Susan J. Wegelt Heinz, CNM, MSN 1120 Alder Creek Corvallis Oregon 97330 541-745-7099 [email protected] Professional Goal To continue to develop and expand my expertise as Nurse Practitioner and Midwife, clinician, and educator, enhancing that role through doctoral education. Certification and Licensure 1987-present: Certified by the American College of Nurse Midwives as a Certified Nurse Midwife 1987-present: Licensed by the state of Oregon as a Nurse Midwife/Nurse Practitioner. 1989-present: Granted prescriptive authority as a Nurse Practitioner including DEA number by the State of Oregon and the FDA. 2003 – Credentialed NAMS Menopause Practitioner; North American Menopause Society. 2006-present: Certified in Advanced Life Support in Obstetrics (ALSO) by the American Academy of Family Physicians. 2010-present: Certified as a Neonatal Resuscitation Program (NRP) provider by the American Heart Association. Professional Employment Experience 1/97 – present: Samaritan OB/GYN, Corvallis Oregon. Certified Nurse Midwife Initially providing prenatal care, antepartum and postpartum, and gynecologic care to women of all ages. Certified as Menopause Clinician. Large educational component including both staff and patient classes. Involved in writing high risk practice guidelines and educational materials for patients. Clinical supervision of Nurse Practitioner and Nurse Midwife students. Full scope midwifery including intrapartum added to the practice in 2005; Approximately 500 births per year with 4 midwives. 1/94-1/97: Benton County Health Department, Corvallis Oregon Nurse Practitioner, Community Health Program Manager 1/94-4/95: Manager of Family Planning/Reproductive Health Clinic. Responsible for overall clinical direction of RN and NP staff, writing and reviewing standing orders, maintaining laboratory and pharmacy regulations, staffing, scheduling and budgets. Provided direct service as NP approximately 15 hours per week in busy Family Planning/Sexual Health Clinic. 4/95-1/97: Manager of Maternal Child Health (MCH) Services. These services included MCH RN home visiting program, WIC, immunizations and School Based Health Centers. Responsible for HIV counseling and testing program. Chair of the HIV Prevention Community Planning Group for the County. Involved in community education and public speaking. Providing classes to High School on contraception and STIs, guest speaker at OSU on HIV/AIDS, and Maternal Child Health issues. 8/91-1/94: Women’s Health Center, Dallas, Oregon Certified Nurse Midwife Full scope Midwifery service in private practice with OB/GYN, MD. Practice including GYN and family planning services as well as AP, IP, PP and newborn care till two months of age. Averaging 100 births per year at a small community hospital with birthing rooms. This was a solo midwifery practice within an OB/GYN office. 6/87-8/91: Family Health Center of Florence, Florence Oregon Certified Nurse Midwife Full scope midwifery service in a family practice office, located in a rural community. Provided GYN and family planning services as well as AP, IP, PP and newborn care till two months of age. Averaging 120 births per year. Combination home birth, rural health birth center, and hospital births. Large educational component as well – providing in-service to RN OB hospital staff, NALS instructor, as well as community education. Taught childbirth classes and lactation support/education. 9/84-5/87: Kaiser Permanente 9/84-7/86; Kaiser San Francisco, CA. 7/86-6/87; Kaiser San Diego CA. Labor and delivery staff nurse in tertiary care labor and delivery unit. 12/82-8/84: Peoria City/County Health Department (PCCHD), Peoria Illinois. RN/Public Health Nurse Worked in combination with PCCHD and Planned Parenthood of Peoria providing free pregnancy testing and counseling to teens and low-income women. Also worked on Maternal Child Health team as a Public Health Nurse providing home visits to at risk pregnant women, new mothers, sick infants and children Provided follow-up for high risk regional perinatal center. 7/80 – 8/82: Children’s Hospital of Michigan, Detroit Michigan. RN, Neonatal ICU Provided primary care to intensive and intermediate care neonates. Honors and Awards: 7/2009: Dean’s Scholarship on behalf of the OHSU School of Nursing Scholarship Committee. 