KAREN REECE RN, BSN

• Conducted case reviews to address changes in needs, medication, conditions, and introduced revisions to care plans
• Collects, analyzes, and interprets data and information from health care members and documents actual and/or potential nursing diagnoses and revising plans of care
• Uses clinical judgment in evaluation activities to meet patient care needs
• Supervising and training new employees, Choices Program
• OASIS, PDGM model, Medicare, Medicaid & managed care guidelines, admissions, discharges, recertification, transfers, hospice referrals, EMTALA, HIPAA, homecare homebase system, utilization review, chart audits
• Comprehensive nursing evaluations individualized plans of care
• Phone triage & On-call, 27- 35 Patient caseload per week
• Vascular access, IV, PICC, central line, mediport, infusion pumps,
• Pressure balls, transplant patients, TPN
• Supervising RN for staff, training new employees
• Utilized computerized resource and patient management system (RPMS), chart audits, utilization review
• Wound care and staging, wound Vac, medication monitoring, labs, IV medication, unna boots, transplant patient
• Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
• Obtained authorizations from multiple insurance carriers for various levels of care.
• Educated family members and caregivers on patient care instructions.
• Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.

• Listened to patients & loved ones, offering emotional support & kindness to help with end-of-life transition
• Responded with compassion and expertise and level-headed approaches to provide optimal care
• Uses clinical judgment in evaluation activities to meet patient and family needs

• Collaborated with physicians on patient medications, medical needs
• Guided patients and caregivers through end-of-life care transition.
• Took active role in patient and family planning process, detailing instructions and responding appropriately and effectively to questions and concerns.
• Developed care plans based on nursing diagnosis and incorporated therapeutic, preventive and rehabilitative nursing methods.
• Examined patients and documented history of current and previous conditions, illnesses, injuries and current medications.
• Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
• Carried out day-day-day duties accurately and efficiently.

• Performed 28 to 35 patient caseloads, updates & interdisciplinary weekly meetings
• Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
• Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation.
• Advised and coached patients progressing from hospitals, rehab facilities and other medical organizations to at-home treatment settings.
• Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
• Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• Used critical thinking to break down problems, evaluate solutions and make decisions.

• Developed patient care plans, overall patient health assessments and evaluations
  Collaborated with physicians during medical rounds, updated treatment plans and provided plans of care to patients and families
  Adaptable and proficient in learning new concepts quickly and efficiently.
  
  Participated in team projects, demonstrating an ability to work collaboratively and effectively.
  
  Participated in team projects, demonstrating an ability to work collaboratively and effectively.
  
  Participated in team projects, demonstrating an ability to work collaboratively and effectively.
  
  Participated in team projects, demonstrating an ability to work collaboratively and effectively.
  
  Participated in team projects, demonstrating an ability to work collaboratively and effectively.
  
  Participated in team projects, demonstrating an ability to work collaboratively and effectively.
  
  Participated in team projects, demonstrating an ability to work collaboratively and effectively.
  
  Gained extensive knowledge in data entry, analysis and reporting.
  

• Assessed patients and chart review to provide excellent care
• Track patient progress with treatments, changes in symptoms and need for emergency interventions, telemetry interpretation
• Post-op care, cardiac bypass, ventilator, labs, balloon- pump, IV, pacemaker, chest-tubes, SWANZ catheter, LVAD

• Headed up CHF cardiac program for hospice patients
• Administered IV cardiac medication for hospice CHF patients

• Wound care, IV, PICC, labs
• Classified wounds using staging system based on visual evaluation of affected tissue using wound vacs
• Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans
• Cared for patients with various chronic diseases caused by illness or injury, medical treatments and medication management

• Collaborated with interdisciplinary healthcare professionals to create, implement and adapt individualized care plans
• Prioritized patient care assignments based on patient conditions to achieve optimal outcomes

• Assessed CCU patients each shift to ascertain vitals and full cardiopulmonary assessment, telemetry interpretation
• Epic computer system
• Shift charge nurse, training new employees
• Met with patients and family members to educate on procedures & medication, respond to questions & instruct on proposed medical procedures to improve health
• Balloon pumps, Level-one infuser, wounds, codes, labs, LVAD
• Floated to: MICU, SICU, NICU, BURN, TRAUMA, ER
• CERTIFICATIONS
• BLS
• AED
• Dementia

• Member of National Honor Society
• Professional development completed in Nursing Bachelor Science Degree
• Dean's List 1986-1991
• National Honor Society 1990
• Minor Biology

CRITICAL CARE COURSE