Andrea Melton
Summary
Registered Nurse with 15+ years nursing experience in clinical settings providing nursing care to diverse populations. 20+ years in healthcare. Nurse Case Manager with valid Compact State RN License. Solid Behavioral Health, Acute Medical Psych, Postpartum experience within a managed care environment.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Pediatric/Adolescent Psychiatric (Charge Nurse)
Care Rev Agency/ SSM Depaul Hospital
10.2021 - Current
- Provided direct quality care to patients by monitoring, recording and evaluating psychiatric conditions.
- Responded to numerous volatile situations and violent outbreaks to restore safety and security of patients and staff.
- Administered medication and treatments to patients to observe and record responses.
- Performed patient assessments to monitor expected response to medications and altering treatment plans.
- Oversaw care of suicidal patients and acted swiftly to reduce risk of harm to themselves or others.
- Explained useful coping methods to relieve depression and anxiety.
- Conducted therapy for mentally ill patients in group and individual settings to assist patients in achieving normalcy.
- Coordinated with medical and paramedical professionals to provide appropriate input and effectively formulate and implement treatment plans for patients.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
Acute Medical Psychiatric PRN Staff Nurse
Mercy Hospital
8 2008 - Current
- Care of adult, adolescent, geriatric and acute medical behavioral health population
- Implement nursing process
- Assessments including nursing diagnosis, medication administration, creating plan of care, evaluation and education during hospitalization and at discharge
- Documentation of daily assessment and evaluations
- Participated in Group (Milieu) Therapy sessions
- Provided behavioral/emotional support and supervision for those with dementia and Alzheimer's
- Applied evidence-based techniques such as behavioral activation, problem-solving treatment and motivational interviewing to support behavioral interventions
- Educated patients about common mental health and substance abuse disorders to facilitate their understanding of treatment options
- Administered medications via oral, IV and intramuscular injections and monitored responses.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Followed proper procedure for installation and removal of catheters, IVs and PIC lines.
- Performed routine wound care and dressing changes on schedule.
- Assisted patients in performance of routine recovery and mobility exercises, providing support when getting in and out of bed as well as walking and stretching.
- Responded to numerous volatile situations and violent outbreaks to restore safety and security of patients and staff.
Nurse Case Manager (PRN)
SSM Select Rehab St. Louis
06.2020 - 01.2022
- Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
- Managed support services and fostered communication among social workers, therapists, hospital staff and patients.
- Educated patients and caregivers on healthcare protocols and processes.
- Gathered and recorded patient health information and data to assess, identify and manage characteristics that affect care outcome.
- Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care.
- Recommended long-term residential treatment, short-term residential treatment and individualized and group drug counseling for clients with substance abuse issues.
- Interviewed clients, families or groups to assess situations, limitations and issues and implement services to address needs.
- Coordinated travel arrangements and contacted family with travel information.
- Facilitated timely referrals to alternate levels of care and assisted family or guardian with completion of applications.
- Worked with utilization review to establish prior authorization for timely discharges.
- Coordinated program referrals for community-based resources.
- Coordinated individualized discharge plans to manage safe transition back into community and home environments.
Remote Nurse Case Manager
Lumeris Inc.
09.2018 - 02.2020
- Developed care plans based on nursing diagnosis and incorporated therapeutic, preventive and rehabilitative nursing methods
- Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed
- Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients
- Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom re occurrence
- Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes
- Reduced care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration
- Worked with suppliers and vendors on provision of medical equipment, items and services
- Liaised with physicians regarding patient needs, performance and changes
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Coordinated rehabilitative and preventive nursing processes and procedures
- Maintained average of 60-70 case loads
Registered Nurse Case Manager (Float)
Barnes-Jewish Hospital
10.2017 - 11.2018
- Worked with patients and families to develop future plans and discuss care actions
- Counseled individuals and families regarding mental health, substance abuse, physical abuse and rehabilitation issues
- Interviewed and evaluated clients, including conducting safety and risk assessments
- Coordinated patient care from pre-admission to post-discharge follow-up
- Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations
- Maintained good communication between department heads, medical staff and governing boards by attending board meetings and synchronizing interdepartmental functions
- Educated staff on state and federal statutes, rules and regulations governing home care services
- Evaluated effectiveness of current strategies with interdisciplinary team and utilized recommendations to make permanent improvements to care standards
- Increased utilization of preventative care to reduce re-admissions
- Coordinated discharge disposition services such as LTAC, SNF, Acute Rehab, Home Health, Home Infusion, Hospice Care, and Palliative Care
- Obtained DME supplies for after hospital care services
- Addressed disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability
Mother Baby/Newborn Nursery/OBYN Staff Nurse
Mercy Hospital
