Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
33
33
years of professional experience
Work History
Cedar Sinai Hospital
08.2019
As an In-patient Case Coordinator I performed face-to-face and telephonic initial assessment of the patient which included intervention and referrals to social worker as needed for psychosocial support.
My duties also included discharge planning (planning and discharge) coordination of in-patient services, data collection, and quality monitoring.
Chart reviews for 3rd party payers, facilitated communication among the physicians, nurses, and allied health staff.
Case Manager and Team Leader
Altamed Health Services Corporation
10.2017 - Current
In the PACE program I provided daily care coordination, case management, coaching, consultation, and intervention to clients with one or more chronic diseases.
I facilitated the interdisciplinary care team coordinating social work and mental health counseling, psycho-social support services, in-home support, legal services, skilled nursing, home health, and hospice care.
I performed telephonic and face-to-face assessments on my assigned clients.
From these assessments I was able to develop care plans that address any problems identified.
I utilized evidenced-based criteria-Millman, InterQual, and CMS in developing care plans.
I participated in case conferences; attend divisional coordinators meetings and regular staff meetings; attended Joint Operation meetings and various community meetings as needed.
I assisted in process improvement workgroups when assigned.
Staff RN
Methodist Hospital
04.2011 - 04.2017
I cared for patients with acute neurological diagnosis including assessment, emergency management, and administration of vasoactive drugs, thrombolytic, narcoleptic/anticonvulsants and neuromuscular blocking agents.
I use the NIH stroke scale and GCS.
I administered tPA in the CVA patients per guidelines.
I recognized the signs and symptoms of increased ICP.
I performed and documented neuro checks and patient diagnosis.
I recognized and cared for seizure patients.
I assisted the physician in providing care for patients with endocrine, acute renal failure, ENT and OB/GYN emergencies including interventions and management.
I am knowledgeable in the care of diabetic patient including standardized procedure for hypoglycemia, recognition of hypo and hyperglycemia, care of the patient in hypo or hyperthyroid states.
I identified the causes of acute pelvic pain of gynecological origin and identified and care for the Obstetrical patient.
I have worked with the Labor and Delivery staff in caring for the OB patients >20 weeks gestation.
I assisted the MD in caring for ENT injuries.
I am familiar with ocular emergencies, medication for the eye emergency and insertion of Morgan Lens for eye irrigation.
I initiated care for the patient with acute Gi bleed and other GI emergencies including fluid resuscitation and pain management.
Assisted in gastro scope as needed.
I am able to identify potential sources of abdominal pain by location.
I am familiar with medication that is appropriate for patients with GI symptoms.
I administered radiopaque solution for CT scan in the appropriate time frames.
I cared for patients with psychiatric emergencies including drug overdose, suicidal ideation including psychosocial care, standard for restraint use and appropriate referrals.
I ensured that the proper documentation was in place for all patients on 8 and 72 hour holds.
I am familiar with psychotropic medications, including use and side effects.
I am familiar with treatment and management of the patient with alcohol and/or drug withdrawals.
I have knowledge of the care of the patient in cardiopulmonary arrest including emergency management according to ACLS standards.
I responded to Code Blue on floor.
I ensured that the documentation was complete on the Code Blue records.
I am knowledgeable in the standardized procedure for ACLS and dysrhythmia management.
I am competent in the of use of LifePak, hand-free defibrillator, all types of temporary pacemakers.
I am able to utilize medication drips in cardiac post stabilization.
I identified and managed the care of the patient in shock and provided appropriate interventions needed for: Hypovolemic shock, Distributive shock, and Cardiogenic shock.
I utilized sepsis order sheets and initiated sepsis bundles.
I assisted with the insertion and management of CVP monitors.
I identified age-related factors in progression and treatment of shock; utilized blood/fluid warmer when applicable.
I cared for patients with Acute Coronary Syndrome and Acute Myocardial Infarction including: Standards of care according to the American Heart Association, ensuring EKG is obtained within 5-10 minuets, recognizing abnormal EKG rhythms and changes in rhythms, utilizing ACS order sheet and follow the pathway, documenting effects of care given, worked in collaboration with the Cath Lab to ensure door to opening of the artery was aligned with the goals of the hospital.
I managed the care of patients with respiratory emergencies, including ventilatory management, administration of respiratory medications and procedural sedation, assisting with bronchoscope procedures and interventions.
I prepared patients for intubation.
I am knowledgeable in rapid sequence intubation and in the use paralytic and sedation agents used in intubation.
I recognize ARDS in all age groups, competent in procedural sedation.
I follow the pneumonia pathway and utilize pneumonia order sheet to facilitate care.
I obtained culture specimens before antibiotics are started.
I utilized the CHF pathway and order sheet to guide in the care of the CHF patient.
