Toni Williams
Austin,TX
Summary
Clinical Management Professional with expertise in developing and implementing management processes, management of information systems, continuous quality improvement, planning, cost containment and staff development. Proven abilities in team building, establishing role clarification, resolving conflict and improving communication. Highly skilled in managing direct reports and multiple concurrent projects. Ability to work autonomously, maintain an excellent degree of professionalism, and make sound judgement. Viewed as an articulate professional who brings creativity and solid management skills to the team. Demonstrated expertise and leadership utilizing Electronic Medical Record (EMR) systems such as EPIC, Cerna, and Meditech. Regarded as a results-oriented, plan-driven professional who can be relied upon to achieve results within budget while establishing and maintaining excellent rapport with physicians, administration, staff, patients, families, and others. Hardworking Registered Nurse with success providing individualized patient care. Committed to delivering best-in-class patient care through effective education and counseling. Proven leadership focused on increasing and enhancing patient care and satisfaction. Streamline safety protocols for comprehensive patient care.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Surgical Services/PACU/Preop/Endo RN
Dell Seton Medical Center at UT
04.2022 - Current
- Monitoring post-operative patients' levels of consciousness during recovery from anesthesia
- Measuring and recording patients' vital signs
- Closely observing patients for signs of side effects of anesthesia medication
- Treating pain, nausea, and other post-operative symptoms of anesthesia
- Updating charts, patient files, and medical records
- Collaborating with the medical team on post-operative patient care and facilitating timely specialized interventions
- Providing comfort and reassurance to distressed post-operative patients and concerned family members
- Educating patients and their families on post-surgery care, as well as answering questions
- Adheres to surgical schedule and case turnover consistent with standards
- Is ready for first case of the day consistent with OR scheduling policies
- Maintains communication with control desk anticipating delays or completion of case
- Communicates patient's clinical information clearly and accurately in verbal and written format
- Clearly and accurately documents pertinent information in patients medical record
- Consistently demonstrates effective documentation practices and develops strategies to ensure complete documentation of patient care
- Completes timely initial and ongoing patient assessments, considering physiological, psychosocial, spiritual, cultural, and developmental needs of patients and families
- Serves as a resource in planning care for complex patients
- Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards
- Complies with governmental and accreditation regulations
- Seeks opportunities to participate in developing, revising standards of practice to meet changing patient population requirements
- Coordinates care of assigned patient(s) preoperatively, intraoperatively, and/or postoperatively
- Consistently demonstrates effective leadership behavior
- Maintains patient privacy and confidentiality
- Facilitates collaboration among other health team members fostering effective communication with other disciplines
- Delivers nursing care to patients considering current status of the patient, plan of care, and incorporating the principles of patient centered care.
- Maintains a safe and therapeutic environment of caring for patients and families
- Provides basic patient comfort measures
- When necessary, provides environmental support to expedite timely patient admission or transfer
- Ensures a safe, supportive environment for staff and medical staff
- Identifies and acts upon opportunities to improve the environment of care
- Participates in multidisciplinary quality and service improvement teams
- Performs other duties as assigned.
Med/Surg Tele RN
Memorial Hermann Greater Heights
09.2021 - 02.2022
- Primary nursing care for 4-6 Medical Surgical/Telemetry patients with cardiac/surgical post-operative procedures such as GI, GU, bariatric, vascular, surgeries
- Performed assessments; administered medications; provided intravenous therapy; complex wound assessment and care; monitored and managed various drainage devices, wound care equipment etc
- Tracked patient progress, laboratory values and test results
- Maintained and troubleshot peripheral and central line I.V catheter
- Monitored and recognize patient vital signs, symptoms, telemetry readings and EKG for abnormal heart rhythms or changes such as afib, heart blocks, vtach/fib
- Notify physician for immediate treatment
- Collaborated daily and established trust with surgeons, physician assistants, cardiologist, general medical practitioners, family nurse practitioners, charge nurse, nursing assistants, and various health care team members to achieve optimum patient care
- Documented all daily patient care activities notes, medication administration, etc
- Through electronic medical records CERNER system
- Functioned as preceptor for University of Houston nursing students providing support and guidance in clinical rotations.
