Registered Nurse with extensive experience at Tri-Valley Opportunity Council Inc., specializing in patient assessment and culturally sensitive care. Demonstrated success in developing individualized care plans and driving quality improvement initiatives. Proficient in electronic health records and dedicated to interdisciplinary collaboration, resulting in optimal patient outcomes and a supportive healthcare environment.
Overview
33
33
years of professional experience
Work History
Program Nurse - RN
Tri-Valley Opportunity Council Inc.
Crookston
02.2020 - Current
Referred patients to specialized health resources or community agencies to furnish additional assistance.
Supported an environment that promotes respect for diversity among all members of the healthcare team and participants.
Performed physical assessments of participant, including height, weight, temperature, pulse rate, blood pressure readings, and respiration rates.
Provided education to participant and families about medications, treatments, and general health maintenance.
Administered prescribed medications and treatments in accordance with approved nursing protocols.
Performed administrative duties such as scheduling appointments or completing paperwork.
Adhered to infection control procedures to facilitate safe, clean patient environment.
Conducted intake assessments with patients and relatives to gather history.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
RN Charge Nurse
Wabasso Rehabilitation and Wellness Center
Wabasso
07.2017 - 02.2020
Educated patients on health maintenance, disease prevention, and treatment options.
Administered prescribed medications and treatments in accordance with approved nursing protocols.
Responded quickly to life-threatening situations by providing appropriate interventions.
Identified potential safety hazards in the environment or among patients' behaviors.
Performed physical examinations and assessments of patients' medical histories.
Provided emotional support to families facing difficult decisions about a loved one's care.
Maintained accurate documentation of patient records in accordance with HIPAA regulations.
Assessed patient health and developed individualized care plans accordingly.
Managed complex cases involving multiple diagnoses or treatments.
Monitored vital signs, such as blood pressure, temperature, respiration rate, pulse rate and weight.
Provided direct nursing care to patients, including administering medications, wound care, and IV therapy.
Carried out physician orders regarding tests or medication administration accurately and safely.
Maintained thorough, accurate and confidential documentation in electronic medical records.
Coordinated and performed patient admissions, transfers and discharges.
Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
Administered oral, IV and intra-muscular medications and monitored patient reactions.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Provided direct patient care, including assessments and treatments, to a variety of patients.
Supervised Licensed Practical Nurses and Certified Nursing Assistants.
Assessed and assisted patients with diverse range and comorbid chronic diagnoses.
Charge Nurse/MDS Coordinator
Valley View Manor Healthcare Center
Lamberton
07.1992 - 07.2017
Ensured compliance with infection control protocols throughout the facility.
Developed and implemented nursing care plans for individual patients based on their needs.
Supervised Licensed Practical Nurses and Certified Nursing Assistants.
Participated in quality improvement initiatives to ensure best practice standards were met within the unit setting.
Delegated tasks appropriately among staff members according to their qualifications.
Actively participated in interdisciplinary team meetings to discuss patient progress toward desired outcomes.
Provided direct patient care, including assessments and treatments, to a variety of patients.
Provided emotional support for families facing difficult decisions regarding end-of-life care.
Ensured that all documentation was completed accurately according to established policies and procedures.
Built and maintained strong working relationships between nursing department and other disciplines.
Collaborated with interdisciplinary teams to develop individualized care plans for patients.
Monitored patient progress and adjusted care plans accordingly.
Coordinated and performed patient admissions, transfers and discharges.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Administered oral, IV and intra-muscular medications and monitored patient reactions.
Performed data entry functions associated with entering information into computer systems used for tracking and monitoring purposes.
Assisted in developing and implementing quality assurance programs related to MDS completion.
Provided training and education to nursing staff on current MDS regulations.
Interpreted physician orders for accuracy and completeness prior to submitting them electronically into the MDS system.
Analyzed trends in data collected through the Minimum Data Set.
Assisted in identifying opportunities for improvement in processes related to the completion of the MDS form.
Ensured that changes made to an existing plan of care corresponded with appropriate changes made on the corresponding MDS form.
Collaborated with interdisciplinary teams to develop comprehensive care plans.
Monitored residents' progress and updated MDS records accordingly.
Reviewed clinical documentation to ensure accuracy of information reported on the MDS forms.
Researched new developments in Medicare and Medicaid reimbursement policies related to long-term care facilities.
Developed individualized plans of care for each resident based on assessment findings.
Coordinated timely submission of all required documents including Minimum Data Set forms, Care Area Assessments, Quarterly Assessment Reconciliation, Annual Assessment Reconciliations and other regulatory paperwork.
Audited monthly MDS submissions for accuracy, timeliness, completeness and compliance with applicable regulations.
Facilitated team meetings with members from other departments such as Social Services, Dietary, Activities, Rehabilitation services, to discuss resident issues and concerns related to the MDS process.
Trained and supervised health care workers conducting resident assessments.
Processed clinical data by entering records of receipt, verification and entry of information.
Education
Bachelor of Science - Nursing
Southwest Minnesota State University
Marshall, MN
05-2022
Skills
Patient assessment and care planning
Postpartum support
Medication management
Electronic health records
Infection control
Health education
CPR certified
Community referrals
Culturally sensitive care
Test interpretation
Geriatric nursing
Interdisciplinary collaboration
Quality improvement
Timeline
Program Nurse - RN
Tri-Valley Opportunity Council Inc.
02.2020 - Current
RN Charge Nurse
Wabasso Rehabilitation and Wellness Center
07.2017 - 02.2020
Charge Nurse/MDS Coordinator
Valley View Manor Healthcare Center
07.1992 - 07.2017
Bachelor of Science - Nursing
Southwest Minnesota State University
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