April gresham
DETROIT,MI
Summary
Experienced LPN with a strong home care background in vital signs monitoring, catheter care, wound treatment, and patient education. Known for compassionate advocacy, care coordination, and supporting safe, effective recovery at home.
Seasoned Licensed Practical Nurse with 20+ years of experience in home care, charge nurse, and long-term care settings. Skilled in home safety evaluation, medication administration, wound care, and catheter care. Provides clear patient and family education, maintains accurate documentation, and works closely with providers and care teams to support quality outcomes.
Overview
22
22
years of professional experience
Work History
Licensed Practical Nurse Home Care
Mary Free Bed
Grand Rapids, MI
04.2023 - Current
- Maintained detailed and accurate records of patient progress, ensuring timely communication with primary care providers.
- Advocated for the best interests of patients when collaborating with healthcare providers, insurance companies, and other stakeholders.
- Improved patients'' quality of life by providing compassionate care and assisting with daily living activities.
- Enhanced the efficiency of home visits by effectively managing schedules and prioritizing patients based on acuity levels.
- Delivered exceptional wound care, including dressing changes and infection prevention measures, resulting in faster healing times for patients.
- Administered injections, catheter care, and other skilled nursing procedures with precision and attention to patient comfort.
- Educated patients and families on disease processes, medications and treatments.
- Coordinated with other healthcare team members to support patient needs.
Licensed Practical Nurse Home Care
Trinity Home Health
Grand Rapids, MI
04.2016 - 03.2023
- Performed skilled nursing assessments during home visits, monitoring vital signs and identifying changes in patient condition.
- Administered medications and treatments while maintaining compliance with physician orders and care plans.
- Documented patient status, interventions, and response accurately in electronic health records.
- Provided wound care, catheter care, and other delegated clinical procedures in home settings.
- Educated patients and families on medications, symptom management, and safety precautions.
- Coordinated care updates with registered nurses, physicians, and interdisciplinary home health staff.
- Reinforced infection control practices and home safety measures to support recovery and reduce risk.
- Adapted daily care priorities to meet changing patient needs while maintaining continuity of care.
- Demonstrated adaptability by adjusting care plans in response to changes in patients'' conditions or circumstances for optimal outcomes.
- Utilized evidence-based practices to provide high-quality care tailored to each patient''s unique needs and preferences.
LPN Charge Nurse
Spectrum Health Continuing Care
Grand Rapids, MI
04.2014 - 04.2016
- Maintained accurate medical records in accordance with established protocols, ensuring confidentiality of sensitive information at all times.
- Managed daily staff assignments and patient scheduling to guarantee clinic coverage and flow.
- Updated patient medical records with services provided, health conditions, and response to treatments using eMar.
- Served as a mentor to new nurses, fostering a positive work environment and promoting professional growth.
- Streamlined medication administration processes for improved accuracy, reducing medication errors and ensuring patient safety.
- Coordinated timely admissions, transfers, and discharges for efficient bed utilization within the nursing unit.
- Monitored patient health conditions to report changes to assigned physician.
- Administered medications and injections to patients.
- Reduced hospital readmissions by implementing effective discharge planning strategies and providing thorough patient education.
- Implemented evidence-based nursing practices to improve patient health and maintain compliance with regulatory standards.
- Supported diagnoses by taking blood samples from patients for laboratory testing.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Provided diagnosis information, treatment possibilities, disease management tips and wound care advice to patients, loved ones and caregivers.
LPN Charge Nurse
Brookcrest Nursing Home
Grandville, MI
03.2011 - 04.2014
- Communicated with families and care teams to address concerns and coordinate ongoing support.
- Analyzed patient assessments and laboratory data to bring any issues to attention of physicians.
- Provided compassionate end-of-life care, supporting patients and their families through difficult times.
- Promoted continuity of care by thoroughly documenting shift-to-shift communication in nursing reports.
