Renee Holmes
Summary
Licensed practical nurse currently licensed in NY state with over 12 years of clinical experience. Much of my experience includes working in psychiatric, corrections and addiction treatment. However, my knowledge and skills extend well Well-qualified LPN with 12 years of clinical experience in a variety of settings. Excellent communication, prioritization and multitasking abilities with sound judgment and compassionate nature.
Overview
13
13
years of professional experience
Work History
LPN
St. Peter's Health
03.2023 - Current
- Respond to patient requests with appropriate clinical and personal assistance.
- Perform routine evaluations of each patient's status, needs, and preferences in a secured assisted living center for individuals with various dementia and memory care diagnoses.
- Medication passes: Adhered to treatment plan and physicians orders when administering scheduled medications, observe residents and asses for the need of PRN medications often times to resident that can be difficult due to their disease progression, document administration and effectiveness of medications.
- Diabetic care: Adhered to treatment plan and physicians orders to check blood sugar levels, administer standing ordered insulin as as well as calculate amount of insulin based on blood sugar level and a sliding scale orders if needed.
- Treatments: Adhered to treatment plan and physicians orders to provide wound care, bandage changes, apply medicated creams, lotions and powders, and other various treatments residents may need. Observe for changes, document changes, provide information to care givers and medical providers to achieve the best outcome.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Gather lab specimens as ordered, fill out proper lab forms and contact couriers.
- Observe residents for changes in behaviors, mental status, ability to complete tasks and overall well being of residents. Obtain patient vital signs and input/output measurements per treatment plan.
- Documentation: Accurately document any and all information regarding residents, new orders, changes to orders, document and mental status changes as well and changes in residents from their baseline. Convey all important patient information to care givers and staff to help optimize treatment planning and care delivery.
- Emergencies: depending on the severity of the incident call 911, provide care that is needed immediately, direct other staff to complete tasks, complete medical transfer paperwork including vital signs, pertinent information, current medication/treatment orders, provide handoff to EMS, keep milieu as calm and clear as possible
- Offer education, information and comfort to patients and families throughout care process.
- Admits and return admits: alert provider of new orders, document changes to medications and treatments
- Minimize staff and patient infection risk by cleaning and disinfecting equipment instruments.
- Minimal staffing work, receive call ins, attempt to find coverage for vacant shifts and mandate staff when needed.
LPN
Department Of Veterans Affairs
12.2021 - 06.2022
- Document new issues, changes to any known issues and returning issues and report to provider
- Observe, document and report patients conditions
- Asses for depression/ SI/ HI
- Viral signs, orthostatic vitals, EKGs, lab test, past medical history and family medical history, current medication regimen including OTC medication and any herbal supplements
- Supported physicians during examinations and scans to assist with diagnostic procedures.
- Obtain specimens for laboratory tests and correctly document information on specimens and any forms that are needed
- Run tests that are available in office, document and report to provider
- Deliver other specimens to the lab for testing
- Follow up with labs for results, critical values or any lab related issues
- Administer ordered medications, administer immunizations and education about immunization, assist with in office minor procedures, complete treatments as directed by the provider
- Educate patient to knew medication, treatments and orders for their care at home
- Answer patient questions and address their concerns
- Assist patients with scheduling appointments with specialists
- Work with different departments to get medical devices, prosthesis, and any other specialized medical equipment
- Track and obtain test results for provider review and notify patients of results and provider directions as directed and mail lab results and suggestions to patient
- Work with provider during crisis situations and transport patients to ER for emergency care
- Follow up and schedule patients who have been recently discharged from hospitals and emergency rooms to prevent repeat hospital/ER visits
- Manage clinical and medication refill voice mail lines, complete medication renewals in EMR for provider to sign, triage clinical questions, submit information to providers and contact patients with any information and changes
- Order and maintain inventory of medical supplies and office supplies.
- Answered incoming phone calls from patients to provide basic assistance and triage medical concerns.
LPN
Nancy Trzcinski FNP
05.2020 - 01.2021
- Performed routine evaluations of each patient's status, needs, and preferences.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
- Collect and document vital signs, update medical history and medications
- Administer injectable medications and monitor patients for adverse reactions
- Set up and assist provider with treatments and procedures, prepare documentation needed to send samples to pathologists.
- Used aseptic techniques to provide sterilized wound care and dressing applications.
- Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
- Triage phone calls, return patient phone calls and call/fax medication renewals and refills to pharmacies
- Initiate, complete and track prior authorizations
- Coordinated patient transfers to other facilities for further tretreatment.
