Amber Goldsmith

• Provide direct nursing care to patients in an acute-care hospital setting while prioritizing safety, comfort, and individualized patient needs.
• Perform comprehensive head-to-toe assessments and monitor patients for changes in condition, escalating concerns to providers and the interdisciplinary team as appropriate.
• Administer medications, IV medications, treatments, and other therapies safely in accordance with physician orders and hospital policies.
• Monitor vital signs, laboratory results, intake and output, pain levels, oxygenation, and other clinical indicators to evaluate patient status.
• Recognize and respond to changes in patient condition, initiating appropriate nursing interventions and communicating concerns promptly.
• Manage patients with complex medical needs, including pain management, oxygen therapy, IV therapy, wound care, and other ongoing treatments.
• Provide patient and family education regarding medications, treatments, disease processes, safety precautions, and discharge needs.
• Maintain accurate and timely electronic health record documentation, including assessments, medication administration, interventions, patient responses, and changes in condition.
• Safely administer medications while verifying orders, allergies, appropriate indications, and patient response to therapy.
• Prioritize and coordinate care for multiple patients while effectively managing competing clinical needs in a fast-paced hospital environment.
• Perform ongoing reassessment following nursing interventions and evaluate patient response to treatment.
• Maintain infection-prevention and control practices, including appropriate use of personal protective equipment and adherence to hospital safety standards.
• Advocate for patients by communicating clinical concerns, changes in condition, and patient needs to the appropriate members of the healthcare team.

• Oversaw daily nursing operations and coordinated patient care for an assigned rehabilitation and long-term care unit.
• Completed comprehensive nursing assessments and monitored patients for changes in condition, escalating concerns to providers as appropriate.
• Administered medications and treatments while ensuring accurate documentation and adherence to physician orders and facility policies.
• Coordinated care with physicians, nurse practitioners, CNAs, LPNs, RNs, therapy staff, dietary services, and other interdisciplinary team members.
• Managed and updated individualized care plans based on patients’ changing clinical needs and progress.
• Provided wound care and monitored skin integrity, pain, nutrition, hydration, mobility, and overall patient status.
• Communicated changes in patient condition, treatment plans, and care needs with families, responsible parties, and healthcare providers.
• Supervised and delegated responsibilities to nursing staff and CNAs to ensure safe, timely, and effective patient care.
• Reviewed nursing documentation, medication administration records, treatment records, and other clinical documentation for accuracy and completeness.
• Responded to acute changes in condition and initiated appropriate nursing interventions while coordinating further medical evaluation when indicated.
• Addressed patient and family concerns, advocated for patient needs, and helped resolve clinical and care-related issues.
• Maintained compliance with infection-control practices, safety protocols, facility policies, and regulatory standards.
• Participated in quality improvement activities, incident follow-up, and identification of opportunities to improve patient outcomes and unit operations.
• Assisted with staff education, clinical guidance, and reinforcement of nursing policies and procedures.

• Supervise and support direct care staff in a residential setting
• Manage daily operations and ensure compliance with state regulations
• Oversee medication administration and documentation
• Develop individualized care plans for residents
• Coordinate with interdisciplinary healthcare teams
• Train and mentor new employees
• Ensure safety, dignity, and quality of life for residents
• Implemented safety protocols to maintain a secure environment for residents.
• Maintained accurate records of client information, including medical and behavioral data, as well as incident reports.
• Organized and facilitated weekly team meetings with residential staff to review progress and discuss challenges.
• Researched community resources available for referral purposes when necessary.
• Led daily shift change meetings to ensure that all staff are aware of any changes or updates in policy or procedures.

Leadership & Administrative Skills:

• Staff scheduling and performance evaluations
• Crisis management and de-escalation
• Incident reporting and regulatory documentation
• Quality assurance and policy adherence