Hilda Kaetu-Smith
Waldorf,MD
Summary
Registered Nurse with eleven years of experience in direct patient care , nurse manager, and utilization management within hospital and home care settings. Clinical experience spans across Intermediate care (IMC), Intensive Care Units (CVICU, MSICU, and TICU) and home health environments. Attentive, diligent, altruistic, and empathetic registered nurse with a robust desire to provide exemplary care to clients and families
Overview
11
11
years of professional experience
Work History
Director of Nursing, Utilization Management Nurse
Charis Grace Healthcare Services, Inc.
04.2022 - Current
- Utilized clinical experience and skills in collaboration to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate use of healthcare services for patients
- Gathered clinical information via patient chart and in person visit for home health admissions and applied appropriate DMAS, HMOs, MCG, InterQual criteria, practice guidelines, and clinical judgement to render coverage determination along continuum of care
- Frequent communication with case managers to accept referrals, and evaluate the appropriateness of patient placement
- Regular communication with providers and nursing staff to facilitate care and treatments
- Identified patients for referral opportunities to integrate with other products, services, and programs
- Identified opportunities to promote quality effectiveness of healthcare services
- Consulted with internal and external stakeholders to lend expertise in coordination and administration of benefit management
- Organized and presented clinical information regarding treatments with staff for regular leadership patient rounding
- Regular in person visits according to insurance regulations to reassess patient health conditions, reevaluate the effectiveness of treatment plan in place, and readjust if needed treatment plan and insurance billing if necessary.
- Review healthcare staff documentation in patient chart regularly to ensure plan of care, treatment provided, and billing is in compliance with state and insurance regulations.
Designated Charge Nurse
University Of Maryland Capital Region Health
04.2022 - Current
- Role as a Per Diem designated charge ICU RN working with trauma and medical critical care patient in a fast pace high acuity ICU.
- Supervised and assisted 18-22 registered nurses and 5 nursing aids per shift
- Review patient chart for appropriate admission to the ICU and assign patient to the appropriate RN base on acute
- Performed Interdisciplinary rounds with attending physician, resident physician, assigned registered nurse, respiratory therapist, case manager, and pharmacist to assess patient condition and formulate care plan.
- Audit patient chart to assess if care is in compliance with preventing hospital acquired infections (HAI)
- Facilitated therapeutic communication, conflict resolution and crisis intervention by deescalating negative behaviors and helping patients regain or improve coping abilities to prevent further conflict
- Performed frequent checks on life support equipment and order necessary equipment to optimize patient care flow
Registered Nurse Clinician
University Of Maryland Laurel Medical Center
04.2020 - 04.2022
- Role as an ICU charge nurse, Rapid Response Nurse, responding to medical emergency throughout the hospital.
- Assisted in intubations and bedside procedures along with the physicians such as Trach placement, bronchoscopy, insertion of invasive monitoring devices and chest tubes.
- Rounded on the medsurg and IMC units to inspect and monitor patients that may need to be upgraded to ICU level of care.
- Patient population of Acute respiratory failure, MOD, Sepsis, Acute renal failure requiring CRRT, cardiac arrest requiring hypothermia therapy.
Registered Nurse
Inova Health System
05.2013 - 03.2020
- Administer patient care and prioritized treatment to maintain patient safety as follows: IMCU 5/2013-6/2014, CVICU 6/2014-8/2017, Medical-Surgical ICU 8/2017-10/2018, Critical care float pool 10/2018-4/2020
- Provided exceptional care to acutely ill patients needing complex care such as resuscitation, continuous monitoring, ventilator management, CRRT, pre- and post-procedure care, hypothermia therapy, and chronic illness
- Assessed, documented, and continue revaluated patient symptoms, reactions to treatments, and daily progress to inform physicians and other care team members
- Provided skilled, timely and level-headed emergency response to critically-ill patients
- Performed on going education to patients, family members and caregivers on patient care instructions to prepare for discharge.
- Managed daily comprehensive patient care from admission to discharge, including assessments, care planning, health education, and discharging support
- Improved patient care outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Administered medications via oral, IV, intramuscular
- Administered oral, G-J tube, TPN, and PPN nutritional feeding to patients
Education
Master of Science - Nursing Practice
University of South Alabama
Mobile, AL12.2025
Bachelor of Science - Nursing
Liberty University
Lynchburg, VA12.2012
Skills
- Knowledge of managed Medicaid and Medicare
- Interpersonal and written communication
- Solid assessment, documentation and reporting
- Creating and implementing patient care plans
- Admit and discharge planning coordination
- Patients and interdisciplinary relationship development
- Critical thinking and problem resolution
- Strong organization and self directed
- Management and precepting
- Flexible and easily adapt to prioritize and meet deadlines
- MS Office / MCG Criteria / McKesson INTERQUAL/Citrix/Webex/Microsoft outlook
Additional Information
- Currently possess unrestricted Compact Nursing License from Virginia #0001243467
- American Association of Critical Care Nurses membership-2018
Timeline
Director of Nursing, Utilization Management Nurse
Charis Grace Healthcare Services, Inc.
04.2022 - Current
Designated Charge Nurse
University Of Maryland Capital Region Health
04.2022 - Current
Registered Nurse Clinician
University Of Maryland Laurel Medical Center
04.2020 - 04.2022
Registered Nurse
Inova Health System
05.2013 - 03.2020
Master of Science - Nursing Practice
University of South Alabama
Bachelor of Science - Nursing
Liberty University
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