Jennifer Nagle
Novato,CA
Summary
Dynamic Registered Nurse with over 14 years of critical care expertise at the San Francisco VA Medical Center. Proven ability in patient coordination and multidisciplinary teamwork, enhancing veteran support and advocacy. Skilled in integrating clinical knowledge with healthcare operations, ensuring quality care and compliance with VA standards.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Registered Nurse Community Nursing Home Case Manager
San Francisco VA Medical Center
San Francisco, CA
12.2021 - Current
- Liaison between nursing homes and VA
- Multidisciplinary collaboration with the VA and nursing homes.
- Quality control of the care provided at nursing homes
- Assist with billing: basic knowledge of PDPM and RUG scores
- Developed an educational plan utilized by colleagues to support nursing homes.
- Provided clinical oversight for veterans, ensuring adherence to VA contract and care standards.
Registered Nurse Detailed to Vaccine Clinic & HHA
San Francisco VA Medical Center
San Francisco, California
07.2021 - 12.2021
- Resolved backlog of Home Health Aid requests, improving service access for veterans.
Evaluated veteran requirements for Home Health Aid through direct communication.
Facilitated outreach to veterans regarding Home Health Aid availability.
Matched veterans with suitable home health agencies tailored to needs.
Registered Nurse ASU/PACU
San Francisco VA Medical Center
San Francisco, CA
07.2018 - 07.2021
- Preoperative teaching for procedures: review of medications, assess knowledge of what to expect pre and post procedure and teach accordingly, educate patients on standard pre procedure prep; npo, wash, etc.
- Triage patients for appropriate level of care
- Post procedure training: medication review, f/u appointments, review possible post procedure complications and who to reach out to, activity restrictions, etc
- Post procedure follow up call: answer questions or concerns and assists in patient care coordination
- Recover patients immediately from surgery
- Coordinate with surgeons and anesthesia to ensure pts pain level is manageable
Registered Nurse Float Pool
San Francisco VA Medical Center
San Francisco, CA
03.2018 - 07.2019
- Float to med-surg floors, nursing home, TCU and ICU
- Float to tele tech
- Cross trained to IR
- Flexible to change assignment at any moment
Registered Nurse Per Diem
SF General Hospital
San Francisco, CA
10.2016 - 10.2018
- Med/Surg-Tele/Tcu combo
- Care of 3-4 patients, flex up or down depending on patients condition
- Tele monitor
- Care for patient population with substance abuse issues and complex wound care related to substance abuse, severe mental health issues
Registered Nurse 3B TCU
San Francisco VA Medical Center
San Francisco, CA
01.2015 - 03.2018
- Charge nurse
- Care of critically ill patients of various types- cardiac, general surg, ortho, neuro, etc
- Tele tech monitor
- Manage care of 3 critically ill patients: use critical thinking skill to review/execute doctors/interns/resident’s orders, attend interdisciplinary rounds
- ICU cross trained
- See also under previous SFVA experience
Registered Nurse- 5D Stepdown Tele
Albuquerque VA Medical Center
Albuquerque, NM
04.2011 - 01.2015
- Charge nurse- 12 bed critical care unit: coordinate/triage the flow of patients, answer concerns and questions from staff and family, assist fellow nurses
- Manage care of 3 critically ill patients: use critical thinking skill to review/execute doctors/interns/residents orders, attend interdisciplinary rounds
- Experience with immediate post cath patients
- Femoral and radial arterial lines in place for hemodynamic monitoring or post cath, monitor intra-abdominal pressure via foley, Ativan gtt, cardiac gtts (ie- dilt, nitro,amio) low dose dobutamine
- Assisting in establishing guidelines for medications appropriate for ICU versus Stepdown
- Working with managers to establish admission criteria for the stepdown unit
- Part of code team
- Float to MICU and SICU
- NIH stroke competent
- Conscious sedation for bedside procedures ie- dressing changes, cardio version, EGD
