Hi, I’m
ASHLEY JAMES MBA, BSN, RN
Jarrettsville,MD
Summary
Highly skilled and enthusiastic professional with more than 5 years of experience managing operations in patient-centric medical environments. Successfully oversee human resources, budgeting, supply management, and patient services. Develop and lead productive and efficient office and clinical staff. Well-versed in the pharmacy environment supporting pharmacy services in regulated and unregulated spaces. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
10
years of professional experience
1
Certification
1
year of post-secondary education
Work History
Johns Hopkins Care At Home
Infusion Nursing Operations Manager
06.2022 - Current
Job overview
- Nursing support under pharmacy services
- Enforced compliance with pharmacy regulations and maintained up-to-date records of all medications dispensed.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Analyzed and reported on key performance metrics to senior management.
- Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
- Reduced operational risks while organizing data to forecast performance trends.
- Supervised hiring, training and development of nursing and ancillary staff
- Manage 30 nursing staff and assistants caring for infusion specialty patients
- Manage budget.
- Manages Intake staff consisting of nurses, liaisons, and schedulers to ensure proper referral and intake workflow
- Assess performance of nursing staff and build educational initiatives to enhance competency of teams and individual professionals at clinical and operational levels
- Establish and maintain positive relationships with residents, physicians, hospital staff, patients and families
- Conduct probationary and annual performance evaluations of all nursing staff
- Mentor and coach nursing staff, listening to concerns and providing counsel
- Oversee nursing operations for continuous population averaging 500 visits per month
- Engaged in quality control, reviewing charts for accuracy on daily basis
- Engaged in business growth, building relationships with external stakeholders establishing new workflows to meet needs of all stakeholders
- Provide strong leadership and guidance to nurses
- Delegate clinical and managerial responsibilities to staff where appropriate
- Organized department in accordance with administrative guidelines in order to provide specified nursing services to meet legal, organizational, and medical staff guidelines
- Pursue opportunities and leverage expertise to optimize patient care, improve outcomes, and optimize performance of nursing team members
- Led staff meetings to keep team informed of departmental changes and provide opportunities for nurses to share ideas and concerns.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Developed and implemented quality improvement initiatives to provide the best possible patient care and identify and address areas of concern.
- Developed systems and procedures to improve operational quality and team efficiency.
- Managed inventory and supply chain operations to achieve timely and accurate delivery of goods and services.
- Led hiring, onboarding and training of new hires to fulfill business requirements.
- Developed and maintained relationships with external vendors and suppliers.
- Directed initiatives to improve work environment, company culture or overall business strategy.
University Of Maryland Upper Chesapeake Medical Center
Interim Clinical Nurse Manager 3 East Cardiopulmonary Unit
08.2021 - 06.2022
Job overview
- Supervised hiring, training and development of nursing and ancillary staff
- Managed over 80 nursing staff and assistants caring for med/surge patients
- Completed daily rounds of nursing department while upholding acceptable nursing standards
- Evaluated performance of staff nurses, contributing to professional development
- Collaborated with department managers to correct problems and improve services
- Assessed performance of nursing staff and built educational initiatives to enhance competency of teams and individual professionals at clinical and operational levels
- Successfully recruited PCTs and RNs in highly competitive market
- Established and maintained positive relationships with residents, physicians, hospital staff, patients and families
- Conducted probationary and annual performance evaluations of all nursing staff
- Mentored and coached nursing staff, listening to concerns and providing counsel
- Memorized and responded to crisis codes
- Contributed to nursing assessments, certified nursing assistant training and orientation programs
- Manage 61 FTEs
- Oversee nursing operations for 30-bed med/surge telemetry unit
- Attended facility education workshops and programs
- Engaged in quality control, reviewing charts for accuracy on a daily basis
- Maintained quality care systems, standards and HIPAA confidentiality
- Provided patients and loved ones with information about conditions, treatments, possible outcomes and at-home care
- Conferred with physicians during rounds, advised each on condition of patients and coordinated necessary diagnostic assessments to accomplish patient care goals
- Implemented OSHA and WISHA biohazard safety training and prevention programs for staff
- Provided strong leadership and guidance to nurses
- Delegated clinical and managerial responsibilities to staff
- Organized department in accordance with administrative guidelines in order to provide specified nursing services to meet legal, organizational and medical staff guidelines
- Pursued opportunities and leveraged expertise to optimize patient care, improve outcomes and optimize performance of nursing team members
- Manage budget.
University Of Maryland Upper Chesapeake Medical Center
Clinical Nurse Manager Clinical Decision Unit
11.2020 - 06.2022
Job overview
- 9 bed observation unit for patients undergoing a short term stay under 24 hours
- Additional 20 FTEs
- Monitor conversion rates of our observation patients to inpatient status
- Monitor throughput for that unit regarding patient classes
- Manage the budget.
- Interacted effectively with department managers to promptly correct problems and improve services.
- Evaluated nursing staff's performance and developed education programs and professional development opportunities to improve individual and team competencies, clinical knowledge and delivery of care.
- Supervised professional and paraprofessional nursing staff and delegated tasks to maintain continuum of care.