03.2013 - 04.2018
- Care of postpartum patients including vaginal and cesarean births
- Care of post-surgical patient including routine and high-risk pregnancies
- Care of newborn infant including assessments, hypoglycemia management, circumcision care, jaundice management, breast feeding education, discharge teaching, PKU metabolic screening, lab draws
- Patient care skills to include: IV insertion and management, Foley catheter placement and management, oxygen therapy, wound care, lab draws, epidural and PCA pump management
- Discharge planning and teaching
- Cared for an average couplet ratio of 4/4
Registered Nurse Case Manager
Texas Health Resources
08.2016 - 10.2017
- Communicate between care providers and hierarchies
- Oversee follow-up of appointments and consultations
- Create and implement plan of care during hospitalization and after discharge
- Practice cultural competence, with awareness and respect for diversity
- Promote use of "evidence-base care"
- Link with community resources
- Abide by Medicare/Medicaid and commercial insurance payer rules and guidelines
- Assist with navigating health care system to achieve successful care
- Promote quality outcomes and measurement of those outcomes
- Support ad maintain compliance with federal, state, local, organizational, and certification rules and regulations
Mother Baby/Newborn Nursery/OBGYN Staff Nurse
Texas Health Resources
10.2015 - 10.2017
- Care of postpartum patients including vaginal and cesarean births
- Care of post-surgical patient including routine and high-risk pregnancies
- Care of newborn infant including assessments, hypoglycemia management, circumcision care, jaundice management, breast feeding education, discharge teaching, PKU metabolic screening, lab draws
- Patient care skills to include: IV insertion and management, Foley catheter placement and management, oxygen therapy, wound care, lab draws, epidural and PCA pump management
Mother Baby/ Newborn Nursery/OBGYN Staff Nurse
Parkland Memorial Hospital
03.2015 - 10.2015
- Care of postpartum patients including vaginal and cesarean births
- Care of post-surgical patient including routine and high-risk pregnancies
- Care of newborn infant including assessments, hypoglycemia management, circumcision care, jaundice management, breast feeding education, discharge teaching, PKU metabolic screening, lab draws
- Patient care skills to include: IV insertion and management, Foley catheter placement and management, oxygen therapy, wound care, lab draws, epidural and PCA pump management, discharge teaching
Mother Baby/Newborn Nursery Staff Nurse
St. Mary's Hospital
07.2012 - 03.2013
- Care of postpartum patients including vaginal and cesarean births
- Care of post-surgical patient including routine and high-risk pregnancies
- Care of newborn infant including assessments, hypoglycemia management, circumcision care, jaundice management, breast feeding education, discharge teaching, PKU metabolic screening, lab draws
- Patient care skills to include: IV insertion and management, Foley catheter placement and management, oxygen therapy, wound care, lab draws, epidural and PCA pump management
- Discharge planning and teaching
Nephrology/Behavioral Health Unit Secretary/Receptionist
Mercy Hospital
09.2005 - 05.2008
- Received and directed calls to appropriate destination
- Maintained upkeep of patient chats and records
- Transcribed doctor's orders via electronic record
- Scheduled patient appointments
- Coordinated patient admissions and discharges
Nurse Assistant
Christian Northeast Hospital
05.2004 - 05.2006
- Assisted patients with ADL's (cleaning, bathing, clothing, feeding)
- Obtained and documented Vital Signs
- Collected specimens
- Collected and documented intake and output
Education
Bachelor of Science - Nursing
American Sentinel University
Aurora05.2024
Associate of Applied Science - Nursing
Saint Louis Community College Forest Park
Saint Louis, Missouri2008
Skills
- 35 WPM typing speed
- Professional phone etiquette
- Excellent communication skills
- Database management
- Articulate and well-spoken
- Customer service-oriented
- Microsoft Word/Excel/PowerPoint
- EPIC Electronic Charting
- Flexible
- Accurate and detailed
- Excellent planner and coordinator
- Team building
- Critical thinker
Certification
- Registered Nurse in Missouri (Compact License)
- Basic Life Support Certified (CPR)
- Crisis Prevention Institute Certified (CPI & Mandt)
- Neonatal Resuscitation Program Certified (NRP)
- Med-Surg Fellowship Completion
- Mandt
Timeline
Pediatric/Adolescent Psychiatric (Charge Nurse)
Care Rev Agency/ SSM Depaul Hospital
10.2021 - Current
Nurse Case Manager (PRN)
SSM Select Rehab St. Louis
06.2020 - 01.2022
Remote Nurse Case Manager
Lumeris Inc.
09.2018 - 02.2020
Registered Nurse Case Manager (Float)
Barnes-Jewish Hospital
10.2017 - 11.2018
Registered Nurse Case Manager
Texas Health Resources
08.2016 - 10.2017
Mother Baby/Newborn Nursery/OBGYN Staff Nurse
Texas Health Resources
10.2015 - 10.2017
Mother Baby/ Newborn Nursery/OBGYN Staff Nurse
Parkland Memorial Hospital
03.2015 - 10.2015
Mother Baby/Newborn Nursery/OBYN Staff Nurse
Mercy Hospital
03.2013 - 04.2018
Mother Baby/Newborn Nursery Staff Nurse
St. Mary's Hospital
07.2012 - 03.2013
Nephrology/Behavioral Health Unit Secretary/Receptionist
Mercy Hospital
09.2005 - 05.2008
Nurse Assistant
Christian Northeast Hospital
05.2004 - 05.2006
Acute Medical Psychiatric PRN Staff Nurse
Mercy Hospital
8 2008 - Current
Bachelor of Science - Nursing
American Sentinel University
Associate of Applied Science - Nursing
Saint Louis Community College Forest Park
- Registered Nurse in Missouri (Compact License)
- Basic Life Support Certified (CPR)
- Crisis Prevention Institute Certified (CPI & Mandt)
- Neonatal Resuscitation Program Certified (NRP)
- Med-Surg Fellowship Completion
- Mandt
Similar Profiles
Amy DoddAmy Dodd
Registered Nurse, Step Down Unit at SSM DePaul HospitalRegistered Nurse, Step Down Unit at SSM DePaul Hospital
Keith NovaraKeith Novara
Security Supervisor at SSM Health DePaul Hospital - St. LouisSecurity Supervisor at SSM Health DePaul Hospital - St. Louis
James MossJames Moss
Security Lead at SSM DePaul HospitalSecurity Lead at SSM DePaul Hospital