Objective: Registered Nurse with twenty-six years practical and supervisory experience seeking a position which will make full use of my comprehensive health-care training, excellent interpersonal skills and self-directed prioritizations.
Skills
I am a Certified Hospice and Palliative Registered Nurse.
I have held my certification since 12/2019
Experience
RN Case Manager, 10/2017 to 06/2021 Millennium Physician Group – Jacksonville Beach, FL,
Perform initial and ongoing patient/family, physical, emotional, psycho-social, cultural and spiritual assessments to ensure and coordinate the delivery of comprehensive, holistic services by the Interdisciplinary Hospice Team.
Provide palliative nursing care and symptom control including wound care and use of wound vacs in accordance with physician orders and IDG plan of care.
Document and enter into EMR all interventions of phone, home and medication changes within time frame set forth by the company and the state.
Develop and prioritize the interdisciplinary care plan goals of the patient/family, hospice team and attending physician prior to team meetings.
Educate patients and families regarding medication administration, uses and side effects, comfort measures and phases of dying including transitioning, actively dying and what to do at the time of death.
Teach, supervise and counsel patients/families/care givers regarding physical care, observing return demonstration of procedures as appropriate.
Provide anticipatory guidance to the patient/family to assist in preparing for coping with events as they occur.
Effectively communicate patient's status to family members and caregivers.
Obtain orders for medications and tx as well as input orders into system. Pharmacy follow-up as necessary.
Revises nursing diagnosis, goals and interventions, expected outcomes, and plan of care based on assessment of data and input of patients and family members prior to the IDG meeting.
Report on all changes r/t patient/family condition to coordinator, Supervisor and On Call staff as needed.
Supervise LPNs and HHAs in the home. Provided detailed reports to LPNs and HHAs before they enter the home
Follows and upholds all state and federal laws and regulations outlined in the policy and procedure manuals.
Unit Manager, 04/2010 to 10/2016 Regency Care Of Arlington – Arlington, VA,
Oversee nursing unit’s operations and management, including providing optimal care, communicating the facility’s policies and ensuring the general order.
Supervise unit rounds and communicate with staff concerning new admissions.
Monitor appointments/consults.
Direct handling of resident care emergencies.
Work with wound-care MD, experienced with wound vac.
Ensure completion of accident/incident documentation and notification to DNS.
Perform daily safety rounds, attend weekly rehabilitation meetings and resident care conferences and assist with planning and educational needs of specialty units.
Report changes in condition and weight to Resident Care Coordinator and Dietician and monitor daily I&O.
Responsible for timely completion and accuracy of paperwork for care-planning process including MDS, RAPS, RAP modules, interims, new admits, annuals and the monitoring of monthly matrices and quarterly completion of MDS.
Effectuate management systems to carry forward the care plan into daily operations.
Participate in developing quality assurance and CQI approaches to care delivery and assist in ongoing quality assurance of resident care documentation.
Ensure compliance with infection-control principles and follow up of infection-control issues and yearly follow up by psychiatrist.
Processes PT, OT and ST requests.
Proficient in EMR, IV certified.
Audit availability of supplies and ascertain all equipment in proper working order.
Responsible for receipt of all narcotic deliveries, reporting of any missing narcotics and/or discrepancies in narcotics to ADNS, removal of medications from emergency drug box and bi-monthly narcotic rounds and replacement.
Forward discontinued narcotics to ADNS.
Prepare yearly written evaluations of all unit personnel and documentation of their strengths, weaknesses, steps taken to improve their performance and disciplinary concerns.
Coordinated staff attendance at all mandatory in-services and made provisions for ongoing training as needed.
Determinations concerning unit staffing, including replacing call-outs and reassigning personnel when appropriate.
Assures completion of W-10s.
Responsible for change-of-shift and supervisor’s reports.
Charge nurse, 12/2003 to 12/2004 Community Medical Centers – Clovis, CA,
Sub-Acute Rehab Unit with responsibility to supervise 1-2 LPN’s and 3-5 CAN’s - delegate duties, conflict resolution.
Nursing duties: assessments, medication and IV administration, wound treatment, patient-care instruction, admissions/discharges.
RN, 12/1998 to 12/2001 Roper St. Francis Health Care – Charleston, Mt. Pleasant And Summerville,
Opening/closing of cases, coordinating all disciplines for patient care, supervising LPN, HHA and PT/OT services.
Performing medical treatments as ordered by MD; including wound care, IV infusions, glucose monitoring, GT feeding/care
Access patient status and notify physicians of clinical changes, support and instruction to patient/families to promote positive patient-care outcomes.
Monitored and managed various treatment and care interventions.
Education and Training
Associate of Applied Science: Nursing, Expected in 03/1995 Pace University Lienhard School of Nursing - Pleasantville, NY, GPA:
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