Margaret Anne Mills

Work History

Work History

Trauma Nurse Course Director

Hennepin County Medical Center-Landstuhl Regional Medical Center

Identifies training needs with and implements a yearly Trauma Nurse Course. Planned the LRMC 2012 ,2013 and 2014 Trauma Nurse Course, which was available as a VTC. This resulted in approximately 100 nurses receiving 15 CEU’s for the two-day course.

Program Chair for the annual regional HCMC trauma conference 2009: Trauma Life in the ICU The duties included planning the conference, choosing the material for the presentations along with the speakers, as well as introducing the speakers and topics the day of the event. Topics included: Mechanism of injury Pelvic Fractures Trauma in the Elderly Hypothermia and Normothermia in Neurocritical Care

Nov 2013 - Present

Assistant CNOIC

Landstuhl Regional Medical Center

 Assistant Clinical Nurse Officer In Charge 

Serves as the Assistant Clinical Nurse Officer In Charge within Critical Care Nursing Service. Utilizing the Patient Caring Touch System (PCTS), incumbent performs a variety of supervisory, administrative, and direct patient care duties as an extension and in support of the Clinical Nurse Officer In Charge (CNOIC). 

• Sets and adjusts long term and short term goals for ICU Staff• Assigns work to team through project outlines for EBP and PI projects.• Participates in writing annual evaluations and counseling’s for civilian and military staff makes recommendations for promotion and awards.• Interviews new candidates, makes recommendations for hire to OIC.• Uses the chain of command to resolve employee concerns and refers serious issues to a higher level.• Actively engaged in developing performance standards and setting expectations for yearly goals. • Follow up with an expectation for documentation performance standards as measured by Optimized performance metrics.• Identifies training needs with CNS and OIC and implements a yearly Trauma Nurse Course.• Reviews and updates current and outdated SOP’s through the policy scrub uses appropriate physician champion as POC.• Works with the Supply NCO to balance level of CRRT and ECMO supplies. • Assign staff appropriately to patient care duties as well as the charge nurse role.• Have daily oversight for operations including documentation, patient teaching, physician updates during am rounds. Assess care plans for accuracy and updates. Reviews responses to emergencies. Reviews MD orders• Collaborates with OIC/NCOIC to approve leave for civilian and military personnel through AKO and the OPM71 form.

2003 - Present

ACLS Instructor

Wilcox Memorial Hospital Kauai. HI
ACLS Instructor Developed a sepsis protocol with a multi-disciplinary team and implemented the surviving sepsis campaign. Implemented the IHI Ventilator Associated Pneumonia protocol Developed an insulin drip protocol along with a team of doctors and pharmacy staff.
Aug 2013 - Nov 2013

Acting CNOIC

Landstuhl Regional Medical Center
Interim Acting CNOIC CICU Landstuhl, Germany Assumed the duties of an Army O4 Major for the clinical Nurse Officer in Charge for the CICU.
Jan 2012 - Aug 2013

Assistant Head Nurse

Landstuhl Regional Medical Center

Assistant Head Nurse CICU Landstuhl, Germany Directly supported and provided oversight to unit level Evidence Based Projects and Process Improvement to include cost saving measures to reclaim class 8 supplies, infection control, and reduce the incidence of hospital acquired pressure ulcers.

 Directly supported and provided oversight to unit level Evidence Based Projects and Process Improvement to include cost saving measures to reclaim class 8 supplies, infection control, and reduce the incidence of hospital acquired pressure ulcers. Innovatively developed, planned, and implemented the second and third Annual Trauma Nurse Course and instructed crucial advanced clinical skills to maximize patient outcomes. Taught over 70 nurse’s principles of critical care nursing with an estimated cost savings to the organization of $105,000 while simultaneously providing 15 CEU's. Provided oversight and leadership to over 60 staff members in the absence of the OIC, resulting in no loss of equipment and maintained a patient centric approach to care. Key member for the development, revision, and implementation of seven unit level SOP's, improving staff efficiency and safety. Established partnerships across the healthcare spectrum to support Wounded Warriors within the U.S. Armed Forces and coalition members, directly contributing to our 99% survivability rate of our most critically wounded and ill at LRMC.

