JULIUS RYAN PADILLA

· Developed and implemented individualized care plans for patients with complex wound, ostomy, and continence management needs, ensuring individualized care plans aligned with clinical best practices.

· Collaborated with multidisciplinary teams to assess patient conditions, ensuring comprehensive treatment strategies aligned with established clinical guidelines.

· Educated patients and their families on ostomy care techniques and continence management, fostering independence and improving quality of life through effective communication strategies.

· Conducted detailed assessments using advanced diagnostic tools to identify complications in wound healing, facilitating timely interventions and reducing the risk of infection.

· Implemented evidence-based practices in wound care that adhered to regulatory standards, optimizing resource utilization while maintaining high-quality patient care standards.

· Led quality improvement initiatives targeting reduction in hospital-acquired infections related to wounds and ostomies, contributing to enhanced safety protocols within the facility's healthcare delivery system.

· Adept at recognizing signs and symptoms that require medical attention due to complications from wounds or stomas.

· Consulted and coordinated with healthcare team members to plan, implement, or evaluate patient care plans.

· Evaluates new products and collaborates with management to ensure product inventory is consistent with the needs of patient population and the nursing staff.

· Collaborates with nursing education to provide staff education and competency in wound, ostomy and continence issues.

• Coordinated referrals for additional services such as physical therapy or hospice care when needed.
• Collaborated with multidisciplinary team members to coordinate quality care for patients.
• Managed caseload efficiently while maintaining high standards of professional practice.
• Developed and maintained patient care plans with other healthcare professionals.
• Utilized critical thinking skills to assess patient's condition and develop individualized plan of care.
• Adapted nursing interventions based on client's changing needs or responses to treatment plans.
• Performed comprehensive assessments and developed detailed documentation of patient visits.
• Provided education on disease processes, medications, treatments and self-care techniques to ensure optimal outcomes.
• Facilitated communication with physicians, families, and other healthcare professionals regarding patient care.
• Modified patient treatment plans as indicated by patients' responses and conditions.

• Use Milliman Care Guideline(MCG) in reviewing clinical to determine day/day progress of the patient.
• Assist in transferring/discharging patient to home with home, home with home health care, skilled nursing or acute inpatient rehab.
• Collaborate with the the discharge planner, case manager or the social worker of the safe discharged plan of the patient.
• Use clinical judgment in determining decision if the patient needs to be admitted in the hospital or observation level of care only.
• Discuss cases to the medical director about the barriers for discharge, readmit cases and potential for observation level of care.
• Constantly meet established productivity, schedule adherence and quality standards.
• Complete notification wizard along with ICD-9 and CPT coding.
• Provide excellent customer service to both provider and client.
• Respond to incoming provider and enrollee calls.
• Perform nurse to Medical Review when necessary.

• Demonstrated knowledge of medical-surgical nursing principles, practices and procedures.
• Promoted a positive working environment through collaborative communication with colleagues.
• Contributed to the development of individualized plan of care based on assessment data and identified needs.
• Responded quickly to emergency codes utilizing advanced cardiac life support guidelines as appropriate.
• Provided direct patient care in a variety of settings, including pre-and post-operative care.
• Managed time effectively to prioritize multiple tasks while maintaining high standards of patient care.
• Monitored laboratory results for trends or abnormalities that require intervention or notification of the healthcare team members.
• Administered medications and treatments as prescribed by physicians or authorized health practitioners.
• Assessed patients for changes in condition, reported findings to physician and nurse practitioner and implemented interventions as ordered.
• Acted as charge nurse during assigned shifts; delegated assignments appropriately among staff members.
• Developed relationships with patients fostering trust and respect resulting in improved adherence to prescribed treatments.
• Participated in quality improvement initiatives to enhance the delivery of safe, effective nursing care.
• Utilized critical thinking skills when assessing emergent situations involving unstable patients.
• Assisted physicians with examinations, procedures and other medical tasks.
• Engaged in research activities related to nursing.