Acute Care Float Nurse/Med/Surg/Tele/PCU/Oncology/Burn/ER/Obs/Orho/Neuro
Dell Seton Medical Center at UT
04.2021 - 09.2021
- Coordinated with nursing team to ensure optimal levels of patient care and safety
- Utilized strong assessment skills to determine necessary patient care
- Assisted patients with healing and recovery after surgery
- Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions and post-discharge care
- Implemented new floor assignments based on evaluation of staffing requirements
- Utilized strong assessment skills to determine necessary patient care to include complex wound assessment and care, monitored and managed various drainage devices and wound care equipment, managed ostomies, pressure ulcers and skin breakdown
- Active on the Pressure Injury Prevention Team
- Evaluated patient care needs, prioritized treatment and maintained patient flow.
Staff Nurse Ortho/Neuro/Float/Med/Surg/Tele/Oncology
St. David’s South Austin Medical Center
03.2018 - 04.2021
- Registered Nurse with 10 years experience in clinical settings providing nursing care to diverse populations with concentration of orthopedic, neurological, stroke, trauma, and COVID-19 care
- Cared for patients with elective knee and hip joint replacements to care of trauma patients who needed total care
- Trauma patients cared for ranged from broken bones, subdural hematomas, paraplegia, tracheotomy, chest tubes, and feeding tubes
- Care of Covid-19 patients ranged from performing COVID-19 testing, perform phlebotomy, properly donning and doffing of PPE to maintain safety
- Provide initial assessment, evaluation and triage or treatment of episodic medical problems following departmental policy, scope of practice, and nursing process
- Liaison between patients and doctors, completing comprehensive assessments and recording medical information to achieve recovery goals
- Cooperated with upper-level management to maintain budget, operations and staff performance objectives
- Provided direct patient care to increase comfort and psychological, social, and spiritual well-being
- Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services
- Utilized strong assessment skills to determine necessary patient care to include complex wound assessment and care, monitored and managed various drainage devices and wound care equipment, managed ostomies, pressure ulcers and skin breakdown
- Active on the Pressure Injury Prevention Team
- Administered scheduled medications and therapies intravenously rectally, orally, subcutaneously and via intramuscular injections while overseeing pain management plans
- Facilitated patient flow during emergency situations, directing evacuations, admissions and transfers
- Tracheotomy care, orthopedic splints, traction, PCA pumps
- Thorough understanding of assessing patients to recognize suitable nursing interventions
- Working knowledge of healthcare software including Electronic Health Record (EHR).
Nurse Manager Ortho/Neuro Services
St. David’s South Austin Medical Center
03.2018 - 04.2021
- Reporting to the Director of Nursing and CNO with responsibilities that include Operating and Capital Budgets, cost containment, performance improvement, clinical support, risk management and developing personnel, payroll, and quality metrics
- Nurse Manager of 30 bed Ortho/Neuro Unit managing over 65 direct reports
- Management of team for improved efficiency, Unit Based Council, employee engagement and retention
- Post Op Care to include Enhanced Surgery Recovery (ESR)
- Telepsych and Teleneuro services
- Initiated Strategies to reduce fall outs for Stroke quality metrics from 4 per month to 0 within the last 11 months
- Piloted and lead Together Everyone Makes Positive Outcomes Rounds (TEMPO) to reduce our length of stay (LOS) by 1.2 days
- Implemented expanded, patient-centered communication techniques and coached staff resulting in significant “top box” Press Ganey scores: Response time -40% improvement;-highest in the last 5 years, Nurse Communication -25% improvement; Pain Management-15 % improvement; Discharge Information -20% improvement; Communications about medication-20% improvement
- Implemented committees and Unit Champions to strengthen autonomy of staff and ownership of safety and quality
- Recruited and aggressively interviewed potential staff resulting in reducing open requisitions for patient-facing positions from 25 to 8 FTE
- Co-lead Patient Experience Sim Labs focusing on AIDET, Safety Rounds, Bedside Shift Report bridging the gap in Nurse Communication and Responsiveness
- Developed and conducted monthly staff meetings, daily team “huddle”, and extensive email communication and GroupME app resulting in patient SAQ (Safety and Quality) resulting in over 95% of staff feeling informed about hospital and unit level information
- 10% increase in Employee Engagement scores from last year.
