Started as overnight charge nurse then transferred to evening charge nurse. Transferred to MDS Coordinator. Promoted to nurse Manager of the skilled unit after 2 years. Promoted to acting Director of Nursing for 1 year. Transferred to Assistant Director of Nursing for 2 years. Returned to Nurse Manager until employment ended.
Provided Nursing Care to up to 32 LTC residents and up to 18 skilled residents on evening shift. Nursing care for up to 15 residents on Brain injury unit. Completed admission and discharge assessments. Managed all types of IV's. Inserted peripheral IV's. Provided tracheostomy care. Provided care to resident's on Ventilators. Managed care of residents with PleurX Catheters. Managed and inserted indwelling and supra pubic catheters. Managed and measured all wounds including surgical, pressure, diabetic, vascular, traumatic, arterial. Highly competent with wound vacs and ostomy care. Made recommendations for treatment. Staged pressure ulcers based on most current guidelines. Lymphedema care. Managed and educated diabetic residents, CHF management. Post cardiac surgery care. Post surgical care on multiple types of surgeries. Thorough documentation including behaviors, nursing assessment based on Medicare guidelines: BIMS/CAMS, AIMS, PHQ9, PAIN, SKIN, FALLS, BRADEN SCALE, ELOPEMENT, SIDERAIL EVALS, PSYCHOTROPICS, MED REQUISITIONS, VACCINATION AND MEDICAL/MENTAL/FAMILY HISTORY. Monitored I&O , po intake, swallowing ability, appropriate diet texture. Completed skilled nursing notes based on diagnosis and included therapy progress and barriers to meet goals in my notes. Thorough documentation on response to pain medication , Vital signs. Use of oxygen , respiratory hygiene including elevating HOB, breathing techniques, incentive spirometry use, flutter valve use etc... Provided emergency care including initiating codes and CPR. Worked closely with CNA's to ensure excellent care including following toileting plans, repositioning, correct transfer techniques, hygiene/incontinence care. Closely monitored nail , facial, peri-anal , genital mouth /teeth care, dignity and privacy, resident rights. Assisted CNA's with team work focused care. Provided education/ discipline to CNA'S professionally with focus on learning and feeling proud of giving excellent care. Praised CNA's and gave encouragement. Educated family and residents on all aspects of care. Set up care plans and adjusted interventions and goals. Worked closely with all therapies for safe discharge planning and individualized care plans. Called family/POA with changes. Provided end of life care to residents and to family for support and education. Worked closely with hospice agencies as needed. Assisted and educated new graduate nurses and new employees. Discussed issues/concerns with supervisor as needed.
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