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Jill Atwell RN
Chelsea,MI
Work Preference
Summary
Dedicated Registered Nurse and compassionate professional with thorough background in providing exceptional patient care. Dedicated to delivering high quality, compassionate care to diverse patient populations. Proven track record of successful outcomes in high-pressure, fast-paced clinical settings. Passionate about patient advocacy, education, and holistic healing.
Overview
1
1
Certification
24
24
years of professional experience
1
1
year of post-secondary education
Work History
REGISTERED NURSE
Fresenius Medical Care NA
10.2002 - Current
- Below is my experience of over 23 years as a Registered Nurse with Fresenius Medical Care, a global dialysis provider. I have a substantial foundation in in-center hemodialysis and comprehensive renal patient care.
- I have built upon that foundation over my years to include 16 years of Clinical Leadership as a Clinical Manager, increased Quality and Compliance knowledge, and delivery of multiple areas of education to patients and staff.
AREA FLOAT CLINICAL MANAGER
Fresenius Medical Care NA
South Michigan Area
05.2021 - Current
- Transitioned into Area Float Clinical Manager role to stabilize multiple clinics and maintain uninterrupted treatment coverage.
- Continued Clinical Manager duties across multiple sites to provide consistent clinical oversight and operational continuity.
- Continue to manage multiple tasks while providing timely, high quality patient care while simultaneously assuming leadership over nursing and direct patient care staff.
- Demonstrated strong communication skills to collaborate and lead interdisciplinary team members to ensure optimal patient outcomes, enhance patient care, and improve operational efficiency.
- Fostered a positive work culture by recognizing employee achievements and addressing any concerns proactively.
- Continue to provide direct patient care, including assessment and evaluation of health status, development of individualized plans of care and implementation of nursing interventions, when needed.
- Responded to life-saving situations based upon nursing standards and protocols.
- Educate patients about their diagnosis, medications, nutrition requirements, and Treatment Options.
- Maintain a safe environment by adhering to infection control guidelines and safety protocols to improve treatment outcomes.
- Prioritize workloads based on changing clinical situations.
- Protect patients' rights and dignity by delivering care without judgment or discrimination.
- Managed staffing schedules for 20+ employees and patient assignments for clinics with as little as 40 and as many as 120 census to ensure full treatment coverage.
- Mentor new Clinical Managers to accelerate competency and reduce onboarding time.
- Ensured compliance with regulatory guidelines and accreditation standards through consistent monitoring and implementation of corrective actions when needed.
- Reviewed patient lab trends and recommended prescription or medication adjustments per CMAB algorithms.
- Participated in South Area CMS inspections and compiled reports, protocols, and corrective action documentation to meet regulatory requirements.
- Streamlined CMS inspection review processes to ensure compliance and close survey findings before deadlines.
- Coordinated Disaster Preparedness and Emergency Response website to improve staff response times to disaster events.
- Drive improvement in quality metrics for clinics operating without on-site managerial support.
- Most recently improved clinic quality metrics, increasing Total Quality Score by 48%, lowering Fluid Action Groups by 36%, and raising Treatment Compliance by 19% in three months.
- Oversaw clinics across Jackson, Adrian, Brighton, Livonia, Canton, Dearborn, Novi, Dundee, and Monroe to ensure consistent clinical operations.
CLINICAL MANAGER
Fresenius Medical Care NA
FME Jackson Oaks 6089
05.2010 - 05.2021
- Advanced career development as opening Clinical Manager for a new Fresenius Medical Care dialysis facility, coordinating operations that led to capacity-driven expansion after six years.
- Ensured CMS and company compliance across clinical operations to maintain regulatory standing.
- Maintained financial and productivity budgets and prepared quarterly reports for the Joint Venture Board to inform capacity decisions.
- Sustained clinical quality scores and enforced patient safety protocols to preserve care standards.
- Organized monthly Quality Improvement Meetings to review metrics, audits, and technical findings for continuous improvement.
- Hired, onboarded, and scheduled clinical staff to align workforce with patient treatment needs, optimizing shift coverage to meet patient treatment needs.
- Successfully led the full implementation of the ScheduleWise system for both patient and staff scheduling, becoming a Schedule Champion for the area.
- Directed the rollout of eCube Clinicals across the clinic and acted as the Area Subject Matter Expert.
- Conducted comprehensive interdisciplinary patient assessments including initial, unstable, 90-day, annual, daily treatment, and emergent evaluations.
- Developed care plans, per CMS guidelines, based off of comprehensive interdisciplinary patient assessments for initial, 90-day, annual, unstable, and acute kidney injury patients.
- Provided patient education on in-center and home dialysis options to support informed treatment decisions.
- Executed daily chart auditing to detect and correct documentation errors promptly.
- Managed medication administration (oral, IV, IM) and performed monthly home medication reviews to ensure adherence and safety.
- Reviewed lab panels to adjust medications and treatment prescriptions based on results to stabilize patient outcomes, utilizing companies CMAB algorithms.
