HCA/LPN Resume Example

HCA/LPN

Summary

Dedicated and compassionate Licensed Practical Nurse with extensive experience in medical procedures, including sample collection, blood draw, IV insertion and infection control. Meticulous regard for detail and accuracy with strong follow-through and administrative skills. Maintains composure and makes accurate decisions in fast-paced, unpredictable and stressful environments. History of interfacing seamlessly with doctors, specialized support services, patients and visiting families. Seeking to apply my knowledge and grow my experience with an established company.

Skills

Evaluation and interventions
Microsoft/Excel proficient
Electronic Medical Records Knowledge
Bilingual English/Spanish
Type 30wpm
Fluent in Spanish
Work ethic

Medication and IV administration
Policy and procedure compliance
Patient Care in acute management setting
Charting Medication Administration
Creating invoices
Ordering clinic and office supplies
Creating medical records report booklets

Experience

02/2021 - CurrentClinical Nurse Reviewer, Trinity Health Corporation, North Muskegon , MI

Maintain strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Utilize computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Utilizing program such as sharepoint for specific documentations and guidelines access.
Execute appropriate steps for patient treatment following careful review of physician medical regimen.
Participate in continuing education programs and Nursing workshops to enhance training and nursing knowledge.
Adher to standards in all areas, including data collection, research protocols and regulatory reporting.
Conduct informed consent presentations and maintained documentation.
Gather, prepare and maintain appropriate information required by Evicore regulations and guidelines.
Coordinate protocols by organizing and prioritizing all activities associated with Oncology studies.
Check electronic data capturing systems for integrity and compliance.
Verify record copies before handing each over to check for and remove unnecessary details.
Log all requests for medical records into spreadsheets.
Observe confidentiality and safeguarded all patient-related information.
Obtain information by contacting appropriate personnel or patients.
Disseminate information to correct department, individual or outside location.
Review and reference Evicore or specific health plan guidelines when making clinical decisions.
Render telephone advice according to established guidelines and protocols.
Collect data to represent symptoms, including onset, presenting problem and medical diagnoses.
Maintain confidentiality in matters related to patient, family and client facility staff.
Document proper data information to be sent to provider for a more thorough review.
Analyze and discuss symptoms with established protocols to determine patient acuity.
Communicate triage information to primary care team to discuss disposition.
Document services discussed and provided details in electronic medical records.
Cultivate professional conduct operating under triage nursing care guidelines.
Attend educational workshops to maintain current competency and licensure in nursing specialty.
Offer medical advice and recommendations based on physician guidance and clinical protocols.
Collaborate with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
Apply medical criteria and clinical judgement to researched cases to evaluate and establish determinations.

09/2019 - CurrentHCA/LPN, Wexford Health Sources Inc, Mount Olive , WV

Complete chart and billing documentation accurately to include all labs performed, supplies given and patient care.
Ensure and document that appropriate education/fact sheets are provided for patient. Ensure that informed consent and follow HIPPA procedures and regulations.
Audit exam rooms to ensure supplies are stored correctly or discarded prior to expiration.
Site laboratories, Collect vital signs as indicated for patients visits, Maintain lab according to OSHA and CLIA standards and guidelines.
Ensure accuracy of lab logs, including findings and follow-up per protocol, Perform and record all laboratory controls, Participate in laboratory proficiency testing program and annual lab skills competency evaluation.
Conduct intimate partner violence (IPV) and reproductive coercion screenings; address positive screenings or refer to RN/clinician/physician.
Provide pre- and post-operative nursing care.
Administer prescribed medications and started intravenous fluids to address patient symptoms and underlying etiologies. Disburse patients medications with correct authorization and documentation,
Communicate effectively with patients and loved ones to explain diagnoses, treatment options and procedures.
Address patient care needs, collected vitals, prepare IV site and IV fluids as needed per doctors orders.
Provide behavioral and emotional support and closely supervised patients during and after surgery procedure.
Chart changes in patient conditions and discussed concerns with provider.
Sterilize equipment and supplies using germicides and autoclaves to protect patients and staff from infection.

