APP of the Quarter

Holly Brooks, ACNP, has been nominated as the Q4 2024 APP of the Quarter for her outstanding dedication, compassion, and leadership. Holly’s unwavering commitment to her team, patients, and their families is truly inspiring. Holly’s nominator says that she goes above and beyond in every aspect of her work, creating a supportive and collaborative environment while consistently demonstrating excellence in patient care. Her positive energy, advocacy, and ability to connect with others make her an invaluable asset to the team and a shining example of what it means to lead with both heart and skill. Congratulations, Holly!

Alex graduated from the University of Mary Hardin-Baylor (UMHB) in December 2015. Shortly after, she relocated from Texas to Nashville, TN, to begin her nursing career at Vanderbilt University Medical Center in the Neuro ICU. She completed the intensivist track of the Adult Gerontology Acute Care Nurse Practitioner (AG-ACNP) program at Vanderbilt’s School of Nursing, with a focus on care within various ICU populations.

In October 2018, Alex joined the team as an Advanced Practice Provider (APP) within the Surgical and Trauma ICUs. Having grown up in a military family and moved frequently, transitioning to St. Louis, MO, presented unique challenges, fostering both personal and professional growth. Over the past two years, she has taken pride in leading the Social and Well-Being Committee, helping to create a supportive community within the group.

Since August 2023, Alex has been part of the SICU leadership team, where she initiated a mentorship program alongside co-director Teresa Hammann. Their goal is to provide new APPs with the guidance and resources needed to succeed in their roles. This summer, she had the opportunity to cross-train in the CTICUs, learning from the expertise of the providers there.

Outside of work, Alex and her spouse, Christian, live in a Victorian home with two rescue basset hounds, Pippi Longstocking and Willow Pill, as well as two cats, Kitty Purry and Elizabeth Taylor (affectionately known as Itty Bitty). Alex is also committed to maintaining hobbies such as running, yoga, sewing, and more recently, painting and ceramics.

Emily Ferrara Mandernach is an acute care nurse practitioner who joined the Department of Anesthesiology in July 2022. She graduated from Saint Louis University with her Master of Science in Nursing in December of 2021 where she was awarded the Leadership in Nursing award and Summa Cum Laude for her academic achievements. Prior to starting at Washington University, Emily worked as a critical care nurse in the Surgical, Trauma, and Burn ICU at Barnes-Jewish Hospital. Her clinical time in the ICU has fueled her passion for critical care and continues to mold her into a strong and compassionate advanced practice provider. Working for Washington University has provided her with the opportunity to engage in various learning environments, participate in high-intensity interventions, and make vigilant decisions that impact a patient’s hospital journey.

Emily’s contribution to the profession extends beyond the ICU. She is also a clinical instructor at Saint Louis University and teaches nursing students hands-on training and provides real-world guidance. Additionally, Emily works as a contributing author and editor of various nursing exam review books and materials for Springer Publishing Company. She continues to write on topics related to her current cardiovascular expertise. Her dissemination of knowledge to others will continue to impact evidence-based care for cardiovascular patients and exemplifies the role of the nurse practitioner as an expert clinician and educator.

Outside of the hospital, Emily enjoys hiking adventures and traveling with her husband, Josh, visiting her family on the East Coast, cooking, and spending time with her dog, Louie, a Yorkshire Terrier mix.

Emily was named Q2 2024 APP of the Quarter!

Her nominator says, “Emily consistently demonstrates exceptional qualities that make her a standout member of the team. Her kindness, helpfulness, and extensive knowledge base have significantly energized and uplifted our group. She approaches every interaction with genuine warmth and empathy, creating a positive and welcoming environment for both colleagues and patients. Her ability to make everyone feel valued and heard is a testament to her compassionate nature.”

Adam Sampson, DMSc, PA-C, is a physician assistant who joined the Department of Anesthesiology in 2017 as a new graduate. Prior to becoming a PA, Adam was a respiratory therapist and shift coordinator at Barnes-Jewish Hospital (BJH), and then a respiratory therapy supervisor at St. Louis Children’s Hospital working in the NICU on high risk neonatal transport. He graduated with a Bachelor of Science in Respiratory Therapy in 2007, a Master of Arts in Organizational Management in 2009, a Master of Physician Assistant Studies in 2017, and a Doctor of Medical Science in 2021.

In his free time, you can find Adam working on his artwork (some of which is displayed in 8200 ICU), birding in places like Costa Rica, or competing in national volleyball tournaments.

Adam was named Q1 2024 APP of the Quarter!

His nominator says that he is an invaluable member of the CTI nightshift, praised for his expertise and supportiveness by both colleagues and leadership. He excels as a mentor, consistently aiding new providers and nurses. Adam’s proactive approach to workflow improvements and dedication to team well-being make him a pleasure to work with, and his presence on the nightshift ensures a smoother experience for all.

Sean Miller has been working in medicine for the past 18 years. He began working as a Paramedic for both rural and suburban EMS districts. He spent two years of his EMS career with a focus on critical care pediatric transport with St. Louis Children’s Hospital. He later entered St. Louis University’s Physician Assistant Program where he earned his Master of Medical Science (MMS) degree in 2014.

He first gained experience as a PA in primary care outpatient medicine but later transitioned to the ER. He completed an ER fellowship and remained with the ER for additional training. After completing his ER training, he entered Urgent Care medicine where he has spent the bulk of his career. Most recently, Sean’s drive for professional growth allowed him to begin work at Washington University School of Medicine in St. Louis in the Cardiothoracic ICU. When not working at WashU he returns to SLU as an Adjunct Faculty member providing lectures in EKG analysis while co-managing the orthopedic, cardiac, and GU/Renal modules. In 2023, he began operating Rapid Med Ed, LLC, which is a St. Louis-based training organization for all AHA courses and much more. He and his wife have 3 growing boys ages 10, 8, and 6. They all enjoy playing UNO and traveling to the beach for much-needed relaxation. Fun fact, he has enjoyed Martial Arts for over 25 years and currently holds a 4th degree black belt!