- Fostered improvement in staff development, personnel training, and standards of patient care.
- Introduced initiatives based on staff education, infection control audits, safe medication administration and proper wound care to achieve unit and facility goals.
- Coordinated departmental operations according to administrative, legal and medical guidelines.
University Of Maryland Upper Chesapeake Medical Center
Clinical Nurse Manager 1 West Med/Surg
10.2019 - 06.2022
Job overview
- Supervised hiring, training and development of nursing and ancillary staff
- Identified physical, emotional and social needs of patients during daily planning and addressed critical issues immediately
- Oversaw primary care, case management and medication management
- Managed over 80 nursing staff and assistants caring for med/surge patients
- Completed daily rounds of nursing department while upholding acceptable nursing standards
- Evaluated performance of staff nurses, contributing to professional development
- Collaborated with department managers to correct problems and improve services
- Assessed performance of nursing staff and built educational initiatives to enhance competency of teams and individual professionals at clinical and operational levels
- Successfully recruited PCTs and RNs in highly competitive market
- Established and maintained positive relationships with residents, physicians, hospital staff, patients and families
- Conducted probationary and annual performance evaluations of all nursing staff
- Mentored and coached nursing staff, listening to concerns and providing counsel
- Memorized and responded to crises codes
- Contributed to nursing assessments, certified nursing assistant training and orientation programs
- Manage 45 FTEs
- Oversee nursing operations for 26-bed med/surge unit with staff of 85
- Attended facility education workshops and programs
- Engaged in quality control, reviewing charts for accuracy on a daily basis
- Maintained quality care systems, standards and HIPAA confidentiality
- Provided patients and loved ones with information about conditions, treatments, possible outcomes and at-home care
- Conferred with physicians during rounds, advised each on condition of patients and coordinated necessary diagnostic assessments to accomplish patient care goals
- Implemented OSHA and WISHA biohazard safety training and prevention programs for staff
- Established Hand Hygiene program to achieve organizational goals and enhance overall operations
- Provided strong leadership and guidance to nurses
- Delegated clinical and managerial responsibilities to staff
- Organized department in accordance with administrative guidelines in order to provide specified nursing services to meet legal, organizational and medical staff guidelines
- Pursued opportunities and leveraged expertise to optimize patient care, improve outcomes and optimize performance of nursing team members
- Manage budget.
University Of Maryland Upper Chesapeake Medical Center
Clinical Nurse Manager Covid Cohort Unit
03.2020 - 06.2020
Job overview
- Opened a new Biohazard Containment Unit containing 10 beds during a pandemic
- Created protocols and policies following CDC guidelines
- Supervised hiring, training and development of nursing and ancillary staff
- Established workflow routines for nursing and ancillary staff following CDC guidelines
- Oversaw primary care, case management and medication management
- Identified physical, emotional and social needs of patients during daily planning and addressed critical issues immediately
- Identified physical, emotional and social needs of the staff during their shifts in an enclosed BCT
- Collaborated with department managers to correct problems and improve services
- Oversaw nursing operations for 10-bed Biohazard Containment Unit
- Supervised daily nursing activities and general operations while delivering exceptional care and building solid nursing teams for a pandemic response
- Implemented OSHA and WISHA biohazard safety training and prevention programs for staff.
- Oversaw training, staffing, and education of all nurses and ancillary staff.
- Fostered improvement in staff development, personnel training, and standards of patient care.
University of Maryland Medical Center
Charge Nurse, Surgical Intensive Care Unit
10.2017 - 10.2019
Job overview
- Charge Nurse of a 24 bed Intensive Care Unit
- Supervised and managed daily scheduling, tasking, and administration.
- Conducted daily shift briefs to inform staff of changes in patient care assignments.
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
- Created assignments according to acuity and safety of the nurses and acute care expertise
- Strong clinical judgment
- Rounded on 24 patients with providers to ensure excellent quality of care
- Patient and family advocacy
- Collaborated with doctors and staff members to ensure quality care
- HIPAA education
- Educated family members and caregivers on patient care instructions
- Surgical ICU expert identified unit areas of inadequacy and adjusted procedures Team leadership accordingly
- Self-motivated trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety
- Oversaw delivery of care for all patients on 24-bed surgical intensive care unit, providing direct care to up to 2 patients when delegating Education, nursing assignments and supervising team comprised of nurses, LPNs, technicians and unit clerks.
