Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration, wound care and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader. Over 25 years of Geriatric Care experience.
Skills
Wound Care Staging and Treatment
Assessment Collection and Transmission to State
Patient and family advocacy
Care Planning and Revisions
ICD-10 Diagnosis for billing
Coordinating Monthly Assessments and Calendars
Work History
MDS Coordinator, 11/2018 - Current Amita Health – O Fallon, MO,
Recorded details regarding all therapies, including Skilled Physical Occupational and Speech therapies to keep patient charts updated.
Implemented care plans for patient treatment after assessing physician medical regimens.
Updated patient charts using American Data (ECS) with data such as medications to keep records current and support accurate treatments.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management.
Cared for patients in 80-bed unit, supporting fellow nurses in delivering outstanding treatment to patients.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
Implemented interventions, including medication and IV administration, catheter insertion and airway management.
Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care.
Wound Care Registered Nurse, 04/2015 - Current Cadia Healthcare – Beaver, PA,
Assessed and treated draining of wounds and burns.
Maintained comprehensive understanding of genitourinary, gastrointestinal and integumentary systems and provided treatment for wounds impacting them.
Treated and carefully tended to vascular and diabetic ulcers.
Advised patients on proper nutrition and offered holistic solutions to severe conditions.
Collaborated with healthcare team to implement interventions for wound healing and skin breakdown prevention.
Instructed patients and caregivers on how to clean and dress wounds and how to prevent infections.
Documented and examined patient recovery and reported progress to doctors for effective management.
Implemented plans to prevent pressure ulcers and other wound developments.
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
Implemented care plans for patient treatment after assessing physician medical regimens.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Educated family members and caregivers on patient care instructions.
Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
Implemented care plans for patient treatment after assessing physician medical regimens.
Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care.
Administered different therapies and medications in line with physician orders and treatment plan.
Updated patient charts using American Data ECS) with data such as medications to keep records current and support accurate treatments.
Medication Nurse, 08/1993 - 05/2000 Oakmont Management Group – Fresno, CA,
Examined and observed patients to detect injuries or symptoms requiring immediate medical attention, including blood in urine, open wounds and bruises.
Measured and recorded patients' vital signs, including weight, height, blood pressure, pulse and respiration.
Conducted daily rounds with attending physician to assist physician with various procedures and treatments, including wound and respiratory procedures and treatments.
Administered prescribed medications and started intravenous fluids using American Data (ECS) to note times, types and amounts of medications for each patient.
Answered patient call signals, intercom system notifications and signal lights to determine patients' needs.
Collected specimens to prepare for laboratory test procedures, such as urine, feces and sputum specimens.
Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
Educated patients and answered questions about health condition, prognosis and treatment.
Provided direct patient care, stabilized patients and determined next course of action.
Observed and reported patient condition, progress and medication side effects to accurately document updates.
Education
Associate of Science: Registered Nursing , Expected in 12/2005 - George Wallace Community College - Selma, Alabama, GPA:
Associate of Science: Practical Nursing, Expected in 08/1993 - Alabama Southern Community College - Thomasville, AL, GPA:
High School Diploma: , Expected in 05/1990 - Thomasville High School - Thomasville, AL GPA:
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