- Promoted patient independence by teaching self-care skills and explaining conditions and medications.
- Managed complex wound care cases, applying advanced knowledge of wound healing principles to achieve optimal results.
- Delivered direct quality care to patients by evaluating medical conditions and managing and assessing treatments.
- Improved infection control measures by closely monitoring staff adherence to proper hand hygiene protocols.
- Collaborated with interdisciplinary team members to optimize patient outcomes and deliver high-quality care.
Licensed Practical Nurse
Sage Memorial Hospital
Ganado, AZ
11.2007 - 11.2010
- Administered medications and monitored patients for adverse reactions, documenting responses in electronic health records.
- Collected vital signs and assessed patient condition, escalating concerns promptly to registered nurses and providers.
- Assisted with wound care, dressing changes, and infection prevention procedures using sterile technique.
- Coordinated patient admissions, transfers, and discharge preparations while maintaining accurate clinical documentation.
- Supported care plans by reinforcing education on medications, recovery instructions, and follow-up appointments.
- Collaborated with interdisciplinary teams to prioritize care delivery and improve unit efficiency.
- Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
- Demonstrated excellent technical skills in wound dressing changes, IV therapy administration, catheter insertion, and other routine nursing procedures.
- Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
LPN Charge Nurse
Spectrum Health Continuing Care
Grand Rapids, MI
05.2004 - 11.2007
- Coordinated daily resident care plans and prioritized nursing assignments for consistent unit flow.
- Administered medications, monitored responses, and maintained accurate clinical documentation.
- Assessed patient status and escalated changes promptly to support timely interventions.
- Collaborated with interdisciplinary teams to align treatments, discharge needs, and care transitions.
- Supervised nursing support staff and reinforced compliance with care protocols and safety standards.
- Performed wound assessments and supported treatment updates according to provider orders.
- Reviewed charts for completeness, accuracy, and continuity across shifts.
- Assembled and used equipment such as catheters, tracheotomy tubes, or oxygen suppliers to effectively manage patient care.
- Delegated tasks effectively, optimizing staff productivity and maintaining a well-organized nursing unit.
- Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
- Utilized critical thinking skills to make sound clinical decisions in high-pressure situations, minimizing risks and ensuring patient safety.
- Documented vitals and medical histories in patient charts when assessing patients and communicated patient information to physicians and other nurses for care continuity.
- Served as charge nurse, caring for patients with serious illnesses.
- Developed strong relationships with patients'' families, keeping them informed of progress reports and collaborating on decisions regarding their loved ones'' healthcare plans.
- Assisted physicians during procedures, demonstrating strong clinical knowledge and attention to detail for successful outcomes.
Education
Bachelor of Science -
Licensed Practical Nurse - Nursing
Grand Rapids Community College
Grand Rapids, MI05-2004
BBA - Business Administration And Management
Davenport University
Grand Rapids, MI05-1995
Skills
- Home safety evaluation
- Vital signs monitoring
- Catheter care
- Family support
- Geriatric care
- Diabetes management
- Behavioral health
- Palliative care
- Post-surgical care
- Chronic disease management
- Nutritional support
- HIPAA compliance
- Recording vital signs
- Tracheostomy care
Timeline
Licensed Practical Nurse Home Care
Mary Free Bed
04.2023 - Current
Licensed Practical Nurse Home Care
Trinity Home Health
04.2016 - 03.2023
LPN Charge Nurse
Spectrum Health Continuing Care
04.2014 - 04.2016
LPN Charge Nurse
Brookcrest Nursing Home
03.2011 - 04.2014
Licensed Practical Nurse
Sage Memorial Hospital
11.2007 - 11.2010
LPN Charge Nurse
Spectrum Health Continuing Care
05.2004 - 11.2007
Bachelor of Science -
Licensed Practical Nurse - Nursing
Grand Rapids Community College
BBA - Business Administration And Management
Davenport University