Deborah Foster, R.N.

• Assessed residents in a skilled care facility and I completed various assessments required by the state and federal government such as: Braden scales, Oral exams, Pain Assessments, Fall risk assessments, Side-rail/restraint assessments, Bowel and Bladder assessments, Foley catheter assessments, social determination assessments, and more. Most assessments were computer based and I had to input the data into our software. Some assessments were done on paper by hand.
• Completed the nursing portion of the Minimum Data Set assessment that is required by the state and federal government to obtain reimbursement for care provided to residents.
• I initiated the nursing portion of care plans and updated care plans for residents.
• Led and participated in resident care conferences with residents and their families/guardians/spouses/insurance managers/significant others along with the interdisciplinary team (Dietary Manager, MDS Nurse/Nursing, Diversional Therapy, Physical Therapy, Occupational Therapy, Speech Therapy, Social Worker, and Physician).
• Reviewed resident's ordered medications, made sure they had a proper diagnosis for use, and if they did not have a diagnosis or had a incorrect diagnosis, I had to submit a query to the MD to clarify. If medication errors were found during the review of medications, I would have to submit a medication error report and notify the D.O.N.
• I did not work as a floor nurse due to physical/medical limitations. I did, occasionally help feed residents, or assist with admission assessments, or assisted other MDS nurses to complete their assessments as needed.
• Occasionally assisted with in-services for Certified Nurses' Aides and other Nursing staff in regards to proper documentation/charting in relationship to the Minimum Data Set assessment, Activity of Daily Living charting, and other topics.

• As M.D.S. Coordinator/ Registered Charge Nurse, I assessed residents in an intermediate care facility and I over saw the completion of the Minimum Data Set and assessments needed by the state and Federal Government for reimbursement for resident care given to the residents.
• I scheduled and notified the Interdisciplinary Team of when M.D.S. assessments and other assessments were due.
• I completed the Nursing portion of the MDS assessment and locked and submitted the MDS data to the state and federal government.
• I initiated care plans and updated careplans with the interdisciplinary team.
• I completed various nursing assessments such as Braden scales, depression scales, self medication assessments, smoking risk assessments, pain assessments, restraint elimination assessments, pre-restraining assessments, tardive dyskinesia assessments, fall risk assessments, oral assessments, activity of daily living assessment, antidepressant medication effectiveness assessments, cognitive enhancer medication assessments, psychotropic medication assessments, self-medication assessments, bowel and bladder assessments, and many more.
• I led the care conferences that were held with the residents and the interdisciplinary team. If there were any concerns at these meetings, the interdisciplinary team would address them at these meetings.
• As Charge Nurse, I was in charge of the floor nurses and certified nurses on duty. I did rounds with physicians. I sometimes helped with treatments and activities of daily living for residents. I sometimes help note and transcribe doctor's orders. I was an ECS software administrator and trainer. I was also a RAVEN software administrator. At times I assisted in putting data in the computer for physician orders, medications, treatments, admitting information for face sheets. At times I was responsible for assessing resident's with illnesses, those who had falls, or had other issues and update the MD accordingly. I did assist with education/teaching needs to staff as needed. I did various documentation notes in the resident's charts. On occasion I did draw blood, change catheters, and other R.N. duties.

• I originally was hired as the Evening RN supervisor/Restorative Nurse and CENA instructor. I supervised the Evening shift nurses and Evening CENAs on duty. I taught the CENA classes in the facility. As Restorative Nurse, I worked closely with Physical Therapy, Occupational Therapy, Speech Therapy, the Nursing staff, and the interdisciplinary team to implement Restorative Programs that were put into place by the Therapy departments. I was in charge of making sure that the restorative programs were being followed through by the nursing staff and documented the progress of those resident's who were on restorative programs weekly in their charts. I did help with inservicing new staff and regular staff as needed. I did work the floor as needed under the duties of a skilled R.N.
• At a later date, I just taught the CENA class for awhile and then accepted a Day Shift Supervisor/Medicare Nurse job and did the CENA classes as needed. As the Day Supervisor/Medicare Nurse, I did doctor's rounds, completed Medicare assessments on resident's daily per state/federal guidelines and documenting my findings. I supervised the nursing staff and CENA staff on duty. I noted orders and inputted data into the computer software as needed. I called doctors in regards to concerns with resident's. I assessed resident's. I drew blood and obtained specimens. I filled in as floor nurse as needed and did R.N. skilled tasks such as starting IV's, providing tube feedings, dressing wounds, passing medications, and other tasks under the scope of a R.N.
• I continued to assist with orientation of new hires in the facility and providing inservicing/teaching/training as needed.

• As Charge Nurse I was responsible for directing and assisting with resident care. I supervised 3-4 CENAs a day. My many responsibilities included drawing blood specimens, teaching residents, implementing care for residents with burns, g-tubes, IV's, peritoneal dialysis, Diabetic wound care, residents with psychiatric disorders, thromboembolisms, cancer, Multiple Sclerosis, seizure disorders, dementia, and other medical disorders. I did various documentation and assessments on residents. I passed medications. I updated the MD of changes in residents. I did many other duties under the scope of a Registered Nurse.
• As a job recruiter, I contacted various job placement agencies, colleges, vocational schools, military posts, and other facilities with what jobs were available at our facility. I was also responsible for placing classified ads and creating ads for our facility.
• As a Vista Care Software Trainer, I was responsible for training existing staff and new employees on our Vista Care software program that was used for charting/documentation, care plans, assessments, doctor's orders, interdisciplinary notes, medication lists, and other documentation needed at a skilled nursing facility and our assisted living area.

