Dereje Abebe

MDS Coordinator – Participates in assessment, planning,
implementation and evaluation process design to improve care
delivery and outcome

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 Ensure timely MDS assessment completion and submission-
Performed essential MDS activities (Scheduling, assessment,
batching/transmission, monitor assessment quality by conducting IRR
 Served as a resource and liaison for RAI-MDS issues. Provided
training, guidance and assistance for team members to optimize
software (Caribou) for MDS and care documentation.
 Assist to trouble shoot problems, create a remedy ticket for unresolved
issues, alerts in Caribou CLC suite.
 Review updates and new information impacting RAI/MDS process and
Long-Term Care via CMS website, National Directives/Policies. Assess
and evaluate the quality of care being given to long-term care
residents.
 Engaged in Quality monitoring (QM) activities -Present QM report and
propose plan for areas of improvement, reevaluate plan effectiveness
 Provided training and guidance on patient centered care planning and
collaboratively devised reevaluation processes
 Served as moderator for IDT/ Pre IDT/ neighborhood rounding
meetings communicate core discussion points to leadership as needed
 Serve as integral part of unit leadership to ensure care coordination
and compliance, served as a chairperson for fall prevention committee,
represent the unit in evidence-based practice Research committee
(EBPR).
 Collaborate with education department to disseminate the latest
evidence base practice and research findings to team members.
 Conduct in-services on various topics including data driven resident
care, the need to ensure data integrity and security, how to use data
to improve care and health outcome, how to promote prevention than
reactiveness, the way towards high reliability organization, the need
for transformational leadership, advocacy, need for resident
engagement etc.
 Proactively spearheaded communication streamlining effort between
IDT, leadership, resident and their families

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 Actively participated in survey readiness and presented necessary
documentation for surveyors during surveys
 Demonstrated ability to lead by example and work collaboratively to
achieve organizational goals.
 Charge nurse -As a charge nurse, assigned staff to activities based
on qualifications and monitor smooth flow of tasks on the unit, resolve
problems between staff members or residents or both in collaboration
with supervisors and management.
 As a team leader ensured care delivery as planned, collaborate with
providers and other IDT members
 Responding to emergencies
 Participate in orienting new staff members
 Perform all clinical tasks per nursing scope of practice

Plans, direct, coordinate and manage care delivery
 Ensure compliance and high-quality standards
 Leads and direct the day-to-day operation of the agency
 Oversee and evaluate nursing personnel (RN, LPN, HHA)
 Resolve issues and deficiencies whenever they arise and proactively
 Organize and coordinate admission, nursing and patient care
procedures
 Measure and monitor client/patient satisfaction
 Design nursing staff orientation and reeducation procedures by incorporating current regulations and evidence-based practice
 Manage record keeping procedures
 Report to management periodically and as needed

• Charge nurse- assign staff to activities based on qualifications and
  monitor smooth flow of tasks on the unit, resolve problems between staff members or residents or both in collaboration with supervisors and management.
   Responding to emergencies as needed
   Participating on weekly interdisciplinary meetings and rounds
  regarding residents
   Participate in orienting new staff members
   Participating in Medication administration
   Oversight the work of RN’s, LPN’s and RCA’s on assigned floor
   Performing other duties such as patient teaching, discharge
  instruction, monthly summaries and MDS’s
   Participating in staff retraining and in-services

 Visiting patients with diverse medical condition, cultural and
socioeconomic background
 Perform procedures per order
 Assess, evaluate response to treatment
 Initiate treatment as needed per protocol
 Perform bed side tests (BS, PT/INR) communicate findings
 Respond to critical situation during visit (initiate EMS as needed)
 Medication reconciliation and nutritional evaluation
 Communicate with providers, pharmacies and other team members on
behave of the patient
 Patient and family education
 Record and report pertinent patient information
 Working collaboratively

 Infection control PPD test and follow upon large number of inmates
each day
 Handling alcohol and other drug withdrawal inmates
 Administering medication including psychotropic and narcotics
 Perform procedures (wound care, diabetic care)
 Assess and recommend further evaluation
 Respond to crisis perform assessment VS, EKG, initiate EMS as needed



 Patient teaching on vital health issue individually and collectively (HIV,
Hepatitis)
 Perform various duties as assigned (medication administration, blood
draw, wound care etc.)
 Document and report

 Implement patient care on rehabilitation section for up to 15 patients.
 Worked on dementia/ Alzheimer’s unit as assigned
 Patient admissions and discharge.
 Assess and monitor residents/patient communicate with RN and
physician as needed
 Worked closely with families and other healthcare team members
 Respond to emergency situation including falls, cardiac arrest etc.
 Educate patients/families on health care needs and end of life issues
 Evaluate staffing requirements including floor assignments.
 Maintained patient charts and confidential files.
 As a charge nurse on the floors supervise supporting staff (CAN, GNA
and CMA’s)

 Provide patient care for pediatric client in home setting
 Communicate with providers and supervisors regularly for status update
 Monitor ventilators and feeding machines
 Respond to emergency situations
 Teach families the way to control infections disease
 Prepare and submit daily report