Angela Paschal

Served as Associate Nurse Manager for the Women's and Children's Division at Carolina East Health Systems. Duties included patient intake and triage to include obstetrical history to determine if patient is in labor. Planned with the patient, the family, the physician/provider, other healthcare providers, to maximize healthcare response and quality, cost effective outcomes. Educated both the patient and members of the healthcare delivery team about patients condition, healthcare and treatment options, psychosocial concerns, etc. Screened all patients within established timeframe after identification for appropriateness in order to provide safe care. Document in OB traceview and Cerner to maintain patients medical record. Recruited, hired and trained nursing department staff. Managed day-to-day operations and workflows for nursing department. Related to and resolved patient concerns. Coached and developed clinical employees by providing support and guidance. Communicated with patients, ensuring that medical information was kept private. Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations. Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care. Discussed medical histories with patients in effort to provide most effective medical advice. Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.

Provided quality nursing care, acting as Charge Nurse when necessary. Utilized strong assessment skills to determine necessary patient care. Evaluated patient care needs, prioritized treatment and maintained patient flow. Makes psychosocial assessment of patients to identify specific needs; Responsible for primary care, and supervision of nursing care teams. Managed caseloads providing education, treatments, IV therapy, venipuncture and wound care. Assisted patients with healing and recovery after surgery. Monitored post-op vitals, fluids, lab draws, IV insertion, review post-op orders and orient patients to unit. Prepared and administered oral, subcutaneous, and intravenous medications. Recognize and report abnormal test results and changes in symptoms. Implemented nursing assignments base on evaluation of staffing requirements. As Charge Nurse ensured staff made accurate, complete nursing entries in patients' record. Ensured appropriate patient education was provided. Responded appropriately to emergencies and codes. Verified and ensured implementation of physician orders written during the shift. Reviewed and revised nursing care plans as needed. Advised physicians of significant changes in patient's condition. Coordinated with other departments for diagnostic tests and procedures. Determined patient acuity and required staffing for next shift. Engaged necessary action to endure adequate staffing. Reported any unusual occurrences to hospital Supervisor. Educated patients and families on treatment, expected outcomes and discharge instructions, serving as advisory resource to patients and families to facilitate recovery. Oversaw admissions and discharges and scheduling of nursing staff. Evaluated nursing staff's performance and developed education programs and professional development opportunities to improve individual and team competencies, clinical knowledge and delivery of care. Collaborated with physicians and interdisciplinary teams to devise and manage individualized plans of care. Conducted rounds with physicians, advising physicians on patients' conditions and assisting in coordinating diagnostic testing and follow up appointments to achieve optimal patient outcomes. Reviewed charts weekly to complete quality control checks. Documented all aspects of care following facility and Medicare standards, creating accurate patient records of all interactions and interventions to sustain continuity of care. Interacted effectively with department managers to promptly correct problems and improve ser vices. Counseled families to improve communication. Administered performance evaluations and probationary reviews to assess nursing personnel. Supervised professional and paraprofessional nursing staff and delegated tasks to maintain continuum of care. Directed day-to-day nursing and operational functions for 24-bed stepdown cardiac unit, ensuring exceptional delivery of care when developing well-rounded nursing teams. Supervised team of 35 nurses and 12 clinical nursing assistants. Performed head-to-toe physical assessments, prioritizing treatment and delegating assignments to maintain patient flows. Cared for up to 5 patients during night shift. Oversaw training, staffing and education of all nurses and ancillary staff. Supported patient self-advocacy within family relationships and during treatment plans. Fostered improvement in staff development, personnel training, and standards of patient care. Motivated nursing staff to pursue advanced training and collaborated with unit leaders to identify skill needs. Advocated for patients' physical, psychosocial, developmental, spiritual and emotional needs during planning. Sought opportunities to improve patient care, outcomes and nursing staff performance.

Worked with adult and pediatric population in a Naval Medical Center setting. Provided telephone triage advice as well as in person care to patient population. Assisted active duty members with continuation of care when deployment was needed for the needs of the military mission. Recognized mental health needs of active duty and dependents and assisted with obtaining appropriate referrals and care needed to meet their needs. Utilized the nursing process when providing care for active duty and dependents with complex care needs. Cared for pediatric patients with severe autism and other mental and behavioral disorders. Utilized skills to problem solve/critically think to assist with interpersonal relationships and conflict resolutions. Mentored numerous Navy Corpsman, provided ongoing education to corpsman to build their skills to provide patient care. Managed day-to-day operations of entire Allergy & Immunology Clinic to include staffing, schedules, providing care, training new staff, conducted all procedures for patients, available for all emergencies in clinic and throughout department. Communicated with healthcare team members to plan, implement and enhance treatment strategies. Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms. Monitored patient reactions after administering medications and IV therapies. Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies. Led teams in driving successful patient outcomes by prioritizing standard of care and best practices. Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information. Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions. Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities. Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities. Provided skilled, timely and level-headed emergency response to critically-ill patients. 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 patient admission and triaging based on acuity and appropriate department admission. Educated family members and caregivers on patient care instructions. Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches. Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care. Evaluated patient histories, complaints, and current symptoms. Recorded details regarding therapies to keep patient charts updated. Sustained quality standards by performing routine medication audits and upholding internal and industry best practices. Performed triage on incoming patients and determined severity of injuries and illnesses.Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.

Administered medications and fluids and checked vital signs on critically ill newborns. Communicated with family members and loved ones to provide information about patient care, treatments and medical options. Assessed, evaluated, and cared for neonate. Crafted tailored nursing care plan for each patient and evaluated it daily for effectiveness. Followed policies, procedures and hospital regulations for protocol compliance and patient safety. Provided high level of quality care for each and every patient in 9-bed neonatal ICU unit. Delivered outstanding patient care in critical care units. Evaluated patient histories and current symptoms. Provided targeted care and treatment to 3 patients. Triaged patients and delegated treatment needs to qualified staff and specialized departments. Trained and coached new employees on protocols and best practices to promote ideal patient outcomes. Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery. Guided caregivers, and family members on plans of treatment and helpful resources available locally to support care. Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements. Assessed and documented changes in patient's condition and prepared patient for transfer to higher level of care. Administered medications and treatments as ordered by physician. Identified issues, analyzed information and provided solutions to problems. Proven ability to learn quickly and adapt to new situations. Developed strong communication and organizational skills through working on group projects. Worked flexible hours across night, weekend and holiday shifts.