• I was a Registered Nurse who was part of an interdisciplinary team of Psychiatrists, Psychologists, Social workers, School Teachers, Mental Health Techs, and other nurses. I took care of teens and children with behavioral disorders, psychiatric disorders, truancy, and other gang or drug related problems. I provided direct care through individual and group counseling. I implemented specific medical or psychiatric treatment procedures and behavioral therapy program approaches. I was responsible for writing, evaluating, and revising nursing care treatment pans for individual patients. I was responsible for keeping the environment safe and keeping the milieu calm. I also administered prescribed medications, led some activities on the unit, provided 1:1 communication and teaching as needed. In emergency situations, I needed to care for resident's medical needs, as well as their safety needs. In violent crisis situations, I had to assess the need for seclusion, need for restraints, or other consequences for bad choices or behaviors in order to keep individuals safe. Our goal for these patients were to stabilize them and to get them back into the community with the proper support; instead of ending up in prison, ending up dead ending up on the streets, or ending up in gangs. Some teens and children were in the facility related to depression, other psychiatric diagnoses, or behavioral issues/acting out negatively due to family problems like divorce. We taught the teens/children many coping skills to deal with stress, anger, depression, and other feelings.

• I worked as a full time charge nurse RN2/Acting RN3 on weekend rotation. As a RN charge nurse I assessed, planned, implemented, and evaluated nursing care for patients on a whole ward. I was in charge of the LPNs, and Mental Health workers on Ward C-6. I acted as an RN3/supervisor every 3rd or 4th weekend, covering 2 units. I provided direct patient care through individual and group counseling, implementing specific medical or psychiatric treatment procedures and behavioral therapy approaches. This unit was for people ages 18-65 years of age. Ward C-6, not only had people with psychiatric diagnoses, a third of the population were developmentally disabled or mentally retarded, as well.
• Utilized behavioral modification techniques and token economy reward programs. The team led a variety of activities on and off the locked unit, to keep the milieu and the patients calm. I did documentation/charting that was required.
• I did assessments and notified the physician of medical issues found. In crisis situations, when a resident was a harm to themselves or others, I had to assess the need for 1:1, seclusion, and last resort restraints. I would have to notify the psychiatrist and psychologist on duty in crisis situations. I had to document the situation, the interventions used, the results, and outcome.
• I was also responsible for other general RN duties per the scope of a Registered Nurse.

• I was a Day charge RN for nursing personnel on day shift. On occasion, I was the acting Director of Nursing in the absence of the DON. I supervised 5 CENAs a day.
• was responsible for doing resident assessments, care plans, psychotropic medication evaluations, and other assessments. I worked in a skilled facility that took care of residents that were mentally retarded, developmentally disabled, had brain injuries, had dementia, had psychiatric diagnoses or were just there because of being elderly with activity of daily living deficits or medical issues.
• I administered medications, provided ordered treatments, helped with doctor rounds, transcribed and noted orders, updated doctors of any problems, developed CENA work schedules, did duties under the scope of a R.N. in a skilled environment such as wound treatments, tube feedings, IV therapy, etc.

• I worked as a staff RN Team Leader and also as a charge nurse based upon seniority. I worked on the Surgical Floor on 3-11 shift. I performed total patient care, started IV's, inserted catheters, administered medications/treatments, transcribed doctor's orders, provided tube feedings, chest tube care, surgical wound care, provided care for patient's prior to surgery and after surgery. I did the documentation needed, completed the assessments needed, and many other nursing responsibilities under the scope of a Registered Nurse.

• I worked on a surgical floor as a LPN. I was responsible to provide total patient care including administering their medications and providing treatments, and wound care under the scope of a LPN. I completed the documentation that was required. At times, I would get pulled to the medical floor to fill in or the pediatric unit.

I worked on a surgical floor as a LPN. I was responsible to provide total patient care including administering their medications and providing treatments, and wound care under the scope of a LPN. I completed the documentation that was required. At times, I would get pulled to the medical floor to fill in, or the pediatric unit.

I worked on a surgical floor as a LPN. I was responsible to provide total patient care including administering their medications and providing treatments, and wound care under the scope of a LPN. I completed the documentation that was required. At times, I would get pulled to the medical floor to fill in, or the pediatric unit.

• I worked as a Certified Nursing Assistant mostly on the surgical floor, but sometimes on the medical floor. I provided total patient care under the scope of a CNA such as bathing, dressing, grooming, repositioning, ambulating, transferring them, obtaining vital signs and weights. Assisting them with eating. Toileting them. etc.

• I worked as a Certified Nurses Aide in a long-term/skilled care facility. I provided total patient care under the scope of a CNA such as bathing, dressing, grooming, providing range of motion, repositioning, ambulating, feeding, toileting, transferring, dressing/undressing, assisting with supplements, and other duties.