Carla Holder

Home Therapies RN -2019 to present

• Multitask efficiently to meet multiple task outcomes in a timely manner.
• Convey home treatment options to patients and caregivers in clear, easy-to-understand terms to assist with dialysis modality selection.
• Collaborate with Nephrologists, Access Surgeons, Social Workers, KCAs, and patients to ensure optimal and successful transition from chronic kidney disease to dialysis.
• Collaborate with clinical and non-clinical staff and other members of patient's health care team to develop individualized interventions to meet current needs.
• Participation and Oversight of education/ training and administration of Peritoneal dialysis and Home Hemodialysis in addition to assessing for learner readiness and completing home visits to ensure smooth transition.
• Utilize various teaching techniques to influence members to safely and confidently engage in their own care.
• Utilization of FMC4me and e cube clinicals automated healthcare database to perform duties, maintain records and prepare reports.
• Collaborate with Physicians and IDT to sustain quality standards by performing routine medication audits, timely lab reviews, and monitoring parameters that increase risk for hospitalization, therefore upholding internal and industry best practices.
• Maintain compliance with completion and presentation of Plans of Care, EQIP, QAI, and meeting minutes.
• Evaluate program processes and make recommendations to management that will improve effectiveness and efficiency of Home Therapies program.
• Utilize various algorithms, with MD orders as necessary, for Anemia Management, Bone and Mineral Metabolism, PTH control, and Nutrition needs.

Outpatient Hemodialysis Charge RN- 2008-2009

• Performed all aspects of hemodialysis treatments, assessments, water and emergency equipment checks, routine medication administration, staff and patient scheduling.
• Monitored patient reactions after administering medications and IV therapies.
• Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.

Corporate Nurse Consultant for Quality and Education- 2011-2017

• Oversight of 39 Dialysis facilities in 9 states with particular attention to Education, Quality, and Compliance.
• Assisted Operations Directors and Clinical Managers with CMS Surveys and completion of Plans of Correction, QAPI, staffing, and infection control and safety audits.
• Audited and governed compliance with clinical guidelines, Corporate Policy and Procedures, and State and Federal Regulations.
• Updated quality control standards, methods and procedures to meet compliance requirements.
• Followed quality standards and procedures to minimize errors and maximize customer satisfaction.
• Evaluated quality, performed assessments to identify issues and areas for improvement.
• Developed action plans for implementing appropriate interventions for resolution of issues and/or areas for improvement.
• Managed and archived quality documentation and participated in internal and external quality audits.
• "Go to" person for conflict resolution and management.

DCI Outpatient Dialysis Clinic Manager- 2010-2011

• Supervised, directed and motivated high-quality performance from nursing staff.
• Prioritized and distributed assignments and workload based on individual staff strengths and experience.
• Audited charts and reviewed clinical documents to verify accuracy.
• Provided direct patient care related to all aspects of hemodialysis.
• Administered medications via oral, IV and intramuscular injections and monitored responses.
• Charged with oversight and outcomes of Patient Care Plans, QAPI, and Governing Body.

DCI- Hospital Services Nurse Manager- 2009-2010

• Orchestrated quality-driven, cost-effective care in high-volume Acute Dialysis Departments for 7 Hospital Program.
• Evaluated skills of nursing personnel and verified staff certifications for validity.
• Administered Acute and Chronic hemodialysis, plasma pharesis, as well as, peritoneal dialysis in heavy Acute program.
• Engaged in meetings with CEO, Infectious Disease, Compliance Officer, among others, for strategic planning related to quality, interdepartmental cohesiveness, and Survey Readiness.
• Collaborated with Hospital Department Heads, Chief Medical Officer, Chief of Staff, Infection Control Officer, Quality Assurance Liaison, and Physicians regarding timing and necessity of procedures, justified vs. unjustified readmissions, reasonable cost per treatment, reimbursements, and contracted services.
• Maintained cohesive relationship with Vascular Access and Interventional Radiology Team for timely access placements and intervention for continuity of care.
• Achieved Deficiency Free Surveys after only 3 months of assuming responsibility of Hospital Program.

DCI- Acute and Chronic Hemodialysis Charge RN- 2008-2009

• Rotation between Hospital Acute Service and Outpatient Dialysis providing direct patient care related to hemodialysis, including medication administration, MD orders and completion of Care Plans.
• Oversight of compliance with company and clinic specific P&P, infection control, and patient safety.
• Monitored patient reactions to drugs and carefully documented findings.
• Updated quality control standards, methods and procedures to meet compliance requirements.
• Followed quality standards and procedures to minimize errors and maximize customer satisfaction.
• Managed and archived quality documentation and participated in internal quality audits.

• Managed patient care through closely monitoring respiration, blood pressure and blood glucose levels.
• Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
• Provided hemodialysis, peritoneal dialysis, and plasma pharesis treatments and assisted with CVC placement and removal procedures.
• Made valuable contributions to care-plan development and patient education processes backed by thorough research into client diagnoses.