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MDS Nurse Resume Example

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MDS NURSE
Professional Summary
  • Registered Nurse with 4 years of clinical nursing experience
  • Home Health - 1 year.
  • Skilled Nursing Home Facility- 1 year.
  • Assisted Living Facility - 1 year.
  • Long Term Acute Care - 1 year.
  • Corrections-4 months (contract).
  • Psychiatry/behavioral health nursing-26 weeks (contract).

Ambitious Board Certified Registered Nurse specializing in telemetry, medical-surgical and behavioral health care. Expert in all aspects of patient care with success in working with multidisciplinary teams to create care plans focused on helping patients recover from medical or surgical procedures and manage complex mental disorders. Accomplished in leading unit-based groups to improve delivery of care and patient satisfaction.

Skills
  • Accounting
  • Billing
  • CMS
  • Oral
  • Diagnosis
  • Documentation
  • Fax machine
  • Financial
  • Meetings
  • Office
  • Nursing
  • Copier
  • Printer
  • Progress
  • Quality
  • Quality improvement
  • Receiving
  • Reporting
  • Scheduling
  • Strong clinical judgment
  • ICD-10 forms
  • Intravenous therapy
  • Tracheostomy Care
  • Medication Administration
  • Collecting vitals
  • Chronic disease management
  • Insulin medication assistance
  • Fluent in English, French, and Creole.
  • Patient and family advocacy
Work History
MDS Nurse, 07/2017 to Current
Company Name – City, State
  • Demonstrated ability to advocate for and strive to protect health, safety, and rights of patient.
  • Participated in quality improvement meeting to discuss policies, propose revisions and implement changes.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.
  • Strengthened training and nursing knowledge by taking part in continuing education programs.
  • Recorded details regarding all therapies to keep patient charts updated.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Charge Nurse, Nurse, 12/2018 to 08/2020
Company Name – City, State
  • Residential Tweens, adolescents, tweens, children, and adult unit.
  • Responsibilities:
  • Completing admissions, discharges, staff assignments, and restraints flow sheets.
  • Administering medications.
  • Care planning.
  • Observed and reported patient condition, progress and medication side effects to accurately document updates.
  • Took samples such as blood and urine to complete diagnostic and routine assessment tests.
  • Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
  • Defined patient advocacy objectives for patients and caregivers through collaboration with various healthcare professionals to determine specific and individualized care plan based on goals and long-term health.
  • Documented nursing services provided and uploaded to comprehensive tracking systems for health records and billing.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Educated patients and families on diagnosis, neurological conditions and processes, treatments and expected outcomes.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Remained calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time.
  • Professionally interacted, updated and advocated care plans to patients and loved ones.
  • Documented patient vitals, behaviors and conditions to communicate concerns to supervising [Job title].
  • Protected patients and healthcare team members from infection by sterilizing equipment and reusable supplies.
  • Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
  • Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals, including physicians, case managers and social workers.
  • Directed patient care activities and provided guidance and training to RNs, LPNs and residential advisors during shift while delegating assignments and providing treatment.
Staff Nurse, 10/2015 to 11/2016
Company Name – City, State
  • Brief hospital description: 40 beds Long Term Acute Care facility.
  • Staff nurse.
  • Beds in Unit: 40 Patient Ratio: 1 to 7.
  • Responsibilities:.
  • Identified patient care requirements by establishing personal rapport with patients and families.
  • Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
  • Monitored patients' conditions and reported changes in physical ability, appearance and behavior to discuss treatment with physicians.
  • Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
  • Gathered patient health data through interviews and observation, documenting all data in paper chart.
  • Formulated plans for nursing measures to restore, maintain and promote patients' physical and mental health.
  • Implemented interventions, including medication and IV administration, catheter insertion and airway management.
  • Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • 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.
  • Collected blood, tissue and other laboratory specimens and prepared for lab testing.
  • Provided high quality care to approximately 7-8 patients per day on 40 bed unit.
  • Assessed physical, psychological, physiologic and cognitive status of patients.
  • Reported patients' status and delegated nurse assignments to achieve optimal outcomes.
Staff Nurse, 02/2016 to 06/2016
Company Name – City, State
  • Brief hospital description: Privately owned detention facility.
  • 19 weeks contract.
  • Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
  • Stabilized prisoners suffering from falls, stab wounds or other injuries prior to hospital transfer.
  • Created and implemented care plans for prisoners suffering from chronic conditions, including diabetes, arthritis and COPD.
  • Treated variety of illnesses affecting offenders in close quarters, including flu, gastrointestinal bugs, strep throat and lice.
  • Complied with all security regulations within prison system and administered care in safest possible environment.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.
  • Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Explained course of care and medications, including side effects to patients and caregivers in easy-to-understand terms.
  • 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.
Education
Master of Science: Psychiatric Nurse Practitioner, Expected in 03/2023
Walden University - City, State
Bachelor of Science: Nursing, 05/2015
Pensacola Christian College - City, State
Certifications

BLS

BLS

BLS-American Heart Association.

Expiration date: 06/2022.

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Resume Overview

School Attended

  • Walden University
  • Pensacola Christian College

Job Titles Held:

  • MDS Nurse
  • Charge Nurse, Nurse
  • Staff Nurse

Degrees

  • Master of Science : Psychiatric Nurse Practitioner , Expected in 03/2023
    Bachelor of Science : Nursing , 05/2015

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