Hayley Fleming
Evarts,KY
Summary
Operationally focused Registered Nurse with experience in dialysis and outpatient clinical settings, specializing in ESRD patient care and treatment coordination. Experienced in overseeing key clinical functions including supply management, treatment documentation, and adherence to regulatory standards. Demonstrated ability to support team performance through effective delegation and collaboration with LPNs, CNAs, and providers. Known for strong communication, organization, and a results-driven approach to improving patient outcomes and clinic efficiency. Eager to bring leadership skills into a Clinic Manager role.
Overview
4
4
years of professional experience
Work History
Dialysis Registered Nurse
Appalachian Regional Healthcare
Harlan, KY
09.2025 - Current
- Administered dialysis treatments to patients, ensuring safety and comfort throughout procedures.
- Monitored vital signs and patient responses during dialysis sessions, adjusting care as needed.
- Educated patients and families on dialysis process, treatment options, and health management strategies.
- Maintained accurate patient records using electronic health record systems to ensure compliance and quality care.
- Provided emotional support to patients undergoing dialysis, fostering a compassionate healthcare environment.
- Increased patient safety by adhering to strict infection control protocols throughout the entire dialysis process.
- Reduced complications by accurately assessing patients'' needs and adjusting treatment plans accordingly.
- Assisted in training new staff members on dialysis procedures, policies, and equipment usage ensuring consistent high standards of patient care across the unit.
- Administered medications and treatment to patients and monitored responses.
Behavioral Health Registered Nurse
Appalachian Regional Healthcare
Harlan, KY
06.2023 - 09.2025
- Administered medications and monitored patient responses to ensure safety and effectiveness.
- Assisted in developing individualized care plans based on patient assessments and treatment goals.
- Collaborated with interdisciplinary teams to coordinate comprehensive care for patients with behavioral health issues.
- Educated patients and families on mental health conditions, treatment options, and coping strategies.
- Conducted crisis interventions to stabilize acute psychiatric episodes and ensure patient safety.
- Implemented evidence-based practices to improve patient outcomes in behavioral health settings.
- Mentored new nursing staff on best practices for behavioral health care delivery and documentation standards.
- Prevented escalation of psychiatric crises by recognizing early warning signs and intervening promptly with appropriate de-escalation techniques.
Nurse Extern
Appalachian Regional Healthcare
Harlan, KY
09.2022 - 06.2023
- Assisted nursing staff with patient assessments and care plans to enhance overall patient outcomes.
- Monitored vital signs and documented changes in condition to ensure timely medical interventions.
- Administered medications under supervision, adhering strictly to safety protocols and best practices.
- Collaborated with healthcare team to coordinate patient care and improve service delivery efficiency.
- Observed and reported any changes in patient condition to proactively address potential risks.
Summer Student Worker
Mountain Comprehensive Health Corporation
Harlan, KY
05.2022 - 09.2022
- Assisted in patient scheduling and appointment management to enhance operational efficiency.
- Maintained accurate electronic health records to ensure data integrity and compliance.
- Supported healthcare providers with administrative tasks, improving workflow processes.
- Collaborated with team members to streamline communication between departments, enhancing service delivery.
- Took and followed detailed directions from others.
- Worked in team environment to maintain high levels of productivity.
Education
Bachelor of Science - Nursing
University of The Cumberland's
Williamsburg, KY10-2025
Associate of Applied Science - Nursing
Southeast Kentucky Community And Technical College
Cumberland, KY03-2023
Skills
- Vascular Access management
- Nursing care planning
- Patient education techniques
- Electronic medical records proficiency
- Teamwork and collaboration
- Medication and IV administration
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking
- Compassionate and caring
- CPR certification
- Patient and family advocacy
- Patient care assessment
- Patient education
- Task prioritization
- Delegation and motivation
- Care coordination
- HIPAA compliance
- Team leadership qualities
Timeline
Dialysis Registered Nurse
Appalachian Regional Healthcare
09.2025 - Current
Behavioral Health Registered Nurse
Appalachian Regional Healthcare
06.2023 - 09.2025
Nurse Extern
Appalachian Regional Healthcare
09.2022 - 06.2023
Summer Student Worker
Mountain Comprehensive Health Corporation
05.2022 - 09.2022
Bachelor of Science - Nursing
University of The Cumberland's
Associate of Applied Science - Nursing
Southeast Kentucky Community And Technical College
ARH Hero Award
Received March 2025
The ARH HERO Award is an employee recognition award given to staff who go above and beyond in their role. The purpose is to recognize employees who:
- Deliver exceptional patient care
- Show strong compassion and empathy
- Support coworkers and contribute to a positive team environment
- Go the extra mile beyond their normal job duties
- Represent ARH's mission and values in a meaningful way
Daisy Award Nominee
Received July 2025
The DAISY Award is a well-known national recognition program that honors nurses for providing exceptional, compassionate patient care.