Dynamic Licensed practical bringing nine years treating patients and coordinating care with other healthcare staff. Proven history of leveraging critical thinking, analysis and medical knowledge to deliver superior care in high-pressure environments. Prioritizes clinical and operational tasks in fast-paced emergency medicine settings.
Skills
Chronic Care Management
EMR / EHR
Wound Care
Case Management
Intake and discharge
ICD-9/10 Coding
CPT-4 Coding
HCPCS
MS Office
Electronic Medical Records
Patient education
Work History
Licensed Practical Nurse, 12/2016 to 08/2017 Ochsner Health System – Thibodaux, LA,
Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
Reported patients' status and delegated nurse assignments to achieve optimal outcomes.
Orchestrated quality-driven, cost-effective care for as many as Number patients each day in high-volume Type setting.
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
Gathered patient health data through interviews and observation, documenting all data in Software.
Managed elements of patient care, from admission to discharge or transfer to other units, using nursing expertise to conduct assessments, administer medications, initiate nursing and emergency interventions, contribute to care plan development and educate patients.
Assessed physical, psychological, physiologic and cognitive status of patients.
Collected blood, tissue and other laboratory specimens and prepared for lab testing.
Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
Observed and reported patient condition, progress and medication side effects to accurately document updates.
Assisted physicians in minor surgeries by keeping instruments sterilized and maintaining inventory.
Entered orders into EMR system efficiently and without errors.
Reviewed patient charts to better understand health histories, diagnoses and treatments.
Reviewed charts and flagged incomplete or inaccurate information.
Maintained accuracy, completeness and security for medical records and health information.
Conducted comprehensive patient assessments and evaluated patient care plans.
Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care.
Strengthened training and nursing knowledge by taking part in continuing education programs and Type workshops.
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
Audited charts and reviewed clinical documents to verify accuracy.
Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities.
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Educated patients and answered questions about health condition, prognosis and treatment.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Verified signatures and checked medical charts for accuracy and completion.
Reviewed [Number] medical records per [Timeframe] to select appropriate coding sequences.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Staff Nurse, 07/2012 to 02/2017 South Shore Health – Norwell, MA,
Performed triage on all incoming patients and determined severity of injuries and illnesses.
Identified medical and mental health conditions by conducting health screenings and reviewing patient histories.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Educated patients and answered questions about health condition, prognosis and treatment.
Implemented interventions, including medication and IV administration, catheter insertion and airway management.
Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
Provided skilled, timely and level-headed emergency response to critically-ill patients.
Provided physicians and other medical personnel with patient assessment details and answered patient care-related questions.
Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities.
Administered different therapies and medications in line with physician orders and treatment plan.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to over 100 patients daily.
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