Felicia James
Lawton
Summary
Registered Nurse with extensive experience in high-acuity settings, including ICU and psychiatric care. Demonstrates strong clinical judgment and effective interdisciplinary collaboration, enhancing patient outcomes. Proven leadership in nursing supervision, with a focus on quality improvement initiatives and staff development. Dynamic Registered Nurse specializing in critical care and behavioral health, with a record of improving patient outcomes through effective collaboration and advocacy. Leadership roles have included Charge Nurse and Director of Nursing, driving quality improvement and staff training initiatives in fast-paced environments. Versatile Registered Nurse with expertise in critical care, dialysis, and psychiatric nursing. Strong background in patient assessment, care planning, and emergency response, contributing to enhanced patient safety and satisfaction. Experienced in leading interdisciplinary teams and implementing infection control protocols.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Registered Nurse (PRN)
Lawton Dialysis
Lawton
02.2025 - Current
- Assessed patient conditions before, during, and after dialysis treatments, promptly communicating changes to the healthcare team
- Monitored hemodialysis treatments, vascular access sites, fluid balance, and vital signs to ensure patient safety
- Maintained accurate documentation of patient assessments, interventions, and outcomes in the EHR system
- Responded promptly to emergencies, including adverse reactions during dialysis, initiating appropriate interventions
- Educated patients and families on dialysis procedures, disease management, dietary restrictions, and fluid management
- Collaborated with interdisciplinary teams including physicians, pharmacists, dietitians, and social workers
- Ensured infection control protocols for vascular access and dialysis equipment; participated in quality improvement initiatives
- Served as a clinical resource for nursing staff and acted as liaison between patients, families, and healthcare providers
Registered Nurse – ICU / Stepdown / Psychiatric & Behavioral Health
Southwestern Medical Center
Lawton
10.2020 - 10.2024
- Provided direct patient care in high-acuity ICU, Stepdown, and Psychiatric units including medication administration, vital signs monitoring, IV therapies, central line care, cardiac monitoring, and psychiatric interventions
- Monitored hemodynamic status, ventilator settings, cardiac rhythms, and mental health status for critically ill and psychiatric patients
- Conducted comprehensive physical and mental health assessments; documented findings accurately and maintained thorough medical records
- Developed and implemented individualized care plans in collaboration with interdisciplinary teams including behavioral health specialists
- Managed and prioritized multiple high-acuity patient assignments effectively in fast-paced environments
- Responded to medical and psychiatric emergencies including code situations, rapid response calls, acute deterioration, and behavioral crises
- Coordinated diagnostic tests, interpreted lab and imaging results, and implemented evidence-based interventions
- Provided patient and family education on disease management, post-discharge care, medication, and coping strategies for psychiatric conditions
- Assisted in training and mentoring new nursing staff; participated in quality improvement initiatives and patient safety committees
- Facility: 199 beds | Patient Ratio: 1:3–4 | EMR: Meditech
RN Case Manager
Lifespring Home Health
Lawton
03.2019 - 10.2020
- Provided in-home medical care including wound care, dressing changes, IV medication administration, and catheter changes
- Performed OASIS assessments, admissions, recertifications, and discharges
- Managed PICC lines, wound vacs, and gastric tube care; communicated patient needs to physicians and case managers
Registered Nurse – ICU
Duncan Regional Hospital
Duncan
09.2018 - 02.2019
- Staff nurse in nine-bed ICU; responsible for patient admissions, assessments, discharges, and transfers
- Managed ventilators, EKG monitoring, phlebotomy, critical IV drips, chest tubes, and central lines
Registered Nurse – House Supervisor / Staff Nurse
Cedar Crest Nursing Home
Lawton
01.2018 - 08.2018
- Supervised facility staff; managed bed assignments for new admissions and conducted patient assessments
