Dynamic and detail-oriented Scribe RN at MercyCare, adept at enhancing patient care through meticulous documentation and effective communication. Proven ability to increase physician productivity while maintaining confidentiality and adhering to HIPAA guidelines. Strong team collaborator with exceptional problem-solving skills, dedicated to continuous improvement in clinical support and patient outcomes.
Overview
18
18
years of professional experience
Work History
Scribe RN
MercyCare Edgewood Family Practice
08.2019 - Current
Maintained patient confidentiality by adhering to HIPAA guidelines and other applicable privacy regulations throughout the documentation process.
Enhanced patient care by accurately documenting medical histories, physical examinations, and procedures.
Accompanied physicians through day in fast-paced, stressful environments.
Increased physician productivity by handling administrative tasks such as scheduling appointments and managing patient inquiries.
Developed strong working relationships with physicians, nurses, and other healthcare professionals through effective communication skills.
Assisted physicians during procedures by preparing necessary equipment or supplies ensuring smooth workflow in high-pressure situations.
Verified accuracy of transcribed material prior to finalization.
Documented complete information about examinations, treatment plans, lab results, and other details directly into charts.
Communicated with healthcare providers to clarify information and resolve issues.
Administered medications via oral and intramuscular injections and monitored responses.
Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
Performed triage on incoming patients and determined severity of injuries and illnesses.
PRN-Hospice RN
Mercy Medical Center
02.2019 - 02.2020
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
Managed care from admission to discharge.
Served as a liaison between physicians and patients'' families to facilitate clear communication regarding treatment options and progress updates.
Assessed patient conditions promptly upon admission to determine appropriate interventions and prioritize care needs.
Provided emotional support to patients during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing.
Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
Staff RN
Care Initiatives Belle Plaine Nursing and Rehab
06.2016 - 11.2017
Monitored vital signs, lab results, and other indicators to detect changes in patients'' conditions promptly.
Administered medications accurately and safely, ensuring proper dosages were given per physician orders.
Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
Implemented medication and IV administration, catheter insertion, and wound care.
Assessed physical, psychological, physiologic, and cognitive status of patients.
Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
Delegated tasks to nursing assistants and support staff effectively, ensuring safe and efficient care delivery.
Promoted patient safety by adhering to infection control protocols and conducting regular health assessments.
Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
Documented treatments delivered.
Staff RN
Iowa River Hospice
05.2015 - 04.2016
Monitored vital signs, lab results, and other indicators to detect changes in patients'' conditions promptly.
Advocated for the needs of patients within the healthcare system while maintaining confidentiality and respecting patients'' rights.
Supported patients'' emotional well-being by building trust-based relationships and practicing active listening techniques.
Collaborated with interdisciplinary teams to develop comprehensive care plans tailored to each patient''s needs.
Promoted patient safety by adhering to infection control protocols and conducting regular health assessments.
Administered medications accurately and safely, ensuring proper dosages were given per physician orders.
Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
Administered medications, catheter insertions and monitored responses and outputs.
Assessed physical, psychological, physiologic, and cognitive status of patients.
Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
Certified Medical Assistant
UICMS-Belle Plaine Family Practice
10.2007 - 09.2012
Sanitized, restocked, and organized exam rooms and medical equipment.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Called and faxed pharmacies to submit prescriptions and refills.
Provided compassionate care for patients, addressing their concerns and ensuring a positive experience.
Assisted physicians with various procedures, ensuring comfort and accuracy for optimal patient outcomes.
Conducted preliminary patient evaluations measuring weight, temperature and blood pressure.
Coordinated with other healthcare professionals for patient referrals, ensuring a seamless transition and continuation of care.
Educated patients by providing medication and diet information and clarifying physicians' orders, answering questions thoroughly.
Performed diagnostic tests accurately, contributing to swift diagnosis and appropriate treatment options.
Obtained client medical history, medication information, symptoms, and allergies.
Assisted physicians with minor surgeries and sterilizing instruments.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Completed EKGs and other tests based on patient presentation in office.
Medical Coding Specialist at Hudson Falls Family Practice/Family Practice Hudson FallsMedical Coding Specialist at Hudson Falls Family Practice/Family Practice Hudson Falls
Program Assistant - Full Time at Edgewood Brookland Family Support CollaborativeProgram Assistant - Full Time at Edgewood Brookland Family Support Collaborative