Angela Ramos
Concord,California
Summary
Compassionate and highly driven Licensed Vocational Nurse (LVN) with dedicated ability to advocate and promptly respond to patient's needs. Driven to achieve the highest level of quality care and patient safety with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven ability to remain calm under pressure and skillfully handle difficult patients and high situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service. Special talent for: Observing patients to determine changes in behavior and response to implemented treatment programs. Accountability and responsibility with a strong focus on patient wellness. Remaining compassionate and professional in stressful situations.
Overview
13
13
years of professional experience
Work History
Health Services Director
Sunol Creek Memory Care
Pleasanton, CA
02.2024 - 07.2024
- Administer resident pre-admission assessment prior to each resident’s move-in date and complete routine and as-needed reassessments in accordance with company policy and state regulations.
- Perform nursing duties as directed and in accordance with the appropriate scope of the Nurse Practice Act, including administering medications and performing treatments as ordered by a physician.
- Oversee and provide the necessary training for Medication Technicians.
- Conduct staff interviews and observe residents on a continual basis to alert the Executive Director, responsible party, and others of changes in the physical or emotional health of the resident. Provide the Executive Director with information relative to the care staff’s ability to meet those needs.
- Interview potential residents and families and obtain medical records and other requirements as outlined in Title 22 for admission to the community.
- Strengthened internal controls by reviewing existing policies and procedures, ensuring compliance with regulatory requirements.
- Communicate with community healthcare professionals, including physicians, discharge planners, nurses, and state agencies on the care needs of all residents in the community.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Supervised day-to-day operations and activities of caregivers, intervening to issue service improvement guidance.
- Facilitated continuing education and training programs to drive staff competency and professional development.
- Prepared medication doses accurately by following medication administration record (MAR) written by healthcare providers.
- Monitored medication storage area to maintain medication security and control.
- Reordered medication to maintain adequate supply.
- Documented medication administration into electronic medical records (EMR) to avoid duplication of medication dosages.
- Reviewed medication orders for accuracy and completeness before administering medication.
- Monitored patient responses to medication to report adverse reactions quickly.
- Assisted in training new Medication Technicians on best practices and company policies, fostering a culture of continuous learning.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Turned and repositioned patients to prevent bedsores.
- Improved patient comfort by providing compassionate end-of-life care and symptom management.
- Promoted a peaceful and supportive environment for patients and their families during the end-of-life transition.
- Offered listening ear to both patients and loved ones to meet emotional and mental, as well as physical needs.
- Assisted clients with activities of daily living, promoting independence and quality of life.
- Built strong relationships with clients to deliver emotional support and companionship.
- Improved patient well-being by conducting comprehensive health assessments and developing personalized care plans.
- Worked closely with the sales team to prioritize tasks, set goals, and allocate resources efficiently; resulting in increased productivity and revenue.
Resident Service Director
Westmont Living
Brentwood, CA
02.2023 - 05.2023
- Supervised day-to-day operations and activities of caregivers, intervening to issue service improvement guidance.
- Generated and implemented resident programs, developing schedules and leveraging staff accordingly.
- Managed design, organization and evaluation of resident services and programs according to organizational objectives and philosophy.
- Established familiarity and rapport with residents to effectively gain service feedback and understand residents' needs and preferences.
- Analyzed resident and caregiver feedback on residential conditions and programming to develop and initiate improvements.
- Assisted residents with transitioning into new living environment and maintained strong relationships with residents.
- Enforced policies and safety standards through building and room rounds.
- Provided crisis management and intervention during emergency situations.
- Collaborated with residential team to maximize effective and efficient operations.
- Developed, implemented and monitored residential policies and procedures.
- Solved grievances and complaints by collaborating with residents.
- Audited charts and medication to check compliance.
- Coordinated care with external agencies to best support resident needs.
- Supervised and coached team members on proper procedures and care standards.
- Conducted admissions assessments to determine patient conditions and risk levels.
- Updated systems to meet residents' needs safely and effectively.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Maintained patient records and reports to enable tracking history and provide accurate and up-to-date information for physicians and other medical staff.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Educated family members and caregivers on patient care instructions.
- Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance.
- Built strong relationships with clients to deliver emotional support and companionship.
- Assisted patients with self-administered medications.
- Changed dressings, bandages, and binders to maintain proper healing and sanitary measures.
- Assisted patients with bathing, grooming, dressing, and oral hygiene care both in private residences and facilities.
- Remained calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time.
- Came up with treatment plans and communicated with patients about options, medications and self-management.
- Administered medications as directed by healthcare providers and documented this information on patient charts.
- Advocated for patients by communicating, documenting, updating care plans and reporting care needs and changes of condition to families, care staff, physicians and medical team.
