Irene Otano Zas

· Manage 20-25 patients daily

Conduct comprehensive patient assessments

· Develop and implement patient care plans

· Provide specialty/pulmonary healthcare services in the hospital/acute setting to patients with respiratory diseases

· Diagnosis and treatment of a wide range of respiratory conditions

· Prescribe/Order medications and testing as needed.

· Review diagnostic testing and labs

· Collaborate with physicians and other healthcare professionals in coordinating patient care

· Educate patients on health maintenance and managing disease process

· Complete appropriate EMR documentation to comply with insurance, CMS, Medicaid reimbursement guidelines

• Improved patient outcomes by providing expert acute care nursing interventions and timely responses to critical situations.
• Evaluated patient responses to treatments, adjusting care plans as necessary to achieve optimal results.
• Facilitated seamless transitions between healthcare settings by coordinating multidisciplinary efforts during discharge planning processes.

• Conducts report analysis on occurrences, outcomes and other indicators.
• Participates in various organization committees and councils to provide data analysis, trended reports and direction for performance improvement initiatives.
• Provides education to the organization related to performance improvement, clinical patient safety and statistical analysis.
• Acts as a resource to the organization for all regulatory requirements, including conducting regularly scheduled Joint Commission Mock Surveys and facilitates organizational continued Joint Commission readiness.
• Participates in risk management through the identification, trending and follow up of clinical issues.
• Adapts behavior to the specific patient population, including but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.

• Provide wound care services to 12-15 patients in the home setting
• Provide medical evaluation, diagnosis, treatment and consultation services to the patients with acute and chronic wounds
• Respond to emergencies and urgent medical situations
• Obtain and document medical history and physical assessments
• Complete full SOAP note and document in EMR
• Complete treatment plans
• Communicate with home health agencies for continuum of care
• Order prescriptions, ancillary/diagnostic testing
• Review testing and labs and communicate to patient
• Provide patient education on wound care, precautions, and signs of complications
• Monitor the effectiveness of interventions
• Collaborate with multidisciplinary team members by making appropriate referrals
• Complete appropriate paperwork and EMR documentation to comply with insurance, CMS, Medicaid reimbursement guidelines
• Contributed to achievement of established key performance metrics including a decrease in hospital readmission, decrease in falls and injuries, improvement in diet and nutrition and increase in quality of life
• Instrumental in saving healthcare costs to patients and the organization
• Familiar with and adept and capturing HEDIS and MRA measures.

• Provide primary (general and preventative) health care services to 7-8 patients in the clinic and home setting
• Provide medical evaluation, diagnosis, treatment and consultation services to the patients with acute or chronic illness or diseases
• Provide wound care diagnosis and perform wound care
• Respond to emergencies and urgent medical situations
• Obtain and document medical history and physical assessments
• Complete full SOAP note and document in EMR
• Order prescriptions, ancillary/diagnostic testing
• Review testing and labs and communicate to patient
• Provide patient education on multiple disease processes and medications as pertinent to patient
• Provide home visits to patients who are at high risk for hospitalization or complication of disease process
• Monitor the effectiveness of interventions
• Facilitate transition of care between health care settings
• Collaborate with multidisciplinary team members by making appropriate referrals
• Complete appropriate paperwork and EMR documentation to comply with insurance, CMS, Medicaid reimbursement guidelines
• Contributed to achievement of established key performance metrics including a decrease in hospital readmission, decrease in falls and injuries, improvement in diet and nutrition and increase in quality of life
• Instrumental in saving healthcare costs to patients and the organization
• Familiar with and adept and capturing HEDIS and MRA measures.

• Managed 1-20 patients overall health care
• Obtain medical/health history and provide physical assessments on patients
• Diagnose chronic and acute conditions and prescribe treatments as appropriate for illness
• Educate patients on their disease processes and promote healthy lifestyle choices and disease prevention
• Visit Homebound patients.
• Handled complex cases involving multiple comorbidities effectively by employing critical thinking skills and seeking expert consultations when necessary.
• Ordered and interpreted diagnostic tests to develop and implement treatment plans.
• Performed comprehensive physical assessments, accurately diagnosing conditions, and determining appropriate interventions.

• Evaluate patient medical history and assessment findings to determine potential risks and interventions to promote optimization of surgical processes for 10-15 patients per day
• Consult and confer with anesthesiologists to provide and review patient records support safe and seamless surgery
• Collaborate with floor nurses to administer regional nerve blocks and epidurals prior to surgical procedures
• Conduct routine charting and process audits to ensure that all clinical and administrative tasks are completed in compliance with organizationally established and federally regulated healthcare guidelines
• Coach, mentor, and train new employees to facilitate understanding or policies, procedures, and best practices in providing an exceptional patient care experience
• Play an instrumental leadership role on the Department Advisory Committee tasked with enhancing processes and procedures to improve patient care and new employee orientation, in addition to decreasing the volume of pharmacy discrepancies.

• Complete pain management for 12-15 post-op patients who have had nerve blocks, patient-controlled analgesia pumps, epidurals, spinals etc
• Adjust/Order pain medications as needed
• Coordinate ongoing care of acute pain patients with the anesthesiologists and surgeons
• Effectively manage pain levels through the administration of pharmacologic and nonpharmacologic interventions, as prescribed by physicians
• Continue duties and responsibilities of Anesthesia RN as detailed below.

• Obtain and review health histories and conduct physical assessments/examinations via home visits on for 8-10 male patients daily for hormone replacement therapy
• Order and perform diagnostic and POC testing
• Review all testing and communicate results with patients via telehealth
• Develop and recommend personalized treatment plans
• Monitor patient who are actively being treated via recurring home visit and telehealth appointments
• Educate patients on medications and how to administer
• EPrescribe medications for patient in accordance with state laws.

• Leveraged Medicare guidelines and evidence-based assessment findings to evaluate and determine patient eligibility for home healthcare services
• Generated individualized care plans for a caseload of 10-12 patients daily; offered one-on-one care for patients with acute and chronic conditions
• Contributed to sustained levels of health and wellbeing by ensuring timely administration of pharmacologic and non-pharmacologic interventions
• Skilled in IV insertion, blood draws, pain management, infection control, wound care, and medication management
• Promoted safe levels of autonomy and independence while supporting patients to complete activities of daily living
• Provided timely completion and submission of patient care notes and Medicare documentation to effectively manage continuity of care
• Trained and supervised home health aides and LPNs to ensure understanding of organizational policies, procedures and expectations for caring for patients in this setting.

• Performed initial and ongoing assessments of each patient's physiologic and psychosocial status to facilitate evaluation and admission to hospice care services
• Utilized the nursing process to provide hospice and palliative care for terminally ill patients and their families to ensure comfort and support as they navigate challenging end of life issues
• Provided skilled, bedside care including provision of medication, subcutaneous IV fluids, wound and ostomy care
• Collaborated with a multidisciplinary patient care team to maintain optimal patient flow without compromising quality of care
• Supervised a team of hospice aides and LPNs; appropriately delegated nursing tasks to ensure the provision of timely, attentive, and professional care to meet all patient and family needs
• Administered medications and provided emotional support to assist patients in maintaining optimal levels of comfort and quality of life
• Contributed to improve patient care and quality of life by ensuring consistent safety and comfort at all times while supporting family needs.