- Manage day shift schedule for unit
- Started unit base counsel
- Preceptor to new grades and new hires
Registered Nurse-7A Med-Surg
Dallas VA Medical Center
Dallas, TX
04.2010 - 04.2011
- Charge nurse for 24 bed medical-surgical unit: making day, evening and night shift assignment, triage patients, coordinating inter-disciplinary care: working with residents, hospitalist, social workers, placing consults, wound care team
- Team leader: taking on own assignment and team leading LVNs: IV push or PB fluids, focused assessments, monitoring changing acuities
- Participate in bed flow committee
- Suggesting, instituting and restructuring nursing protocol
- JHACO and OIG preparedness
Registered Nurse- 3B Stepdown Tele Unit/ Med-surg tele
San Francisco Veterans Hospital
San Francisco, CA
04.2007 - 04.2010
- Charge nurse for both stepdown (acute care) and med-surg tele (21 beds total): triage patients, assist nurses, attend multidisciplinary rounds, working with the teams: pharmacy, doctors, interns, family, lab
- Cross trained to ICU and ER
- Care for 3 acute patients on stepdown tele side; patients needing frequent monitoring, high risk for cardiac and or respiratory failure: etoh withdrawal, non therapeutic heparin gtts, pre and post op (3-4 days) cardiac/vascular surgery patients, patients with pacer wires and box, pacu and pre/post cardiac cath patients, acutely ill patients- bordering going to ICU, epidural patients, duramorph bolus patients, trach patients with frequent suctioning
- Charge of day shift floor scheduling
- Preceptor to new hires, new grads, and nursing students
- Educator to patients and families
- Participated in Pressure Ulcer Prevention studies: once every 3 months perform visual check on backside and bony prominences of all patients in the hospital, with simultaneous chart check
- Care for 4-5 patients on med-surg tele side; patients with stable cardiac issues: pre op cardiac patients, post cath patients, stable pacu patients who need cont. pulse ox, post op day 5+ cardiac/vascular surgery patients
- Posted articles for Tele/TCU journal club
- Interpret rhythm strips
Registered Nurse- Kidney/Liver Transplant
University of California San Francisco (UCSF)
San Francisco, CA
10.2006 - 04.2007
- Cared for and ensured the safety of 3-4 pts on a 30 bed unit
- Monitored immediate post op kidney donor/recipients and post op day 5+ liver transplant patients
- Medication regimen teaching to transplant recipients- how/when to take anti-rejection meds, prednisone tapering, what foods to avoid, expected side effects
- Teaching patients post op incision care
Education
Bachelors of Science - Nursing
University of San Francisco
San Francisco, CA01.2006
Skills
- Critical care expertise 14yrs
- Integrate clinical expertise with information processes to support healthcare operations
- Patient coordination in and outside the VA
- Multidisciplinary teamwork
- Completed utilization review TMS and didactic education Passed utilization review test
- Veteran support/advocacy
Certification
- Registered Nurse License ## 687203 CA, 687203, 10/31/25
- BLS certified RQI, 09/30/25
- ACLS certified RQI, 09/30/25
Timeline
Registered Nurse Community Nursing Home Case Manager
San Francisco VA Medical Center
12.2021 - Current
Registered Nurse Detailed to Vaccine Clinic & HHA
San Francisco VA Medical Center
07.2021 - 12.2021
Registered Nurse ASU/PACU
San Francisco VA Medical Center
07.2018 - 07.2021
Registered Nurse Float Pool
San Francisco VA Medical Center
03.2018 - 07.2019
Registered Nurse Per Diem
SF General Hospital
10.2016 - 10.2018
Registered Nurse 3B TCU
San Francisco VA Medical Center
01.2015 - 03.2018
Registered Nurse- 5D Stepdown Tele
Albuquerque VA Medical Center
04.2011 - 01.2015
Registered Nurse-7A Med-Surg
Dallas VA Medical Center
04.2010 - 04.2011
Registered Nurse- 3B Stepdown Tele Unit/ Med-surg tele
San Francisco Veterans Hospital
04.2007 - 04.2010
Registered Nurse- Kidney/Liver Transplant
University of California San Francisco (UCSF)
10.2006 - 04.2007
Bachelors of Science - Nursing
University of San Francisco
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