Deborah Spadavecchia
Cleveland,GA
Summary
Experienced nursing professional bringing demonstrated clinical expertise, leadership skills and technical knowledge. Proficient in updating charts, monitoring medications and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience. Ambitious, career-focused job seeker, anxious to obtain an entry case manager position to help launch career while achieving company goals.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Acute nurse
Fresenius Medical care
Gainesville
01.2012 - Current
- Working in nocturnal transferred in 2018 to home therapy.
- Charge nurse and acute nurse treating patients for their first tx, and patients that are in hospital for other issues that renal failure TX while in hospital
- Trained to do plasmapheresis and give blood on machine and other meds that are ordered
- Prior to going back to acutes worked in chronic setting and set machines up dialyze pt as prescribed by nephrologist
- Review labs, round with nephrologist as needed
- Assess, document, give medications as needed, call physicians as needed for orders with critical results
- Monitor pt and techs to make sure all orders are followed as ordered by nephrologist
- Monitor safety of pt's.
- Responded quickly and effectively in emergency situations utilizing advanced life saving skills when needed.
- Educated patients on their medical condition, treatment plans, and self-care management techniques.
- Administered medications and treatments in accordance with physician orders.
- Maintained a safe environment for both staff and patients through adherence to safety protocols.
- Managed multiple tasks simultaneously while prioritizing urgent requests from physicians or nurses.
- Assessed and monitored patient health conditions, including vital signs such as temperature, pulse rate and blood pressure.
- Supported families during times of illness or injury by providing emotional support and assistance with decision making processes.
- Collaborated with other healthcare professionals to develop individualized plans of care for each patient.
- Performed physical assessments to identify any changes in the patient's condition or needs.
Charge Nurse
DaVita
Gainesville
01.2010
- Provided dialysis for acute dialysis pt's
- Took a call 3-4 days a week
- Gave medications, infused blood
- Worked as a charge nurse providing care for 16 pt per shift
- Monitored labs and called physicians as needed for orders
- Supervised staff
- Monitored safety of pt's.
Dialysis Nurse
Fresenius Dialysis
Northeast GA Hospital
01.2007 - 01.2011
- Provided dialysis for the acute patients
- Took call one weekend a month and one day a week
- Dialyzed patients per physician orders, gave medications, blood
- Monitored labs
- Trained in plasmapheresis and crrt therapies.
- Performed hemodialysis treatments for patients with end-stage renal disease or acute kidney injury.
- Ensured compliance with all applicable state regulations related to the practice of nursing within a dialysis unit setting.
- Provided direct patient care in a dialysis unit, including monitoring vital signs and administering medication.
- Managed ancillary equipment such as pumps, monitors and water systems used in the delivery of dialysis treatments.
- Adhered strictly to infection control policies and standard precautions when providing patient care.
- Administered prescribed medications via intravenous push or continuous infusion according to established protocols.
- Assessed patient's physical condition prior to each dialysis treatment, evaluated and documented findings.
- Conducted daily assessments of patient's response to dialysis therapy, monitored fluid balance during dialysis treatments.
- Performed daily machine maintenance, including water testing and filter replacement.
Staff Nurse
United Home health
Gainesville
01.2009 - 01.2010
- Provided professional nursing care to 6-7 patients per day
- Admissions, oasis paperwork and discharge when applicable
- Wound care, IV's
- Took on call one weekend a month.
- Performed diagnostic tests such as blood draws, urine analysis and electrocardiograms.
- Monitored vital signs and documented changes in a timely manner.
- Actively participated in departmental meetings, training sessions and educational seminars.
- Provided direct patient care, including wound care and medication administration.
- Conducted patient education on medical treatments and procedures.
- Managed multiple tasks simultaneously while maintaining quality standards of care.
- Maintained a clean work environment by following proper sanitation guidelines.
- Provided direct patient care including wound dressing, administering medication and IV therapy.
- Collaborated with interdisciplinary team members to develop plans of care for patients.
Registered Nurse
Jupiter Kidney
Jupiter FL
01.2006 - 01.2007
- Provided professional nursing care for dialysis patients
- Assessed, monitored, gave medications as ordered by nephrologist
- Assisted with putting pt on machine and stopping treat as ordered by MD
- Evaluated PCT's
- Monitored Kt/V's and labs
- Some acute dialysis experience at Jupiter hospital.
- Ensured compliance with regulatory agencies such as The Joint Commission and Centers for Medicare and Medicaid Services.
