Janey Rains
New Port Richey
Summary
Seasoned nursing professional bringing over 30 years of experience offering proven management skills, clinical knowledge, natural interpersonal strengths, and technical abilities. Knowledgeable about acute and home care regulations, EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
31
31
years of professional experience
1
1
Certification
Work History
CWON
BayCare Homecare
06.2024 - Current
- Conduct virtual telemonitor visits to provide consultative documentation for physicians and TMS
- Assess, develop, implement and lead educational activities to improve professional competence of clinical team members
- Manage infection control and critical incidents and make procedural changes and improvements.
- Communicate with patients, ensuring that medical information is kept private.
- Develop and update policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, AHCA, payroll and benefits administration and general liability.
- Treatment and evaluation of numerous classifications of wounds, coordinating care, suggesting wound treatment regimens with physicians and WOCN to obtain the optimal wound treatment utilizing current evidence-based practice.
- Obtain ABI's and apply variety of compression wraps.
- Educate patients and caregiver's on wound healing processes and managing disease processes.
- Provide nutritional consultation and education for optimal wound healing.
- Wound prevention education and assessment.
- Perform virtual wound visits with patients with complicated wounds.
- Communicate with physicians, healthcare providers, facilities and community resources to provide excellent holistic care.
- Ostomy assessment, care, and education for numerous types of ostomies.
CWON/Wound Care Registered Nurse
Advent Health North Pinellas
07.2022 - 06.2024
- Skilled at working independently and collaboratively in a team environment
- Self-motivated, with a strong sense of personal responsibility
- Evaluates patients and recommends evidence-based treatment for new wound or ostomy consults in an acute care hospital and transitional care unit (TCU)
- Conducts skin/wound rounds weekly in TCU and provides report weekly to nurse manager
- Completes skin/wound summary form weekly for each patient on TCU
- Available as a resource to staff to assist in patients skin care needs and analysis
- Educates staff, patients and their families regarding skin care, wound care, ostomy care and/or fistula care
- Participates in General Orientation by providing an overview of the Wound Care Program to new employees
- Attends staff education, training, and other meetings
- Completes all photography of wounds and documents accordingly in the EMR
- Reviews Braden scale risk assessment on all patients
- Specialty mattress screening on all patients
- With MD order, provides conservative sharp debridement of avascular tissue
- With MD order, utilizes silver nitrate to cauterize closed non-proliferative granulation tissue and/or small bleeders
- Assures comprehensive management of patients receiving negative pressure wound therapy to include application, recommendations for initiation and discontinuation of therapy
- Proven ability to learn quickly and adapt to new situations
- Attends and participates in Patient Care Conference weekly
- Attends and participates in monthly Quality Assessment Committee
- Collaborates with Central Supply coordinator to review and manage unit supplies
- Excellent communication skills, both verbal and written.
- Works effectively in fast-paced environments.
- Manages time efficiently in order to complete all tasks within deadlines.
CWON/NSG Professional Development/PCS
Baycare Homecare
01.2017 - 12.2022
- Conduct virtual telemonitor visits to provide consultative documentation for physicians and TMS
- Assess, develop, implement and lead educational activities to improve professional competence of clinical team members
- Manage infection control and critical incidents and make procedural changes and improvements.
- Direct day-to-day administrative and operational functions for 200 home care patients, providing guidance and leadership to over 25 employees.
- Monitor and inspect staff processes to eliminate hazards posed for both home care patients and staff while ensuring continuous compliance with regulations.
- Communicate with patients, ensuring that medical information is kept private.
- Develop and update policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, AHCA, payroll and benefits administration and general liability.
- Organize and facilitate department meetings daily, discussing current census, admissions, discharges, and patients' needs.
- Supervise team of 25 home care clinicians.
- Generate and review incident reports, including employee write-ups, actualizing appropriate corrective action plans to mitigate ongoing and potential situations.
- Recruit, hire, and coach employees to offer high-quality, cost-effective care to all patients.
- Treatment and evaluation of numerous classifications of wounds, coordinating care, suggesting wound treatment regimens with physicians and WOCN to obtain the optimal wound treatment utilizing current evidence-based practice.
- Obtain ABI's and apply variety of compression wraps.
- Educate patients and caregiver's on wound healing processes and managing disease processes.
- Provide nutritional consultation and education for optimal wound healing.
- Wound prevention education and assessment.
- Perform virtual wound visits with patients with complicated wounds.
- Case management for 30-50 patients.
- Communicate with physicians, healthcare providers, facilities and community resources to provide excellent holistic care.
- Ostomy assessment, care, and education for numerous types of ostomies.
- Completion and education to staff on OASIS assessments.
- IV insertion and PICC line management and care.
- Management and care of feeding tubes, chest tubes, and drainage systems.
- Foley catheter insertion and care for urethral and suprapubic catheters.
RN OASIS Reviewer/Consultant And Coder
McBee Associates Inc.
01.2015 - 01.2017
- Reviewing OASIS assessments, physician's orders, and medical records.
- Consultation with home care agency staff regarding suggested recommendations to maintain compliance and accuracy with CMS guidelines.
- Reviewing all medical records and clinician documentation to obtain ICD-10 diagnosis codes for recommendation on home care claims using current coding guidelines.
In-House Case Manager/Supervisor/ADON
Interim Healthcare
01.2006 - 01.2015
- Provided direct patient care including patient assessment, IV management, phlebotomy, wound management, wound vac's, case management, and direct contact with physicians.
- Responsible for employee scheduling.
- Performed assessment submission to Medicare.
- Performed chart auditing/utilization review.
- Supervised RN case managers, LPN's and home health aides.
- Performed OASIS completion, review, and staff education.
