Alexandra Foreste
Stuart,USA
Summary
Experienced nursing leader with expertise in patient care management and team coordinationwithin detox and residential settings. Skilled in medication administration, EMR documentation,and crisis intervention. Proven track record in maintaining regulatory compliance and enhancing patient care quality. Committed to fostering a collaborative healthcare environment.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Registered Nurse (RN)
Remedy Therapy
Stuart, US
01.2023 - 03.2025
- Managed patient care in detox and residential settings.
- Facilitated admission processes and ensured accurate EMR documentation within 24 hours.
- Administered detox and residential medications per treatment protocols, monitored patient CIWAS/COWS scores, and provided patient education about detox and residential procedures.
- Managed medication orders by calling in prescriptions, and coordinating external medical appointments as needed.
- Liaised between patients, nurses, and physicians to address and resolve immediate and long-term care concerns.
- Completed detailed nursing shift reports and ensured continuity of care by following up on previous shift directives and clinical staff concerns.
- Scheduled and tracked routine lab work per provider orders, escalating abnormal or urgent results to the medical provider promptly.
- Provided patient education individually and in groups on medications, health conditions, and care plans.
- Assisted with emergency situations, and made immediate referrals.
- Audited medication logs and patient charts.
- Effectively communicated concerns about patient health to the providers and/or Medical Director and followed up as necessary.
- Maintained records of treatment and progress, adhering to patient rights.
- Maintained effective communication between outside medical services and the facility.
- Functioned well as a team member and contributed positively to staff morale.
Director of Nursing (DON)
Remedy Therapy
Stuart, US
04.2022 - 01.2023
- Ensured high-quality patient care by performing direct observation of nursing staff, interacting with patients, and gathering patient feedback.
- Oversaw initial nursing pre-assessments of admitted patients for immediate medical concerns, and provided necessary medical interventions.
- Reviewed and signed off on all nursing admission documentation, conducted chart checks for completeness, and reviewed all discharge documentation for accuracy.
- Oversaw nursing staff and the medical budget for a 30-bed detox and residential program.
- Optimized nursing operations by overseeing staff schedules, and maintaining budget compliance.
- Delegate nursing responsibilities, and evaluate task completion.
- Developed and revised policies to meet Joint Commission standards and improve care quality.
- Completed monthly and unannounced on-site pharmacy audits, communicated with the pharmacist, and implemented recommended changes.
- Maintained DEA standards for controlled substances licensure.
- Worked directly with Medical Director and medical providers to provide thorough and safe medical practices tailored to each patient's individual treatment plan.
Nursing Supervisor, RN
Remedy Therapy
Stuart, US
07.2021 - 04.2022
- Ensured patient confidentiality by overseeing the proper handling of sensitive health information and documentation.
- Ensured continual delivery of high-quality nursing care.
- Administered medications and treatments prescribed by the physician.
- Completed patient care requirements by scheduling and assigning nursing staff, and following up on work results.
- Resolved patient needs by utilizing multidisciplinary team strategies.
- Maintained documentation of patient care services by auditing patient and department records.
- Maintained the nursing supplies inventory.
- Ensured that nursing staff remained in compliance with professional development and regulatory standards.
Registered Nurse
Comprehensive Wellness Centers
Lantana, US
03.2021 - 12.2021
- Oversaw the medical and psychiatric management of patients in coordination with the attending physician.
- Completed nursing assessments.
- Reviewed medication logs.
- Implemented policies and procedures for the medical department.
- Administered medications.
- Observed and recorded patients' conditions and reactions to medications and treatments.
- Provided life-saving interventions.
- Informed clinical and operations staff of issues that requiring monitoring or potential side effects.
Registered Nurse (RN)
Coral Shores Behavioral Health
Stuart, US
10.2019 - 06.2021
- Assess mental health needs.
- Develop nursing diagnoses and identify outcomes.
- Plan and evaluate nursing care.
- Administer medications and monitor the effects and side effects, as ordered by a physician.
