Angel L Rivera Boglio
HARTFORD,CT
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service. Highly skilled and enthusiastic professional with more than 4 years of experience managing operations in patient-centric medical offices. Successfully oversee human resources, budgeting, supply management and patient services. Develop and lead productive and efficient office staff. Contribute to high-volume medical practices by providing exceptional customer service.
Overview
10
10
years of professional experience
Work History
Director of Nursing
Home Care VNA
08.2022 - Current
- Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Worked closely administration to develop and implement best practices to improve patient outcomes.
- Facilitated continuing education and training programs to drive staff competency and professional development.
- Performed rounds to observe care and interview staff, residents, and families.
- Collaborated with staff, management, and external groups to coordinate patient care.
- Established new policies and updated existing policies to improve standard of care for patients.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Evaluated work performance of 18 nursing personnel to determine wage increases and implement discipline.
- 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.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Communicated with patients, ensuring that medical information was kept private.
- Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
- Successfully negotiated client contract renewals to create increased revenue.
- Took vital signs to assess patient health progress and needs.
- Educated and supervised patients and family members regarding prevention strategies, self-care techniques and nursing care needs.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Monitored patient reactions after administering medications and IV therapies.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
Registered Nurse, Cardiac Telemetry
Saint Francis Hospital
01.2021 - 04.2022
- Provide patient care coordination
- Assists with daily clinic to including: Full assessment to open heart surgery patients, completing labs requests, scheduling procedures, providing patient education, entering information in the EMR/Epic and completing EKG’s as needed
- Observation, evaluation, and documentation of the heart rhythms, Chest tubes, Temporary pacer wires of the monitored clients and follow-up and providing care as needed
- Participates in the implementation of exercise, evaluation, assessment, and intervention of clients with OHS, TAVR, Craniotomy and others for best outcomes
- Effectively teach lifestyle modification as it pertains to cardiac risk factor reduction
- Have ability to work independently and provide leadership to program participants
- Have the ability to communicate with other staff, management, physicians, allied health professionals, program participants and their families
- Reviews emergency equipment and code cart according to hospital policy
- Review of client medical records pertinent to cardiac rehab programming and safe exercise practices.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Managed care from admission to discharge.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
Clinical Nurse Manager
Brookdale Home Health
04.2020 - 01.2021
- Responsible for the planning, coordination, and delivery of quality interdisciplinary home health care services, ensuring compliance to federal/state standards and clinical best practices
- Supervises, monitors, and ensures competencies and performance of assigned home health care team(s) and ensures the delivery of quality home health services
- Supervises ongoing case management of all patients ensuring an accurate evaluation and treatment plan, maintaining our quality model, and utilizing services appropriately to achieve optimal outcomes
- Provides clinical oversight for home health patients within assigned team(s)
- Reviews electronically submitted documentation and provides feedback to clinicians regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist) to ensure the medical records reflect compliance with medical necessity, homebound status, visit utilization, and documentation of individualized patient assessment and transition (discharge) planning
- Reviews agency assigned team outcome data, participates in and facilitates improvement activities for agency quality and outcome performance
- Reviews patient schedules to ensure appropriate coordination of care and clinical needs and ensures efficiency of clinical associates
- Works directly with the assigned home health care team with the ongoing implementation of approved work methods, patient care model, and procedures that reflect elements essential to rendering high quality care
- Maintains ongoing communication regarding patient care with physicians, referral sources, caregivers, patients, community management, and associates to facilitate coordination of care
- Coordinates case conference with clinical team ensuring quality care of patients as evidenced by supporting documentation
- Serves as an educator and mentor for assigned home health care team regarding home health documentation, including addressing deficiencies in clinical documentation, inconsistencies, clinical standards of care, and compliance.
- Collaborated with physicians and interdisciplinary teams to devise and manage individualized plans of care.
- Oversaw training, staffing and education of all nurses and staff.
- Sought opportunities to improve patient care, outcomes and nursing staff performance.
- Fostered improvement in staff development, personnel training, and standards of patient care.
- Responded to behavioral and medical crises codes.
- Documented all aspects of care following facility and Medicare standards, creating accurate patient records of all interactions and interventions to sustain continuity of care.
- Advocated for patients' physical, psychosocial, developmental, spiritual and emotional needs during planning.
- Performed head-to-toe physical assessments, prioritizing treatment and delegating assignments to maintain patient flows.
Office Nurse manager/QA
Altranais Home Care, LLC
08.2017 - 04.2020
- Job responsibilities responsible for supervision, management, coordination and provision of quality patient care while demonstrating fiscal responsibility and maintaining highest standards of care and ensuring compliance with all policies, procedures, and regulatory requirements
- Accountable for measuring, monitoring, and managing quality of patient care, achievement of key performance indicators and organizational clinical performance
- Assist other disciplines in coordinating activities when necessary, assuming responsibility for continuity, appropriateness and quality of services delivered
- Other responsibilities include, but are not limited to: Interview HHA, RN, LPN and office staff, appraise performances, and addresses issues involving Nursing and HHA staff
- Works collaboratively with other departments to assure that flow of information and patient hand-offs provide a positive patient experience
- Responsible for helping developing and managing Nurse and HHA schedules
- Supervised, directed, and motivated high-quality performance from nursing staff.
