Summary
Overview
Work History
Education
Skills
Certification
CAREER ACCOMPLISHMENTS
Timeline
Generic

NICOLE FITCH, MSN, APRN, FNP-C, CCRN

Metairie

Summary

Driven family nurse practitioner honors graduate with a Master of Science in Nursing and CCRN certification seeking full time NP position at Southeast Louisiana Veterans Healthcare System. Over 11 years of extensive experience in acute care settings and almost 8 years serving our nation's veterans at SLVHCS. Demonstrates accurate diagnostic interpretation with culturally competent and compassionate bedside manner, excelling in high-quality patient care throughout the life span. Detail-oriented with excellent communication skills and highly motivated to maximize patient outcomes.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Family Nurse Practitioner, PRN

Signify Health
05.2025 - Current
  • Performs in-home health evaluations which include an advanced physical examination, thorough medication and medical history review, accurately documenting demographics, social determinants of health and all preventative screening services.
  • Obtains patient vitals signs, and ordered applicable tests, such as spirometry, A1C now, and peripheral arterial disease screening and documents results into the electronic medical record.
  • Clearly communicates recommended treatment plans tailored to each patient's individual needs.
  • Facilitates patient urgent and non-urgent referrals to case management to close gaps of care.
  • Promotes health maintenance and disease prevention through patient education and counseling on lifestyle modifications.
  • Utilizes HIPPA compliant telehealth technology effectively, increasing convenience for patients while maintaining high-quality care standards.

Registered Nurse, CCU/MICU/SICU, 40 HRS/WK

Southeast Louisiana Veterans Healthcare System
11.2017 - Current
  • Utilizes strong assessment skills to provide culturally competent and high-quality patient care.
  • Collaborates well with interdisciplinary team to provide holistic care for patients while maintaining HIPPA compliance.
  • Administers blood products and medications via ordered routes and monitors outcomes.
  • Educates patient and patient's family on patient condition, status and treatment plan.
  • Places and maintains peripheral IVs.
  • Transports patients to CT, IR, MRI, and stepdown units.
  • Obtains and submits bloodwork for evaluation and monitors results.
  • Witnesses and verifies patient consents prior to all procedures and performs time out to ensure patient safety.
  • Accurately documents all elements of nursing assessment, medications, treatment, and outcomes.
  • Maintains and performs dressing changes on patients with central lines, arterial lines, PICC lines, port-a-caths, dialysis lines, JP drains, ostomies, chest tubes and wound vacs.
  • Skillfully cares for a variety of complex CCU, MICU, and SICU patients including care of patients with tracheostomy, colostomy, intubated on ventilator, enteral and parenteral nutrition, NG/ OG and PEG tubes, CABG, thrombectomy, endarterectomy, lobectomy, fem-pop bypass, PCI, IABP, Impella, and Continuous Renal Replacement Therapy.
  • Appropriately titrates and manages continuous drips such as antihypertensives, vasopressors, paralytics, and sedation medications.
  • Maintains sterile field and assists physician during procedures: chest tube placement, dressing changes, arterial line insertions, central line insertions.
  • Fosters caring, compassionate and respectful environment by treating every patient with professionalism.
  • Delegates work to nursing support staff and monitors performance to protect patients and maintain optimal care standards.
  • Mentors and precepts nurses during routine and urgent patient situations.
  • Responds to code blue and rapid response calls and assists in ACLS protocol.
  • Serves as charge RN and makes nurse assignments based on acuity of patient population.
  • Competent in CPRS, PICIS, and BCMA electronic medical record documentation.

