Ariela Mello
Lehi
Summary
Compassionate Registered Nurse with experience offering comprehensive patient care in outpatient environments. Works well with diverse patient populations and fosters trusting relationships to improve outcomes. Efficiently coordinate with healthcare professionals to advance patient care. Dedicated nursing leader with excellent unit management skills. Proficient in quality, cost and care standards focused on maximizing resources and patient satisfaction.
Overview
15
15
years of professional experience
Work History
Dialysis Registered Nurse
Fresenius Medical Care Holdings Inc.
Salt Lake City, Utah
09.2024 - Current
- Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training
- Supports the FMCNA’s mission, vision, values, and customer service philosophy
- Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP)
- Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies
- Directs Patient Care Technician’s provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies
- Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants
- Assesses daily patient care needs and develops appropriate patient care assignments
- Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures
- Participates in staff training and orientation of new staff as assigned
- Participates in all required staff meetings as scheduled
- Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD)
- Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions
- Discusses with patient, and records education related to diet/fluid and medication compliance
- Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM)
- Ensures transplant awareness, modality awareness, and drive catheter reduction
- Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid
- Provides safe and effective delivery of care to patients with ESRD
- Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated
- Assesses patients’ response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician
- Communicates problems or concerns to the Team Leader or physician
- Identifies and communicates patient related issues to Team Leader or physician
- Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures
- Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures
- Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights
- Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures
- Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier
- Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet
- Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System
- Ensures appropriate preparation of lab requisitions for Spectra or alternate lab
- Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples
- Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures
- Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material
- Ensures that all labs are directed and delivered to appropriate labs
- Reports alert/panic and abnormal labs results to appropriate physician
- Ensures lab results are forwarded to physicians as requested
- Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments
- Maintains overall shift operation in a safe, efficient, and effective manner
- Act as a resource for other staff members
- Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information
- Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient
- Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies
- Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner
- Oversees all documentation of patient information
- Maintains facility drug list for all required stock medications
- Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest
- Ensures verification and availability of adequate emergency equipment
- Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing
- Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated
- Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness
- Maintains appropriate recording of controlled substances as required by law
- Assists with the coordination of patient transportation if necessary
- Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area
- Ensures competency in the operation of all dialysis-related equipment safely and effectively
- Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately
- Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies
- Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System
- Ensures all appropriate patient related treatment data is entered into the Medical Information System
- Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented
- Ensures and verify accuracy of Patient Care Technician documentation
- Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff
- Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises
- Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports
- Completes monthly nurses' progress note
- Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms)
- Reviews transplant status and follows established procedure regarding appropriate action to be taken
- Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans
- Completes any long-term programs that are due
- Completes initial and annual Nursing History and Assessment physical
- Ensures completion of Annual Standing Order Review with each physician as required
- Performs additional duties as assigned
- The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
- The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation
- Equipment aids and/or coworkers may provide assistance
Registered Nurse
Legacy Home Health Agency
04.2024 - 08.2024
- Administered medications via oral, change wound dressings and care for other treatment options, monitor responses.
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Observe and record patient behavior.
- Perform physical examinations and diagnostic tests.
- Collect patient health history.
- Counsel and educate patients and their families on treatment plans.
- Read and interpret patient information, making treatment decisions when appropriate.
- Consult with supervisors and doctors to decide on best treatment plan for patients.
- Direct and supervise nurses, nurse assistants and nurse aides.
- Research ways to improve healthcare processes and improve patient outcomes.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
Home Health Nurse
Self-employed
08.2023 - 08.2024
- Provide in-home care to clients, support activities of daily living (ADLs), and utilize safe lifting practices and transfer equipment to ensure patient safety.
- Communicate empathetically with clients, build relationships, and provide updates to families while maintaining compliance with patient confidentiality preferences.
- Monitor patients vital signs and general well-being.
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
Occupational Health Nurse
Confab Industrial S/A - Brazil
03.2015 - 03.2016
- Reduced workplace injuries by conducting thorough risk assessments and recommending appropriate safety measures.
