Evelyn Marquez

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• Assist patients and family members with safe discharge planning: Assess for barriers to care
• Communicate with visiting nurse services and physicians post discharge in a timely manner
• Provide assessment of patient needs including referrals to visiting nurse services, Meals on wheels, home health agencies, Medicaid office etc.
• Followed up with 40-55 (caseload) patients for adherence to post-discharge medical and lifestyle plans
• Coordinated appropriate and efficient delivery of healthcare services to promote optimal outcomes by assessing and matching unmet needs with referrals and support services including PT/OT/dietician, visiting nurse services
• Scheduled appointments to PCP, cardiology, cardiac rehab
• Provided ongoing assessment of patients' needs, adjusting care plans accordingly to promote optimal health outcomes.
• Reduced hospital readmissions by proactively identifying high-risk patients and implementing targeted interventions
• Mentored new nurse navigators as they transitioned into their roles, sharing knowledge gained from personal experiences
• Supported patients during transitions between healthcare settings by providing information, resources, and emotional support
• Educated family members and caregivers on patient care instructions

• End of life care-symptom management, spiritual and emotional support, focus on comfort and quality of life
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, pain and symptom management
• Oversaw delivery of care for patients on hospice unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, CNAs and unit clerks

• Charge nurse preceptor
• Float mother baby and LDR
• Fetal monitoring tocolytic medication administration-Magnesium infusion for premature labor
• Collaborate with perinatologists and other specialists to ensure the best possible outcomes for mother and baby
• Developed strong rapport with patients' families earning trust confidence respect through compassionate empathetic approach during vulnerable times
• Created warm, supportive atmosphere to keep patients feeling safe and comfortable immediately before and after surgery