MSN FNP-S, Adult Internal Medicine, 210 Hours

Jorge Contreras, MD
08.2024 - 11.2024
  • Clinical rotation concluded with 105 hours of care for adults under the age of 65 years and 105 hours of care for adults over the age of 65 years.
  • Conducted and electronically documented in Medtron EMR thorough patient assessments, taking accurate patient vital signs and history to identify health issues and determine appropriate diagnosis and interventions.
  • Collaborated closely with preceptor to develop effective treatment strategies for complex medical conditions such as asthma, anemia, COPD, diabetes mellitus type 2, hyperlipidemia, hormone replacement therapy, obesity, metabolic syndrome, and thyroid disorders.
  • Ordered and interpreted diagnostic testing such as labs, x-rays, CT scans, MRI, in collaboration with preceptor to develop and implement treatment plans.
  • Developed strong rapport with patients, fostering trust and promoting culturally competent care and open communication regarding health concerns.
  • Administered IM and SQ medications safely and effectively while closely monitoring for adverse reactions or potential complications.
  • Demonstrated proficiency in electronic medical records systems, including documenting chief complaint, history of present illness, review of systems, physical examination, diagnosis, treatment plan, and electronic ordering of prescriptions, streamlining documentation processes and optimizing efficiency.
  • Proficient in performing and interpreting 12 lead EKG, diabetic foot examination with monofilament testing, and pulmonary function testing.
  • Provided compassionate care for all patients, addressing both physical and emotional concerns during appointments while maintaining HIPPA compliance.

MSN FNP-S, Adult Primary Care, 150 Hours

Sam Ogbartel, FNP-C | Access Health Louisiana
01.2024 - 05.2024
  • Performed comprehensive physical assessment of patients, 18 years of age to 65 years of age.
  • Managed acute and chronic illnesses, conducting thorough assessments and developing appropriate treatment plans in collaboration with preceptor.
  • Promoted overall wellness by educating patients on CDC vaccination recommendations, disease prevention, healthy lifestyle choices, and self-care management techniques.
  • Promoted effective preventive care measures and early intervention strategies for at-risk patients.
  • Maintained open lines of communication with patients and their families, addressing concerns or questions promptly and compassionately.
  • Utilized translator for interpretation for non-English speaking patients to effectively communicate while maintaining HIPPA compliance.

MSN FNP-S, Pediatrics / Adolescents, 150 Hours

Leslie Brown, MD | Pontchartrain Pediatrics
08.2023 - 05.2024
  • Performed comprehensive physical assessment of pediatric patients, newborn to 12 years of age and adolescent patients, 13 years of age to 19 years of age.
  • Identified common pediatric and adolescent illnesses to plan and implement interventions and management in conjunction with preceptor for conditions such as otitis media, exanthems, and ADD/ADHD management.
  • Analyzed and interpreted patients' histories, symptoms, physical findings, and diagnostic information to develop appropriate diagnosis.
  • Established and implemented developmental screening initiatives to detect delays in young children.
  • Performed well-child visits, monitoring developmental milestones, growth patterns, nutrition status, and overall health of pediatric patients from infancy through adolescence.
  • Educated patients and families on disease prevention, CDC vaccination recommendations and health promotion to optimize patient outcomes.
  • Performed suture and staple removal.

MSN FNP-S, Women's Health OB/GYN, 90 Hours

Alyson Salling, FNP-C | West Jefferson Women's Health
08.2023 - 12.2023
  • Performed comprehensive physical examinations in women based on medical conditions involving age, menstruation, pregnancy, and sexual health.
  • Competent in performing breast examinations, pelvic examinations, and collection of PAP smears.
  • Promoted women's health by conducting regular screenings for cervical cancer, sexually transmitted infections, and other reproductive health concerns.
  • Assisted preceptor in care plan for treatment of women dealing with yeast infections, urinary tract infections and sexually transmitted infections.
  • Obtained and documented in EPIC EMR patient histories, complaints, and current symptoms.
  • Educated patients on birth control options and associated health risks.
  • Educated teenage women on puberty and body changes related to hormones and growth.
  • Administered prenatal and postnatal care for mothers to include vitamin regimens, postnatal pain management, breastfeeding coaching and hormone imbalances.
  • Competent in measurement of fundus and use of doppler to assess fetal heart tones.
  • Witnessed preceptor place and remove Nexplanon implant and intrauterine devices.

MSN FNP-S, Urgent Care, 60 Hours

Trina Guzan, DNP | In and Out Urgent Care
01.2023 - 05.2023
  • Evaluated patient histories, complaints, and current symptoms.
  • Performed comprehensive physical assessments.
  • Informed patients and families on disease prevention and health promotion based on recommendations for the patient population.
  • Visualized preceptor perform minor procedures such as suturing, ear flushing, wound care, and splinting when required for urgent care patients.

