Primary nurse for psychiatric patients in the community of Lynn, managing 10-15 home-care patients per day. Consisting of young adults through geriatrics with complex physical and mental co-morbidities on high risk medications.
Assist with OASIS assessments, medication management and reconciliation, including picking up prescriptions at pharmacy; home safety evaluations, and emergency planning.
Develop individualized care plans, collaborate with Eliot Community Human Services, primary care providers, as well as specialty providers, with a goal of patient independence, reducing hospitalizations and keeping patients safe at home.
RN, Case Manager
Partners HealthCare at Home
Beverly, MA
05.2017 - 02.2020
Managed caseloads of up to 28 complex home-care patients across adult and geriatric populations, providing skilled nursing, care coordination and ongoing clinical oversight.
Perform admissions assessments via OASIS, skilled nursing visits, IV and central line management, and advanced wound care including VAC therapy.
Developed individualized care plans, conducted medication education and teaching, and completed home safety evaluations and emergency preparedness planning.
Collaborated with interdisciplinary teams (PT, OT, MSW, physicians) and community resources to streamline transitions of care and reduce risk of re-hospitalization.
Maintain timely, accurate documentation and communicate clinical status to families and payers to ensure continuity of care.
Registered Nurse
North Shore Medical Center
Salem, MA
10.2016 - 05.2017
Provided nursing care for 4-5 patients on a busy medical unit, assessing, treating and observing patients with chronic and acute illnesses. Continuing to implement customized care plans, with a strong understanding of treatment protocols within the hospital setting. Helping patients to achieve healthcare goals, through teaching and clinical assessments.
Registered Nurse
Colonial Rehab and Nursing Center
Weymouth, MA
09.2014 - 10.2016
Provided nursing care for up to 12 patients on a sub-acute unit, as well as secured dementia unit, implementing customized care plans and treatment protocols, responding to time-critical medical issues. Monitored patient progress to fully meet therapeutic goals including clinical assessments, symptom management and medication administration.