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Curriculum Vitae and ResumeHoward Welsh, RN, MSN, ARNPEMAIL AVAILABLEPHONE NUMBER AVAILABLECurriculum Vitae:Nov. Street Address  - Present: Charge Sequim Olympic Rehabilitation, SNF post- acute care, supervision of care staff and direct patient care doing medication passes and reconciliation with evaluation of responses, all treatment modalities including wound and skin care, Medicare skilled charting. Responsible to Stanley Flemming, MD.May 2023- Present: Medical Examiner for Dominion Medical; Comprehensive assessments, vocational and rehabilitation placement recommendations, medication reconciliation, medical and social history verifications, functional capabilities ratings. Responsible to Daniel Feivor, Medical Director.November 2020- Nov. 2023: ARNP Medical Examiner for Conseco/ Signify Health, Western Washington Region. Comprehensive assessments, palliative and end of life care. Competed University of Washington Fellowship in Integrated Care and Diploma from Port Townsend School of Massage oriented to non- pharmacologic pain management. Responsible to Anita Aisner, MDDecember 2018- Nov. 2020 ARNP for Adult Internal Medicine and Geriatric Care. Affiliated with Assured Hospice at Crestwood Center and Veterans Hospice Program through VA CHOICE Program. Responsible to Atif Mian, MD in Sequim and Steven Wilson, MD in Port Angeles.December 2015- Nov. 2018. ARNP Provider for Manor Care, Gig Harbor, WA. All aspects of patient care including Bridge Unit Skilled Nursing and Long Term Care. Affiliated with Franciscan Hospice Program. Responsible for medication reconciliation, treatments, direction of physical and occupational therapy and nutrition and wound care. Responsible to Raheela Sadiq, M.D.November 2012  Dec. 2015 : ARNP Provider for Valley View Health of Lewis County, WA. Primary Care at Winlock Clinic site and Walk- in Clinic. Involved in all aspects of General Practice including training of clinic staff and quality improvement. Using NeXtGen software system for clinical notations and billings. Responsible to David Little, M.D.Center October 2011- Nov. 2012: ARNP Provider for Special Commitment Center, Department of Social and Health Services at Steilacoom, WA. Assigned to initiate and direct all medical care other than neuropsychiatry provided to residents including comprehensive histories and physicals, diagnostics, treatments and referrals to specialty providers. Responsible to Leslie Szeibert, M.D.December 2010- Oct. 2011: ARNP Insurance Examiner for Medicare Advantage programs including Evercare, FocusCare and Advantage Health. Full intake exams, comprehensive biometrics with targeted screening for cardiac arrhythmias, heart failure, angina, prior myocardial infarctions, hyperlipidemias, diabetes, depression, skin pathology, neurologic conditions, malnutrition, renal and pulmonary disease. Completed National Board Certification. Responsible to Rick Troyer, M.D.August 2010- December 2011: Director of Staff Development, Stafford Healthcare. Assigned to infection control, employee health, immunizations for staff and residents, ordering screening x- rays and providing treatment for tuberculosis, psychoactive medication review with adjustment and reconciliation of medications based on laboratory tests and other physical and behavioral parameters. Participated in quality improvement and survey activities. Completed American Geriatrics Core Curriculum. Responsible to Lolita Opgrande, DNS, and Glen Pacio, M.D.August 2008- 2010: Graduate Teaching Assistant at Clinical Performance Laboratory, Seattle University. Taught Baccalaureate and Masters nursing students using clinical simulations for the METI training series, American Heart Association ACLS and BLS Guidelines. Completed Masters in Nursing and Nurse Practitioner program. Also completed original research regarding physiologic implications of loneliness among seniors who participate in church sponsored wellness programs. Responsible to Antoinette Lee, RN, PhD and Tom Walker, Clinical Lab Director.1998- 2000: Masters in Community