LPN
St. Peter's Internal Medicine
12.2019 - 05.2020
- Document new issues, changes to any known issues and returning issues and report to provider
- Observe, document and report patients conditions
- Asses for depression/ SI/ HI
- Viral signs, orthostatic vitals, EKGs, lab test, past medical history and family medical history, current medication regimen including OTC medication and any herbal supplements
- Supported physicians during examinations and scans to assist with diagnostic procedures.
- Obtain specimens for laboratory tests and correctly document information on specimens and any forms that are needed
- Run tests that are available in office, document and report to provider
- Deliver other specimens to the lab for testing
- Follow up with labs for results, critical values or any lab related issues
- Administer ordered medications, administer immunizations and education about immunization, assist with in office minor procedures, complete treatments as directed by the provider
- Educate patient to knew medication, treatments and orders for their care at home
- Answer patient questions and address their concerns
- Assist patients with scheduling appointments with specialists
- Work with different departments to get medical devices, prosthesis, and any other specialized medical equipment
- Track and obtain test results for provider review and notify patients of results and provider directions as directed and mail lab results and suggestions to patient
- Work with provider during crisis situations and transport patients to ER for emergency care
- Follow up and schedule patients who have been recently discharged from hospitals and emergency rooms to prevent repeat hospital/ER visits
- Manage clinical and medication refill voice mail lines, complete medication renewals in EMR for provider to sign, triage clinical questions, submit information to providers and contact patients with any information and changes
- Order and maintain inventory of medical supplies and office supplies.
- Answered incoming phone calls from patients to provide basic assistance and triage medical concerns.
LPN
CONIFER PARK
07.2019 - 11.2019
- Provide care to adults in a detox and rehabilitation setting
- Complete CIWA and COWS assessments for detox care
- Monitor patients for severe and some life threatening detox signs and symptoms
- Based on findings and vitals administer medication and reevaluate
- Report findings that are out of normal range to charge nurse
- Complete medication passes for scheduled medications several times a shift and be available for patients to request PRN medication
- Diabetic care: Monitor blood sugar, provide insulin as ordered and using standing orders and a sliding scale order
- Observe patient's for symptoms of hyper/hypoglycemia, follow protocols and orders for treatment
- Completed medication passes for patients throughout the entire facility that are using detox medications and MAT medications
- Observed every patient while taking these medications to ensure that they were taken appropriately
- Notified all of the patients care team if any issues were happening
- Count all MAT medications, controlled medications and sharps at the beginning and end of the shift, controlled medications were delivered from the pharmacy, at admission and discharge, and when stock controlled substances are being added to med room stock
- Document all information that needs to be relayed to next shifts, providers, or any care givers.
LPN
ALBANY MEDICAL CENTER
10.2018 - 06.2019
- Worked closely with several child and adult psychiatrists to provide mental health care in an outpatient setting
- Gathered information from patients and/or patient's family to determine patient safety and the safety of others, triage calls for several providers in the clinic and effectively communicate care plans to the patient or their family
- Collect and track vital signs, medication changes, and update patient charts at each visit
- Input orders for new medications, medication renewals, labs and procedures into EMR
- Process prior authorizations for several providers
- Complete paperwork including disability, workman's comp, and personalized letters for patients
LPN
ALBANY COUNTY, OF MENTAL HEALTH
09.2017 - 10.2018
- HOURS A WEEK OF THE POSITION IS WORKING IN A MENTAL HEALTH INTEGRATED CLINIC
- Track and complete prior authorizations, and appeals to all insurance companies for several providers in a 700+ patient clinic
- Track orders for labs, enter bloodwork values into REMS, and manage clozaril groups
- Order, take inventory of patient specific injectable medications and samples medication
- Track patients medication due date, and administer injectable medications
- Track all annual physicals, ROI's, and health screens and assist patients with finding providers in the community to manage medical concerns
- HOURS A WEEK OF THE POSITION IS WORKING WITH THE ALBANY COUNTY ACT (ASSERTIVE COMMUNITY TREATMENT) TEAM
