Dynamic RN-CDS with a proven track record at Providence Health & Services, excelling in meticulous documentation and effective collaboration with multidisciplinary teams. Skilled in ICD 10 coding and patient advocacy, I leverage strong clinical judgment to enhance care quality and streamline processes, ensuring optimal patient outcomes in fast-paced environments.
Overview
21
21
years of professional experience
Work History
RN-CDS
R1 RCM
07.2024 - 01.2026
Utilized electronic health record systems for accurate documentation of patient information.
Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
RN-CDS
Providence Health & Services
10.2009 - 07.2024
Utilize electronic health record systems for accurate documentation of patient information.
Assisted in training new nursing staff on clinical procedures and policies.
Self-motivated, with a strong sense of personal responsibility.
Worked effectively in fast-paced environments.
Skilled at working independently and collaboratively in a team environment.
Proven ability to learn quickly and adapt to new situations.
Worked well in a team setting, providing support and guidance.
Demonstrated respect, friendliness, and willingness to help wherever needed.
Passionate about learning and committed to continual improvement.
Worked flexible hours across night, weekend, and holiday shifts.
Managed time efficiently in order to complete all tasks within deadlines.
Organized and detail-oriented with a strong work ethic.
Used critical thinking to break down problems, evaluate solutions, and make decisions.
Strengthened communication skills through regular interactions with others.
RN-PCU
Providence Health & Services
10.2004 - 10.2009
Administered patient care, ensuring adherence to safety protocols and best practices.
Collaborated with multidisciplinary teams to develop comprehensive care plans for diverse patient populations.
Mentored junior nurses, fostering professional development and enhancing team performance.
Conducted thorough assessments, accurately documenting changes in patients' conditions for timely interventions.
Educated patients and families on health management strategies, promoting adherence to treatment plans.
Utilized electronic health records systems for efficient documentation and communication of patient information.
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.
Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
Streamlined medication administration processes for increased safety and accuracy during busy shifts.
Managed patients recovering from medical or surgical procedures.
Education
Associate of Science - Nursing
SPSCC
Olympia, WA
06-2004
Skills
Exceptional attention to detail
Analytical thinking
Effective collaboration with physicians to improve documentation
ICD 9 and ICD 10 training
Analyzing medical records for accuracy, completeness, and identifying gaps in provider documentation
Writing clear, concise queries to physicians to clarify or add missing information to the medical record
Meticulous reviews of records to ensure accuracy
Ability to analyze complex clinical scenarios and identify trends in documentation
Prioritize records for review in a fast paced environment
Translating critical information into appropriate medical codes for billing
Staff RN Neuro/Surgical ICU at M Health Fairview- University Of Minnesota Medical CenterStaff RN Neuro/Surgical ICU at M Health Fairview- University Of Minnesota Medical Center