To secure a challenging position in the role as a Neuroscience Coordinator in an Accredited Stroke Program Hunter Holmes McGuire Veterans Hospital- Department of Neurology 5/1/2011- Current
Stroke Coordinator- Developed the Stroke Program at McGuire VA
Revised the Medical Center Memorandum of Acute Ischemic Stroke
Sponsored 1st Neurology Stroke Nursing Grand Rounds at McGuire with Dr. Warren Felton from VCU
Presented " Time Is Brain" at Nursing Grand Rounds
Collaborated with the Echo cardiology Team to identify ways to perform ECHO's in a timely manner to decrease LOS
Developed " Act FAST- Stroke Is An Emergency"- Educational Packets for Veterans
Identified deficiencies in the Core Measures and developed templates to improve Core Measures to 100% for the last 9 months
Developed 2 Stroke Champions on every unit and 4 in the ICU
Having no designated budget, acquires most Educational information from Genentech
Collects data on Stroke patients and acts as a facilitator to improve stroke patients outcomes.
Provides Stroke Education to Nurses to Skills Day with over 300 Nurses attending 3 times a year, Lunch and Learns, Shift Huddles, etc.
Collaborates with VCU to transfer patients for Endovascular Care
Developed a Stroke Risk-Stratification Clinic for Veterans
Collaborates on a monthly basis with the National Stroke Quality Initiative Team for Veterans
Collaborates with the Magnet Team at DeBakey
Provides Mock Code Stroke Drill throughout the hospital
Developed Stroke Educational Icon for Desk, with The Golden Hour of Stroke Treatment , Algorithm In-House Rapid Response/ Stroke Alert, AHA/ ASS Guidelines, etc.
Recognized by Senator Mark Warner for increasing the awareness of stroke at McGuire VA Hospital
Developed Educational Cognitive Aids for the Outpatient Clinics
Presented Evidenced Based Data to Nursing Leadership to obtain by-in for change in clinical practice towards stroke care, as E.D. Nursing Staff was reluctant to perform Dysphagia Screening. Currently 85%
E.D. Staff id 100 % NIHSS Certified, ICU and SICU staff are currently in the process of becoming Certified
Utilizes the electronic message board to disseminate Stroke Educational Information
During Stroke Month, over 300 Stroke Educational packets were distributed on " The Mall"
Teaches " The Golden Hour of Stroke Care" for Critical Care
Developed Stroke Educational Discharge Template
Lake Norman Regional Medical Center
Clinical Coordinator of Emergency Department 06/2009 to 05/01/11
Charge RN responsible for daily operations and providing direct patient care
Chest Pain Coordinator 02/2010 to 05/01/11
Collaborated with the Society of Chest Pain
Assisted and recommend protocols and guidelines for best practice
Spearheaded Chest and Stroke Pain Accreditation
Developed and implemented Staff Educational Programs
Coordinated the first Cardiovascular Ground Rounds
Implemented Point of Care testing in the ED
Collaborate with Project Upstart (UVA)
Established relationship with 2 referral PCI Centers
Participates in the AHA RACE ER program
*Developed RACE ER Drug Kit for Cardiac meds in the Omnicell
Obtained educational information for Code STEMI and Code Stroke
Collaborates with PCI center coordinators, ED Staff and Cardiologist
Improved patient outcomes
Stroke Coordinator 02/2010 to 05/01/11
Chair the Stroke Task Force
Implemented AHA/ACC guidelines for AIS
Developed Code Stroke Flow Sheet and Pathway
Facilitated the installation of "One Call" phones in the ED, ICU, Cath lab, and Special Care Nursery
Acts as an Educational Resource internally and as a Community Liaison
Implemented the strategy for a "Mock AIS Code"
Coordinate with local EMS to ensure optimal care from pre-hospital to ED
Responsible for assuring JCAHO and regulatory agency guideline compliance
Howard University Hospital 03/2007 to 07/2008
Director of Emergency and Trauma Services
24-hr. accountability for Level 1 Trauma Center - approx. 68,000 ED visits/year
Supervision and management of 135 employees (licensed/unlicensed) to include coders hired specifically for the ED to improve reimbursement
Implemented a strategic plan to improve flow-decreasing ED waiting time by 2 hours
Implemented advance triage protocols
*Developed Clinical Decisive Unit to enhance patient flow
Collected and analyzed core measures for JCAHO
*Revamped electronic medical record tracking system
Developed and implemented a new grad and preceptor program
*Established a positive liaison with DC Fire and EMS
Implemented Emergency Nurses Association orientation for new hires
American Association of Neurological Nursing
American Heart Association
Emergency Nurses Association
North Carolina Stroke Coalition
Shared Governance Committee
to 2002 Astra Zeneca
Director of Emergency Services, 06/2006
to 01/2007 Southern Maryland Hospital Center
24 hour accountability for 35 bed ED and Chest pain center.
Developed protocols for clinical trials.
Met AHA/ACC guidelines for C-Port.
Established educational guidelines for STEM I and NSTEM.
Maintained and monitored statistics for daily Ed visits.
Coaching, counseling scheduling, timekeeping, hiring interviewing, terminating and performance appraisals.
Responsible for departmental budget preparation and maintenance.
Hands on nursing care and charge nurse on all shifts as needed.
Monthly staff meetings.
Established daily "huddles" to involve staff in day to day operations
Dimensions Healthcare System.
Chronic patient care in med-surg unit, adeptly handling all aspects of treatment from medication to wound care to monitoring for twenty (20) patients per shift.
to 05/2006 Laurel Regional Hospital
accountability for 20 bed ED w/supervision of 72 FTE's licensed/unlicensed personnel.
Provided clinical oversight and business growth for the ED.
Decreased agency utilization by establishing a RN new graduate program.
Oversaw renovation of ED to triple space to evaluate 30,000 patients yearly.
Developed patient flow team.
Responsible for preparation and successful JCAHO survey in 2005.
Re-designed the triage system to a 5 level triage.
Established daily "huddles" to involve staff in day to day operations.
Monthly staff meetings.
Increased Fast Track hours to facilitate patient flow.
Maintained and monitored statistics for daily ED visits.