Health and Wellness Promotion from California College of Health Sciences. Conducted original research regarding evaluation of cognitive losses among adults and applicable crisis triage interventions. Implemented adaptations of crisis triage and emergency services interventions at Puget Sound Hospital in Tacoma in collaboration with Fred Rutan, MSN, and Angus Ng, M.D. Completed Trauma Nurse Core Curriculum, Advanced Cardiac Life Support and Certified Emergency Nurses Core Curriculum.1978- 2000: Baccalaureate with Critical Care Endorsement. Completed Bachelors of Science through WAMI Health Education Consortium from Dr. Herr, Cardiologist and Dr. Kuykendall, Neurosurgeon. Also completed internship with Idaho Department of Vocational Rehabilitation with emphasis on functional sequelae of cardiac and neurologic surgeries. Completed American Association of Critical Care Nurses Core Curriculum with CCRN Certification.1973-1976 Associate in Science: Completed basic nursing major with minor in environmental health at Boise State University. Also completed advanced pharmacology instruction telemetry training from Dr.Charles Stewart, Internal Medicine while working on Medical Surgical Unit of St. Alphonsus Hospital.Resume:Goal: Continue nursing career with advanced role assignments.Background: Masters level preparation in gerontology, community health and wellness. Seven years working in advanced practice role. Three years in gerontologic nursing including four supervised clinical Practicums ( Evercare Long Term Care, Group Health Long Term Care, Group Health Family Medicine, PolyClinic Nursing Home Concierge Liaison ) and thirteen years full time ARNP experience.Education and Academics: Please refer to CV attached above. Masters Degree in Nursing from Seattle University in 2010, Masters Degree from California College of Health Sciences in 2000, Bachelors in Science in 1980 and Associate in Science in 1976 from Boise State University. Diplomate WAMI Critical Care Health Education Consortium in 1978. Honors Graduate U.S. Army Medical Training Center in 1970.Post-graduate transcript available through CME Resource Continuing Medical Education, Sacramento,CA.Professional Work Chronology:Conseco/ Signify Health, Dallas, Texas ARNP Examiner 11/20- presentAdult Internal Medicine Geriatric Services, Tacoma, WA ARNP Provider 12/18- 11/20Manor Care, Bridge Unit SNF and Long Term Care Gig Harbor, WA ARNP Provider 12/15- 12/18Lewis County, WA Valley View Health Care Center, Winlock, Wa ARNP Provider 11/12-12/15DSHS, Washington State SCC, Steilacoom, Washington ARNP Provider 10/11-11/12Stafford Healthcare, 2800 So. 224th Street, Des Moines, WA ARNP/Staff Dev. 8/10- 2/11Seattle University, Clinical Performance Lab, James Tower, Seattle, WA RN, MS Instruct. 8/08- 8/10Harborview Med Center, 325 Ninth Ave, Seattle, WA RN, Neurosurg. 7/08- 5/10Rural Metro Critical Care, 2105 51st Ave E, Suite 200, Fife, WA RN, CCRN 7/06- 9/10Universal Health, Auburn, 202 N. Division, Auburn, WA RN, Charge 8/02- 7/06Puget Sound Hospital, 3580 Pacific Ave, Tacoma, WA RN, CEN, Triage 5/96- 8/02Good Samaritan Hospital, 404 14th Ave S., Puyallup, WA RN,CEN, Triage 3/88- 5/96Universal Health, Seattle, 12844 Military Road, Seattle, WA RN, Superv. 8/82- 3/88VA Medical Center, Boise, 500 West Fort Street, Boise, ID RN, Charge 5/78- 8/82St. Alphonsus Hospital, Boise, 1055 Curtis Road, Boise, ID RN, Charge 7/76- 5/78    EMT/ Tech 7/72- 7/76US Army Medical Service Corps, 47thSurgical Evac. Hospital EMT/ Medic 8/69- 7/72Other Attributes: U.S. Citizen, Veteran with honorable discharge. Received recognition as mental health professional from Washington DSHS. Good at developing relationships with physicians and other allied health personnel. Knowledgeable about standards of community health and emergency services. Active in American Heart Association, Emergency Nurses Association and American Geriatrics Society. Achieved special recognition leading caregiver support groups and designing quality nursing and patient education. Certified Teacher in Washington State, Biology and Health Sciences.