California Board-Certified , compassionate, Registered Nurse with over fourteen years of experience delivering high-quality care to diverse populations in the acute care setting and over three year experience as a health facilities evaluator nurse enforcing State and Federal laws, rules and regulations pertaining to areas affecting total patient care in skilled nursing facilities. I am team and detail oriented and am ambitious and highly motivated in achieving or exceeding set goals to ensure the welfare of the population served.
Overview
17
17
years of professional experience
Work History
Health Facilities Evaluator, Nursing
Los Angeles County Department Of Public Health
04.2021 - Current
Conduct annual recertification surveys and abbreviated standard surveys of skilled nursing facilities in accordance with state, federal and local laws, regulations and departmental guidelines relating to patient care, physician, nursing, diagnostic and treatment services, dietary, pharmaceutical, medical records, social services, administrative management, and ethical practices such as handling patients' personal funds through direct observation, interviews, and record review of patients' and facility documents.
Based on the investigative findings, data is analyzed and federal and/or state deficiencies and citations are issued due to the facility's non-compliance in accordance with Federal, State, and local laws and regulations.
Coordinates with team members during facility's recertification survey as a Team Coordinator and acts as a liaison between the facility, the district office and the survey team to ensure the survey process is conducted smoothly.
Participates in onsite training of new Health Facility Evaluator Nurses during onsite visits and providing guidance of investigative skills, reviewing and applying the Federal, State, and local law regulations based on the investigation findings.
Works alongside local Law Enforcement agencies as needed.
Monitors compliance of facilities by ensuring Plans of Correction submitted based on deficient practices are acceptable to prevent any future non-compliance. Identifies levels of facilities non-compliance whether there is no actual harm with potential for minimal harm, no actual harm with potential for minimal harm to the resident, actual harm which does not require immediate action, or immediate jeopardy which the resident health and safety results in serious injury, harm, impairment, or death in which immediate corrective action is necessary.
Survey skilled nursing facilities to ensure compliance with CMS (centers for Medicare and Medicaid) regulations as well as California regulations.
Maintain a professional relationship with facilities staff and management.
Ongoing education in relation to CMS and California regulation, new healthcare laws and infection control guidance.
Ability to perform independently on surveys.
Flexible to meet the needs of the employer and the clients.
Participated in ongoing professional development activities to stay current on best practices in the field of evaluation.
Maintained a high degree of professionalism when dealing with sensitive information or challenging situations during the course of an evaluation.
Registered Nurse, Labor and Delivery
St. Francis Medical Center
10.2020 - 04.2021
Cared for mothers with COVID-19.
Provided direct patient care, stabilized patients and determined next course of action.
Responded to emergency situations such as pre-eclampsia, early labor and fetal distress.
Supported physicians in both planned and emergency Cesarean section procedures.
Administered epidural and patient controlled analgesia to block pain from labor contractions and during birth.
Worked closely with doctors and midwives in coaching pregnant women through childbirth and post-natal recovery.
Assisted with care for expectant mothers from beginning to end of term, including monitoring labs, examining ultrasounds and informing mothers on what to expect in next stages of pregnancy.
Assisted obstetricians and midwives with deliveries and cared for newborns directly after birth.
Assisted physician during delivery, examination and surgical procedures by anticipating needs, encouraging patient and attending to baby after birth.
Coordinated care of low and high-risk laboring women of childbearing age and immediate stabilization of newborn following delivery.
Advocated for and strived to protect health, safety and rights of patient.
Equipped patients with tools and knowledge needed for speedy and sustained recovery.