- Liaised between employees with health concerns and supervisors, maintaining medical confidentiality to communicate work status and coordinate return to work accommodations.
- Maintained detailed records of employee health data, ensuring compliance with privacy regulations and facilitating data-driven decision making on workplace wellness initiatives.
- Enhanced employee productivity by providing prompt and effective medical care for work-related illnesses and injuries.
- Conducted regular health screenings to detect potential health issues early, improving overall workforce wellbeing.
- Promoted high level of service to every individual while observing confidentiality rules and company regulations.
- Developed return-to-work plans tailored to individual needs that expedited recovery time after illness or injury.
- Developed targeted injury prevention programs through careful analysis of incident trends, leading to fewer workplace accidents.
- Facilitated communication between employees and management regarding occupational health concerns, promoting open dialogue around workplace safety issues.
- Improved employee health by implementing comprehensive wellness programs and initiatives.
- Assisted with accident investigation program to identify root cause of incidents and near-misses.
- Employed nursing skills to evaluate patient care needs, prioritize treatment and maintain patient flow.
- Educated all 800 employees on flu symptoms, illness prevention, benefits of good hygiene and smoking cessation programs.
- Streamlined workers compensation process, ensuring timely payments and proper medical treatment for injured employees.
- Coordinated with external healthcare providers to ensure seamless continuity of care for employees receiving treatment outside workplace.
- Collaborated with interdisciplinary teams to create comprehensive employee wellness programs that addressed physical, mental, and emotional health.
Occupational Health Nurse
Obra De Ação Social PIO XII
06.2014 - 03.2015
- Managed approximately 1000 employee's and reduced workplace injuries by conducting thorough risk assessments and recommending appropriate safety measures.
- Liaised between employees with health concerns and supervisors, maintaining medical confidentiality to communicate work status and coordinate return to work accommodations.
- Maintained detailed records of employee health data, ensuring compliance with privacy regulations and facilitating data-driven decision making on workplace wellness initiatives.
- Enhanced employee productivity by providing prompt and effective medical care for work-related illnesses and injuries.
- Responsible for providing primary care for occupational and non-occupational injuries and illnesses.
- Performed required health assessments, screening tests for specified programs, such as drug and audiometric testing.
- Participated in plant safety and ergonomic programs.
Assisted with team member health education and training programs. - Identified workers' compensation cases and maintained documentation of workers.
- Performed urine drug screening, breath alcohol testing, and spirometry, and audiometric testing.
- Executed daily equipment checks and calibration.
Delivered immunizations for flu clinics, HBV, and tetanus. - Inspects work area and equipment used by personnel for safety compliance, generates detailed reports on safety conditions, educates employees on preventative measures against occupational hazards, promotes healthy living and working conditions,
- Provides counseling and support, develops health and safety policies, and ensures that company is up to date with public health and employment safety legislations.
Occupational Health Nurse
Irmandade Da Santa Casa De Misericórdia
12.2012 - 06.2014
- Reduced workplace injuries by conducting thorough risk assessments and recommending appropriate safety measures and managed approximately 1500 employees.
- Liaised between employees with health concerns and supervisors, maintaining medical confidentiality to communicate work status and coordinate return to work accommodations.
- Maintained detailed records of employee health data, ensuring compliance with privacy regulations and facilitating data-driven decision making on workplace wellness initiatives.
- Enhanced employee productivity by providing prompt and effective medical care for work-related illnesses and injuries.
- Conducted regular health screenings to detect potential health issues early, improving overall workforce wellbeing.
- Assisted with accident investigation program to identify root cause of incidents and near-misses.
- Educated all employees on flu symptoms, illness prevention, benefits of good hygiene and smoking cessation programs.
- Collaborated with management to develop policies for maintaining safe and healthy work environment, resulting in decreased absenteeism.
- Provided guidance on proper use of personal protective equipment, significantly reducing risk of exposure to hazardous materials.
- Led first aid training sessions to increase emergency preparedness among staff members.
- Implemented stress-reduction interventions at workplace, contributing to improved mental well-being among staff members.
