Celeste Fields-Shelton

• Organize and manage quality care for patients with heart failure, end-stage renal disease and coronary artery disease from admission to discharge undergoing various therapies and procedures.
• Collaborate with physician to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Monitor patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Monitored patient reactions to drugs and carefully documented findings.
• Review post-operative orders and continuously monitored patients' post-operative vitals.
• Advise patients and caregivers of proper wound management, discharge plan objectives, safe medication use and disease management.
• Secure controlled narcotics and distribute medication on schedule to meet patient needs and minimize misuse opportunities.
• Audit charts and review clinical documents to verify accuracy.
• Administered oral, IV medications and treatments to patients while simultaneously monitoring responses.
• Updating patient charts with data such as medications and diagnoses to keep records current and support accurate treatments.
• Keep optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads.
• Train new nurses in proper techniques, care standards, operational procedures and safety protocols.
• Manage 10-20 patient calls per day for pre-op instruction and 48 hr follow up.

• Performing care and support to individuals recovering from acute incidents and stabilizing existing comorbidities.
• Accurately documenting of all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care.
• Continuous observation of patient condition with physician notification of patient reaction to drugs, treatments and any significant incidents.
• Facilitates therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Observed patient condition and notified physician of patient reaction to drugs, treatments and significant incidents.
• Detected, monitored and attempted to prevent complications associated with health situations or treatment plans.
• Cared for patients in 40 bed unit, supporting fellow nurses in delivering outstanding treatment to patients.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Advocated for and strived to protect health, safety and rights of patient.
• Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
• Monitored patient reactions after administering medications and IV therapies.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Equipped patients with tools and knowledge needed for speedy and sustained recovery.
• Adhered to strict safety measures by carefully determining proper dosages before administering medications.

• Accomplished daily telephonic employee Covid-19 symptom assessment and evaluation for testing and subsequent CDC based case management of treatment protocols, client MD evaluation/documentation (client provided) with subsequent monitoring of successful symptom abatement and protocol fulfillment subsequent to expedition of return to work status.
• Maintained protection of employee privacy through confidentially of patient information.
• Performed daily patient education per inquiry in addition to infection control measures including pre/post testing.
• Employee advisement of contact numbers re:hospital based insurance re: short/long term and health department for family/friends.

• Established successful implementation of Covid-19 screening and infection control protocols of Georgia Cancer Center- Emory Oncology clinic clients.
• Monitored and provided proper storage and maintenance procedures of screening equipment and supplies.
• Recorded physical and mental signs and symptoms simultaneously maintaining patient information in alignment with standard protocols and HIPPA policies.

• Performed infusion treatments 5-10 of 30 patients - oral, IV, subcutaneous or intramuscular chemotherapy simultaneously evaluating treatment response.
• Enacted patient privacy and safety measures, including two nurse dose/protocol review per treatment prior to infusion along with protocol prioritization.
• Collection and documentation of subjective/objective client assessment data.
• Performed daily patient education with specific pre/post treatment review and take-home materials.
• Daily review of comprehensive services inclusive of skilled initiation, judgment, problem-solving and decision making abilities.
• Attended continuing education programs providing training and knowledge enhancement in current medical/emergent trends and practices.
• Performed administrative support telephonically re: patient concerns, inquiries, expedition of pharmacy request/problem resolution and financial reconciliation and application.

Responsible for delivering specialized clinical care per 485/POC including:

• Performed individual daily ventilator based therapy outlined per MD and care protocol - LTV 1150, 950, Trilogy.
• Provided multi-faceted wound care regimens - pressure ulcers.
• Performed daily client tracheostomy management - change, clean, assess fit and communicated additional care needs to respiratory therapist.
• Performed central line maintenance, IV antibiotics administration and PICC line blood draw.
• Performed client specialized specimen handling - vancomycin draws and lab delivery.
• Assessed patients, evaluated nursing practices, processes and results while recommending additional treatments to supervisor/MD to improve patient outcomes.
• Used EHR software to track patient status, treatments and outcomes while maintaining complete data confidentiality in compliance with HIPAA regulations.
• Evaluated patient progress and responses to various treatments

• Performed 99.9% overturn of denials and facilitation of authorizations under Continuity of Care by submitting supportive clinical documentation to include referrals, skilled care notes, treatment plans or other required correspondence.
• Carefully review medical records for accuracy and completion as required by insurance companies.
• Increased recovery of thousands of dollars in revenue from skilled services rendered - ie sought completion of poorly written/incomplete nursing documentation, ensure OASIS completion/MD sign-off.
• Removed Identified barriers to receiving reimbursement while validating accurate HHC information for submission and review.
• Comprehensive monthly review of past client services subsequently reducing number of under/unpaid accounts.
• Efficiently perform insurance verification and pre-authorization functions.