- Ensure safety and provide consistent therapeutic milieu management and crisis intervention strategies.
Nursing Supervisor, RN
Treatment Management Company
Stuart, US
01.2021 - 03.2021
- Ensured continual delivery of high quality nursing care.
- Completed patient care requirements by scheduling and assigning nursing and support staff; followed up on work results.
- Resolved patient needs by utilizing multidisciplinary team strategies.
- Maintained documentation of patient care services by auditing patient and department records.
- Maintained nursing supplies
- Maintained patient confidence and protected operations by monitoring confidential information processing.
- Ensured that nursing staff remained compliant with professional development and regulatory standards.
Registered Nurse (RN)
Treatment Management Company
Stuart, US
01.2019 - 01.2021
- Initiate and complete the initial nursing assessment at time of patient admission.
- Provided individual and group education on topics, issues, and concerns relating to the nursing discipline.
- Documented notes in the electronic medical record, according to company policies and procedures.
- Supervised, instructed and educated patients in medication administration and compliance.
- Conducted Urinalysis Toxicology data analysis.
- Triaged medical issues and assessed patient needs.
- Collected and recorded data in a comprehensive, accurate, and systematic manner.
Behavioral Health Technician
Treatment Management Company
Stuart, US
10.2015 - 01.2019
- Understand and implement individual treatment plans and record client behavior and activities.
- Observe and record client medication.
- Provide support and assistance to clients while in treatment while working with clinical staff team.
- Facilitate Urinalysis, perform drug tests and search clients upon request.
Resident Care Provider
Brookdale Senior Living
Stuart, US
12.2016 - 08.2017
- Attended to the personal care, safety, and comfort of residents.
- Reported changes in resident condition and health to resident care manager.
- Cleaned work areas, made beds and changed linens.
- Worked with team members and assisted them to perform tasks to meet planned timelines.
Certified Nursing Assistant
Martin Nursing and Restorative Care Center
Stuart, US
06.2016 - 12.2016
- Provided bedside patient care by: checked and recorded vital signs, height and weight, collected body fluids for testing purposes.
- Assisted patients in managing nutritional needs.
- Managed personal hygiene.
- Recorded patient information in manual and computerized logs.
- Transported patients between procedure rooms and appointments.
Education
Associate of Science - Nursing
Keiser University
Port Saint Lucie, FL12.2018
Associate Of Arts - General Studies
Indian River State College
12.2012
Skills
- Team leadership
- Therapeutic communication
- Medication administration
- Patient care planning and management
- Experience administering injections
- Crisis intervention techniques
- Electronic medical records management
- Medical scheduling
- Addiction counseling
- Time management
- Medical documentation
- EKG
- Clinical documentation
- Regulatory compliance
- Quality assurance
- Coordinating referrals
- Training staff
- Medical supply management
- Vitals monitoring
- Diagnostic test ordering
Certification
- IV Therapy Certification
- First Aid/CPR
- BLS Certification
- Graduate Nurse, RN License
Languages
English
Nursing Licenses
Registered Nurse, FL
Timeline
Registered Nurse (RN)
Remedy Therapy
01.2023 - 03.2025
Director of Nursing (DON)
Remedy Therapy
04.2022 - 01.2023
Nursing Supervisor, RN
Remedy Therapy
07.2021 - 04.2022
Registered Nurse
Comprehensive Wellness Centers
03.2021 - 12.2021
Nursing Supervisor, RN
Treatment Management Company
01.2021 - 03.2021
Registered Nurse (RN)
Coral Shores Behavioral Health
10.2019 - 06.2021
Registered Nurse (RN)
Treatment Management Company
01.2019 - 01.2021
Resident Care Provider
Brookdale Senior Living
12.2016 - 08.2017
Certified Nursing Assistant
Martin Nursing and Restorative Care Center
06.2016 - 12.2016
Behavioral Health Technician
Treatment Management Company
10.2015 - 01.2019
Associate of Science - Nursing
Keiser University
Associate Of Arts - General Studies
Indian River State College