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March 5, 2024To whom it may concern,I am a family nurse practitioner currently holding my Doctor of Nursing Practice Degree with completion in May, Street Address . I have been working in the primary care setting as a NP for the past 4.5 years. Please consider my attached curriculum vitae for the posted position.I possess the education, clinical practicum experience, current job experience, and certification needed to practice as a Family Nurse Practitioner. My previous 9 years of registered nursing experience on an acute care telemetry unit has provided me with an extensive skill base to build upon in my role as a Family Nurse Practitioner. I possess excellent communication skills and am fluent with the process of interdisciplinary care coordination as well as with navigating through patient and family dynamics in the coordination of care. I believe leadership is the cornerstone of advanced nursing practice and I work hard to demonstrate my leadership abilities in my role as a healthcare provider.I am sincerely interested in meeting with you to further discuss my credentials, education, and experience and how I will be of benefit to your practice. I can be reached any time on my cell phone at PHONE NUMBER AVAILABLE or via email at littleavanzato@msn.com.Thank you for your time and consideration. I look forward to meeting with you.Best regards,Angela Avanzato, DNP-FNPAngela Avanzato, DNP-FNP94 Summer St.Lanesboro MA, 01237Cell: PHONE NUMBER AVAILABLEEMAIL AVAILABLEPROFESSIONAL HIGHLIGHTS:4.5 years of experience working in a primary care practice.Seeing 17 patients a day.Diagnosing acute illness, managing chronic conditions such as hypertension, hyperlipidemia, Diabetes, COPD, osteoporosis, anxiety/depression.Developing plans of care and appropriate follow up.Referrals to other health providers when needed and working in an interdisciplinary manor to assure continuity of care and follow up.Working collectively with home health and hospice care to assure appropriate patient care, treatments and work up.Use of ICD-10 codes and visit codes appropriately to ensure accurate billing and payment.Very experienced with Medicare Wellness exams and proper billing for these exams.Able to work independently and efficiently.On call hours worked.4 years experience working in long term care concurrent with my position in the primary care setting.Nine years as a registered nurse on a telemetry unit working with post operative pacemaker, ablation and cardiac catheterization patients as well as with chronic and acute heart failure patients, patients with arrhythmias and the management of patients with multiple comorbid conditions.Strong leadership qualities often working in the role of charge nurse on a 29 bed telemetry unit.Committed to providing high-quality care and encouraging the use of evidence-based practice.Team oriented, advocate for interdisciplinary communication and care coordination.Patient focused, encouraging family and caregiver involvement in care as well involving the patient in hand off of care and bedside rounds with physicians.EDUCATION:2016- 2019 Doctor of Nursing Practice, Elms College, Chicopee MassachusettsSpecialty clinical track: Family Nurse PractitionerDegree completion May 2019Scholarly project: Improving Substance Abuse Recovery: a needs assessment intervention2014-2016: Bachelor of Science in Nursing, Elms College, Chicopee MassachusettsGraduated with honors (magna cum laude).Degree focused on furthering the education, use of evidence-based practices and leadership among registered nurses.2009-2011: Associates Degree in Nursing, Berkshire Community College, Pittsfield, MassachusettsFocus on providing safe and efficient care to patients across the life span. Base skill sets learned and improved upon throughout practice.Nurse Practitioner Student PracticumWinter 2018: Infant/Adolescent Primary Care I:Clinical site: Dr. Dempsey Pediatrics, Pittsfield, Massachusetts.Established skills in performing physical assessments of patients from birth to age 21.Diagnosed and developed plans of care for acute illness.Identified appropriate pharmacological therapy for the treatment of acute and chronic illness.Identified recommended age appropriate screenings and vaccinations and provided age specific anticipatory guidance.Collaborated with other health care professionals regarding treatment and care plans.Developed the communication skills needed in providing care and performing exams on children and adolescents.Educated parents on medication use, treatments and follow up care.Gained knowledge in the scope of practice.Spring 2018: Young Adult/Older Adult Primary Care IIClinical site: Berkshire Medical Center Hospitalist Department, Telemetry Unit: Preceptor Mark Mozzi, PA, Pittsfield, Massachusetts.Established skills in performing physical assessments of the young/older adult.Diagnosed and developed plans of care for patients with heart failure, cardiac arrhythmias, COPD, renal disease, and patients with multiple comorbid conditions.Identified appropriate pharmacological therapy for the treatment of acute and chronic diagnoses.Collaborated with other health care professionals regarding treatment and care plansFurther established communication skills with patients, families, caregivers and other members of the health care team.Educated patients, families and caregivers regarding treatment plans and procedures.Gained knowledge in the scope of practice.Fall 2018: Womens HealthClinical site: Berkshire Internists Primary Care: Preceptor Wanda Torres, FNP, Pittsfield, Massachusetts.Established specialized skills in performing physical assessments on women age 18 and older.Routinely performed well women visits, manual breast exams, and annual GYN exams.Identified recommended annual screening and vaccinations and provided patient and population specific anticipatory guidance.Routinely performed well and sick visits to both men and women age 18 and older.Identified appropriate pharmacological therapy needed to treat acute and chronic illness.Collaborated with other health care providers regarding patient treatment and care planning.Further developed population specific communication skills.Gained knowledge in the scope of practice.Winter 2019: Complex Health Problems Primary Care IIIClinical site: Berkshire Medical Center Emergency Department, multiple physician preceptors, Pittsfield, Massachusetts.Presented a variety of patients to the preceptor.Provided care to patients across the life span.Developed thorough focused physical assessment skills.Identified necessary testing, treatments, and pharmacological therapy for acute illness.Identified criteria for diagnosing acute myocardial infarction and cerebral vascular accidents.Participated in trauma scenarios.Performed suturing and obtained specimens as needed.Collaborated with other members of the health care team regarding patient care and treatment.Gained knowledge in the scope of practice.EXPERIENCE:2011-2019Registered NurseBerkshire Medical Center, Pittsfield Massachusetts.Staff nurse on the telemetry unit providing direct patient care.Provided leadership on the unit by serving as the charge nurse coordinating communication between nurses, physicians, and other health care professionals.Skilled in caring for patients during critical situations such as myocardial infarction, life threatening arrhythmias, fluid overload and respiratory distress/failure. Experience with the post operative care of patients receiving pacemaker/defibrillators, ablations and cardiac catheterizations. Provided education to patients and families regarding heart failure, cardiac arrhythmias, anticoagulation therapy, and post operative care instructions.CERTIFICATIONS:2019-present:ANCC Board Certification2018-present:Fundamentals of Critical Care Support (FCCS) Course with the Society of Critical Care Medicine.2017-present:National Institute of Health (NIH) Stroke Certification and Dysphasia screening certification.2011-present:Advanced Cardiac Life Support (ACLS) through the American Heart Association.2011-present:Telemetry certified through Berkshire Medical Center.2007-present:Basic Life Support (BLS) through the American Heart Association.HONORS/AWARDS2007-present:Acknowledgement of clinical excellence by patients/families and medical providers through Berkshire Medical Center2014-2019:Deans list/honors every semester at Elms CollegeMEMBERSHIPS2019-present:American Association of Nurse Practitioners (AANP)2018-present:Member; Sigma Theta Tau.2011-present:Member; Massachusetts Nurses Association (MNA)COMMUNITY SERVICE2017-2019:Creator and group leader of Whatever Works, an addiction support group.2012-present:Preceptor for nursing students and new hire nurses at Berkshire Medical Center.