Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
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- Provide admission, case management, and follow-up skilled nursing visits for home health patients.
- Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager.
- Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment. Provide hands-on care, management and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision. Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation.
- Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides and external providers).
- Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis.
- Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems.
- Coordinate/oversee/supervise the work of Home Health Aides, Certified Home Health Aides and Personal Care Workers and provides written personal care instructions/care plan that reflect current plan of care. Monitor the appropriate completion of documentation by home health aides/personal care workers as part of the supervisory/leadership responsibility.
- Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation.
- Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes. Prepare visit/shift reports, updates/summarizes patient records, and confers with other health care disciplines in providing optimum patient care.
- Providing information, guidance, and hands-on clinical care to pregnant women.
- Monitoring fetal heartbeat and length and strength of contractions during labor.
- Coaching women, assisting with any complications and administering medications during birth..
- Providing guidance to new mothers on all aspects of recovery and infant care.
- Using equipment and administering medications related to labor, delivery, and the care of newborns.
- Worked closely with doctors and midwives in coaching pregnant women through childbirth and post-natal recovery.
- Supported physicians in both planned and emergency Cesarean section procedures.
- Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
1. Responsible for prior authorization of medications and/or procedures for all Providers. Assists with rooming of patients as needed during the absence of other clinic nurses.
2. Assists with assessment by collection of basic data for patients in the clinic or on the phone.
3. Documents basic assessment and care/instructions given.
4. Reports results and pertinent information to patients and physician.
5. Evaluates understanding of treatment plan and/or instruction.
6. Assists with a variety of procedures, exams and/or operations of diagnostic equipment as assigned.
7. Maintains appropriate aseptic technique for preparation, procedures, and medications administered. 8. Is responsible for instrument and equipment maintenance, identifying problems and coordination of appropriate repairs.
9. Assists provider as needed.
10. Adheres to and promotes the established values of the organization, i.e., customer service, safety, compliance standards and all others.
- Collaborated with multidisciplinary team to evaluate patient data and determine patient care plans.
- Monitored patients, evaluated results and recommended further courses of treatment to quickly improve patient outcomes.
- Evaluated patient histories, complaints and current symptoms.
- Reviewed patient history to verify conditions and current medications.
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School Attended
- KCTCS
- KCTCS
Job Titles Held:
- Home Health Registered Nurse
- Labor and Delivery Registered Nurse
- Clinical LPN
Degrees
- Associate of Science
- Associate of Science
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