- Provided direct patient care including medication administration, G-tube feedings, wound care, nebulizer treatments, and insulin administration
- Conducted skin assessments, transferred patients, disciplined staff as needed, and reported changes to the administrator
RN Staff Nurse – Psychiatric
Jim Taliaferro Community Mental Health Center
Lawton
10.2017 - 12.2017
- Assessed, monitored, and treated clients with mental illness and substance abuse disorders per physician orders
- Administered medications, maintained a positive therapeutic environment, and provided disease process education
- Obtained Therapeutic Hold Training certification
Registered Nurse – ICU/PCU (Charge/Staff)
Grady Memorial Hospital
Chickasha
08.2017 - 10.2017
- Charge/Staff nurse in 12-bed ICU/PCU unit; responsible for patient admissions, discharges, and transfers
- Managed ventilator monitoring, medication administration, and weaning of drips per protocol
- Monitored hospital-wide telemetry patients; member of Rapid Response Team and Code Blue Team
- Made patient assignments according to nurses' skill sets
RN Staff Nurse – Psychiatric
Comanche County Memorial Hospital
Lawton
12.2015 - 09.2017
- Cared for patients across a broad spectrum of psychiatric disorders and diagnoses
- Conducted telephonic triage, admission assessments, daily multi-system assessments, and behavior monitoring
Director of Nursing
Edith Kassanavoid Gordon Assisted Living Center
Lawton
02.2014 - 12.2015
- Established policies and procedures, orientation program, and all intake-to-discharge forms for a newly opened inpatient facility
- Collaborated with safety coordinator to develop Emergency Preparedness Program; set up and organized medication room
- Managed staff of 20 nursing personnel; maintained an 8-bed facility within an annual budget of $1.5 million
- Ordered nursing supplies, selected an appropriate EMR system, and established a formal Infection Control program
- Completed Certificate of Training on the Oklahoma National Background Check Program (2014)
- Completed Sexual Assault Awareness Training, Leading Age Oklahoma
RN Staff Nurse
Montevista Rehabilitation & Skilled Care
Lawton
10.2013 - 12.2013
- Performed admission and daily multi-system assessments, wound care, transfer and gait training, and medication administration
- Managed PICC line and gastric tube care; performed IV starts, Foley insertions, wound vac management, tracheostomy care, and phlebotomy
Registered Nurse – Field Nurse
Entrusted Hearts
Lawton
09.2013 - 10.2013
- Assessed client needs for the OKDHS Advantage Program; set up medication planners and communicated with case managers and physicians
- Performed multi-system assessments, admissions, phlebotomy, wound care, ICD-10 coding, and documentation
RN Field Nurse / Case Manager
Sooner Home Health
Norman
06.2013 - 09.2013
- Performed multi-system and OASIS admission assessments, discharges, and recertifications; ICD-10 coding
- Managed wound care, wound vac placement, PICC line care, IV medication administration, and PT/INR testing
- Consulted physical and occupational therapy; communicated with physicians; provided patient/family education
RN Charge Nurse
Memorial Hospital & Physicians' Group
Frederick
02.2010 - 06.2013
- Served as Dayshift Charge Nurse, ER triage nurse, floor charge nurse, and House Supervisor
- Performed adult and pediatric patient admission assessments, transfers, and discharges
- Medication administration, IV starts, phlebotomy, wound care management, telemetry monitoring, and care plan initiation
- Leader of Rapid Response Team
RN / Charge Nurse – ICU
Southwestern Medical Center
Lawton
08.2007 - 12.2010
- Led Rapid Response Team; member of Code Blue Team and Critical Care Committee
- Performed admission assessments, initiated and reviewed care plans, and made staffing assignments
- Performed and assisted with invasive and non-invasive procedures; managed ventilators, EKG, ICP, CVP, and wound vacs
- Provided staff in-services and patient/family education
RN / Case Manager
Angels Care Home Health
Lawton
12.2006 - 08.2007
- Performed OASIS admission assessments, initiated care plans, and managed Home Health discharges and recertifications
- ICD-9 coding, venipunctures, wound care management, medication planner setup, Foley catheter insertion, and wound vac management
- Managed G-tube care, communicated with physicians, performed skin care evaluations and patient/family education
RN / Case Manager
Indian Territory Home Health
