Carrie Nelson

PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Utilizes approved screening procedures to evaluates patient's level of care and recommends observation or inpatient status.
2. Manages the initial admission process through all emergency rooms including free standing EDs associated with Henry Ford Health System,

a. Clarify orders with ED physicians and mid-level providers to ensure appropriate placement of patients.
b. Provides medical review to Physician Advisors using InterQual criteria, for determination of level of care when review is different from the ER provider's orders.
c. Notifies insurance provider of admission according to One Henry insurance grid.
3. Reevaluates ED admissions who have been boarding in the Emergency Department for 18 or more hours to assess potential changes in level of care. Facilitates change
in order and retargeting of most appropriate unit based on medical criteria.
5. Completes documentation according to departmental guidelines.
6. Identifies, reports and resolves actual and potential delays in service and inappropriate use of resources.
7. Identifies the most appropriate target unit for patients based on hospital guidelines, admission order, and patient presentation. Communicates with Transfer and Bed Planning teams regarding target unit needs and bed assignments.
9. Understands and maintains productivity expectations.
10.Educates healthcare professionals regarding initial screening criteria, recommended patient level of care status, utilization of resources and government regulations that impact the delivery of care.
11.Supports and collaborates with clinicians to ensure safe and timely transfers.
12.Participates in the orientation and training of on-boarding SC3 staff.
13.Participates in activities to promote own continued learning and professional growth.

Continuous Quality Improvement
1. Participates in the development, implementation and ongoing evaluation of policies, processes and procedures related to Access functions and outside departments, to assist in process improvement to ensure the meeting or improvement of
organizational goals.

2. Participated and led Employee Engagement Committee 2017-2019
3. Assesses and evaluates new or revised systems which support the department’s goals and objectives.
4. Documents notable events for follow-up and make recommendations for continuous improvement.
5. Maintains required documentation to support continuous improvement and performance metrics.

Certified Clinical Transplant Coordinator (CCTC)

• Coordinate case management for patient population with end stage heart failure and cardiac transplantation.
• Coordinated transplant patient and family education and support throughout pre-operative and post-operative processes.
• Optimized patient outcomes through meticulous pre-transplant evaluations and assessments.
• Collaborated with medical staff to develop individualized care plans for each transplant candidate.
• Developed strong relationships with referring physicians, fostering collaboration in patient care management.
• Served as an advocate for patients throughout their transplant journey, addressing concerns and providing support as needed.
• Ensured regulatory compliance by consistently reviewing and updating departmental policies and procedures in accordance with industry standards.
• Maintained detailed records of all transplant-related activities, ensuring accurate reporting to internal and external agencies.
• Upheld correct protocols for infection prevention and control
• Coordinate tests, procedures and consults for all patients to prepare and present the patient to transplant multidisciplinary team.
• Prepared laboratory specimens for testing, obtained results and notified patients of findings.
• Implemented quality improvement initiatives to optimize patient care and operational efficiency in transplantation services.
• Enhanced transplant coordination by streamlining communication among multidisciplinary teams.

Critical Care Registered Nurse (CCRN)

• Collaborated with multidisciplinary teams to develop and implement patient care plans.
• Assisted in advanced cardiac life support procedures and emergency interventions.
• Educated families on post-operative care and recovery processes for cardiothoracic patients.
• Precepted new hires on best practices in cardiothoracic ICU management.
• Enhanced patient recovery by implementing personalized care plans and closely monitoring progress.
• Reduced complications by diligently assessing patients for early signs of distress and initiating timely interventions.
• Contributed to the development of unit policies and guidelines by actively participating in departmental meetings, providing valuable insights from front-line experience.
• Promoted safety culture within the unit by adhering to infection control protocols, reporting incidents promptly, and participating in ongoing staff education programs.
• Administered IV medications, blood products, and other critical therapies as prescribed by physicians.
• Demonstrated adaptability in crisis situations by effectively prioritizing tasks and coordinating with team members during emergency patient care.
• Participated in quality improvement initiatives aimed at reducing hospital-acquired infections within the ICU setting.

• Responsible for :
• planning/implementing care on a 44 bed med-surg unit specializing in patients with chronic renal failure and renal transplants
• manage staffing and assignments in charge nurse role
• Administered medications and monitored vital signs to ensure patient safety and comfort.
• Collaborated with healthcare team to develop and implement individualized care plans.
• Facilitated training sessions for new nursing staff on hospital protocols and procedures.
• Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
• Assessed physical, psychological, physiologic, and cognitive status of patients.
• Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
• Acted as a patient advocate, ensuring their needs were met and their rights protected throughout their healthcare journey.
• Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
• Participated in regular staff meetings to share best practices, address challenges, and foster collaboration among team members.
• Promoted a culture of safety by strictly adhering to infection control measures and reporting any potential hazards or concerns.
• Monitored patient reactions after administering medications and IV therapies.
• Educated family members and caregivers on patient care instructions.
• Implemented care plans for patient treatment after assessing physician medical regimens.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• 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.
• Worked with healthcare team to develop new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability.
• Developed and implemented care plans in collaboration with multidisciplinary teams.
• Facilitated communication between patients, families, and healthcare providers to support care decisions.
• Promoted a safe working environment by adhering to infection control policies and regularly reviewing safety protocols.
• Contributed significantly towards Joint Commission accreditation compliance through regular audits, staff education and process improvement recommendations.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.