Julie Walker

• Coordinates and oversees all direct and indirect patient services provided by clinical organization personnel.
• Interprets operational indicators to detect census changes and increases or decreases in volume that could impact staffing levels, revenues or expenses
• Assists with the evaluation of organization performance via performance improvement program, productivity, quarterly and annual reviews
• Assures for the quality and safe delivery of hospice services provided through the Organization
• Assists in the development of organization goals. Develops, recommends, and administers Organization policies and procedures
• Assures compliance with all local, state and federal laws regarding licensure and certification of organization personnel and maintains compliance to the CHAP Home Care standards
• Hires, evaluates, and terminates organization personnel
• Conducts annual evaluations on clinicians, or more frequently if indicated
• Provides help in assessment, planning, implementation and evaluation of patient and family/caregiver care to all clinical personnel as indicated
• Implemented aspects of patient care under physician orders and sought clarification when needed to promote safety, quality and cost-efficient care.

• Complete initial and ongoing comprehensive assessments of patients and families
• Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
• Implemented aspects of patient care under physician orders and sought clarification when needed to promote safety, quality and cost-efficient care.
• Initiate patient plan of care and reevaluate as necessary
• Utilize health assessment data to determine nursing diagnosis
• Administer medication and treatment as prescribed by the physician in the plan of care
• Counsel the patient and family in meeting nursing and related needs
• Complete and maintain accurate clinical notes
• Communicate with the physician and participate in interdisciplinary group meetings to meet the medical and emotional needs of the patient and family/caregivers
• Ensure compliance with all state and federal legal and regulatory requirements

• Completes an initial assessment of patient and family to determine home care needs.
• 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.
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
• Develops a care plan which establishes goals, based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process.
• Organized and managed care of patients undergoing various therapies and procedures.

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Provided care to clients with a variety of diagnoses including chronic Decubitus ulcers, Cancer, ventilator dependence, Diabetes, ESRD, Asthma, Sepsis, Cellulites, Pancreatitis, Pneumonia, Parkinson’s Disease, Cerebrovascular Accident, Myocardial Infarction, Altered Mental Status, Benign Prostatic Hyperplasia and Pneumothorax.
• Proficiency in catheterization (Foley and straight catheter), IV start, Blood transfusions, Heparin Administration, Peritoneal Dialysis, Medication Administration, Peg tube feedings, TPN feedings, wound care, Tracheotomy care, Colonoscopy care, physical assessment and patient education.

• Utilization of the nursing process in order to integrate pathophysiology, lab results and medications.
• Provides care to clients with a variety of diagnoses including Alzheimer’s, Cancer, COPD, Diabetes, ESRD, Asthma, Sepsis, Cellulites, Pancreatitis, Phenumonia, Parkinson’s Disease, Cerebrovascular Accident, Myocardial Infarction, Altered Mental Status, Benign Prostatic Hyperplasia and Pneumothorax.
• Provides care to meet the specialized, age-appropriate: physical, emotional and spiritual needs of the client.
• Mentor for students and new hires.
• Shift charge nurse. Duties included but are not limited to staffing, receiving telemetry calls and relaying pertinent information to the client’s nurse. Assigning beds for new client admissions. Handling patient or staff issues. Assuring code carts are signed and equipment is in working order

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