- Worked in the community locating patients who are not stable enough for traditional office care
- Track, ordered and administered all medications including injections for patients
- As developing patients have more freedom, package medication for patients for several days at a time
- Observe patient's behaviors or other signs that these patients are not taking their medications properly and educate patients on medication handling and safety
- Provide and assist patients with finding and utilizing community resources and often times accompanied them to make sure they were able to get their needs met
- Create a therapeutic relationship with clients to assist them with their illnesses
- Crisis intervention and prevention
LPN
PSYCHIATRIC GROUP OF ALBANY
12.2016 - 10.2018
- Provide support to mental health providers at Albany County Correctional Facility
- Initiated and follow up appointment for inmates who were in need of mental health care
- Ordered and administered medications and injections
- Maintained schedules for several providers to see inmates that are receiving mental health services
- Guarantee that all inmates are seen by a provider at least once every 30 days and as requested
- Kept inventory of medication samples and distributed as needed
LPN
Correctional Medical Care
05.2015 - 01.2018
- Provided care to inmates in correctional care setting at Albany County Correctional Facility
- Completed large medication passes in multiple areas of the facility while maintaining the safety of everyone
- Treatments including but not limited to, vitals, CIWA & COWS, eye and ear lavage, dressing changes, eye and ear drops, and care in the event of an emergency
- Worked with onsite doctor doing various procedures, collecting cultures and treating acute and chronic health issues
- Transcribed written doctors orders for medications and/or treatments to medication/treatment administration records
- Placed written orders into an electronic medication ordering system
- Scanned in delivery of medications from the pharmacy
LPN
VA MEDICAL CENTER
11.2012 - 05.2014
- Worked closely with others providers and the residents to provide the best care possible to Veteran's in a treatment program
- COWS/CIWA scoring to ensure safety of residents while going through detox
- Completed medication administration as ordered by providers
- Obtained and processed specimens as needed
- Provided therapeutic treatment to veterans who were in crisis, assessed for suicidal ideation, self harm or other unsafe conditions
- Worked with on call providers for continuity of care
- Facilitated transfers to the ER for emergent care
- Directed several different support groups for residents
LPN
OREGON STATE PSYCHIATRIC HOSPITAL
04.2011 - 11.2012
- Provided scheduled and PRN to psychiatrically unstable forensic and civil committed patients
- Provided care for patients in an acute psychiatric unit and the NEURO/GERO psychiatric unit
- De-escalated disruptive behaviors and safe crisis intervention
- Assisted patients with ADLs
- Vitals and various treatments as directed
Education
LPN
PIONEER PACIFIC COLLEGE
Wilsonville, OR04.2011
Skills
- Chronic Disease Management
- Shared Governance
- ADLs Assistance
- Acute Care
- Transcribing Orders
- Tracking Symptoms
- Patient Triaging
- Multi-Tasking and Prioritization
- Behavioral Expertise
- Data Collection
- Blood Pressure Measurement
- Assisting Physicians
- Recording Vital Signs
- Interpersonal Communication Skills
- Wound Care
- Direct Patient Care
- Medical Records Management
- Patient Health Information Access
- Counting Narcotics
- EMR Systems
- Emotional Support
- Biomedical Hazard Disposal
- Psychotropic Medication Knowledge
- HIPAA Protocols
- EKG Administration
- Immunization Administration
- Caregiving Skills
- Documenting Incidents
- Patient Information Collection
- Cardiopulmonary Resuscitation (CPR)
- Medication Dispensing
- Medication Administration
- Patient Information Verification
- Specimen Collection
- Long-Term Care
- Charting and Recording
- Sublingual Medication Administration
- Insulin Administration
- Breathing Treatments
- Behavioral Assessment
- Educating Families
- Medical Terminology
- Tuberculosis Testing
- Hygiene Support
- Reading Comprehension
- Dietary Requirements and Restrictions
References
Available upon request
Timeline
LPN
St. Peter's Health
03.2023 - Current
LPN
Department Of Veterans Affairs
12.2021 - 06.2022
LPN
Nancy Trzcinski FNP
05.2020 - 01.2021
LPN
St. Peter's Internal Medicine
12.2019 - 05.2020
LPN
CONIFER PARK
07.2019 - 11.2019
LPN
ALBANY MEDICAL CENTER
10.2018 - 06.2019
LPN
ALBANY COUNTY, OF MENTAL HEALTH
09.2017 - 10.2018
LPN
PSYCHIATRIC GROUP OF ALBANY
12.2016 - 10.2018
LPN
Correctional Medical Care
05.2015 - 01.2018
LPN
VA MEDICAL CENTER
11.2012 - 05.2014
LPN
OREGON STATE PSYCHIATRIC HOSPITAL
04.2011 - 11.2012
LPN
PIONEER PACIFIC COLLEGE