Anna Lynne Ramirez
Oakley,CA
Summary
Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
19
19
years of professional experience
Work History
Staff RN Per Diem
Contra Costa County Health Services
10.2021 - Current
- Provide skilled services in a variety of clinics e.g Immunization, Family Practice, Adult Medicine, Pediatrics, Short Notice, conducts triage; makes physician appointments, administer medication and immunizations, manages medical caseload; answers patient's questions; provides informational literature.
- Assists in examinations and treatments; assists in initiating, planning and evaluating nursing care and treatment plans; initiates patient referrals for services or to community resources; answers patients questions regarding medical care concerns; educate patient on medical care and health issues including the need for follow up.
- Assists with clinic and office operations to ensure that appropriate records and patient traffic flow area are maintained, appointments are made, accurate information is disseminated and that clinics are conducted in an orderly fashion
Peritoneal Dialysis Registered Nurse
Davita
01.2021 - Current
- Supervises and performs direct patient care including but not limited to taking and monitoring vital signs, initiation and termination of dialysis, documentation, physical assessment of patients and patient treatments, taking and transcription of physician's orders, drawing and documentation of ordered laboratory work, training patient and/or care partner to perform dialysis at home, and perform home evaluations as required
- Analyzes patient assessments, laboratory data and, when concerns are noted, brings issues to the attention of the physician and the IDT
- Seeks to facilitate growth of home program and leverages tools and resources for effective program management
- Communicates all emergencies, patient life-threatening complications and related incidents to supervisor, Medical Director, Regional Operations Director, Facility or Group Facility Administrator
- After hours, on-call support to patients and/or care partners
- Provides peritoneal dialysis therapy within the scope of practice and according to the plan of care; recommends a dialysis plan for ultra-filtration; complies with all safety measures, monitors patient vital signs applicable to ESRD patients, administers medications per physician instruction if allowed by state agencies, documents activity appropriately
- Independent and proactive collaboration with IDT for new and ongoing patient education
- Instructs patients on pre- and post-dialysis care
- Participates in the development and implementation of the patient's short and long term plan of care and monthly progress note
- Participates in the preparation of the FHR tool and participating in the FHM Meetings as directed by leadership
- Assesses patient and family readiness to learn and provides appropriate information on renal disease, prescribed dialysis treatment, and medical regimen and its impact on the patient's state of health and well-being
- Assesses patient's ability to learn PD modality and creates a training plan utilizing DaVita education programs
- Notes signs of trauma, patients' general physical and mental condition, reviews dialysis orders, documents observations in patient medical records
- Administers patient quality care in a considerate, respectful manner
- Able to work autonomously with minimal supervision and demonstrate utilize good time management
- Identifies knowledge gaps and seeks resources to continue education
- Independent and proactive collaboration with external sources to provide integrated and patient centered care.
RN Hospital Liaison for Home Health
Sutter Care at Home
08.2019 - 05.2021
- The Sutter Care at Home Hospital Liaison facilitates admissions to Sutter Care at Home services by providing inpatient supportive care and seamless transition to home based care including, Home Health, AIM, or Hospice, depending upon the services available in that area
- The Hospital Liaison assists the organization by assuring that the right care is provided at the right place and the right time
- To accomplish this goal of right care, right place and right time, the Hospital Liaison uses established criteria to evaluate the appropriateness of patients referred for home care services, confirm the level of care most appropriate for the patient, assess the patient's readiness for discharge, and facilitate 'transition to home' planning including assessing post-discharge needs and developing and implementing transition to home plan
- Holding continuity of care as a priority, the Liaison communicates and coordinates with the larger health care team supporting the patient including hospitalist, hospital case management and nursing, patient's physicians, and other healthcare providers involved in the patient's care at home
- The Liaison will attend rounds, facilitate orders, evaluate patients' care (medical, psycho-social and practical) needs, including medical eligibility for services, anticipated needs for equipments, medication, and transportation
- Collaborates with the patients and their representatives, the patients' inpatient care teams, and outpatient care teams to identify patient/family needs and preferences as well as the overall care needs
- The Liaison is responsible for helping the patients and their representatives determine person-centered goals
- Serves as a clinical resource for patients, families, physicians, and facility staff for appropriate home placement, medication reconciliation, goals of care and identification of necessary support at home, as well as problem solving barriers or challenges related to the patient returning home.
RN - Clinical Referral Specialist
Sutter Care at Home
12.2018 - 08.2019
- Act as the in-office clinical liaison that represents the SCAH agency via telephone receiving and processing referrals for patient care in the regional home health referral management team
- Work closely with referring hospitals, physicians, board and care facilities, skilled nursing facilities, patients, families, and the general public
- Receive/process referrals and ensuring that admissions occur in a timely and consistent manner
- Enters referral information into the EMR and creates initial orders to facilitate the start of care
- Interacts with referral sources, other members of the referral center staff, home health, AIM and hospice staff across SCAH offices and all others necessary to facilitate the start of patient care
- Consistently utilizes and promotes use of excellent customer services skills.
Staff RN II
Sutter Delta Medical Center
08.2007 - 12.2018
- Formulated daily goals and care plans for patients
- Supported unit efficiency by assisting with patient intakes, transport, and discharge functions
- Coordinated care for 5 patients by working closely with physicians, surgeons, and nursing staff
- Advocated for patients' needs and reported on changing conditions and requirements to supervisors
- Made effective care decisions based on individual patient requirements, nursing process, and facility requirements.
Dialysis RN
Fresenius Medical Care
01.2006 - 08.2007
- Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed
- Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed
- Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients
- Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness
- Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections
- Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record
- Initiates or assists with emergency response measures
- Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians
- Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures
- Promotes infection control, equipment and environmental safety
- Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family
- Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team
- Ensures patient awareness related to transplant and treatment modality options
- Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling
- Assists with medication tracking and inventory as assigned
- Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
Charge RN
Diamond Ridge Healthcare Center
01.2005 - 06.2007
- Provide direct patient care within a skilled nursing facility
- Ensuring the patient receives optimal care by assessing planning implementing reevaluating and revising care and coordinating resources
- Responsible to update and maintain patient records and implement orders for medications and treatments
- Supervises LVNs and CNAs on NOC shift
- Communicates with Physicians regarding residents and or patients changes of conditions, diagnostic results, labs etc
- Educates patients and their families on health -related issues.
Education
Bachelor of Science in Nursing -
Wesleyan University
Cabanatuan City, Nueva Ecija03.1994
Skills
- Knowledgeable and competent in nursing procedures and technical skilled interventions
- Ability to exercise independent and sound judgment for assessing, planning, implementing, and evaluation
- Able to work harmoniously with internal and external customers
- Sepsis Champion Preceptor for RNs, Interns and Nursing students
Timeline
Staff RN Per Diem
Contra Costa County Health Services
10.2021 - Current
Peritoneal Dialysis Registered Nurse
Davita
01.2021 - Current
RN Hospital Liaison for Home Health
Sutter Care at Home
08.2019 - 05.2021
RN - Clinical Referral Specialist
Sutter Care at Home
12.2018 - 08.2019
Staff RN II
Sutter Delta Medical Center
08.2007 - 12.2018
Dialysis RN
Fresenius Medical Care
01.2006 - 08.2007
Charge RN
Diamond Ridge Healthcare Center
01.2005 - 06.2007
Bachelor of Science in Nursing -
Wesleyan University
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