Apr 2010 - Jan 2012

Staff Nurse

Landstuhl Regional Medical Center

Staff Nurse Landstuhl, Germany CCRN

• CCRN• Clinical Nurse in an 12 bed CICU at a Level I Trauma Center, caring for OEF,OIF, EUCOM, AFRICOM, DOD dependants and local retiree adult patients with diagnoses such as: Gun Shot/Blast Wound, Burn, Amputation, Craniotomies, Multiple Fracture, ARDS, Sepsis, Myocardial Infarction. • Work as Charge Nurse of CICU, supervising 10-12 RNs, 2-3 LPNs and 2-3 Technicians.• Served as member of hospital-wide Rapid Response Team. • Assess patients' clinical conditions utilizing invasive and non-invasive complex monitoring equipment including ICP, CVP, EKG, SPO2, SVO2, A-line, Swan-Ganz catheter, PICCO, Vigeleo, ventilator and defibrillator. • Clinical resource, expert in the care of sepsis, severe head injury, trauma or complex multisystem failure. Cared for patients experiencing multiple trauma, trauma surgery, general surgery, as well as Neurosurgery. The duties include managing the care of the adult patient experiencing life-threatening problems requiring complex assessment, high intensity therapies/ interventions, coordinating and providing quality care to patient and family. • Perform moderate/conscious sedation, aided in medication and pain management, assisted in placement of epidural lines, nerve blocks, ETT, Dobhoff, chest tubes and PEG placement. • Execute complex wound care for varied surgical, blast injury and burn sites. • Act as perceptor for incoming and float personnel.• Effectively communicated with physicians and auxiliary staff regarding patient's status in order to provide best care possible. • Provide verbal reports on patients at the close of shift to oncoming nurse or to entire team if acting as Charge Nurse. • Served as the primary writer for a new CICU-wide protocol. • Sound understanding of professional standards of care, enhanced by professional membership in AACN. • Agreements with other facilities require facilitating transfer of patients to German hospitals, and civilian hospitals as well as the mission to the United States. • Intervention resulted in a higher level of care for our wounded warriors and other critically ill patients ensuring a positive outcome and faster evacuation to appropriate levels of care to demonstrate understanding of the LRMC mission. • Familiar with the adherence to evidence based practices, unit specific SOPs, patient safety goals and nationally recognized guidelines/policies established by DOD, DA, LRMC and DON. The care provided resulted in improved patient outcomes. • Developed the guidelines for the pain assessment documentation education and maintain flexibility in care essential to the fast-paced mission• Assisted in the preparation for the Joint Commission Survey and Level One Trauma Certification. • Preceptor to multiple new staff members.• Currently the European Chapter AACN Secretary.• Chairperson of the Unit Practice Council. • Attended the TeamSTEPPS training and been invited to represent the Unit for Nursing Grand Rounds. • Organized and implemented the skills fair, which is the current practice for competency training in the ICU. I have worked in the charge nurse role frequently and was asked by the previous team leader to cover the position of team leader for two weeks.

Jun 2007 - Mar 2010

Staff Nurse

Hennepin County Medical Center

Staff Nurse Surgical Trauma ICU Minneapolis, MN

• ACLS Instructor• CCRN• The staff nurse position included caring for people with acute illnesses specifically multiple trauma and its comorbidities, including shock, sepsis respiratory failure, multisystem organ failure. Caring for patients experiencing multiple traumas, Neurosurgery, general surgery, trauma surgery, cardiovascular surgery, transplant surgery. • Manage the care of adult patients experiencing life-threatening problems requiring complex assessment, high intensity therapies and interventions that included continuous nursing vigilance.• Coordinated and provided care to patients and family. Assisted family and medical staff with decision-making and treatment options. • Unit Charge Nurse and Preceptor• Very experienced with the management of traumatic and non-traumatic head injuries including hemorrhages, strokes and aneurysms.

• Trained in assisting with bedside procedures such as arterial and central line placement, Swan Ganz catheter, ventriculostomy placement and monitoring, bedside PEG tube and tracheostomy insertion.