Interim Director Inpatient Services
Metroplex Hospital
08.2016 - 03.2018
- Reporting to CNO with responsibilities that included Operating and Capital Budgets, cost containment, performance improvement, clinical support, risk management and developing personnel, physical environment, material and organizational systems to provide competitive, cost effective services
- Director for 72 bed inpatient services to include Progressive Care, Cardiac Care, ICU, and Med/Surg Ortho unit managing 100+ staff members
- Management of team for improved efficiency, team building, employee engagement and retention
- Promotes interactive management techniques to strengthen autonomy of staff.
Nurse Manager
Metroplex Hospital
08.2016 - 03.2018
- Reporting to the DON with responsibilities that included Operating and Capital budgets, performance improvement, clinical support, risk management and developing personnel, physical environment, billing and scheduling, inventory control, clinical support, material and organizational systems to provide competitive, cost effective services
- Initiated strategies and tactics that significantly eliminated Core Measure Fallouts from 70 per year to two YTD
- Initiated protocols for all staff resulting in reducing falls from an average of 7 per month to 1 per month; upon appointment, unit accounted for more than 50% of falls house-wide, now leading in-patient nursing in least number of falls
- Implemented Safe Patient Handling protocols that decreased the workman’s compensation injuries associated with patient repositioning and transferring
- Reduced sitter hours by 50% from an average of 1200 hours per month to less than 600 hours
- Achieved 121% productivity fiscal year to date, improving from a low 70% upon appointment to position
- Instrumental in driving hospital attainment of A+ rating by The Leapfrog Group through implementation of best practices initiatives such as hourly rounding and patient pain management communication strategies
- Recruited and aggressively interviewed potential staff resulting in reducing open requisitions for patient-facing positions from 25 to 3 FTE and eliminating $270,000 in annual agency RN expenditures
- Developed and conducted monthly staff meetings, daily team “huddle”, CREATION Health huddle, and extensive email communication resulting in patient SAQ (Safety and Quality) results being the highest in in-patient nursing
- Initiated and implemented multi-disciplinary discharge rounds, team huddles and hourly rounding resulting in no hospital-acquired ulcers (HAU) in the past 6 months, leading in-patient nursing and 90% staff compliance
- Redesigned new hire orientation process to decrease the turnover rate within the first 90 days.
Nurse Manager
Baylor Scott and White Medical Center
01.2013 - 01.2016
- Reporting to DON with responsibilities that included; Operating and Capital Budgets, cost containment, standardization, billing and scheduling, inventory control, performance improvement, clinical support, and risk management
- Nurse Manager for a 34-bed telemetry unit managing approximately 72 staff members
- Management of team for improved efficiency, team building, employee engagement
- Provided clinical support to team
- Improved processes for optimizing patients for surgery through the Pre-Op screening process
- Transition seamlessly from paper charting to EPIC Electronic Medical Records (EMR) with no adverse patient impact
- Improved Press Ganey patient satisfaction scores from low -50s to mid 80s in first six months in position; one of two in-patient nursing units to achieve goal
- Selected to serve as New Hire Champion, a program providing an excellent, year-long on-boarding experience for new Registered Nurses
- Initiated creative innovations, including hourly rounding of medical and non-medical staff, bedside shift-to-shift report, and staff-signed “Thank You” cards upon patient discharge
- That resulted in increasing patient satisfactions scores consistently in the 40s to the 80s
- Initiated Groupwise email accounts for all staff that improved communications (such as policy changes, helpful tips, etc.) from management to staff members
- Developed process for insuring adequate staffing levels resulting in reduced overtime expenses
- Increased staff participation in liaison committees from low levels to active engagement in numerous committees.