- Trained nursing staff on cannulation and CVC care, reducing access-related incidents and improving competency.
- Delivered and audited staff training on AVF, AVG cannulation and CVC care to decrease access complications and blood stream infections.
- Coordinated and led emergent response drills with clinical team and updated disaster plans to meet regulatory expectations.
- Helped run the Covid clinic during the pandemic, including rolling out multiple policy changes, Covid testing of employees and patients, and ensuring safe care of all.
- Established area protocols for administering and documenting Covid vaccines for patients and staff, including MCIR reporting for administration and strict inventory reporting.
REGISTERED NURSE/CHARGE NURSE
Fresenius Medical Care NA
FME Adrian 1605
01.2005 - 05.2010
- Progressed from Staff Nurse to Charge Nurse, managing unit operations and ensuring continuity of patient care across shifts.
- Completed comprehensive assessments to develop individualized care plans and document clinical progress.
- Coordinated admissions and discharges to ensure seamless transitions and continuity of care.
- Mentored new staff to improve clinical competency and reduce orientation time.
- Enforced policies and procedures to maintain regulatory compliance and patient safety.
- Led daily dialysis treatments for patients in my section, monitoring vitals and adjusting machines per protocol.
- Adjusted dialysis machine settings for patient hemodynamics, reducing intradialytic hypotension episodes.
- Oversaw staffing while 18 to 24 patients were dialyzing per shift, managing schedules to maintain coverage across two to three shift of staff and patients to maintain continuous treatment coverage and reduce missed sessions.
- Ordered, collected, and processed dialysis lab specimens to ensure timely results for medication decisions.
- Calculated and administered individualized medication doses (oral, IV, IM) based on lab trends and physician orders.
- Reviewed monthly medication lists and reconciled discrepancies with physicians and pharmacy to ensure accurate therapy.
- Adapted to the roll out of the new CMS Guidelines for Dialysis Services.
- Participated in the rapid restoration of dialysis care for 72 patients within 72 hours after a facility fire and helped coordinate setup of temporary and then new clinic operations.
DIALYSIS REGISTERED NURSE
Fresenius Medical Care NA
FME Ann Arbor 1253
10.2002 - 01.2005
- Learned to administer dialysis treatments to patients, ensuring adherence to protocols and safety standards.
- Monitored patient status during treatments and escalated changes to nephrology for timely intervention.
- Calculated, set dialysis machine orders, monitored dialysis machine parameters, and corrected alarms to maintain prescribed treatment delivery.
- Operated and troubleshot dialysis machines to restore function quickly and minimize treatment interruptions.
- Performed routine water room and equipment checks to prevent downtime and ensure treatment continuity.
- Assessed vascular accesses and performed cannulation to maintain reliable blood flow during dialysis.
- Assessed CVC accesses each treatment and reported complications for prompt nephrology follow-up.
- Maintained infection-control standards and participated in audits to reduce catheter-related complications.
- Administered IV, oral, and IM medications per orders and documented patient responses in the EMR.
- Provided patient education on dialysis adherence, diet, and diabetes self-care to improve treatment compliance.
Education
Associate in Science (A.S.) - Nursing
Washtenaw Community College
Ypsilanti, MIBachelor of Science (B.S.) - Nursing
Eastern Michigan University
Ypsilanti, MI 01.2025 - Current
Skills
- Compassionate care
- Creative adaptability
- Critical thinking
- Quality improvement
- Training and mentoring
- Clinical and Nursing leadership
- Team collaboration
- Patient advocacy
- Patient assessment and care plan development
- EMR systems
- Workflow scheduling
- Staff scheduling
Certification
- Registered Nurse, up to date, 2027, Michigan Board of Nursing
- BLS (Basic Life Support), up to date, 2028, American Red Cross
Timeline
Bachelor of Science (B.S.) - Nursing
Eastern Michigan University
01.2025 - Current
AREA FLOAT CLINICAL MANAGER
Fresenius Medical Care NA
05.2021 - Current
CLINICAL MANAGER
Fresenius Medical Care NA
05.2010 - 05.2021
REGISTERED NURSE/CHARGE NURSE
Fresenius Medical Care NA
01.2005 - 05.2010
REGISTERED NURSE
Fresenius Medical Care NA
10.2002 - Current
DIALYSIS REGISTERED NURSE
Fresenius Medical Care NA
10.2002 - 01.2005
Associate in Science (A.S.) - Nursing
Washtenaw Community College
Continued Education
Fresenius University Curriculum
- Annual infection prevention fundamentals
- Annual OSHA compliance
- Annual HIPAA Rules and Compliance
- Annual TB Training
- CRBSI prevention
- Annual emergency preparedness
Fresenius Offered Courses
- Accountability overview for managers
- Staying Organized at Work for Managers
- Preventing and de-escalating disruptive behaviors in the workplace
- Leading with Values
- Building multi-cultural relationships
- Crucial Influence
- Crucial Conversations
- Developing your Executive Presence