Registered Nurse, CCU/MICU/SICU, 40 HRS/WK

Ochsner Medical Center
02.2014 - 11.2017
  • Skilled critical care nurse with experience in care of CRRT, ECMO, Left Ventricular Assist Device, Right Ventricular Assist Device, Impella, IABP, CABG, cardiac valve repairs and replacements.
  • Pre- and post-operative care of transplant recipients: heart, kidney, liver, lung, and pancreas.
  • EPIC electronic medical record documentation competency.

Education

Master of Science - Nursing, Family Nurse Practitioner

Southeastern Louisiana University
Hammond, LA
12.2024

Bachelor of Science - Nursing

Louisiana State University Health Sciences Center
New Orleans, LA
12.2015

Associate of Science - Nursing, Registered Nurse

Delgado Charity School of Nursing
New Orleans, LA
12.2013

Associate of Arts - Fine Arts

Houston Community College
Houston, TX
12.2007

Skills

  • FNP-C and CCRN certified
  • ACLS and BLS certified
  • Advanced physical examination; Adult, Pediatrics and Women's Health with pelvic exams
  • IV management proficiency
  • 12 lead EKG monitoring and interpretation
  • Diagnostic test interpretation
  • Compassionate healthcare delivery
  • Electronic health record management

Certification

  • APRN-CNP, LA, 239877, 01/31/26
  • RN, LA, 142964, 01/31/26
  • CCRN, exp: 06/30/28
  • ACLS, BLS exp: 03/31/26

CAREER ACCOMPLISHMENTS

  • Inducted Member, Sigma Theta Tau International Honor Society of Nursing, 2024
  • Member, American Association of Nurse Practitioners (AANP), Louisiana Association of Nurse Practitioners (LANP) and American Association of Critical Care Nurses (AACN)
  • Critical Care RN certification, July 2016 to present
  • Nurse Residency presenter at 8th Annual Evidence Based Practice / Research National Conference and placed second for Nurse Residency EBP poster, September 2014
  • Ochsner Nurse Residency Program graduate, December 2014
  • CLABSI Unit Champion, Ochsner
  • Greater New Orleans Chapter of Critical Care Nurses, Treasurer Elect 2016, and Treasurer 2017
  • Nominated for system-wide employee of the month Ochsner, May 2017
  • Member of the Professional Development Council, Ochsner
  • Member of and elected Treasurer of the Unit Based Council, VA ICU 2022-present
  • Unit Champion, VA ICU for CRRT, Impella, IABP, CABG and strokes
  • Charge nurse with effective leadership skills
  • Preceptor of nursing students and new orientation nurses
  • Voted 'Star Nurse' by ICU nurse peers at the VA
  • Creator of The Critical Chronicles, a monthly educational newsletter specific to ICU processes, VA ICU 2018 - present
  • Effectively demonstrates the ability to streamline processes and optimize efficiency in the work environment

Timeline

Family Nurse Practitioner, PRN

Signify Health
05.2025 - Current

MSN FNP-S, Adult Internal Medicine, 210 Hours

Jorge Contreras, MD
08.2024 - 11.2024

MSN FNP-S, Adult Primary Care, 150 Hours

Sam Ogbartel, FNP-C | Access Health Louisiana
01.2024 - 05.2024

MSN FNP-S, Pediatrics / Adolescents, 150 Hours

Leslie Brown, MD | Pontchartrain Pediatrics
08.2023 - 05.2024

MSN FNP-S, Women's Health OB/GYN, 90 Hours

Alyson Salling, FNP-C | West Jefferson Women's Health
08.2023 - 12.2023

MSN FNP-S, Urgent Care, 60 Hours

Trina Guzan, DNP | In and Out Urgent Care
01.2023 - 05.2023

Registered Nurse, CCU/MICU/SICU, 40 HRS/WK

Southeast Louisiana Veterans Healthcare System
11.2017 - Current

Registered Nurse, CCU/MICU/SICU, 40 HRS/WK

Ochsner Medical Center
02.2014 - 11.2017

Master of Science - Nursing, Family Nurse Practitioner

Southeastern Louisiana University

Bachelor of Science - Nursing

Louisiana State University Health Sciences Center

Associate of Science - Nursing, Registered Nurse

Delgado Charity School of Nursing

Associate of Arts - Fine Arts

Houston Community College

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NICOLE FITCH, MSN, APRN, FNP-C, CCRN