ELIANA SCHUTTE, RN, CHPN

• Planned, prioritized and provided nursing care by applying advanced specialty clinical nursing knowledge and skills to support comfort and safety of patients and families.
• Developed strong relationships with colleagues across departments, fostering a collaborative work environment that enhanced overall patient care delivery processes.
• Managed multiple tasks simultaneously while maintaining a high level of attention to detail under pressure during busy shifts in the ER department.
• Increased efficiency within the triage system by prioritizing cases based on severity levels.
• Observed and recorded signs, symptoms, behaviors and physiological status of patient.
• Enhanced patient care by conducting thorough assessments and developing individualized nursing plans.
• Coordinated discharge planning processes effectively resulting in a smoother transition for patients back into their communities.

Starting peripheral IV’s and administering infusions per order. Monitoring patient’s vital signs throughout infusion and ensuring patient safety and comfort.

• Collaborated with multidisciplinary team to evaluate patient data and determine patient care plans.
• Monitored patients, evaluated results and recommended further courses of treatment to quickly improve patient outcomes.
• Circulating nurse on a three-person team. Able to pre-op, circulate and recover heart cath patients.
• STEMI team leader
• Chest Pain Coordinator
• Administered nursing care to cardiac patients undergoing diagnostic, therapeutic or emergency services.
• Administered diagnostic angiograms, injecting intravenous dye for x-ray examination and using catheters to introduce tools needed for medical treatments.
• Performed fractional flow reserve tests to measure blood pressure and diagnose severity of restriction at blocked areas within arteries.
• Treated plaque buildup within arteries with angioplasty balloon procedures.
• Supported healthcare team by maintaining responsibility for electrocardiogram monitoring, defibrillation and cardio rehabilitation training.
• Installed bare metal, drug-eluting and bioabsorbable stents throughout vascular system.
• Educated family members and caregivers on patient care instructions.
• Supported physicians throughout introduction of medical devices and vascular closure with collagen plugs and stitches.

• Reduce hospital admissions and associated costs
• Improved quality of care, quality of life and patient experience
• Support people with heart failure to manage their condition
• Bridge the interface between PCP, secondary and tertiary care to facilitate and improve communication and integration of patient management
• Provide HCP's with a professional contact acting as a link to other specialist services and identifying when other services are recommended
• Provide education to, and upskill, care teams in the management of heart failure patients
• Providing direct care to patients including nursing assessments, medications and holistic consideration.

• Business development liaison that has consistently created new relationships with hospitals, specialty doctors, SNF's, ALF's, and memory care facilities.

• Provided ELNEC based education to nurses, social workers, and physicians on identifying and caring for patients in the last six months of their lives.

• Teaching communication skills to healthcare professionals on how to have difficult conversations with patients and their at end of life.
• Driven census from 10 to 30 in six months.

• Tightened financial stewardship into profit for Austin, bringing them into profit and creating substantial savings by making operational changes to clinical supplies, vendors and pharmacy.
• Oversaw regulatory process
• Maintained clinical skills by carrying case load and taking on call with my team
• Built an engaged, patient-focused team through committed, high-touch, transparent leadership
• Census growth achieved through partnering with marketing team to ensure a clinical presence for key accounts.
• Implemented innovative team procedures to improve patient satisfaction and education
• In 9 month period, only 1 patient complaint - record patient satisfaction results
• Improved infection rates from 32% to less than 1% through continued education and supervisory visits.

• Designed and Implemented in-patient Palliative Care Program from ground up to care for chronically and terminally ill patients.
• Consultation service to assist physicians with ensuring aggressive symptom management, reviewing polypharmacy, and providing 'goals of care' talks with patients. Engaging hospice referrals, when appropriate.
• Ensuring the appropriate level of care - moving patients out of ICU into appropriate beds, keeping patients in the ED from getting admitted, when appropriate.
• Developed software and financial tracking program to monitor and quantify results in conjunction with IT.
• Created a culture of collaboration between departments for this new service.
• Created a culture of collaboration between departments for this new service.
• Rounded on patients to ensure maximum symptom management
• Provided ELNEC based education to ICU nurses physicians to ensure maximum care to patients to include pain and symptom management in non-verbal patients and cultural and spiritual considerations at end of life.

