JULIE HOLMAN
Ipswich,MA
Summary
Energetic, self-motivated, innovative, proficient emergency department registered nurse with 22 years of nursing experience in search of growth and continued nursing knowledge in leadership. Talented in improving departmental goals, processes, staff development, and overseeing delivery of care to emergency department patients. Ready for a new position where emergency nursing and leadership aptitudes can be properly utilized. Capable of coordinating care for current patients by upholding all policies and procedures. Excellent communication skills which are needed to direct staff members and coordinate changing, complex patient care needs and everchanging work environment.
Overview
23
23
years of professional experience
Work History
Per Diem Registered Nurse
MGB Salem Hospital
Salem, MA
10.2022 - Current
- Provided direct nursing care to patients in the emergency department
- Triage experience along with caring for trauma, critical care, medical and behavioral health patients.
- Administered medications, monitored vital signs, and implemented treatments according to physicians' orders.
- Work directly with the providers to determine safe and efficient care.
- Managed multiple tasks while providing high-quality, compassionate care to all patients.
Nurse Manager
Beverly Hospital
Beverly , MA
11.2020 - Current
- Implemented new hire training to further develop skills and initiate discussions on task prioritization.
- Led and motivated 110 employees through supervision, training and coaching on duties and daily operational activities.
- Implemented Unit Base Counsel committee in the Emergency Department to help improve departmental processes, engagement and teamwork
- Created and maintained facility documents and records, maintaining accuracy while managing sensitive data. Built audit tools for improvement of documentation for corporate compliance items
- Managed operations in accordance with budget requirements.
- Collaborate with the peer interview team in hiring competent nurses
- Resolved conflicts promptly among physicians, nurses and other healthcare employees to keep workflows on task.
- Received and researched complaints from families, patients and clinical staff in order to resolve concerns to full satisfaction.
Clinical Practice Specialist
Beverly Hospital
Beverly, MA
05.2020 - 11.2021
- Functions as ED educator providing ongoing education to staff over 2 hospital settings
- Developed new onboarding process for new and experienced staff members in the emergency department by meeting weekly with team members during orientation to ensure adequate development
- Promotes evidence-based practice and performance. For example speaking on various practices such as work place violence, de-escalation, trauma informed care and restraint free environment.
- Implemented huddle board process in the emergency department to help improve staff and leadership communication, implementation of process changes, review daily metrics to ensure continued growth and success in the the emergency department
- Provide feedback to team on company policies, procedures, and best practices to enhance operational efficiency and employee productivity
- Recommended process and systems improvements by developing competencies for charge nurses to performs IO access on critical patients
- Ongoing quality reviews of various reports and analysis of each report to decide where improvements can be made. Currently focusing on behavioral health patients and ensure appropriate care delivery. Auditing procedural sedation charts, blood culture contamination rates and trauma care
Clinical Coordinator
TriStar Southern Hills Medical Center
Nashville, TN
01.2018 - 05.2020
- Worked alongside physicians and staff and was responsible for the day to day operations within the clinical setting to deliver high quality service and optimal patient flow
- Managed staffing for assigned and oncoming shifts, based on patient acuity to ensure patient safety
- Managed the influx of the large psychiatric population served at SHMC.
- Revised the process for psychiatric patients presenting to the ED by increasing the communication between triage and security to have a safe and streamlined process
- Participated in leader rounding and implementation of staff involvement in focusing on patient experience scores
- Was responsible for staff education on up to date equipment and processes
- When in staffing, served as Charge Nurse responsible for: the flow of the department, assisting in the trauma room, customer service recovery, and problem-solving with staffing issues
Nurse Supervisor
Trustaff Inc.
03.2018 - 01.2019
- Responsible for daily treatment of patients with a wide spectrum of needs from physical needs to mental health needs
- Assess and evaluate safety needs for patients
- Assess needs for medical evaluation as needed for patients with acute symptoms and any emergency situations on the compound
- Work as supervisor to unit of acute patients with physical and mental health issues
- Delegate workflow to support departmental needs based on patient acuity
- Collaborate with managing DON with scheduling, staffing, and patient needs
Clinical Assistant Nurse Manager
Orlando Regional Medical Center
Orlando, FL
08.2016 - 03.2018
- Worked along with Nurse Manager on daily operations of the Level 1 trauma center.
- Responsible for day to day operations within the clinical setting to deliver high quality service and optimal patient flow.
- Managed staffing for assigned and oncoming shifts, based on patient acuity to ensure patient care needs are met and budgetary boundaries are observed.
- Coordinated patient flow by working directly with Administrative Supervisor.
- Assisted in the evaluations of team members, complete written clinical performance evaluations and conducted timely team member assessments.