- Actively participated in quality improvement initiatives within the department.
- Documented patient progress notes accurately and efficiently in the electronic medical record system.
- Provided patient care and education to patients with chronic illnesses.
- Evaluated effectiveness of interventions through ongoing assessment of patient responses.
- Participated in multidisciplinary team meetings to discuss patient care plans.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Assessed, planned, implemented and evaluated nursing care for assigned patients.
- Monitored vital signs, administered injections, and provided assistance with medical procedures.
- Coordinated discharge planning activities including arranging follow up appointments or referrals for additional services.
Field Nurse
Community Home health
Lake worth FL
01.2003 - 01.2007
- Provided professional nursing care to 6 different home visits per day
- Admissions, oasis paperwork, assessments, evaluations and supervised other team members
- IV's, labs, medication teaching.
- Performed physical assessments of patients and monitored vital signs.
- Provided assistance in developing discharge plans that include follow-up instructions, long-term goals, lifestyle modifications.
- Coordinated home health services including durable medical equipment delivery and setup.
- Maintained accurate records of patient visits and care provided in accordance with agency policies.
- Collaborated with physicians, interdisciplinary teams and other healthcare professionals to optimize patient outcomes.
- Communicated effectively with other healthcare providers to coordinate quality patient care.
- Educated families on the importance of self-care management techniques for chronic conditions such as diabetes or COPD.
- Identified opportunities for improvement within the field nursing program based on feedback from patients and families.
- Ensured compliance with all applicable laws, regulations and standards governing professional nursing practice.
- Developed relationships with community resources to ensure continuity of care for clients.
- Administered medications, injections, treatments and wound care as prescribed by physicians.
- Attended continuing education courses related to field nursing practices regularly.
- Managed multiple tasks simultaneously while maintaining high standards of quality care.
Registered Nurse
Bethesda Hospital
Boynton beach FL
01.2004 - 01.2006
- Provided professional nursing care for 4-6 patients on cardiac floor, and sometimes team nursing with a LPN in the last 8 months transferred to case management.
- Generated reports related to utilization management activities such as length of stay trends, denials rates.
- Maintained up-to-date knowledge of health plan benefits, policies, procedures, regulations, coding guidelines.
- Evaluated clinical documentation for accuracy and completeness in order to make decisions about coverage determinations.
- Collaborated with multidisciplinary teams on developing strategies for improving care quality and controlling costs.
- Reviewed denial letters issued by insurance companies to ensure that they were appropriate and timely.
- Monitored pre-authorization requests to ensure that all necessary information was received prior to approval or denial of services.
- Assessed patient medical records to determine the appropriateness of requested services and procedures.
- Coordinated with other departments within the organization regarding changes in policy or procedure implementation.
- Communicated with external partners such as managed care organizations or vendors on a regular basis.
- Identified opportunities for improvement within the utilization review process through data analysis.
- Facilitated communication between payers, providers and patients concerning authorization issues or concerns.
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Contacted insurance carriers to obtain authorizations for services delivered to patients.
- Certified EKG, A CLS
- Administered cardiac drips nitro, Cardizem, et
- Worked in case management (utilization review) for last 6 months at the hospital.
- Ensured compliance with regulatory agencies such as The Joint Commission and Centers for Medicare and Medicaid Services.
- Actively participated in quality improvement initiatives within the department.
- Assisted physicians during examinations or surgical procedures.
- Documented patient progress notes accurately and efficiently in the electronic medical record system.
- Provided patient care and education to patients with chronic illnesses.
- Evaluated effectiveness of interventions through ongoing assessment of patient responses.
- Participated in multidisciplinary team meetings to discuss patient care plans.
- Developed educational materials for use in teaching sessions with patients or their families.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Assessed, planned, implemented and evaluated nursing care for assigned patients.
- Monitored vital signs, administered injections, and provided assistance with medical procedures.
- Instructed patients on proper self-care techniques at home following discharge from the hospital.
Registered Nurse
Jupiter Medical center
Jupiter FL
01.2003 - 01.2003
- Provided professional nursing care for 5-7 patients, and sometimes team nursing at which I cared for up to 12 patients with assist of LPN and PCA
- Trained as a charge nurse and filled in when needed
- Worked on a part medical and part oncology floor
- Trained to administer chemotherapy.
- Ensured compliance with regulatory agencies such as The Joint Commission and Centers for Medicare and Medicaid Services.
- Assisted physicians during examinations or surgical procedures.
