Sean E. Smithey, MSN, ACNP-BC

Conditions and Services Within This Provider's Scope

Within Nurse Practitioner - Acute Care generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.

Conditions

Brain & Nerve

• Delirium
• Concussion in Children
• Ischemic stroke
• Transient ischemic attack

Digestive issues

• Severe diverticulitis flare-up
• Appendicitis
• Perforated gastrointestinal tract

Heart & Circulation

• Heart failure flare-up
• AFib
• Dangerous high blood pressure
• Deep vein thrombosis
• Heart attack
• Shock
• Unexplained chest pain

Lung & Breathing

• COPD flare-up
• Blood Clot in Lung
• Collapsed lung
• Fluid around the lungs
• Low oxygen levels
• Respiratory failure
• Severe asthma attack
• Shortness of breath

Surgical recovery

• Paralyzed bowel after surgery
• Surgical wound opening

Allergic reactions

• Severe Allergic Reaction

Brain & nerves

• Status epilepticus

Digestive & Abdominal

• Abdominal Pain
• Acute gallbladder inflammation
• Acute pancreatitis
• Ascites
• Internal Bleeding
• Small-bowel obstruction

Emergency care

• Drug overdose or poisoning

General Acute Care

• Severe dehydration

Heart & circulation

• Aortic aneurysm
• Infective endocarditis
• Pericarditis
• Slow heart rate (bradycardia)

Hormone & Metabolism

• Dangerous high blood sugar
• Low sodium or electrolyte imbalance

Infections

• Bone infection
• C. diff Infection
• Cellulitis
• Community-acquired pneumonia
• Kidney infection
• Meningitis
• Sepsis or blood infection

Kidney & Urinary

• Acute kidney injury

Liver & kidney

• Sudden Liver Failure

Post-Surgery Care

• Post-surgery fever or infection

Trauma & injury

• Broken ribs
• Skull Fracture

Procedures & services

Bones & Joints

• Splinting for Fractures
• Joint injection or aspiration

Breathing & lung support

• Chest tube removal
• Breathing tube removal
• Chest Needle Decompression
• CPAP titration

Critical care

• ICU sedation and awakening trials
• Continuous dialysis for children

Critical Care Procedures

• Critical Care Consultation
• Sepsis Treatment Protocol
• Arterial catheter placement
• Central line placement
• Emergency intubation

Digestive & Abdominal

• Feeding or stomach tube insertion
• Paracentesis

Emergency care

• Emergency trauma evaluation
• Rapid response team evaluation
• Stomach pumping or activated charcoal
• Emergency epinephrine injection

Follow-up & recovery

• Post-ICU recovery visit

General Acute Care

• Comfort Care Management
• Hospital Discharge Follow-Up

Heart & Circulation

• Heart Rhythm Monitoring
• Temporary Pacemaker Care
• Electrical cardioversion

Kidney & Urinary

• Urinary catheter insertion
• Dialysis Catheter Care

Medications & Monitoring

• IV Antibiotic Therapy
• IV electrolyte replacement
• IV Medication Management
• Blood Clot Management

Pain Management

• Patient-Controlled Analgesia (PCA) Setup

Post-Surgery Care

• Post-Surgery Follow-Up

Pre-Surgery

• Pre-surgery medical clearance

Surgical recovery

• Post-op drain removal

Wound & Injury

• Burn dressing and care
• Incision and drainage of an abscess
• Surgical Wound Care
• Suture removal

Wound & injury care

• Dead tissue removal from wounds
• Minor laceration repair
• Superficial foreign-body removal
• Wound vacuum therapy

Blood & Infusion

• Blood Transfusion Management

Brain & Nerve

• Lumbar puncture

Brain & nerve care

• Brain pressure monitoring

Lung & Chest

• Breathing machine management
• Chest tube insertion
• Draining lung fluid
• Trach Tube Care and Changing

Pain management

• Nerve Block Injection

Testing & Monitoring

• Blood Gas Testing
• Emergency ultrasound

Vascular access

• Chemo port removal
• PICC line care and removal