Andrea Lema

Dedicated registered nurse (RN) with extensive clinical experience in nursing. Strong, competent background in acute care, documentation, medication administration, and implementation of direct care. An ethical, healthcare provider with the ability to stay calm and intervene during crises, practice the nursing process, and collaborate on multidisciplinary teams. Proven ability to build positive relationships with patients, family members, physicians, and other medical professionals. Accomplished Registered Nurse Case Manager with 10+ years of experience dedicated to quality care of diverse patients. Smoothly blend hands-on skills with advanced clinical background. Successful at working with all levels of healthcare providers, physicians and administrators to address patient needs.

• Registered Nurse Case Manager, 12/2022, present, Heartland Hospice of Dayton, Case Manager for 16-20 Hospice patients, providing clinical care, pain management, emotional support, address needs, education.
• Registered Nurse, 03/2021, 08/2022, Kindred Hospital of Dayton, Direct bedside nursing includes medication administration, assessment, care plans, admissions, education, and discharge planning for high acuity patients in a hospital setting.
• Registered Nurse, 06/2018, 06/2020, Kettering Health Network, Sycamore Glen Health Center, Providing direct care to medical-surgical patients in an acute rehab setting. Documentation with Epic, point-click care, medication administration, treatments, daily collaborations with a team of physicians, therapists, patient education, admissions, transfers, and discharges.
• Registered Nurse Case Manager, 10/2016, 05/2018, Fidelity Health Care, Premier Health Partners, Providing high-quality home nursing care to those patients discharged from Premier Hospitals such as Atrium Medical Center, Miami Valley Hospital, Miami Valley South, and Upper Valley Medical Center as well as those referred by physicians and surgeons. Opening Start of care cases, Resumption of Care, Recertification, assessments, medication/patient safety, disease process teachings, wound care, labs, and discharge planning. Case managing patients and working in plans of care with physicians, therapists, social workers, and family members for optimum patient outcomes.
• Floor Registered Nurse/Closing Nurse Manager, 11/2015, 09/09/16, DaVita Dialysis, Dayton, OH, Providing daily care to end-stage renal failure patients, dialyzing over 200 hemodialysis patients weekly. Assessments, data collections, medication administration, chair-side cannulations, blood draws for weekly labs, and working with accesses such as fistulas, grafts, and catheters. In addition to planning and updating care plans.
• Registered Nurse - Charge RN on behavioral unit, 11/2013, 10/2015, Glen Meadows Care Center, Hamilton, OH, Providing direct care to multiple residents in a secure unit with Alzheimer’s / Dementia and other behavioral disorders. Daily assessments, medication administrations, writing recommendations, education, and calibration with families, physicians, and therapists on ensuring the safety and well-being of those with mental diagnoses.
• Registered Nurse - PRN, 08/2012, 09/2015, Lakota Local Schools, West Chester, OH, Providing care PRN as a sub-nurse for children of all ages and grade levels at various school settings. Daily duties involve necessary emergency interventions as needed, Assessments, medication administration, Prevention/Routine screenings, data entry, parental notifications, and implementation of changes in care plans.
• Licensed Practical Nurse, 03/2010, 06/2010, ATC Healthcare, Cincinnati, OH, Served as a traveling LPN at various nursing facilities in Southwest Ohio. Assigned to provide palliative care and played a vital role in an interdisciplinary team of Physicians, RNs, and Social Workers. Actively participated in developing and implementing individual end-of-life care plans for patients with terminal illnesses. As a nursing advocate, ensured that patients’ physical comfort and emotional needs were met effectively.

• RN State of Ohio 2012-present
• LPN state of Ohio from 2010-2012
• CPR/First AID certified

• Unit Manager on unit from 2020-2021
• Case Manager for up to 35 patients