Proficient and caring nursing team member offering 10 years of patient-facing experience. Addresses patient needs with compassionate care and attention to detail. Diligent about maximizing satisfaction, safety and wellness while serving patients of all backgrounds.
Provides complete patient assessment, including vital signs and pre-examination procedures. Gathers and assesses objective and subjective data from the patient. Documents data and assessments in the patient record. Used athen computer health information technology to ensure standard documentation, coding, and completion. Assists the providers in all aspects of the consultation, treatment, procedures, and follow-up care. Patient health counseling and instruction, including meeting with families and caregivers. Triage of calls for urgent appointments, referrals for patient consults and testing, insurance pre-certification, and documentation. Give vaccinations, administer medications.
Responsible for all medications and administering medications within the building. Planning and teaching health to individuals served. Completing incident/accident reports and reporting to individuals home. Responsible for overseeing individuals self-medication program. Administering first aid and notifying home. Responsible for in-services incluidng CPR training for staff, infection control, blood borne pathogens, DSP training, etc. Respond to all codes within the building. Maintain client charts. On call for all Chamness Care CILA homes. Communicate with homes and guardians about individuals medical needs.
Provides complete patient assessment, including vital signs and pre-examination procedures. Gathers and assesses objective and subjective data from the patient. Documents data and assessments in the patient record. Used athen computer health information technology to ensure standard documentation, coding, and completion. Assists the providers in all aspects of the consultation, treatment, procedures, and follow-up care. Patient health counseling and instruction, including meeting with families and caregivers. Triage of calls for urgent appointments, referrals for patient consults and testing, insurance pre-certification, and documentation. Give vaccinations, administer medications.
Prepared and administered controlled substances via oral, sublingual, intradermal, sub-Q, topical, and inhalation routes, and served as key holder of the drug inventory and supply. Performed functional assessments and physical examinations for patients upon admission and discharge and reported changes in patient condition to ensure that issues requiring immediate attention were addressed. Established and maintained open lines of communications between healthcare team and patient families.
Documented and maintained patient medical history and treatment data. Implemented treatment plans at direction of physicians and appropriate consultants. Provided assistance with patient needs assessments on a regular basis. Administered medications orally, subq, IM, transdermal. Assisted with admissions, appointments, transfers, and discharges.
High volume medication administration utilizing Bar Code Medication Administration system, wound care, contributing to the plan of care, documenting care in the electronic medical record, direct patient care needs with use of lifting equipment. Critical thinking skills, highly satisfactory interpersonal and communication skills, flexible and able to adapt to manage assignment changes and changing work priorities.