
Accomplished RN at Mercyhealth, leveraging expertise in Geriatric Care and Clinical Judgment to enhance patient outcomes.
Served as the AIM (Advanced Illness Management) nurse. AIM was a home based palliative care program.
-Screened all referrals for appropriateness for the program.
-Scheduled all patient home visits with a palliative care nurse practitioner.
-Was the triage nurse who handled all patient/ family phone calls and emails.
-Communicated all lab results via phone, email or mail and interventions ordered by the provider.
-Educated patients, families and caregivers on diagnosis, disease trajectory, symptom management and goals of care.
-Served as the RN liaison between providers, patients and families to facilitate clear and accurate communication regarding medication dose changes, upcoming lab draws, tests and medical appointments.
-Developed strong relationships with patients and families, giving emotional support while addressing concerns or questions regarding care.
-Acted as a "community resource" specialist by referring patient's to various community programs for assistance with care needs.
-Ordered all office and medical supplies for the program as well as vaccines.
Served as the Care Coordinator with the inpatient Palliative Care program at Mercyhealth Hospital in Janesville, WI.
-Screened hospitalized patients for appropriateness for a Palliative Care consult.
-Coordinated interdisciplinary family meetings to discuss goals of care.
-Assisted patients and families with completing advance directives for healthcare (HCPOA, Living Will & DNR).
-Facilitated code status discussions with patients and families.
-Facilitated goals of care discussions with providers, patients and families.
-Educated patients/families on end of life care in and out of the hospital setting.
-Coordinated transfer of patient care to the hospice setting by working with various hospice agencies.