- Provided patient and family education in all aspects of care.
- Performed case management for more than 150 patients.
- Performed management of nursing services in absence of Director of Healthcare Services and Assistant Director of Healthcare Services.
- Performed telephonic coordination with numerous physicians and patients facilitating seamless care, verifying orders, triaging patient issues, and advising on plans of care.
- Functioned as central office point of contact for patients, physical therapists, occupational therapists, speech therapists, social workers, nurses, home health aides, physicians, and hospitals.
- Responsible for making referrals to required specialties.
RN
Plains Regional Medical Center Clovis
01.2011 - 01.2013
- Registered nurse in labor, delivery, post-partum, nursery, surgical, and medical units.
- Performed fetal monitoring for inpatient's.
- Provided patient education on medications, precautions, and disease management.
- Performed complete care of ante-partum patients.
- Performed complete care for NICU Level 2 infants.
- Circulated in the operating room for cesarean sections.
- Assisted with circumcisions.
- Performed induction of labor under physicians orders.
- Performed assessment, planning and implementation of complete care for Medical/Surgical patients including medication administration, wound care, traction, blood administration, hemo-vac management, IV insertion and management, and phlebotomy.
- Delegated duties as appropriate.
- Assisted physicians in procedures and treatments.
- Facilitated contact with physicians to provide optimal patient care.
- Provided education to patients and families on patient specific healthcare needs.
RN School Nurse
Clovis Municipal Schools
01.2007 - 01.2009
- Performed vaccine record review and administered vaccines with parent consent.
- Provided first aide and stabilization in emergency situations.
- Developed and implemented care plans for children with medical needs.
- Worked closely with parents and physicians to coordinate healthcare for children.
- Performed pediatric assessments, medication administration, triage, and direct nursing care.
RN Education Resource Nurse
Plains Regional Medical Center Clovis
01.2006 - 01.2007
- Developed teaching plans and educated employees on new policies.
- Developed and presented new employee orientation.
- Organized and implemented yearly nurse competency training's.
RN Case Manager
Crosbyton Clinic Hospital Home Health
01.2004 - 01.2006
- Provided case management for 30-40 patients.
- Performed wound care, medication administration, phlebotomy, and physical assessments for home care patients.
- Developed and implemented patient care plans.
- Contacted and coordinated care with multiple physicians.
- Performed OASIS assessments on Medicare patients.
LPN/RN Emergency Department, Med/Surg, And OB/GYN Department
Hereford Regional Medical Center
01.1994 - 01.2004
- Medical/Surgical, ICU, ED and OB/GYN floor nurse.
- Performed patient assessment, teaching, medication administration, and wound care.
- Assisted physicians with medical procedures and treatments.
- Participated in code situations.
- Managed care of critical patients in ED.
- Assisted in the transfer of critical patients to other facilities.
- Performed labor inductions, fetal monitoring, placement of internal scalp electrodes, assisted with cesarean sections, VBACs, vaginal deliveries, and circumcisions.
Education
CWON - Wound And Ostomy Nursing
Emory University
Atlanta, GA11.2020
Bachelor of Science - Nursing
Grand Canyon University
Phoenix, AZ01.2020
Associates Degree - Nursing
Amarillo College
Amarillo, TX12.2002
LPN Certificate - Nursing
Clovis Community College
Clovis, NM05.1993
High School Diploma -
Grady High School
Grady, NM05.1991
Skills
- Wound and ostomy management and assessment
- Negative Pressure Wound Therapy application and management
- Staff and patient education and training
- Patient/staff scheduling
- Staff supervision
- Chronic disease management
- Regulatory compliance
- Emotional intelligence
- Patient care coordination
- Protecting patient privacy
- Care plan development
- Data entry
- EMR / EHR with McKesson, Kinnser, Epic, Solcom, Cerner, and Interlink
- OASIS assessment, completion, and educating staff on OASIS
- Specimen collection and analysis
- Policy development and implementation
- Proficient with Microsoft Word and Excel
- Critical Thinking
Accomplishments
- Participated in an award-winning evidence-based practice project for improving wound outcomes by implementing a virtual visit program in home care.
- Earned “Daisy” Award for assisting other departments during nursing shortage in our home care office.
- Earned “Junior of the Year” Award at ENMU for academic performance.
- Earned “Valedictorian” Award at Amarillo College for academic performance.
Certification
- WOCNCB certified WON
- WOCN Society Member
- Registered nurse state of Florida
- BLS certified
Timeline
CWON
BayCare Homecare
06.2024 - Current
CWON/Wound Care Registered Nurse
Advent Health North Pinellas
07.2022 - 06.2024
CWON/NSG Professional Development/PCS
Baycare Homecare
01.2017 - 12.2022
RN OASIS Reviewer/Consultant And Coder
McBee Associates Inc.
01.2015 - 01.2017
RN
Plains Regional Medical Center Clovis
01.2011 - 01.2013
RN School Nurse
Clovis Municipal Schools
01.2007 - 01.2009
In-House Case Manager/Supervisor/ADON
Interim Healthcare
01.2006 - 01.2015
RN Education Resource Nurse
Plains Regional Medical Center Clovis
01.2006 - 01.2007
RN Case Manager
Crosbyton Clinic Hospital Home Health
01.2004 - 01.2006
LPN/RN Emergency Department, Med/Surg, And OB/GYN Department
Hereford Regional Medical Center
01.1994 - 01.2004
CWON - Wound And Ostomy Nursing
Emory University
Bachelor of Science - Nursing
Grand Canyon University
Associates Degree - Nursing
Amarillo College
LPN Certificate - Nursing
Clovis Community College
High School Diploma -
Grady High School
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