Sean was named Q4 2023 APP of the Quarter!

His nominator says, “Sean undeniably deserves the APP of the quarter award for his relentless commitment to personal growth and improvement. He consistently strives to enhance his skills and knowledge, demonstrating a remarkable dedication to self-betterment. Sean’s infectious smile has become a symbol of positivity within the group, uplifting everyone around him. Beyond his professional achievements, it’s his warm and approachable demeanor that sets him apart. In any situation, Sean brings a genuine sense of warmth that fosters a collaborative and supportive environment. His ability to radiate positivity and create a welcoming atmosphere is truly commendable, making him not only an exceptional friend but also a source of inspiration for others.”

Nicky is one of the APP Leads for the 56/82 CTICUs. She graduated from Goldfarb School of Nursing AGACNP program in 2017. Before becoming an NP, Nicky worked the previous 12 years as a bedside nurse in 56ICU at BJH. Her passion is heart failure and mechanical life support. Outside of work, Nicky loves spending time with her husband and three children at the lake and family farm in Ste Genevieve.

Nicky was named the Q3 2023 APP of the Quarter!

Her nominator says, “Nicky’s dedication, commitment, and positive influence set a high standard for our group. She’s always there to support her colleagues and works tirelessly to improve our CTICU.”

Michelle joined the Department of Anesthesiology in 2015 as a nurse practitioner (NP) with critical care medicine. Her NP career initially began in 4400 Surgical/Burn/Trauma ICU but with the growth of the division, her career also expanded to 7800 SICU, eICU, Memorial Hospital Belleville, 8200 COVID ECMO, and a small amount of time at Christian Hospital Northeast to provide additional support during the COVID pandemic. Additionally, in 2019 she accepted an APP Leadership position at Memorial Hospital, Belleville.

Michelle says she is “grateful for the opportunity to take care of patients and families during some of the darkest days of their lives”, citing this as “a constant reminder that both humbles and inspires me to be grateful for everything I have each day.”

Within our department, she finds great joy in the expansion of our critical care APP group, citing these new opportunities to learn and work alongside such a diverse group of highly intelligent, culturally diverse, and engaged colleagues as a personal motivator to continue to improve her practice each day.

Michelle was named the Q2 2023 APP of the Quarter! Her nominator says, “Michelle is a great teammate, leader, patient advocate, and friend. She truly cares about our ICU as one that not only delivers quality care to our patients, but that’s great to work in as well.”

Outside of work, Michelle is engaged with her spouse, young family (children ages 8, 5, 2), and dog.  She has newly adopted yoga as a daily practice both to challenge her body physically and to release some of the emotional stress brought on by caring for critically ill patients.

Fun fact, Michelle grew up in a small town in southern Illinois – so small that the entire town’s population is less than half that of the BJH patient bed capacity.

Maureen Flanagan (She/Her) is a nurse practitioner from Dallas, Texas. She earned her bachelor’s degree from Washington University in St. Louis in 2014 and went on to earn her RN and MSN from Yale University in 2017. She has been practicing in the Surgical ICUs here at BJH since her graduation in 2017. In her free time, she loves exploring new places around the world, cooking new pasta recipes, and spending time with her dog, Luka.

Maureen was named the Q4 2022 APP of the Quarter! Her nominator says, “Maureen works hard in difficult situations and goes above & beyond to provide great care for her patients. She’s smart and is a true team player.”

Joshua Fender (He/Him) has been an APP with the department since 2021. He has a BS in Fire Paramedicine from Lindenwood University. He obtained his MSN with an emphasis on quality improvement informatics, education, and leadership from Sant Louis University. Josh recently graduated with his AGACNP post-master’s certificate from Goldfarb School of Nursing. He has been a recipient of St. Louis Magazine’s Excellence in Nursing and March of Dimes Nurse of the Year. In his free time, you can find him mushroom hunting, cooking, and spending time with his partner Eric and their two golden doodles Riley and Zion.

Josh was named the Q3 2022 APP of the Quarter!

His nominator says, “Josh is an incredible team player. He is always helping with schedule changes and picking up extra moonlighting. He is always positive and easy to work with. He will lend a helping hand without being asked and he provides compassionate care to his patients.”

Clair Visconti is a Physician Assistant from Alton, Illinois. She earned a bachelor’s degree in Health Sciences from the University of Missouri in 2016, and then earned a master’s degree in Physician Assistant Studies from Stephens College in Columbia, Missouri in December of 2019. Clair has been with the Department of Anesthesiology at WashU for two years.

From the first time she stepped foot in an ICU as a student, Clair has been passionate about critical care. She is committed to providing thoughtful and compassionate care for her patients, and is dedicated to her continued education. She loves being able to work together with her colleagues as a team.

Clair was named the Q2 2022 APP of the Quarter!

Her nominators say:

“Clair is exceptional. She consistently shows genuine dedication to caring for patients, being a team member, picking up/changing her schedule to fill staffing gaps, and being an overall exceptional APP! Clair consistently seeks to advance her knowledge and has been instrumental in advocating for the patients at CH. I can always count on Clair and proud to have her as a colleague!”

“Clair is always willing to help the group. She is passionate about making changes at CHNE, and offers solutions. It is exciting to watch her confidence grow in such a challenging environment. I am very proud of her growth as a member of the APP group at CHNE!”