Charge Nurse/Staff Nurse/Med/Surg/Tele/PCU
Baylor Scott and White Medical Center
01.2013 - 01.2016
- Reporting to Nurse Manager with responsibilities that included; safety and quality care of patients, cost containment, standardization, conflict resolution, shift narcotic counts, safe patient assignments, daily huddles, Leader Rounding, and served on numerous hospital wide committees
- Disciplined and energetic employee who quickly established rapport with patients and colleagues
- Accurately documents all elements of nursing assessment, treatments, medications, discharge instructions, and follow-up care
- Collaborate with members of multidisciplinary healthcare teams to plan, manage, and/or assess patients’ treatments
- Utilized strong assessment skills to determine necessary patient care to include complex wound assessment and care, monitored and managed various drainage devices and wound care equipment, managed ostomies, pressure ulcers and skin breakdown
- Unit Champion of the Pressure Injury Prevention Team and Pain Management Team
- Manage patients; pain relief and sedation by providing pharmacological and non-pharmacological interventions, monitoring patient responses, and changing care plans accordingly
- Assess emergent and urgent health conditions using both physiologically and technologically derived data
- Analyze the indications, contraindications, risk complications, and cost-benefit tradeoffs of therapeutic interventions
- Participate in improvement of CAUTIs, decreasing fall rates, improving customer satisfaction and staff morale
- Help decrease budget by efficiently using supplies and assisting team members as needed to ensure clocking out on time.
Education
Bachelor of Science - Nursing
University of Texas At Arlington
Arlington, TX05.2018
Associate of Applied Science - Nursing
Temple College
Temple, TX05.2013
Skills
- Share Point
- Microsoft Windows
- Excel
- Word
- Power Point
- Providing professional presentations of educational materials
- Electronic medical records (Cerner, EPIC, and Meditech)
- Staff scheduling programs (API, Clarvia, and Facility Scheduler)
- Payroll processing systems
- Project Management Training
- Lean Management Training
- Studer Training
- Clinical judgment
- Discharge Planning
- Acute care expertise
- Nursing staff leadership
Certification
- BCLS, 03/2025
- ACLS, 08/2025
- NIHSS, 06/2024
- Certified in Neurotoxins, 2021 and 2023
- Certified Lip Neutralization/Lip Blushing, 2022
Accomplishments
American Heart Association Get with the Guideline Stroke Gold Award 2018, 2019, 2021
Patient Experience Most Improved 2019 and 2020
Throughput Award 2021
Daisy Award Nominee 2021 and 2022
Nurse of the Year Nominee 2024
Timeline
Surgical Services/PACU/Preop/Endo RN
Dell Seton Medical Center at UT
04.2022 - Current
Med/Surg Tele RN
Memorial Hermann Greater Heights
09.2021 - 02.2022
Acute Care Float Nurse/Med/Surg/Tele/PCU/Oncology/Burn/ER/Obs/Orho/Neuro
Dell Seton Medical Center at UT
04.2021 - 09.2021
Staff Nurse Ortho/Neuro/Float/Med/Surg/Tele/Oncology
St. David’s South Austin Medical Center
03.2018 - 04.2021
Nurse Manager Ortho/Neuro Services
St. David’s South Austin Medical Center
03.2018 - 04.2021
Interim Director Inpatient Services
Metroplex Hospital
08.2016 - 03.2018
Nurse Manager
Metroplex Hospital
08.2016 - 03.2018
Nurse Manager
Baylor Scott and White Medical Center
01.2013 - 01.2016
Charge Nurse/Staff Nurse/Med/Surg/Tele/PCU
Baylor Scott and White Medical Center
01.2013 - 01.2016
Bachelor of Science - Nursing
University of Texas At Arlington
Associate of Applied Science - Nursing
Temple College
- BCLS, 03/2025
- ACLS, 08/2025
- NIHSS, 06/2024
- Certified in Neurotoxins, 2021 and 2023
- Certified Lip Neutralization/Lip Blushing, 2022
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