- Collaborated with hospice care staff to ensure quality care for hospice patients
- Collaborated with marketing department and assessed potential future residents
- Complied with HIPPA and State regulations under Title 22.
Resident Care Director
Merrill Gardens
San Jose, CA
10.2022 - 01.2023
- Audited charts and medication to check compliance.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Fostered excellence by example by "setting pace" and being hands on mentor to clinical staff.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Reviewed and evaluated test results to suggest care and treatment options.
- Developed policies and procedures for effective pharmacy management.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Coordinated care with external agencies to best support resident needs.
- Set and updated staff schedules, delegated assignments and monitored performance.
- Conducted admissions assessments to determine patient conditions and risk levels.
- Updated systems to meet residents' needs safely and effectively.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
Licensed Vocational Nurse
Elwyn NC
01.2020 - 10.2022
- Documented patient vitals, behaviors and conditions and communicated concerns to supervising RN
- Protected patients and healthcare team members from infection by sterilizing equipment and reusable supplies
- Provided basic patient care and treatment, such as administering medications, taking temperature and blood pressure and dressing wounds
- Reviewed patient history to verify conditions and current medications
- Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads
- Delivered medications via oral, Gastrostomy tube, monitoring responses to address new concerns
- Helped patients achieve higher standards of living through effective ADL coaching and assistance
- Educated family members and caregivers on patient care instructions
- Documented vitals and medical histories in patient charts when assessing patients and communicated patient information to physicians and other nurses for care continuity
- Helped patients eat and drink when necessary for safe consumption of food consistent with recovery guidelines
- Provided patient status updates to nurses to ensure that every patients' needs were met
- Responded to patient requests with appropriate clinical and personal assistance
- Provided complete care to home health patients, including physical assessments, medication and chronic disease management
- Scheduled appointments and transported patients to medical facilities using personal transportation
- Assessed patient's temperature, pulse and blood pressure and recorded in electronic medical records
Wellness Nurse
Aegis Of Moraga
10.2019 - 03.2020
- Administered medications as directed by healthcare providers and documented this information on patient charts.
- Discussed such topics as proper nutrition and lifestyle changes to help patients live healthier lives.
- Created individualized care plans for each patient based upon his or her health needs.
- Cared for patients at 100-resident assisted living facility.
- Monitored, tracked and reported on individual progress with wellness plans.
- Built strong relationships with members to promote health, wellness and available services.
- Performed screenings every month for markers such as blood pressure, weight and BMI.
- Managed care for post-operative patients from initial recovery through discharge.
- Implemented necessary changes based on evaluation of staffing requirements and floor assignments.
- Managed primary care, case management, and medication management for 100 patients.
- Analyzed patient and family feedback to identify opportunities for staff recognition as well as areas for improvement.
- Ensured safety and well-being of patients.
- Provided patient education.
- Provided behavioral/emotional support and supervision for those with dementia and Alzheimer's.
- Led planning and achievement of goals and objectives consistent with agency mission and philosophy.
- Conducted monthly patient case conferences, in-services and staff meetings to educate staff and facilitate good communication.
- Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions, and follow-up care.
- Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.
- Investigated and reported issues relating to patient care or conditions that might hinder patient well-being.
- Observed and reported patient condition, progress and medication side effects to accurately document updates.
- Educated family members and caregivers on patient care instructions.
- Delegated tasks and provided leadership for care managers 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.
- Remained calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time.
- Accurately recorded all interactions in medical charts, documenting accidents and interventions applied.
- Provided patient status updates to nurses to ensure that every patients' needs were met.
- Recorded vital signs, monitored changes and communicated to physicians immediately.
- Adhered to treatment plan instructions when administering medications and treatments to patients.
- Recognized and understood specific stages of dying process, providing comfort-based care during vulnerable times.
- Demonstrated ability to advocate for and strive to protect health, safety, and rights of patient.
- Checked and recorded vital signs of patients and reported changes in patients' behavior or conditions.
- Created individualized care plans for patients and worked with medical professionals to come up with treatment and discharge options.
- Established and maintained successful relationships with patients, families and physicians by utilizing exemplary communication and active listening skills.
- Offered listening ear to both patients and loved ones to ensure that emotional and mental, as well as physical needs were met.
- Established hospice care services for elderly and disabled patients.
- Provided high level of quality, compassionate care to patients and caregivers during each nursing shift.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Managed patients recovering from medical or surgical procedures, including facilitating wound care, pressure ulcer prevention and pain management.
