Automatic External Defibrillator Registered Nursing Licensure, Virginia State Board of Nursing (currently inactive) Advanced Cardiac Life Support, Health Care Provider 1996 Commissioned Officer Training, US Air Force 10