I interpreted ABG values and based my care on the interpretation and patient assessment.
I am able to identify and isolate patients who exhibit signs and symptoms of Tuberculosis, SARS, Avian flu and other communicable diseases.
I cared for pediatric patients including assessment, resuscitation, and treatment.
I followed the standard of care for the pediatec patient as it relates to pediatric catherization, IV skills, able to care for the newborn, and neonate, utilize equipment appropriate to the age of the patient and recognize inappropriate drug doses for children.
I recognize child abuse and/or neglect, reporting to appropriate agencies.
I have provided care for families that require psychosocial and spiritual support during crisis due to loss and critical illness of a loved one to include appropriate interventions and referrals.
I obtained spiritual care as needed for the families.
I contacted social services for patients who needing psychosocial intervention.
I supported the patient and family on end of life decisions, supported cultural needs of the family during crisis.
I ensued that DNR documentation followed the patient to the next level of care and supported the family regarding their request to be presence during resuscitation.
Huntington Hospital
Pasadena, CA
03.2009 - 03.2011
As a staff RN in the critical care unit, I utilized specialized training and specialized knowledge base to manage the critically ill patients, incorporating a broad range of clinical tools.
I demonstrated a competent knowledge base in pathophysiology of cardiovascular patient; through appropriate assessment, critical thinking skills, and plan of care, which was measured by addressing organ perfusion and cardiac output; patient activity, and dysrhythmias.
I demonstrated a competent knowledge base in the pathophysiology of the neuro patient; through appropriate assessment and critical thinking skills.
I formulated and implemented patient specific plan of care, which was measured by addressing adequate cerebral perfusion, pressures, patient safety, and documenting the appropriate levels of stimulation for the patient.
I demonstrated competent knowledge base in the pathophysiology of the respiratory patient, through appropriate assessment and critical thinking skills.
I formulated and implemented patient specific plan of care which was measured by addressing: maintenance of normal or appropriate 02/C02 levels, intervene when necessary; weaning assessment with appropriate sedation and daily rapid shallow breathing index, (RSBI), as indicated on the mechanically ventilated patient.
San Martin Hospital
Las Vegas, NV
11.2006 - 03.2009
As a staff RN in the critical care unit, I utilized specialized training and specialized knowledge base to manage the critically ill patients, incorporating a broad range of clinical tools.
I demonstrated a competent knowledge base in pathophysiology of cardiovascular patient; through appropriate assessment, critical thinking skills, and plan of care, which was measured by addressing organ perfusion and cardiac output; patient activity, and dysrhythmias.
I demonstrated a competent knowledge base in the pathophysiology of the neuro patient; through appropriate assessment and critical thinking skills.
I formulated and implemented patient specific plan of care which was measured by addressing adequate cerebral perfusion pressures, patient safety, and documentation the appropriate levels of stimulation for the patient.
I demonstrated competent knowledge base in the pathophysiology of the respiratory patient, through appropriate assessment and critical thinking skills.
I formulated and implemented patient specific plan of care which was measured by addressing: maintenance of normal or appropriate 02/C02 levels, intervene when necessary; weaning assessment with appropriate sedation and daily rapid shallow breathing index, (RSBI), as indicated on the mechanically ventilated patient.
Riverside County Regional Medical Center
Moreno Valley, CA
06.1987 - 08.2006
I worked in the ED and ICU as a staff RN.
I cared for patients with acute neurological diagnosis including assessment, emergency management, and administration of vasoactive drugs, thrombolytic, narcoleptic/anticonvulsants and neuromuscular blocking agents.
I used the NIH stroke scale and GCS.
I administered tPA in the CVA patients per guidelines.
I recognized the signs and symptoms of increasing ICP.
I performed and documented neuro checks and patient diagnosis.
I recognized and cared for seizure patients.
I cared for patients with endocrine, acute renal failure, ENT and OB/GYN emergencies including interventions and management.
I was knowledgeable in the care of diabetic patient including standardized procedure for hypoglycemia, recognition of hypo and hyperglycemia, care of the patient in hypo or hyperthyroid states.
I identified the causes of acute pelvic pain of gynecological origin and identified and cared for the Obstetrical patient.
I worked with the Labor and Delivery staff in caring for OB patients >20 weeks gestation.
I assisted the MD in caring for patients with ENT injuries.
I was familiar with ocular emergencies, medication for the eye emergency and the insertion of Morgan Lens for eye irrigation.
I was able to assess genitourinary emergencies.
I cared for patients with acute Gi bleed and other GI emergencies including fluid resuscitation and pain management.
I assisted the MD with endoscopies by providing conscious sedation and monitoring patients.
I recognized the priority of care for GI emergencies including fluid resuscitation and pain management.
I was able to identify potential sources of abdominal pain by location.
