Denise Ann Smailes

• Managing and triaging ID patients in clinic and over the phone. Collaborating with physicians and other health professionals to treat clients with infectious diseases, identify adverse reactions and reinfections, and support them to access appropriate medical care.
• In-Clinic treatment of HIV/AIDS.
• Vaccine Administration.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• IV antibiotic tracking and managing.
• PICC and Port O Cath dressing, flushing, lab collection, and discontinuation.
• Trouble shooting client questions and infection symptoms by phone.

• Managing end of life care for clients and their caregivers in their home, with dignity.
• Administered patient care plans, ensuring compliance with hospice standards and protocols.
• Case management
• Medication management - education to client and caregivers on usage, dosing, and tracking.
• Durable equipment and safety training for patient and caregivers.
• Implementing treatments as ordered for comfort: Foley catheters, Positioning, Pain Control, PICC line management, Skin and wound treatments, Ostomies and drains.
• Interdisciplinary Team Work to improve and optimize the clients plan of care.
• Educating and training team members and caregivers on end of life care and symptom management.
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• Acute care in many different and challenging clinical settings.
• Neurosciences
• Trauma Care Unit
• Pulmonary Care Unit
• General Surgery Unit
• Women’s Unit
• Medical Surgical Progressive Care Unit - transitioning care of the acute surgical client to post acute care.
• Spine Unit
• Renal Unit
• Oncology

• Direct clinical care to inpatient rehabilitation clients.
• Spinal Cord Injury patients with Quadriplegia, Paraplegia, Central Cord Syndrome, Guillain-Barre Syndrome, Discectomy and Laminectomy.
• Multiple Trauma, multi injury rehabilitation.
• Orthopedics clients with one injuries, post joint replacement or amputation.
• Head Trauma rehabilitation of the client with Cerebrovascular Accident, Traumatic Brain Injury, or Subdural Hematoma.
• Cardiovascular Care for Cardiac Arterial Bypass Graft Surgery and related debility.
• Solace care for inpatient end of life clients.

Delivered comprehensive nursing services across various nursing homes and rehabilitation centers during assigned shifts.