Registered Nurse, Obstetrics Acute
St. Francis Medical Center
02.2009 - 10.2020
Caring of new mothers with COVID-19
Newborn transition immediately after birth in L&D
Immediate postpartum recovery in L&D
Postpartum and newborn assessment and care
Provide comprehensive care geared toward postpartum patient's physical, spiritual, parental, educational, and psychosocial needs
Providing education and assistance on perineal care including care of a laceration or episiotomy
Assisting with breastfeeding and breast care
Provide skilled, timely and level-headed emergency response to critically-ill patients when applicable fluids and oriented patients to unit to achieve optimal outcomes
Caring for mother and baby (couplet care, stable infants)
Caring for Duramorph patients recovering from cesarean birth
Infants being cared for under bili-blankets
Caring for postpartum women with hypertensive crisis currently receiving maintenance dose of Magnesium Sulfate IV therapy
Provide expertise for clinical support and services such as WIC
Vaccinate patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern
Explain course of care and medications, including side effects to patients and caregivers in easy-to-understand terms
Accurately document all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care
Communicate with healthcare team members to plan, implement and enhance treatment strategies
Deliver medications via oral, IV and intramuscular injections, monitoring responses to catch and address new concerns
Organized and manage care of patients undergoing various therapies and procedures, including cesarean section and bedside procedures (newborn circumcision, blood patch, extra digit removal of newborn)
Observe and document patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans
Promote patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems
Facilitate therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability
Provide skilled, timely and level-headed emergency response to critically-ill patients when applicable
Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction
Observe and reported patient condition, progress and medication side effects to accurately document updates
Update patient charts using ARCIS with data such as medications to keep records current and support accurate treatments
Audit charts daily and reviewed all clinical documents to verify accuracy and completeness, progress towards core measurable targets and completion of appropriate patient health education
Collaborate with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
Monitor patient reactions after administering medications and IV therapies
Administer different therapies and medications in line with physician orders and treatment plan
Equip patients with tools and knowledge needed for speedy and sustained recovery
Address disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability
Educate family members and caregivers on patient care instructions
Adhere to strict safety measures by carefully determining proper dosages before administering medications
Provide patient-centered, economical health services with a focus on nurturing healthy children and families, building self-sufficiency, and achieving excellence in facilities and technology with the ultimate goal of enhancing the health of the community
Sustain quality standards by performing routine medication audits and upholding internal and industry best practices
Manage care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to over eight patients daily
Participate in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities
Provide skilled, timely and level-headed emergency response to critically-ill patients, when applicable
Supported diagnoses by taking blood, urine or sputum samples from patients for laboratory testing
Strengthened training and nursing knowledge by taking part in continuing education programs and skill fair workshops
Train new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety
Led planning and achievement of goals and objectives consistent with agency mission of respect, caring, integrity, passion and stewardship
Maintain composure and efficiency during rapid response situation and emergency codes
Answer patient questions and provided take-home materials for further information
Boost patient outcomes by prioritizing nursing tasks and assignments and accurately reporting on each patient's status
Registered Nurse, Medical-Surgical Unit
St. Francis Medical Center
03.2007 - 03.2009
Floated to Skilled Nursing, Telemetry, Orthopedic and Oncology Units
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
Provided direct patient care, stabilized patients and determined next course of action
Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems
Delivered medications via oral, IV and intramuscular injections, monitoring responses to catch and address new concerns
Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit to achieve optimal outcomes
Observed and reported patient condition, progress and medication side effects to accurately document updates
Equipped patients with tools and knowledge needed for speedy and sustained recovery
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches
Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations
Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems
Administered different therapies and medications in line with physician orders and treatment plan
Collected blood, tissue and other laboratory specimens and prepared for lab testing
Implemented interventions, including medication and IV administration, catheter insertion and airway management
Sustained quality standards by performing routine medication audits and upholding internal and industry best practices
Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies
Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management
Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to over five patients daily
Provided exceptional care to four to five high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation
Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care
Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options
Delivered quality care and comfort to patients with heart failure, pulmonary hypertension, pulmonary embolisms and end-stage renal disease
Education
Bachelor of Science - Nursing Science
University of Phoenix
Tempe, AZ
07.2018
Associate of Science - Nursing
Long Beach City College
Long Beach, CA
12.2006
Some College (No Degree) - Certified Nursing Assistant
ABC Adult School
Cerritos, CA
04.1999
Skills
Loyal to organization, associates, and team members
Committed to organizational goals
Speak some Spanish
Patient and family advocate
Self Driven
Willing to take initiative and adapt to any situation
Demonstrates competent performance
Ability to learn rapidly and adapt quickly to changing situations
Proficient in Microsoft Office with typing speed of 50 wpm
High level of autonomy
Accomplishments
Received District Office Recognition/Spotlight Award for Region 3 on 8/29/2023.
Member of The National Society of Leadership and Success
Recipient of $1,000 continuing education scholarship from St. Francis Medical Center in 2018
Awarded $10,000 Bachelor of Science Nursing Loan Repayment Program 2018 from the Office of Statewide Health Planning and Development
Certifications
Received Certification for Surveyor Minimum Qualifications Test (SMQT) -12/23/2021.
Timeline
Health Facilities Evaluator, Nursing
Los Angeles County Department Of Public Health
04.2021 - Current
Registered Nurse, Labor and Delivery
St. Francis Medical Center
10.2020 - 04.2021
Registered Nurse, Obstetrics Acute
St. Francis Medical Center
02.2009 - 10.2020
Registered Nurse, Medical-Surgical Unit
St. Francis Medical Center
03.2007 - 03.2009
Bachelor of Science - Nursing Science
University of Phoenix
Associate of Science - Nursing
Long Beach City College
Some College (No Degree) - Certified Nursing Assistant
ABC Adult School
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