I was familiar with medication that was appropriate for patients with GI symptoms.
Administered radiopaque solution for CT scan in the appropriate time frames.
I cared for patients with psychiatric emergencies including drug overdose, suicidal ideation including psychosocial care, standard of restraint uses and appropriate referrals.
Ensured proper documentation is in the place for all patients on 8 and 72 hour holds.
I was familiar with psychotropic medications, including use and side effects.
I was familiar with treatment and management of the patient with alcohol and/or drug withdrawals.
Protected patients from harm to self and/or others.
I assisted in the care of the patient in cardiopulmonary arrest including emergency management according to ACLS standards.
I was a member on the Code Blue Team and responded to codes in the inpatient units.
I ensured that the documentation was complete on the Code Blue records.
I was knowledgeable in the standardized procedure for ACLS and dysrhythmia management.
I was competent in the of use of LifePak, hand-free defibrillator, all types of temporary pacemakers.
I am able to utilize medication drips in cardiac post stabilization.
I identified and managed the care of the patient in shock and provided appropriate interventions needed for: Hypovolemic shock, Distributive shock, and Cardiogenic shock.
I utilized sepsis order sheets and initiated sepsis bundles.
I assisted with the insertion of CVP lines and management.
I identified age-related factors in progression and treatment of shock; utilized blood/fluid warmer when applicable.
I cared for patients with Acute Coronary Syndrome and Acute Myocardial Infarction including: Standards of care according to the American Heart Association, ensuring EKG is obtained within 5-10 minuets, recognizing abnormal EKG rhythms and changes in rhythms, utilizing ACS order sheet and follow the pathway, documenting effects of care given, work in collaboration with the Cath Lab to ensure door to opening the artery is in keeping with the goals of the hospital.
I managed the care of patients with respiratory emergencies, including ventilator management, administration of respiratory medications and procedural sedation, assisting with bronchoscope procedures and interventions.
I prepared patients for intubation.
I was knowledgeable in rapid sequence intubation and in the use paralytic and sedation agents used in intubation.
I recognized ARDS in all age groups, competent in procedural sedation.
I followed the pneumonia pathway and utilized pneumonia order sheet to facilitate care.
I obtained culture specimens before antibiotics were started.
I utilized the CHF pathway and order sheet to guide care of the CHF patient.
I interpreted ABG values and based care on the interpretation and patient assessment.
I was able to identify and isolate patients who exhibited signs and symptoms of Tuberculosis, SARS, Avian flu and other communicable diseases.
I cared for pediatric patients including assessment, resuscitation, and treatment.
I followed the standard of care for the pediatric patient as it related to pediatric catherization, IV skills, able to care for the newborn, and neonate, utilize equipment appropriate to the age of the patient and recognized inappropriate drug doses for children.
I recognized child abuse and/or neglect, reporting to appropriate agencies.
I have provided care for families that require psychosocial and spiritual support during crisis due to loss and critical illness of a loved one to include appropriate interventions and referrals.
I obtained spiritual care as needed for the families.
I contacted social services for patients needing psychosocial intervention.
I supported the patients and families during the process of making end of life decisions and supported the cultural needs of the families during crisis.
I ensued that DNR documentation followed patients to the next level of care and supported the families’ requests to be presence during resuscitation.
As a staff nurse in the ED I was a Mobile Intensive Care Nurse (MICN).
In this role I coordinated the prehospital care of patients with traumatic injuries and medical emergencies with paramedics.
I provided training for paramedics and other MICNs for continuing education.
Education
ADN, AA - Nursing
Compton Community College
09.2021 - 01.1983
BSN - undefined
University of Phoenix
Professional Organization International Nursing Honor Society
Certificate of Appreciation - Mentor Program for Health Careers Academy for -
Westcoast University, Canyon Springs High School
MSN-FNP -
West Coast University, Orange County Campus
Orange County
05.2018 - Current
Skills
Responsible
undefined
Timeline
ADN, AA - Nursing
Compton Community College
09.2021 - 01.1983
Cedar Sinai Hospital
08.2019
MSN-FNP -
West Coast University, Orange County Campus
05.2018 - Current
Case Manager and Team Leader
Altamed Health Services Corporation
10.2017 - Current
Staff RN
Methodist Hospital
04.2011 - 04.2017
Huntington Hospital
03.2009 - 03.2011
San Martin Hospital
11.2006 - 03.2009
Riverside County Regional Medical Center
06.1987 - 08.2006
Professional Organization International Nursing Honor Society
Certificate of Appreciation - Mentor Program for Health Careers Academy for -
Research Internship in the Reproductive Psychology Program at Cedar Sinai HospitalResearch Internship in the Reproductive Psychology Program at Cedar Sinai Hospital