• Worked closely with Lifesource organ donation supporting families suffering a loss and care of patients after declaration of brain death.• Skilled in Monitoring arterial lines, central venous pressure lines, Svo2 levels intracranial pressure as well as brain oxygen and temperature, ventriculostomies, ventilator care, chest tubes and abdominal drains, experienced in Philips monitoring.• Participated in nationally funded research TBI program for several years studied brain oxygen consumption and temperature related to metabolism. Through measuring, lactate levels in microdialysis and brain oxygen and temperature monitoring.• Participated in Hyperbaric Oxygen therapy for Traumatic Brain Injury and Necrotizing Fasciitis. Additionally assisted in the nationally funded research of traumatic brain injury and effects of hyperbaric oxygen

• A primary member of the core team for the certification of the hospital as a Primary stroke center and National Certification for Stroke Center.

• Hennepin County Medical Center received the President’s Award from the National Association of Public Hospitals and Health Systems (NAPH) for its response in providing care to victims of the I-35W bridge collapse. This award has not been given since 2002, when it was presented to the New York City Health and Hospitals Corporation for their service following the Sept. 11, 2001 attack on the World Trade Center.

1996 - 2008

Medical Consultant

Winds of Change Association Ltd.
Medical Consultant Expedition Coordinator-The Winds of LTD. Provided medical consultation and coordinate expeditions for adults traveling to third world countries to study shamanic medicine. Expeditions have included altitudes to 17, 500 ft in remote areas of the Andes. I was required to study altitude illness extensively and be knowledgeable in its treatment. The expeditions also included excursions to the American southwest United States on hiking and backpacking trips in remote areas of the canyon lands of Arizona and New Mexico with a Navajo guide. Program Chair for the annual regional HCMC trauma conference 2009: Trauma Life in the ICU The duties included planning the conference, choosing the material for the presentations along with the speakers, as well as introducing the speakers and topics the day of the event. Topics included: Mechanism of injury Pelvic Fractures Trauma in the Elderly Hypothermia and Normothermia in Neurocritical Care
Oct 2005 - May 2007

Clinical Nurse Supervisor

Wilcox Memorial Hospital Kauai. HI Change Association

Clinical Nurse Supervisor ICU

• The position as Clinical Nurse Supervisor included responsibility for the daily operation of the Intensive Care Unit.• Sets and adjusts scheduling, staffing and hiring new employees. • Adjusted daily operations with strike nurse force for four months, with no untoward incidence. Participated in federal mediation preparation with Hawaii Pacific Health (HPH) senior leadership with (HNA) Hawaii Nurse Association, (CNA)California Nurses association and the (ANA)American Nurses Association.• Set and adjusted long and short term goals for ICU projects and staff.• Participated in writing annual evaluations and counseling’s for ICU staff made recommendations to Director of Critical Care.• Interviewed new candidates, made recommendations for hire to Director of Critical Care.• Uses HR and Hawaii Nurses Association (HNA) Representative to resolve employee concerns.• Actively engaged in developing performance standards and setting expectations for yearly goals.

• Reviews and updates current and outdated policy’s through the policy scrub uses appropriate physician champion as POC.• Works with the Central Supply department to set par levels, reduce waste and balance supply budget. • Assign staff appropriately to patient care duties as well as the charge nurse role.• Have daily oversight for operations including documentation, patient teaching, physician updates during am rounds. Assess care plans for accuracy and updates. Reviews responses to emergencies. Reviews MD orders• Participated in statewide trauma responses that were collaborative community efforts.• Participated in a community education program for MADD and trauma services to educate high school students regarding alcohol and fatality. • ACLS Instructor• JCAHO Survey December 2005• Developed a sepsis protocol with a multi-disciplinary team and implemented the surviving sepsis campaign. • Implemented the IHI Ventilator Associated Pneumonia protocol • Developed an insulin drip protocol along with a team of doctors and pharmacy staff.

Oct 2003 - Oct 2005

Staff Nurse Level II

Wilcox Memorial Hospital, Kauai, HI Change Association
Staff Nurse Level II Charge Nurse on the day shift Member of the pain management committee
Aug 1990 - Oct 2003

Staff Nurse

Hennepin County Medical Center
Staff Nurse Minneapolis, MN

Education

Education
May 2012 - Jun 2014

MSN

Chamberlain College of Nursing Keller Graduate School of Management
Jan 2007 - Jan 2009

BACHELOR OF SCIENCE

University of Phoenix Brooklyn Center
Jan 1988 - Jan 1990

North Hennepin College

Associate of Applied Science in Nursing

Jan 1986 - Jan 1988

University of Minnesota Minneapolis

General Education-Undergraduate

Certifications

Certifications

CCRN

American Association of Critical Care Nurses