Amelia DeBruhl

• Updated the clients charts using Pacenet with data such as medications to keep records current and support accurate treatments. Utilized reimbursement account ledgers to maintain Company financial obligations.
• Applied nursing expertise to meet needs of Substance use population in challenging and fast paced environment.
• Maintained highest levels respect for the people we serve. Followed all guidelines and tips for Trillium, Medicaid ,BCBS, satisfaction, generating referrals to maintain productivity levels for residential rehabilitation unit.
• Observed and reported condition, progress and medication side effects to accurately document updates in TAR and person-centered-plan.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping clients regain or improve coping abilities to prevent further disability.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Delivered high level of quality care to diverse populations while overseeing admission and triaging based on acuity and appropriate department admission.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Used first-hand knowledge and clinical expertise to advocate for the people I support under care and enacted prescribed treatment strategies.
• Kept optimal supply levels in treatment rooms, triage and other areas to meet typical clients loads.
• Audited charts and reviewed clinical documents to verify accuracy.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Documented vital signs and health history for consumers. Very knowledgeable with Zoom and tele-med with various providers.
• Orchestrated quality-driven, cost-effective care in high-volume practice. Meeting needs of Company and people we support

• Supported the company in maintaining a work environment focused on quality, communication, collaboration, integration and teamwork.
• Wrote, edited and updated project manuals and technical documentation that was used by the QA team.
• Created and achieved best outcomes objectives and met all specifications.
• Consistently met deadlines and requirements for all TARS,TOPPS and surveys.
• Provided documentation on start-up, shut down and first level troubleshooting of processes to help desk staff.
• Worked with numerous MCO,LME and insurance companies for client coverage and well as maintain revenue for the company.
• Entered details such as payments, account information and call logs into the computer system.
• Copied, logged and scanned all supporting documentation
• TOPPS QP
• PAYROLL
• Conducted ,administered and reviewed all surveys from all patient population. Implemented Action plan and carried out corrections needed to improve moral or client satisfaction.
• Completed and recorded accurate UDS and Alco-sensors and corresponded with appropriate staff for action.
• Met with every person who walked in the company's door with the utmost professionalism and a smile.
• Verified data integrity and accuracy.
• Took complete pride in my work and for the past 12 years and have thoroughly enjoyed working with this company and population.
• Successfully negotiated client contract renewals to create increased revenue.
• Created customized care plans, working with hospital staff and families to assess and meet individual needs.
• Developed and implemented quality improvement initiatives to provide best possible patient care and identify and address areas of concern.
• Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
• Spearheaded and implemented new projects to expand scope of engagement.
• Investigated and independently resolved complaints from staff, physicians, and people we serve with clinical judgment and unit management expertise.
• Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
• Led staff meetings to keep team informed of departmental changes and provide opportunities for nurses to share ideas and concerns.
• Reviewed transfer records routinely to verify that the people we support received appropriate levels of care.
• Reviewed department performance and adjusted coverage to compensate for changing conditions.
• Oversaw infection control procedures to protect patients from infections and keep nursing departments compliant with state regulations.
• Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
• Established and continuously optimized unit schedules and individual work assignments.
• Communicated with patients, ensuring that medical information was kept private.
• Coordinated and implemented in-service educational programs focusing on safety and adherence to protocols.

• Reviewed patient charts and performed standard assessments to identify care needs.
  
• Ensured patients had the information necessary for ongoing care, providing guidance on their diagnoses, management of medications and prevention methods.
  