Walters
09.2006 - 10.2006
- Performed OASIS assessments, care plan initiation, wound care, ICD-9 coding, and patient/family education
LPN / RN – Staff Nurse
Southwestern Medical Center
Lawton
11.2002 - 12.2005
- Cared for patients with life-threatening conditions including CHF, acute respiratory failure, drug overdose, acute stroke, and GI bleeding
- Member of Critical Care Committee; assisted with procedures; managed ventilators, EKG, ICP, CVP, and wound care
Licensed Vocational Nurse – Contract Staff
Spectrum Healthcare Resources (Sheppard Air Force Base Pediatric Clinic)
Wichita Falls
04.2002 - 10.2002
- Performed patient assessments, routine eye/ear exams, growth chart plotting, immunizations, and breathing treatments
- Administered ICD-9 coding, dietary education, wart removals, and patient/family education
Licensed Practical Nurse
American Dialysis Clinic
Lawton
09.2001 - 04.2002
- Initiated and monitored hemodialysis treatments, ensuring patient safety throughout the procedure
- Assessed patient conditions pre-, intra-, and post-dialysis, reporting changes to the healthcare team
- Administered medications per physician orders and maintained accurate patient documentation
Licensed Practical Nurse – Rehabilitative Services
Comanche County Memorial Hospital
Lawton
10.1995 - 09.2001
- Performed admission assessments, care plan initiation, bladder and bowel training, FIM scoring, and direct patient care
- Placed and removed Foley catheters; performed transfer and gait training; floated to ER, ICU, CCU, and Surgical floors
Education
ADN - Nursing
Western Oklahoma State College
Altus, OK01-2004
Associate of Science -
Cameron University
Lawton, OK01-2000
Diploma - Licensed Practical Nurse
Great Plains Technical School
Lawton, OK01-1995
Honors Diploma - General Studies
Grandfield High School
Grandfield, OK01-1991
Skills
- Critical Care/ICU Nursing
- Ventilator Monitoring & Weaning
- Cardiac Monitoring (EKG, Telemetry, ICP, CVP)
- Patient Assessment and Care Planning
- Infection Control
- Rapid Response & Code Blue
- IV Therapy & PICC Line Management
- Wound Care & Wound Vac Management
- Dialysis Nursing
- Psychiatric & Behavioral Health Care
- Home Health & Case Management
- Phlebotomy
- EMR: Meditech, Paragon, Point Click Care
- ICD-10 Coding & OASIS Assessments
- Staff Supervision & Leadership
Certification
- RN License – State of Oklahoma, 07/01/26
- BLS Certification, 01/01/27
- ACLS Certification
- CPR Certification, 01/01/27
- AED Certification, 01/01/27
- IV Certification
- NIHSS Certification
- First Aid Certification
- CPI (Crisis Prevention Intervention)
- Therapeutic Hold Training, Expired
Timeline
Registered Nurse (PRN)
Lawton Dialysis
02.2025 - Current
Registered Nurse – ICU / Stepdown / Psychiatric & Behavioral Health
Southwestern Medical Center
10.2020 - 10.2024
RN Case Manager
Lifespring Home Health
03.2019 - 10.2020
Registered Nurse – ICU
Duncan Regional Hospital
09.2018 - 02.2019
Registered Nurse – House Supervisor / Staff Nurse
Cedar Crest Nursing Home
01.2018 - 08.2018
RN Staff Nurse – Psychiatric
Jim Taliaferro Community Mental Health Center
10.2017 - 12.2017
Registered Nurse – ICU/PCU (Charge/Staff)
Grady Memorial Hospital
08.2017 - 10.2017
RN Staff Nurse – Psychiatric
Comanche County Memorial Hospital
12.2015 - 09.2017
Director of Nursing
Edith Kassanavoid Gordon Assisted Living Center
02.2014 - 12.2015
RN Staff Nurse
Montevista Rehabilitation & Skilled Care
10.2013 - 12.2013
Registered Nurse – Field Nurse
Entrusted Hearts
09.2013 - 10.2013
RN Field Nurse / Case Manager
Sooner Home Health
06.2013 - 09.2013
RN Charge Nurse
Memorial Hospital & Physicians' Group
02.2010 - 06.2013
RN / Charge Nurse – ICU
Southwestern Medical Center
08.2007 - 12.2010
RN / Case Manager
Angels Care Home Health
12.2006 - 08.2007
RN / Case Manager
Indian Territory Home Health
09.2006 - 10.2006
LPN / RN – Staff Nurse
Southwestern Medical Center
11.2002 - 12.2005
Licensed Vocational Nurse – Contract Staff
Spectrum Healthcare Resources (Sheppard Air Force Base Pediatric Clinic)
04.2002 - 10.2002
Licensed Practical Nurse
American Dialysis Clinic
09.2001 - 04.2002
Licensed Practical Nurse – Rehabilitative Services
Comanche County Memorial Hospital
10.1995 - 09.2001
ADN - Nursing
Western Oklahoma State College
Associate of Science -
Cameron University
Diploma - Licensed Practical Nurse
Great Plains Technical School
Honors Diploma - General Studies
Grandfield High School