MARK BRIAN LIGAD

Summary

2511 Huntscroft Lane #102 ! Raleigh, NC 27617 407.873.2465 Brian.Ligad@duke.edu MBLigad@gmail.com

Student Registered Nurse Anesthetist at Duke University, with expected graduation in May of 2015. Previously a licensed Registered Nurse with comprehensive experience in the care of post-surgical critically ill patients with experience in the Cardiothoracic Surgical ICU (CT-ICU) and the Cardiothoracic Surgical Stepdown Unit (CT-SDU) at Duke University Hospital. Proficient in management of hemodynamic monitoring and support devices. Dependable, personable, highly motivated, and efficient, with excellent attention to detail. Demonstrates teamwork & leadership skills as a student & a registered nurse.

Education
Duke U niversity ! Durham , N C
Nurse Anesthesia Program Masters in Science of Nursing (MSN) GPA 4.0 Class of 2015 Student Class Representative Expected graduation May 2015

Competent in the anesthetic management of patients undergoing surgery including general surgery, gynecological, orthopedic, neurospine, intracranial, cardiac, thoracic, ENT, in the adult, geriatric, & pediatric patient population and management of the obstetric patient population. Competent in airway management, neuraxial anesthetic techniques, regional peripheral nerve blocks, & invasive lines.
Clinical Experiences: Southeastern Regional Medical Center Lumberton, NC Duke Regional Medical Center Durham, NC Danville Regional Medical Center Danville, VA Duke University Hospital Durham, NC University of North Carolina Hospital Chapel Hill, NC Camp Lejeune Naval Hospital Jacksonville, NC o Regional Anesthesia specialty rotation o Experience with regional blocks including brachial plexus (interscalene, supraclavicular, axillary), lumbar plexus, femoral, saphenous, popliteal, cervical plexus, ankle, & intravenous regional. Womack Army Medical Center Fort Bragg, NC o Obstetric Anesthesia specialty rotation o Experience with neuraxial anesthesia including epidural, subarachnoid/spinal, CSE in the management of labor analgesia & obstetric surgery. New Hanover Regional Medical Center Wilmington, NC Duke Raleigh Hospital Raleigh, NC Scotland Memorial Hospital Laurinburg, NC o Regional Anesthesia specialty rotation o Experience with regional blocks including brachial plexus (interscalene, supraclavicular, axillary), lumbar plexus, femoral, saphenous, popliteal, cervical plexus, ankle, & intravenous regional. Carolina East Hospital New Bern, NC o Cardiac & Thoracic Anesthesia specialty rotation

The U niversity of Central Florida ! Orlando, FL

Bachelors in Science of Nursing (BSN) with Honors Minor in Health Services Administration GPA 3.85

Graduated 2008

College of Nursing & Burnett Honors College Honors in the Major Program Honors Undergraduate Research Thesis & Defense: Environmental Stressors Affecting Sleep in Critically Ill Patients Dr. Pamela Ark- Thesis Committee Chair Dr. Christopher Blackwell- Thesis Committee Member Dr. Kimberly Renk- Thesis Committee Member

Work Experience
Duke U niversity H ospital ! Durham , N C
Staff Nurse ! Cardiothoracic Surgical ICU (CT-ICU)
2009-Present

Experienced in the care of complex, critically ill patients post-cardiothoracic surgery including Coronary Artery Bypass Grafting (CABG), midsternal & heartport valve repairs/replacements, thoracic aortic aneurysm repairs (open, thoracic endovascular aortic repair (TEVAR), & hybrid procedures), LVAD & RVAD implantation, open thoracotomy procedures & video assisted thoracic surgery (VATS) procedures, open chest recovery, & adult heart and adult/pediatric lung transplantation. Proficient, competent, & knowledgeable in: Hemodynamic monitoring: Pulmonary artery catheter (PA-CCO), central venous pressure monitoring (CVP), & arterial lines. Vasoactive/Inotropic medication management, prolonged sedation, conscious sedation, & pain management. Post-surgical lines & drains: Management and assistance with insertion of pleural & mediastinal chest tubes, thoracic epidurals, & central lines. Assistance with respiratory management/mechancial ventilation: Endotracheal intubation, extubation, and care, mechanical ventilation management, trach insertion and care. Care of the decompensating patient: Cardiac & Respiratory arrests (ACLS), open chest code (CALS), rapid sequence intubation, insertion of support devices. Advanced experience with hemodynamic support devices: o Intraaortic Balloon Pump Therapy (IABP) o Ventricular Assist Devices (LVAD/RVAD): Heartmate XVE, HM-2, Heartware, Ventrasys, Centrimag, Thoratec TLC/DDC o ExtraCorporal Membrane Oxegenation (ECMO): VA-ECMO & VV-ECMO Other ICU devices: o Temporary Pacemakers: Transcutaneous, transthoracic epicardial, & transvenous. o Continuous VV Hemodialysis CVVHD o Thoracic Lumbar Drain o LidCO Cardiac Output