This hospice was a not-for-profit, community supported hospice that we took from 12 patients to over 300 as we managed the merger to the Harvard group of hospitals in Boston.

• Created a private pay Hospice residence with 24/7 nursing care, housekeeping services, pet therapy, massage, Reiki, and music thanatology.
• Developed vigil service run by hospice volunteers to ensure no one dies alone.
• Developed a Heart Play program to support children and teens with bereavement pain to include a summer camp and weekly, age-appropriate workshops and groups.
• Developed community palliative care program to assist patients receiving curative treatments to have aggressive symptom management to ensure every day is the best it can be.
• Established strategic relationships with Boston-based hospitals, skilled nursing facilities and assisted living facilities to promote community awareness and grow census
• Provided ELNEC training to interdisciplinary team on symptom management, pain management, ethics and end of life care
• Raised patient satisfaction scores to 95%
• Direct care of terminally ill and patients with advanced illnesses requiring aggressive palliation
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.

• Spaulding Hospital is a 132-bed long term acute care teaching hospital
• Director of two units: Traumatic Brain Injury Unit and Oncology Unit
• Contributed to the development and research for the Nationwide Prestigious Disorders of Consciousness Program.
• Co-authored an early decannulation project in conjunction with Director of Respiratory Care to achieve better respiratory outcomes in TBI patients.
• Developed an early intervention sepsis protocol for Spaulding Hospital to ensure rapid identification and appropriate interventions for patients with early signs of sepsis
• Developed an aggressive skin care assessment protocol that resulted in 47% reduction in HAPU and DPH reporting.
• Increased patient satisfaction scores to 92% on TBI unit and 94% on oncology unit.
• Educated staff and empowered them to perform service recovery Promoting staff education and development.
• Founding Member of the Code Blue Team
• Provided Direct care of brain injured patients in step down unit
• Chaired the Nurse Education Council, that was formed to identity issues throughout the hospital and create and implement solutions in an inter-disciplinary, collaborative approach.

• Hospice of the North Shore and Greater Boston is the largest not-for-profit hospice in Massachusetts
• Managed 30 direct reports and detected and tparticipated in direct patient care.
• Improved patient satisfaction scores from 77% to 89%
• Chaired QAPI committee and new nurse education committee
• Helped to develop the outpatient/community palliative care program that served over 300 patients in its first year.
• Managed census of over 280 patients

• Haven Hospice is Florida's most compassionate provider of hospice services and end of life care for Florida residents
• Managed office of RN's, Nurse's Aides, Front Office Staff and Administrative Staff and Marketing Staff
• Worked in an interdisciplinary care setting to teach and mentor patient care personnel
• Coordinated all interdisciplinary functions and ensured that patient and families needs were met
• Participated in the on-call rotation as necessary
• Provided direct care for patients and participated in on-call rotation
• Led QAPI team to ensure best patient outcomes

• Responsible for all new business and negotiating trade contracts.
• Secured 70,000 competitive hotel, motel and resort contracts for HotStays.com (HotStays.com is wholly owned by International Web Media, LLC).
• Negotiated exclusive contract with Dodge Viper for sponsorship.
• Developed ongoing superior consultative relationships with client base.
• Hired, trained and managed a staff of 20.
• Extensive copywriting and editing.

• Responsible for staffing, training and mentoring new staff and student nurses.
• Direct Patient Care on 22-bed unit on cardiac step down patients
• Established and continuously optimized unit schedules and individual work assignments.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
• Took samples such as blood and urine to complete diagnostic and routine assessment tests.
• Implemented effective strategies and care plans to improve patient outcomes and meet recovery objectives.
• Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
• Maintained in-depth understanding of individual patient care plans.
• Member of Hospital wide code blue team

• Internal rotation in critical care departments ICU, ED, Trauma and First Responder
• Managed most critically ill patients in the London area
• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability.
• Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
• Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
• Changed out tracheostomies, gastrostomy buttons and catheters regularly to prevent infection or other problems.
• Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities.
• Performed triage on all incoming patients and determined severity of injuries and illnesses.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.