02/2015 - 09/2019LPN, Genex Services, Grand Rapids , MI

Managed my own clinic, provided and documented nursing assessment and treatment for each child, BMI and dental screenings, conducted hearing and vision testing, administered medication to students, Diabetes management to students needed, provide basic first aid care to students, implemented the nursing process to develop individualized health care plans for students with special health concerns, supply management, emergency management.
Trained other staff members to perform clinic duties and management as back ups.
Responded to patient alarms and needs-assessment requests to identify course of treatment.
Examined and addressed lacerations, contusions and physical symptoms to assess and prioritize need for further attention.
Documented patient intake and dietary requirements, also assisting with feeding and monitoring.
Researched and studied client diagnoses to identify care needs, effectively contributed to nursing plan developments and facilitated patient education.
Worked with healthcare team, including social workers, physical therapists and speech therapists, to assess patient needs, plan and adjust plans of care and actualize nursing interventions to promote and restore patient health.

08/2013 - 02/2015LPN, Adventist Healthcare Hospital, City , STATE

Conducted executive health screenings, provided quality care to each patient including medical histories, obtained vitals such as blood pressure, temperatures, height and weight.
Assisted physician with minor procedures and woman's wellness exams.
Prepared and stocked each room with the necessary supplies needed.
Conducted basic ultrasound of the carotid for each patient, as well as provided education to patient about heart disease and strokes.
Collected biological specimens and packages for laboratory transport to complete diagnostic tests.
Triaged patients by phone and provided general assistance for basic and advanced needs.
Worked with healthcare team, including social workers, physical therapists, nutritionist and dermatologist, to assess patient needs, plan and adjust plans of care and actualize nursing interventions to promote and restore patient health.
Scheduled appointments for evaluations and scans for patients.
Collected and documented vital signs to track current patient conditions.
Conduct operations and supply accountability by analyzing supply policies, strategies and processes to identify inefficiencies.
Communicated concerns regarding clients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.
Processed paperwork related to supply requests, purchase orders and returns.
Established and maintained stock records and other documents.
Maintained adequate inventory, adhering to precise rotation guidelines to minimize stock expiration.
Observed confidentiality and safeguarded all patient-related information.
Updated daily logs to track information movements.
Wrote reports, emails, memoranda, letters and releases.

08/2011 - 08/2013Medical Records Coordinator, Adventist Healthcare Hospital, City , STATE

Managed the medical records department for our health assessment patients, gathered all viable information and documents to be charted.
Maintained accurate records and reports regarding patients' histories and progress, services provided and other required information.
Arranged and managed medical record filing, retrieval and transfers per established guidelines.
Completed timely uploads of medical records to patient vaults.
Developed and maintained clear policies for every step of medical record creation, validation and filing.
Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.
Pulled patient charts for review for radiology imaging to be approved.
Document proper data information to be sent to provider for a more thorough review.
Adhered to standards in all areas, including data collection, research protocols and regulatory reporting.
Kept patient care protocols and clinical trial operations in compliance.
Organized, analyzed and modeled study data.
Screened research study candidates for eligibility and obtained consent documentation.
Documented case report forms and collected data for study research logs.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Completed documents and work requests according to company standards.
Observed confidentiality and safeguarded all patient-related information.
Maintained complete confidentiality in accordance with organization and legal requirements.
Pulled patient charts for upcoming appointments.
Consolidated diverse medical records.
Updated daily logs to track information movements.
Wrote reports, emails, memoranda, letters and releases.
Disseminated information to correct department, individual or outside location.
Conceptualized and implemented new and more efficient filing system.
Followed-up with insurance companies and individuals to resolve discrepancies.
Typed medical orders for procedures and laboratory tests.
Designed improved training procedures to help new staff acclimate quickly.
Processed paperwork related to supply requests, purchase orders and returns.
Established and maintained stock records and other documents.
Requisitioned new supplies and equipment.
Checked stock received against written requisition to confirm order accuracy.
Maintained adequate inventory, adhering to precise rotation guidelines to minimize stock expiration.
Managed supply requests, movements and preservation of group supplies.
Performed inventory counts every month to document all unit equipment.

Education and Training

Some College (No Degree), Licensed Practical Nurse Lincoln Technical College , City

2000Cypress Creek High School Florida

Languages

Bilingual English/Spanish, Spanish Advanced

Certifications

30hr IV therapy course certification
BLS/CPR Certification

Resume Overview

School Attended

Lincoln Technical College
Cypress Creek High School Florida

Job Titles Held:

Clinical Nurse Reviewer
HCA/LPN
LPN
Medical Records Coordinator

Degrees

Some College (No Degree) , Licensed Practical Nurse

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