Preceptor & Educator ! CT-ICU

2010-Present

Experienced and proficient in clinical training and classroom education of nursing students & newly hired staff nurses in the CT-ICU. Clinical Precptor CT-ICU Classroom Educator: Lumbar Drains, Hemodynamics Simulation Lab LVAD Champion CareDoc (Computer Documentation) SuperUser

Committee Member ! CT-ICU

2010-Present

Active and highly involved in multiple unit-based committees, with a desire to improve safety, work culture, & efficacy in the work environment. Co-Chair of CT-ICU Safety Committee Clinical Case Analysis Committee member Preceptor Development Committee member Clinical Practice Committee (CPC) member

Staff Nurse ! Cardiothoracic Surgical Stepdown (SDU)

2008-2010

Experienced in the care and progression of post cardiothoracic surgical patients in the stepdown setting. Competent in management of stepdown lines and drains including thoracic chest tubes, limited central lines, & thoracic epidurals. Additional experience in: LVAD management Discharge planning Limited vasoactive/inotropic medication management

Preceptor ! Cardiothoracic Surgical Stepdown (SDU)

2009-2010

Proficient in clinical training of nursing students and newly hired staff nurses in the stepdown unit. Clinical preceptor LVAD champion CareDoc SuperUser (Computer Documentation)

Committee Member ! Cardiothoracic Surgical Stepdown (SDU) 3100 CT-SDU Clinical Practice Committee CT-SDU/ICU CPC Liasion

2009-2010

Orlando Regional M edical Center ! Orlando, FL

Advanced Clinical Nurse Tech ! Intermediate Critical Care Unit

2007-2008

Licensure & Certifications

North Carolina Board of Nursing ! CRNA North Carolina Board of Nursing ! RN (NCBON-RN) Florida Board of Nursing ! RN (FLBON- RN) Critical Care Registered Nurse (CCRN) Certification ! AACN Progressive Care Registered Nurse (PCCN) Certification ! AACN Basic Life Support Provider (BLS) ! American Heart Association Advanced Cardiac Life Support (ACLS) ! American Heart Association Pediatric Advanced Life Support (PALS) ! American Heart Association _______ 2008-Present 2008-Present 2010-Present 2009- 2011 2008-Present 2009-Present 2010-Present

Research
Residual Neuromuscular Blockade: A quality improvement project by Ligad, M.B., McGugan, L., Benjamin, K., Ward, D., Murphy, C.E., & Delrio, M. (2013) ! Duke University Hospital
Poster presentation at the 2013 NTI Conference presented by the American Nurses Association

Early results from the creation of a multi-disciplinary comprehensive unit safety program in an academic cardiothoracic service line by Murphy, C.E., McGugan, L., Ligad, M.B., Foresi, S., Kitson, T., Sito, K., & Lindsay, M. (2013) ! Duke University Hospital
Poster presentation at the 2013 NTI Conference presented by the American Nurses Association

Environmental stressors affecting sleep in critically ill patients by Ligad, M.B. (2009) The University of Central Florida
Undergraduate Research Thesis & Defense

Honors & Awards

Anna L. Hoyns Scholarship Recipient ! Duke University School of Nursing
Awarded to Duke University graduate students demonstrating academic excellence.

2013 -2015 2013

Duke Heart Center Directors Award ! Duke University Hospital

Awarded to one nurse & one advanced practice provider for demonstrating leadership, dedication, & excellence within the Duke University Hospital Heart Center.

UCF Alum ni Rising Star Award ! UCF Alumni Association

Awarded to one UCF alumni, per college, who demonstrates leadership, initiative, & growth during their career development.

2009

Founders Day Award ! College of Nursing Recipient ! UCF Board of Trustees

Awarded to one UCF undergraduate student, per college, who demonstrates academic excellence, research initiative, community service, & leadership within their program of study.

2008

References
Christine Muckler, DNP, CRNA Assistant Professor Clinical Site Coordinator Nurse Anesthesia Program Duke University School of Nursing
919-684-9307 chris.muckler@duke.edu

Sharon Hawks, DNP, CRNA Program Director Nurse Anesthesia Program Duke University School of Nursing
919-684-9347 sharon.hawks@duke.edu

919-613-5709
Brett Morgan, DNP, CRNA Assistant Program Director Nurse Anesthesia Program Duke University School of Nursing
919-613-5709 brett.morgan@duke.edu

Jennifer Pierce, MSN, CRNA Chief Nurse Anesthetist Total Anesthesia Solutions Danville Regional Medical Center 434-799-4404
jen.pierce4@gmail.com