- Directly involved with hiring and on boarding 89 new team members in 2017.
- Assisted in implementation of a multidisciplinary approach, including collaboration from: transportation, laboratory, radiology, physicians, guest services, pharmacy, ED staff, and executive leadership.
- Multidisciplinary approach resulted in a 20% improvement of throughput times for the last year to consistently meet the goal of 180 minutes for discharged patients.
- When in staffing, served as Charge Nurse responsible for: flow of the department, assisting in trauma room, customer service recovery, and problem solving with staffing issues.
- Created and implemented new triage process that simplified throughput and increased safety of patients; process improved door-to-provider time by 25% and decreased left without treatment by 30%.
Clinical Supervisor
Northeast emergency Department
06.2011 - 07.2016
- Supervise busy 47 bed Level 3 trauma center
- Concentrating on adequate flow of the ED, assist in bed placement for ED pts, act as support teammate to other staff and physicians during emergent situations.
- Manage 20 direct reports. Develop and disperse yearly evaluations along with individual development plans for direct reports
- Assist in acquisition of new staff members and collaborate with new Lean initiative in the ED
- Round on pts routinely and support a patient centered environment
- Assess the clinical competence of teammates and provide information to the manager regarding clinical issues
- Monitor inventory and ensure appropriate storage of clinical supplies, equipment, and medication
- Develops a plan that prescribes strategies and alternatives to attain expected outcomes
- Develop process improvements to ensure streamline patient centered care
- Worked directly with Sepsis initiative committee to help timely care for septic patients
Staff Nurse
Northeast Medical Center
Concord, NC
08.2002 - 07.2011
- Caring for patients from neonate to geriatric in the ED at Level 3 trauma center
- Utilized critical thinking skills and assessment on critical patients in the ED setting
- Assist with physicians in multisystem traumas, Code Stroke, STEMIs, Code Cool, and Code Sepsis
- Triage patients using ESI for proper bed placement
- Expert in IV placement, collaborate with pharmacist during critical situations
- Responsible for multiple patients in the ER including intubated patients and critically unstable patients
Education
MASTER OF SCIENCE -
WESTERN GOVERNORS UNIVERSITY
2020
BACHELOR’S DEGREE - NURSING
Winston-salem state university
2008
Associate of Science - Nursing
Rowan Cabarrus Community College
2002
Skills
- Certified Emergency Nurse with 21 years of nursing experience at Level 1 and Level 3 trauma hospitals who performs safe patient care, critical assessment, triaging, trauma and high quality care
- Over 10 years of leadership experience in the emergency department in various roles including the role of Nurse Manger with 120 direct reports at a Level 3 Trauma center with 40 beds, Clinical Supervisor with direct reports in a level 3 trauma center with 43 beds and as Assistant Nurse Manager at a 75 bed, Level 1 trauma center
- Skilled in collaborating with staff and interdisciplinary team to ensure safe and adequate care to the patient population
- Proves safe patient care and support for ED staff
- Delegate care to other teammates, collaborate with ER physicians, critical care physicians, trauma/surgical physicians and other members of interdisciplinary teams With experience in home health care, wound care, medication management and case management Plan patient care with collaboration with MD or other members of patient care team Along with Pre and Post heart catheterization care, pulling sheaths, assess pts post cardiac intervention, cardioversions, and patient education of care post cath at discharge
Affiliations
- CEN
- ACLS
- PALS
- ENPC
- TNCC
- FEMA Training
- Critical Care Nurse of the year
- Nomination for Pinnacle
- ENA
References
- Courtney Almond ACNO Emergency Services 704-796-9372
- Jillian Laurenzano Director Behavioral Health 978-473-9151
- Yma Balestraci Nurse Manger Emergency Services 508-284-7081
Timeline
Per Diem Registered Nurse
MGB Salem Hospital
10.2022 - Current
Nurse Manager
Beverly Hospital
11.2020 - Current
Clinical Practice Specialist
Beverly Hospital
05.2020 - 11.2021
Nurse Supervisor
Trustaff Inc.
03.2018 - 01.2019
Clinical Coordinator
TriStar Southern Hills Medical Center
01.2018 - 05.2020
Clinical Assistant Nurse Manager
Orlando Regional Medical Center
08.2016 - 03.2018
Clinical Supervisor
Northeast emergency Department
06.2011 - 07.2016
Staff Nurse
Northeast Medical Center
08.2002 - 07.2011
MASTER OF SCIENCE -
WESTERN GOVERNORS UNIVERSITY
BACHELOR’S DEGREE - NURSING
Winston-salem state university
Associate of Science - Nursing
Rowan Cabarrus Community College