- Evaluated patient histories, complaints, and current symptoms.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Registered Nurse Supervisor
Ortoclínica Serviços Médicos E Cirúrgicos - Brazil
01.2010 - 12.2012
- Managed approximately 30 employees (CNA's, Medical Assistant, LPN)
- Developed strong rapport with patients and families, providing emotional support during challenging situations.
- Addressed patient concerns promptly by investigating issues thoroughly and collaborating with appropriate personnel to resolve problems efficiently.
- Served as liaison between administration, medical staff, and nursing team for seamless communication and coordination of care efforts.
- Managed staffing schedules, ensuring adequate coverage for all shifts while minimizing overtime costs.
- Led successful team comprised of RNs, LPNs, and ancillary staff.
- Maintained accurate documentation of patient care activities in accordance with regulatory requirements, ensuring timely completion of reports as necessary for compliance purposes.
- Managed care from admission to discharge.
- Promoted safe and healthy work environment through adherence to infection control policies and procedures.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Evaluated clinical competency of nursing staff through direct observation, feedback sessions, and periodic skills assessments.
- Managed infection control and critical incidents and made procedural changes and improvements.
- Reduced medication errors by implementing thorough double-check system and providing ongoing education for staff members.
- Improved patient outcomes by implementing evidence-based nursing practices and protocols.
- Organized and managed care of patients undergoing various therapies and procedures.
- Contributed to hospital-wide policy development by participating in committees focused on improving patient safety standards and overall healthcare delivery systems.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Ordered all pharmacy supplies and kept check on inventory levels.
- Scheduled surgeries managed pre-certifications and verified insurance coverage.
Education
CPR/AED/First Aid - Nursing Education
SAVE A HEART of Utah
Utah07.2024
English Language And Literature/Letters - English Language And Literature
BYU-Pathway Worldwide
12.2019
CNA Certificate - Utah Nursing Assistant Registry - Nursing
Orchard CNA Training Centers
03.2019
ADVANCED CARDIOLOGY LIFE SUPPORT - ACLS - Nursing Education
American Heart Association | American Stroke Assoc
01.2016
DL- Development And Leadership - Neuro-Linguistic -
INEXH - National Institute of Human Excellence
12.2013
Graduate-level Education in Occupational Health Nu - Nursing
University of Taubaté
01.2011
Bachelor of Science - Nursing
University Paulista - Unip
12.2009
Skills
- Medication and IV administration
- Medication Administration
- Direct Patient Care
- Patient Assessments
- Compassion and Empathy
- Nursing staff leadership
- Long-Term Care
- Home Health Care
- Documentation and Charting
- Patient Assessment
Languages
Portuguese
Native or Bilingual
English
Full Professional
Timeline
Dialysis Registered Nurse
Fresenius Medical Care Holdings Inc.
09.2024 - Current
Registered Nurse
Legacy Home Health Agency
04.2024 - 08.2024
Home Health Nurse
Self-employed
08.2023 - 08.2024
Occupational Health Nurse
Confab Industrial S/A - Brazil
03.2015 - 03.2016
Occupational Health Nurse
Obra De Ação Social PIO XII
06.2014 - 03.2015
Occupational Health Nurse
Irmandade Da Santa Casa De Misericórdia
12.2012 - 06.2014
Registered Nurse Supervisor
Ortoclínica Serviços Médicos E Cirúrgicos - Brazil
01.2010 - 12.2012
CPR/AED/First Aid - Nursing Education
SAVE A HEART of Utah
English Language And Literature/Letters - English Language And Literature
BYU-Pathway Worldwide
CNA Certificate - Utah Nursing Assistant Registry - Nursing
Orchard CNA Training Centers
ADVANCED CARDIOLOGY LIFE SUPPORT - ACLS - Nursing Education
American Heart Association | American Stroke Assoc
DL- Development And Leadership - Neuro-Linguistic -
INEXH - National Institute of Human Excellence
Graduate-level Education in Occupational Health Nu - Nursing
University of Taubaté
Bachelor of Science - Nursing
University Paulista - Unip