8/2009: Scholarship on behalf of the Saidie Orr Dunbar Nursing Education Fund. 5/2010: Promise of Nursing for Oregon Regional Faculty Fellowship Scholarship by the Foundation of the National Student Nurses’ Association Inc. 10/2010: Professional Nurse Training Grant (HRSA) on behalf of OHSU School of Nursing Scholarship Committee. Education 2009-2011: Oregon Health & Sciences University, Portland Oregon. Doctor of Nursing Practice (DNP) 1985-1987: University of California, San Francisco in the inter campus Nurse Midwifery program with the University of California, San Diego MSN with certification in Nurse-Midwifery and as OB/GYN Nurse Practitioner 1985: University of California, San Francisco Completed BSN 1977-1980: Lutheran General Hospital School of Nursing, Park Ridge, Illinois RN Diploma Continuing Education Attended: 2010: Centering Pregnancy Workshop 5/2010: How to Start a Birth Center workshop via the American Association of Birth Centers 7/2010: Birth Emergency Skills Training 10/2010: Waterbirth Certification Workshop via Waterbirth International Research: Co-investigator in “Gauging community interest for a birth center and other maternity care options in Linn and Benton Counties”. Study submitted to IRB at Oregon State University Professional Organizations: American Association of Birth Centers American College of Nurse-Midwives American Academy of Nurse Practioners DNP Portfolio Executive Summary Susan J. Wegelt Heinz, CNM Doctor of Nursing Practice Candidate, OHSU School of Nursing 5/24/2011 I have been a practicing nurse midwife for nearly 25 years. My population has always been women, women throughout the lifespan. I have focused on encouraging strength and empowering women through health and self-care. I entered the DNP program because of a need to explore practice in a way that I have never done before. At times, after practicing for years, we begin to do things out of habit, and accept practices because it’s the way it’s always been done. Entering the DNP has allowed me to really examine not only the way I practice, but the way health care is provided, to look at systems and models of care, and strive to understand health care for women in a larger context. Through the residency and case studies I have explored models of maternity care. Initially I examined international models of care that offer different choices for women than what is “traditionally” offered in the US. I travelled to Europe and met with midwives in The Netherlands and England and examined models of care that are not only National Health Care models, but midwifery based models; examining models that assume wellness and the normalcy of the birthing process, rather than an interventive, medical focus. I then explored national models of maternity care including centering pregnancy, an alternative to routine prenatal care encouraging self-care and support of women for each other, and water birth, and birthing center models of care. In the final stretch of my residency, I have worked with community leaders and activists in my own community of practice to explore and develop a model of care which is based on the Dutch model, but individualized for my community. Many of the concepts I have explored through the residency, are demonstrated in the case studies in this portfolio. The concept paper in this portfolio is the process of developing a concept of care including midwifery care, a group prenatal care model, home and birthing center options, and improved supportive post partum care. This concept was developed through studying international models of maternity care and exploring international, national and local maternity health outcomes. There is also a case study of a home birth in the Netherlands, again focusing on this model of care in which women have birthing options and which has exceptional outcomes. Other case studies are reflective of issues of significance in the practice of midwifery and women’s health, such as elective cesarean section, shoulder dystocia, and a case regarding contraceptive and reproductive decision making for a woman with a significant genetic disorder. All of these case studies allowed me to explore issues in the practice of nurse midwifery that I had not had the opportunity to investigate, prior to entering the doctorate program. Through the process of this doctoral program, my clinical practice has changed in many ways. I find I question practice routines, I advocate for the women I serve with greater passion, and I have become a community activist and an agent of change. The clinical inquiry study that I developed launched from my exploration of international models of care and grew out of a strong appreciation for the fact that most health care providers did not understand why women would be unsatisfied with the care offered to them. Many practicing maternity health care make statements like, the end result of a healthy mom and baby is what matters, not understanding that the process itself is significant for many women. By asking women, directly, why they would choose to have an unmedicated birth, it allowed women to delve in and discuss their feelings about birth and birthing choices, and allows those who hear their words to understand with a greater depth, why birth