- Led staff meetings to keep team informed of departmental changes and provide opportunities for nurses to share ideas and concerns.
- Investigated and independently resolved complaints from staff, physicians, and patients by leveraging clinical judgment and unit management expertise.
- Managed staff scheduling and time off to adequately staff nursing floors and allow nurses earned time off.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Developed and implemented quality improvement initiatives to provide best possible patient care and identify and address areas of concern.
- Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
Licensed Practical Nurse
Hospital Perea
01.2013 - 01.2017
- SURG
- As an, (LPN) with Four years of experience working in Hospital Perea-Pavia, in Mayaguez, Puerto Rico, I was tasked with evaluating the medical conditions of up to 20 patients on a daily basis by administrating medication, wound evaluations and care, daily hygiene, vital sings, IV starts, draw blood sample/venous puncture, tracheotomy, nasal and oral suctioning and care, administration of blood components and other intravenous therapy
- Furthermore I have had hands-on experience working in the following departments: Med Surge, Pediatric, Oncology, Telemetry and Emergency Room
- During these times I have been recognized as a dedicated, ambitious and reliable employee who has demonstrated the ability to work without supervision.
- Responsibilities include: Work closely with all health care providers to facilitate and coordinate efficient, effective, and quality healthcare
- Assists physician in the examination of patients and in performing minor diagnostic procedures and treatment
- Develops own nursing knowledge via practice, observation, professional literature, networking and attending continuing education programs
- Assists physicians with special tests and procedures in the unit
- Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families
- Performs a complete psychosocial, environmental, self care, RE-educational and discharge planning assessment
- Maintain competence and current adherence to established standards of practice
- Assure the safety of patients, co-workers, significant others, and themselves
- Provide compassion to the patient and the patient’s family members
- Performs an accurate physical assessment on admission with RNs and at specified intervals as necessary
- Help Develops an individualized nursing plan of care with RNs
- Full body Assessments - Collects, prioritizes, and synthesizes comprehensive data pertinent to the patient’s health or situation with RNs.
- Cared for wounds, provided treatments, and assisted with procedures.
- Assisted with admissions, appointments, transfers, and discharges.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
- Obtained patient vital signs and input/output measurements from inpatients.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
- Performed routine evaluations of each patient's status, needs, and preferences.
- Used aseptic techniques to provide sterilized wound care and dressing applications.
- Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
- Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
- Gathered lab specimens, ordered testing, and interpreted results to diagnose patients.
- Answered incoming phone calls from patients to provide basic assistance and triage medical concerns.
- Comforted and counseled patients and families throughout care process.
- Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Minimized staff and patient infection risk by cleaning and disinfecting equipment instruments.
- Administered medications and injections to patients.
- Monitored patient health conditions to report changes to assigned physician.
- Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
- Reviewed patient history to verify conditions and current medications.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Helped patients complete bathing, dressing and eating.
- Managed various general office duties such as answering multiple telephone lines, completing insurance forms, and mailing monthly invoice statements to patients.
- Circulated assigned floor to measure and record patients' fluid and food levels, implementing measures to promote healthy intake and output as necessary.
Education
RN Associate Degree -
Dewey University
2017
Critical Care Certificate CE - undefined
Dewey University Mayaguez
2017
LPN Diploma - undefined
Instituto de Banca y Comercio
2012
High School Diploma -
Thomas A Edison High School
Philadelphia, PA2007
Skills
- Experienced with excellent patient care and leadership skills
- Critical care nurse Certification
- Wound care, EKG, Daily hygiene, Vital signs, Intake & output, Draw blood samples, Tracheostomy care, Nasopharyngeal and oral suctioning, Catheterization, Iv prep, Transfusion and Documenting health history
- Assist staff nurses and doctors with initial assessment of patients upon admission
- Performed venipuncture and skin punctures to obtain blood sample for laboratory testing
- Prepared and organized patient specimens for testing
- Adapt easily to change of environment and work schedule
- Supervise personnel in all areas of patient care and daily procedures
- Excellent and effective communication skills with sincere concerns or patients’ needs
- Typing 60 WPM
- Employee Coaching
- Risk Management
- Leadership and Guidance
- Public Speaking
- Performance Evaluations
- Critical Thinking
- Recruiting and Hiring
- EMR Software
Languages
Spanish
Native or Bilingual
English
Full Professional
Timeline
Director of Nursing
Home Care VNA
08.2022 - Current
Registered Nurse, Cardiac Telemetry
Saint Francis Hospital
01.2021 - 04.2022
Clinical Nurse Manager
Brookdale Home Health
04.2020 - 01.2021
Office Nurse manager/QA
Altranais Home Care, LLC
08.2017 - 04.2020
Licensed Practical Nurse
Hospital Perea
01.2013 - 01.2017
RN Associate Degree -
Dewey University
Critical Care Certificate CE - undefined
Dewey University Mayaguez
LPN Diploma - undefined
Instituto de Banca y Comercio
High School Diploma -
Thomas A Edison High School
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