University of Maryland Medical Center
Registered Nurse, Surgical Intensive Care Unit
05.2016 - 10.2019
Job overview
- Cared for the Surgical patient in a critical care/intensive care unit
- Proficient in caring for pre and post-transplant patients, hemorrhagic shock, lumbar drains, EVD, Sepsis, GI bleeds, Pancreatitis, Peritonitis, Cardiogenic Shock, AKI, Acidosis, Airway management, Ventilators, Tracheotomies, and Proning
- Evaluated vitals and presenting symptoms to understand and properly treat conditions
- Updated patient charts using EPIC, including adding new and existing medications, to keep records current and support accurate treatments
- Collaborated across disciplines to give every patient optimal care and ACLS support
- Delivered medications via oral, IV and intramuscular injections
- Observed and reported patients' condition, progress and medication side effects to accurately document for future reference and review by other care team members
- Fostered strong relationships with patients and colleagues, leveraging feedback and identifying opportunities to improve delivery and quality of care
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle management
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies
- Worked with patients, family, caregivers and primary care physicians to create individualized plans of care and coordinate care
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions
- Implemented interventions, including medication and IV administration, wound care, ostomy care, catheter insertion and airway management
- Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities
- Provided direct patient care, stabilized patients and determined next course of action
- Addressed disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability
- Review post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit to achieve optimal outcomes
- Strengthened training and nursing knowledge by taking part in continuing education programs and workshops
- Communicated with healthcare team members to plan, implement and enhance treatment strategies
- Collected blood, tissue and other laboratory specimens and prepared for lab testing
- Administered medications and treatment to patients and monitored response to treatments while working with healthcare teams to adjust care plans
- Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity
- Provided skilled, timely and level-headed emergency response to critically-ill patients
- Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention, chest tubes, lumbar drains, tracheostomies, and pain management.
Registered Nurse, Mount Washington Pediatric Hospital
04.2014 - 06.2016
Job overview
- Implemented interventions, including medication and IV administration, wound care, ostomy care, catheter insertion and airway management
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle management
- Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging to provide comprehensive care to over 4 patients daily
- Cared for patients in 50-bed unit, supporting fellow nurses in delivering outstanding treatment to patients
- Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities
- Evaluated vitals and presenting symptoms to understand and properly treat conditions
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems
- Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.
Education
Eastern University
MBA
10.2022 - 08.2023
University Overview
- Summa Cum Laude
- GPA: 3.85
- Honor Society - Walden University Chapter
Walden University
Bachelor of Science
University Overview
- Summa Cum Laude
- Honor Society- Sigma Theta Delta
- GPA 3.95
The Community College of Baltimore County, Catonsville
Associate of Science in Nursing
University of Maryland School of Nursing
Nurse Leadership Institute
06.2021
Skills
- Budget oversight and management
- Staff Leadership
- Utilization Management
- Staff Supervision
- Hiring and Terminations
- Deadline Management
- Work Planning and Prioritization
- Multitasking and Organization
- Quality Improvement
- Policy Development
- Quality Assurance
- Corrective Action Implementation
- Patient Care
- Clinical Supervision
- Staff Coaching and Mentoring
- Task Delegation
- Patient Counseling
Certification
- BLS
- ACLS
- Ultrasound for peripheral IV placement
- CRRT (Continuous Renal Replacement Therapy)
Acknowledgements
- Member of INS
- Member of NHIA
- Developed a Supply Committee and workflow that has facilitated cost savings and an organizationally streamlined procedure in product requests and procurement
- Developed streamlined job descriptions to align within the organization
- Developed SOPs and procedures that meet evidence-based practice
- Initiated Hand Hygiene pilot in guidance with Leapfrog that is now facility-wide with board approval
- Created Code Role Tool for facility
- Member of Hospital-Based Resuscitation Committee
- Member of COVID-19 Incident Command, facility-based
- Member of UMMS System Level Council for Inpatient Vaccination
- Co-lead inpatient vaccinations at the local/facility level
- Developed and opened first Biohazard Containment Unit for the facility
- Graduated from MHEI Management Boot Camp
- Graduate of Nurse Leadership Institute
- Vancomycin Workgroup
- Nursing UDC System Level
- Informatics Steering Committee Facility Level
- Medication Reconciliation Committee Facility Level
- Fall Prevention Community of Practice System Level
- Resuscitation Committee Facility Level
- Life Committee Facility Level
- Developed Oxygen Gauge Tool Facility - Rapid Improvement Process
- Ethics Committee
- Patient Experience Steering Committee
- DEI Committee
Timeline
Eastern University
MBA
10.2022 - 08.2023
Infusion Nursing Operations Manager
Johns Hopkins Care At Home
06.2022 - Current
Interim Clinical Nurse Manager 3 East Cardiopulmonary Unit
University Of Maryland Upper Chesapeake Medical Center
08.2021 - 06.2022
Clinical Nurse Manager Clinical Decision Unit
University Of Maryland Upper Chesapeake Medical Center
11.2020 - 06.2022
Clinical Nurse Manager Covid Cohort Unit
University Of Maryland Upper Chesapeake Medical Center
03.2020 - 06.2020
Clinical Nurse Manager 1 West Med/Surg
University Of Maryland Upper Chesapeake Medical Center
10.2019 - 06.2022
Charge Nurse, Surgical Intensive Care Unit
University of Maryland Medical Center
10.2017 - 10.2019
Registered Nurse, Surgical Intensive Care Unit
University of Maryland Medical Center
05.2016 - 10.2019
Registered Nurse, Mount Washington Pediatric Hospital
04.2014 - 06.2016
Walden University
Bachelor of Science
The Community College of Baltimore County, Catonsville
Associate of Science in Nursing
University of Maryland School of Nursing
Nurse Leadership Institute
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