- Adhered to strict safety measures by carefully determining proper dosages before administering medications.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
- Reported patients' status and delegated nurse assignments to achieve optimal outcomes.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
- Monitored and cared for clients with diagnoses such as heart disease, respiratory failure, lung disease, kidney failure, dementia, Alzeimer's disease and Parkinson's disease.
- Reduced risks of patient infection and cross-contamination by cleaning and sterilizing equipment.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Monitored patient reactions after administering medications.
- Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
Caregiver/Personal Care Aide
Eldercare Services
03.2013 - 01.2018
- Maintain records of patient care, condition, progress, or problems to report and discuss observations with supervisor or case manager
- Provide patients with help moving in and out of beds, baths, wheelchairs, or automobiles and with dressing and grooming
- Care for patients by changing bed linens, washing and ironing laundry, cleaning, or assisting with their personal care
- Accompany clients to doctors' offices or on other trips outside the home, providing transportation and assistance
- Provide patients with emotional support and companionship Plan, purchase, prepare, or serve meals to patients or other family members, according to prescribed diets Monitored vital signs and medication use, documenting variances and concerning responses
- Ambulated individuals with safe and effective strategies around home, public and medical locations
- Worked with supervisory medical staff to review cases and improve care
Student Nurse Intern
American College of Nursing
01.2012 - 12.2012
- Maintained patient charts and confidential files
- Tested patients' blood glucose levels
- Worked as part of team to execute proper care of body mechanics and safety of patient
- Evaluated nursing notes to confirm accuracy of described care provided and patient responses
- Collaborated with staff members to facilitate quality care
- Maintained a safe and comfortable environment for each patient
- Monitored patient status and reported update to senior medical staff
- Observed patient care and assessed feedback to ensure ongoing quality care
- Initiated standard medical care, including vital sign monitoring and medication administration
- Measured urine specimens and delivered to laboratory
- Assisted patients with multiple chronic diagnoses, including COPD and asthma
- Provided quality nursing care in accordance with resident care policies and procedures
- Provided primary resident care and assistance with daily living activities
- Completed clinical rotations in Geriatrics
- Evaluated accuracy and compliance of all documentation and reports
- Provided caring companionship to elderly and developmentally disabled patients
Education
Certificate of Completion - Nursing
American College of Nursing
Concord, CA2013
Skills
- Basic Life Support (BLS) Certified
- Critical thinking
- Patient and family Advocacy
- Leadership
- Patient rights advocacy
- Emotional support
- Medication administration
- Vital sign assessment
- Patient Assessment and Care Sterilization
- Policy and procedure compliance Commitment to Development
- Strong medical ethics
- Patient evaluation
- Disease Prevention and Management
- Sound decision-making
- Diabetes management
- Maintaining quality assurance standards
- Patient confidentiality
- Problem resolution ability
- Seizure management
- Wound Management
- Patient positioning understanding
- Infection control standards
- Medical terminology knowledge
- Interpersonal skills
- Geriatric treatment knowledge
- Clinical training
- Committed to patient satisfaction
- Specimen collection and processing
- Compassion Cultural awareness and sensitivity
- Teamwork Patient and family focused
- Adaptability Talent in obtaining/charting vital signs
- Attention to detail
- Strong clinical judgment
- Communication skills
- Teamwork
- Interpersonal skills
- Disease Prevention, Problem resolution
- Documentation
- Geriatric knowledge
- Infection control
- Maintain records
- Leadership
- Safety Control
- Positive behavior modeling
- Feeding assistance
- Hospice philosophy understanding
- Hospice and palliative care
- Neurology awareness
- Professional bedside manner
- Patient and family advocacy
- Culturally-competent care
- EMR / EHR
- Pain control
- Tracheostomy Care
- Preventative health
- Plan of Care Understanding
- Administrative Staff Supervision
- Assessment Skills
- Staff Scheduling
- Determining Patient Risk Levels
- Staff Meetings
- Train Employees
- HIPAA Guidelines
- Care Advocacy
Accomplishments
- Licensed Vocational Nurse in the State of CA , License #VN703669.
Additional Information
- ACTIVITIES AND HONORS , Florence Nightingale Award - For recognition of Clinical Excellence in the Vocational Nursing Program
Timeline
Health Services Director
Sunol Creek Memory Care
02.2024 - 07.2024
Resident Service Director
Westmont Living
02.2023 - 05.2023
Resident Care Director
Merrill Gardens
10.2022 - 01.2023
Licensed Vocational Nurse
Elwyn NC
01.2020 - 10.2022
Wellness Nurse
Aegis Of Moraga
10.2019 - 03.2020
Caregiver/Personal Care Aide
Eldercare Services
03.2013 - 01.2018
Student Nurse Intern
American College of Nursing
01.2012 - 12.2012
Certificate of Completion - Nursing
American College of Nursing