Alexandra Thomas
Registered Nurse
40 Cota Rd Merrimack,NH
Summary
Compassionate Case Manager and Registered Nurse with over eight years of experience in diverse healthcare organizations working with medically complex patients. Adept at introducing detailed care plans and coordinating patient care through interdisciplinary collaboration. Demonstrated expertise in physical, psychosocial, developmental and educational aspects of nursing care for patients and families.
Overview
11
11
years of professional experience
3
3
years of post-secondary education
Work History
Case Manager
Amedisys Home Health
Bedford, NH
08.2023 - Current
- Case managed comprehensive care for a dynamic caseload of home health patients ensuring continuity and quality of care.
- SHP scorecard showing average of better patient outcomes than the care center, state, or national average.
- Supervised and provided leadership and support to LPN staff.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
Dialysis Registered Nurse
Fresenius
Milford, NH
03.2021 - Current
- Managed quality care to nephrology patients with acute renal failure or end-stage renal disease.
- Completed admissions, discharges, initial comprehensive RN assessments, and patient assessments.
- Initiated and terminated dialysis treatments.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Analyzed urgent or emergent situations and quickly responded.
- Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Monitored and trended labs.
- Collaborated with healthcare team including but not limited to: nephrologist, other specialty medical doctors, dietician, social worker, PCP, and medical director.
- Educated patients on diagnosis and condition management, offering advisement on preventive care and available treatment options.
- Communicated empathetically with patient concerning lifestyle factors affecting kidney health, such as diet or substance abuse and provided information on available support resources.
RN Floor Nurse Oncology/Registered Nurse, Medical-Surgical Unit
Elliot Health System
Manchester, NH
01.2020 - 02.2021
- Oversee the delivery of care for patients on 44 bed medical-surgical/oncology unit, patients within a three designated cluster of acute, palliative/hospice, or outpatient, and providing direct care to up to 7 patients at a time.
- Managed quality care for patients with varied conditions, including cancer, requiring surgery/post op, heart failure, end-stage renal disease, diabetes, and coronary artery disease.
- Developed and implemented individualized care plan for each hospice patient while following physician instructions.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Observed and reported patient condition, progress and medication side effects to accurately document updates.
- Partnered with physicians, social workers, occupational/physical therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
- Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
Nurse Care Supervisor
Benchmark Senior Living
Nashua, NH
05.2017 - 01.2020
- Managed the care of memory care residents as well as residents of assisted living.
- Directed resident care activities and provided guidance and supervision to RNs, LPNs, MNAs, LNAs, and specialized staff during shift while delegating assignments and providing treatment.
- Administered medications and treatments to residents as ordered by physician.
- Delivered direct quality care to residents by evaluating medical conditions and managing and assessing treatments.
- Developed individual care plans to meet resident needs and achieve treatment goals.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
LNA
Benchmark Senior Living
Salem, NH
10.2014 - 05.2017
- Facilitated activities of daily living, including personal hygiene management, feeding and ambulation.
- Maximized patient satisfaction by helping individuals carry out personal tasks such as dressing and walking.
- Maintained best-in-class standards for individualized care in a memory care unit as well as an assisted living unit bed by providing exceptional care.
Education
Associate Degree In Nursing -
St. Joseph School Of Nursing
Nashua, NH 09.2017 - 08.2019
LPN -
Salter School Of Nursing & Allied Health
Manchester, NH 04.2016 - 03.2017
LNA -
LNA Health Careers
Merrimack, NH12.2005
Skills
Case Management
BLS certified
RATT certified (Resident Assessment Training Tool)
OASIS proficient
Direct patient care
Chronic disease management
Skilled nursing services
Infusions
Timeline
Case Manager
Amedisys Home Health
08.2023 - Current
Dialysis Registered Nurse
Fresenius
03.2021 - Current
RN Floor Nurse Oncology/Registered Nurse, Medical-Surgical Unit
Elliot Health System
01.2020 - 02.2021
Associate Degree In Nursing -
St. Joseph School Of Nursing
09.2017 - 08.2019
Nurse Care Supervisor
Benchmark Senior Living
05.2017 - 01.2020
LPN -
Salter School Of Nursing & Allied Health
04.2016 - 03.2017
LNA
Benchmark Senior Living
10.2014 - 05.2017
LNA -
LNA Health Careers
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