• Took and recorded patients' temperature, pulse and blood pressure.
• Routinely retracted patient throat cultures and prepared for lab submission.
• Counseled and educated patients about reproductive health issues and wellness. Expertise in STDs, HIV and family planning.
• Skillfully developed departmental goals, objectives, standards of performance, policies and procedures.
• Examined patients and dispensed contraceptives and other medications as needed.
• Provided all daily living tasks to enhance quality of life for elderly patients.
• Implemented new floor assignments based on evaluation of staffing requirements.
• Interviewed patients to obtain medical information, weight and height measurements and vital signs.
• Instructed patients and family members on proper discharge care.
• Provided patient education.
• Assisted residents with bathing, dressing, feeding, lifting and transferring.
• Performed vitals/glucose testing and assisted in administering injections and urinalysis.
• Partnered with team of registered nurses to achieve overall well-being of all patients.
• Established staff schedules and assignments based on facility needs and equipment availability.
• Confirmed accurate completion of forms/reports for the admission, transfer and/or discharge of each resident.
• Ensured efficacy of treatments through monitoring of treatment regimens.
• Ensured safety and well-being of patients.
• Measured urine and delivered specimens to lab.
• Authorized drug refills and provided detailed prescription information to pharmacies.
• Transported patients to and from different departments.
• Scheduled patient admissions and discharges.
• Monitored fluid intake and output levels.
• Assisted doctors with surgeries and non-invasive procedures.
• Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions, and follow-up care.
• Monitored Infection Control and Critical Incidents, Risk Management and Quality Improvement plans.
• Developed patient care plans, including assessments, evaluations and nursing diagnoses.
• Administered Packed Red Blood cells and Plasma per Physician orders.

• Communicated with patients regarding diagnoses, disease management and treatment plans.
• Assisted doctors in monitoring baby and mother health during labor.
• Coordinated and implemented in-service educational programs focusing on safety and adherence to protocols.
• Delivered outstanding care as directed in care plans and conducted routine head-to-toe evaluations.
• Worked with unit leaders to identify nurse education needs and motivated nursing staff to pursue advanced training and degrees.
• Performed triage on all incoming patients and determined the severity of injuries and illnesses.
• Advised caregivers and family members in providing emotional and psychological care.
• Managed patient admissions, transfers and discharges while assigning tasks and handling conflicts or issues.
• Developed and implemented nursing care plans.
• Liaised between patients and physicians to ensure patient comprehension of treatment plans.
• Administered prescribed medications and monitored and documented patient responses.
• Coordinated with patients to understand their needs and plan treatment according to personal beliefs.
• Administered medications and treatment to patients and monitored response to treatments while working with healthcare teams to adjust care plans.
• Prepared procedure trays, sterile fields and supplies.
• Built relationships within the community and implemented lifestyle and health initiatives.
  
• Monitored fluid intake and output levels.
• Counseled families and patients through postpartum issues.
• Maintained all confidential personnel files, license and CPR compliance records.
• Recommended modifications based on patients' response to treatment.
• Assessed need for, ordered, obtained and interpreted appropriate lab tests.
• Collected blood, tissue and other laboratory specimens and prepared them for lab testing.
• Coordinated with physicians to inform patients on test results, treatment options and recommended procedures.
• Copied, logged and scanned supporting documentation.

This was a long term Infirmary for Merchant Marines. I worked as an LPN charge nurse for 2 years on the evening shift. Once graduating from Craven Community I became an RN applicant and worked for the company. Administered medications and treatments per Doctor's orders. Assisted and completed full patient care.

• Circulated assigned floor to measure and record patients' fluid and food levels, implementing measures to promote healthy intake and output as necessary.
• Comforted and counseled patients and families throughout care process.
• Executed extensive patient exams to create individualized care plans.
  
• Checked and recorded vital signs of patients and reported changes in patients' behavior or conditions.
• Provided patient status updates to nurses to ensure that every patients' needs were met.
• Mitigated hazard potential from patients with communicable diseases.
• Adhered to treatment plan instructions when administering medications and treatments to patients care and nursing duties for a 40-bed unit.
• Delegated tasks and provided leadership for 2 nurses and support personnel.
• Documented vitals and medical histories in patient charts when assessing patients and communicated patient information to physicians and other nurses for care continuity.
• Analyzed care plans and upheld JCAHO, Medicare and Medicaid guidelines.
  
• Analyzed patient responses to medications, therapies and variances in plans of care.
• Accurately recorded all interactions in medical charts, documenting accidents and interventions applied.
• Coordinated nursing care on the unit through staff assignments, assisting and rounding with physicians, monitoring patient orders and communicating with ancillary departments and assisting staff.