- Documented patient progress notes accurately and efficiently in the electronic medical record system.
- Provided patient care and education to patients with chronic illnesses.
- Participated in multidisciplinary team meetings to discuss patient care plans.
- Assessed, planned, implemented and evaluated nursing care for assigned patients.
- Monitored vital signs, administered injections, and provided assistance with medical procedures.
- Instructed patients on proper self-care techniques at home following discharge from the hospital.
- Ensured compliance with standards of professional practice as well as state and federal regulations related to health care delivery services.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
Registered Nurse
Martin Memorial Hospital
Stuart FL
01.2002 - 01.2003
- Provided professional nursing care for 5-7 patients who had surgical procedures, renal dialysis or to the need of hospice
- Assessment, evaluation, administered and worked close with doctors to give the best care possible
- IV, catheters, documentation, etc.
Patient Care Tech
Martin Memorial Hospital
Stuart FI
01.1997 - 01.2002
- Provided basic patient care and technical procedures with the scope of practice for assigned patients in medical and/or surgical units according to established procedures
- Technical procedures include thermal applications, application of sterile/non-sterile dressings, phlebotomy, EKG and glucose monitoring.
CNA
Martin Memorial Home Health
Stuart FL
01.1994 - 01.1997
- Provided basic personal care assistance to homebound patients within a prescribed plan of treatment including assistance with bathing and dressing
- Obtained and documented vital signs including temperature, blood pressure, pulse and respirations.
CNA
Private Duty Home Care
01.1993 - 01.1994
- Provided care as an independent contractor to a patient in her home who had been diagnosed with Multiple Sclerosis
- Responsible for bathing and dressing patient, oral and skin care as needed, and meeting patient needs in a timely manner.
CNA
Port St. Lucie Home Health
01.1992 - 01.1993
- Provided basic personal care assistance to homebound patients within a prescribed plan of treatment including assistance with bathing and dressing
- Recorded vital signs and reported to the nurse when vital signs were elevated or when something was not right with the patient.
Companion/CNA
Visiting Nurse Association
Stuart, FL
01.1990 - 01.1992
- Provided basic personal care assistance to homebound patients within a prescribed plan of treatment including assistance with bathing and dressing
- Also provided assistance in home as needed for clients including cooking, cleaning, laundry, and other household duties.
Education
Associate Degree Nursing Program -
Indian River Community College
05.2002
Certified Nurse Assistance Program -
Treasure Coast Nursing School
01.1990
Skills
- Medication Administration
- Medication and IV administration
- Direct Patient Care
- Patient Education
- Care plan implementation
- Wound Management
- Diabetes management
- Patient Assessment and Care
- Home Health Care
- Disease Prevention
- Patient Assessment
- Licensed RN
- Charting Medication Administration
- Patient Management
- Clinical Documentation
- Nursing Plan Development
- Telemetry and Advanced Cardiac Care
- Family Education
- RN Case Management
- Patient Care
- Patient Care and Education
- Nursing staff leadership
- Intravenous Therapy and Blood Withdrawal Certification
- Ventilator care
- Policy and procedure compliance
Certification
- EKG, 2005
- CPR, 2025
- ACLS
- Florida, 2024
- Georgia 2025
- compact licenses
Professional Organization
National Student Nurses Association, 2000, 2001
References
Available upon request
Timeline
Acute nurse
Fresenius Medical care
01.2012 - Current
Charge Nurse
DaVita
01.2010
Staff Nurse
United Home health
01.2009 - 01.2010
Dialysis Nurse
Fresenius Dialysis
01.2007 - 01.2011
Registered Nurse
Jupiter Kidney
01.2006 - 01.2007
Registered Nurse
Bethesda Hospital
01.2004 - 01.2006
Field Nurse
Community Home health
01.2003 - 01.2007
Registered Nurse
Jupiter Medical center
01.2003 - 01.2003
Registered Nurse
Martin Memorial Hospital
01.2002 - 01.2003
Patient Care Tech
Martin Memorial Hospital
01.1997 - 01.2002
CNA
Martin Memorial Home Health
01.1994 - 01.1997
CNA
Private Duty Home Care
01.1993 - 01.1994
CNA
Port St. Lucie Home Health
01.1992 - 01.1993
Companion/CNA
Visiting Nurse Association
01.1990 - 01.1992
Associate Degree Nursing Program -
Indian River Community College
Certified Nurse Assistance Program -
Treasure Coast Nursing School