• Provided systematic patient health education and symptom management reviews related to diabetes and heart failure establishing goals of optimal self management including admission reduction/avoidance.
• Managed 25-30 calls per day.
• Utilized strong assessment skills to determine additional patient care. goals.
• Daily use of visual food charts with portion sizes to help patient implement measures for goal attainment.
• Completed 1000 hours of clinical work in diabetic education.
• Performed MD ordered plan of care re: medications and dietary protocols.
• Established communication with MD when indicated.

• Care coordination subsequent to hospitalization including pre-authorizations and utilization management.
• Collected and analyzed chart data to establish appropriate diagnoses, patient issues and recommendations for additional skilled care inclusive of treatment time frame evaluation under directors' review.
• EHR verification of patient data re: insurance, demographics, medical history.
• Performed 30 chart reviews daily providing identification of incomplete or inaccurate patient data.
• Established seamless coordination intra/interdepartmentally including external affiliates.
• Utilized classification manuals for proper ICD-9/10 CM coding.
• Communicated effectively with staff, patients and insurance companies by email and telephone.

• Team member of newly piloted ACO program launched with Montefiore Medical Center.
• Performed all aspects of care planning and case management with protocol driven patient contact, clinical record documentation simultaneously evaluating progress with goal establishment.
• Establish comprehensive care coordination daily for 10-20 patients daily utilizing computerized chart reviews developing case summaries and plans of action via daily systematic case evaluations.
• Case evaluations to include: utilization review, interventions, providers/member telephone encounters with electronic medical record updates according to documentation and treatment protocols.
• Patient evaluations rendered increased personalized goal attainment rendering first year 7% reduction in care of 23,000 ACO patients re: reduced MD visits, ER overuse/admissions sustained by attainable clinically based research protocols providing treatment supported by clinical models.

• Monitored and cared for homebound vented and G-tube pediatric patients.
• Maintained optimal functioning of equipment, chart updates, monitored supplies.
• Administered oral, IV and intramuscular medications providing surveillance, evaluation and documentation of clinical response and new concern management.
• Collaborated with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Communicated patient information to shift nurse for care continuity.
• Demonstrated ability to advocate for and protect health, safety, and rights of patient.

• Provided nursing care to assigned unit of 100 Bed facility for chronic and rehabilitative care of largely geriatric population.
• Assigned to medication administration and wound care for 27-35 patients daily.
• Facilitated maintenance of essential equipment - feeding pumps, oxygen tanks, suction machines, blood sugar meters and pulse oximetry and documentation of associated logs.
• Resolved conflicts and negotiated mutually beneficial agreements between parties ie patients and patient -management concerns.

• Managed daily caseload of 40 clients, providing education, treatments, gravity IV therapy, urinary catheterization, wound care, oxygen and medication administration.
• Managed team of medical support personnel.
• Established floor assignments via staff floor evaluation.
• Provided quality documentation with nursing care practices that parallel established protocols.

• Worked as Patient Educator on Hand held Coagulation systems (Coaguchek XS and Hemosense).
• Provided daily health education training for 3-8 manhattan based patients on use of two different highly technical precision instruments for home Prothrombin time/INR monitoring.
• Assessed and documented patient condition, progress, medication responses, side effects and related issues requiring variances in POC.
• Provided daily continuity of care via physician/lab communications deriving well-coordinated treatments increasing patient adherence to effective therapeutic INR ranges.

• Performed direct patient care for 35-40 patients per shift according to policy in 260 bed facility.
• Performed patient assessment and clinical tasks with medication administration inclusive of wound and G-tube care.