Jasmine Burch
Jacksonville,FL
Summary
Detail-oriented PCU nurse with a seamless transition into the role of Clinical Documentation Integrity Specialist. Leveraging six years of hands on experience in Progressive Care Unit settings, adept at accurate patient assessment, and interdisciplinary collaboration. Proficient in identifying documentation gaps and implementing corrective actions to ensure compliance and regulatory standards. Excited to apply nursing expertise to optimize clinical documentation integrity, enhance patient care outcomes, and streamline healthcare processes.
Overview
6
6
years of professional experience
Work History
PCU Float- RN
Baptist Medical Center
Jacksonville, FL
06.2022 - Current
- Provide direct patient care in the Progressive Care Unit (PCU) while concurrently focusing on clinical documentation integrity.
- Collaborate with healthcare providers to accurately capture patient diagnoses, procedures, and treatments in medical record.
- Serve as a liaison between clinical staff and coding professionals, and quality improvement teams to address documentation deficiencies and implement corrective actions.
- Participate in quality assurance audits and performance improvement initiatives related to clinical documentation.
PCU- RN
Acension Health System
Jacksonville, FL
01.2022 - 03.2022
- Demonstrate proficiency in assessing and managing patients in Progressive Care Unit (PCU) setting, including comprehensive understanding of disease processes, treatments, and medical terminology.
- Participate in interdisciplinary team meetings to discuss documentation related issue, trends, and opportunity for improvement.
- Adhere to hospital policies, procedures, and standards of care to ensure patient safety and compliance with regulatory requirements.
- Serve as a resource and mentor for less experienced staff members, fostering a collaborative and supportive work environment.
PCU- RN
Bethesda Hospital East
Boynton Beach, FL
08.2021 - 11.2021
- Collaborated with multidisciplinary team members to develop individualized plans of care for each patient.
- Monitored vital signs, cardiac rhythms, ventilator settings, and other pertinent data for changes or abnormalities.
- Assessed and evaluated patient's condition and responded appropriately to changes in the patient's status.
- Maintained accurate documentation of all assessments, treatments, medication administration records, and other relevant information according to facility policies and procedures.
Clinic Nurse
CVS Minute Clinic
Jacksonville, FL
04.2021 - 07.2021
- Review and analyze medical records from clinic visits for accuracy, completeness, and compliance with documentation standards.
- Assisted physicians with exams, treatments, and procedures.
- Administered medications and immunizations as prescribed by a physician.
- Performed nursing assessments and collected patient medical histories to help determine proper diagnosis.
Registered Nurse, PCU
Halifax Medical Center
Daytona Beach, FL
04.2020 - 02.2021
- Ensured compliance with federal regulations such as HIPAA laws pertaining to maintaining confidentiality of patient information.
- Interviewed patients and families to assess needs and risk categories to develop and implement appropriate plans of care.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Telemetry, Registered Nurse
Orange Park Medical
Jacksonville, FL
06.2018 - 03.2020
- Float to different units within the hospital as assigned, providing high-quality care across various patient population.
- Participate in ongoing education and training to stay current on advancements in medical practices and technologies.
- Maintain accurate and thorough documentation of patient assessments, interventions, and outcomes.
Education
Associate of Science - Nursing
Concorde Career College
Kansas City, MO05-2018
Skills
Attention to Detail
Critical Thinking
Clinical Expertise
Communication
Technology Proficiency
Problem solving
Timeline
PCU Float- RN
Baptist Medical Center
06.2022 - Current
PCU- RN
Acension Health System
01.2022 - 03.2022
PCU- RN
Bethesda Hospital East
08.2021 - 11.2021
Clinic Nurse
CVS Minute Clinic
04.2021 - 07.2021
Registered Nurse, PCU
Halifax Medical Center
04.2020 - 02.2021
Telemetry, Registered Nurse
Orange Park Medical
06.2018 - 03.2020
Associate of Science - Nursing
Concorde Career College