Dedicated to using excellent research, investigation and project management abilities to optimize management, organization and reporting of clinical data. Results-driven, precise, and systematic with quick learning and collaborative nature.
Overview
10
10
years of professional experience
Work History
MDS Coordinator
San Gabriel Rehabilitation & Care Center
05.2023 - Current
Set schedules for staff to start and complete MDS assessments and care plan meetings.
Complied with federal and state regulations for completion and coordination of RAI process.
Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
Assessed electronic medical record for required documentation to support MDS coding.
Reviewed missing assessment reports and analyzed issues for leadership team.
Verified prompt and accurate completion of MDS activities for billing.
Created data management plans and provided input on study designs.
Participated in quality assurance reviews to verify accuracy and reliability of data.
Developed comprehensive data dictionary for efficient and accurate data tracking.
Led weekly utilization review to go over recent clinical activities.
Charge Nurse
San Gabriel Rehabilitation & Care Center
04.2022 - 05.2023
Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
Supervised and managed daily scheduling, tasking, and administration.
Conducted daily shift briefs to inform staff of changes in patient care assignments.
Educated family members and caregivers on patient care instructions.
Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
Oversaw patient conditions, administered medicine, performed interventions and took detailed records.
Administered medications and injections to patients.
Developed and implemented individualized patient care plans.
Wound Care Nurse
San Gabriel Rehabilitation & Care Center
03.2021 - 04.2022
Instructed patients and caregivers on how to clean and dress wounds and how to prevent infections.
Maintained comprehensive understanding of genitourinary, gastrointestinal and integumentary systems and provided treatment for wounds impacting them.
Provided post-surgery treatment and care for patients with ostomies.
Implemented plans to prevent pressure ulcers and other wound developments.
Assessed and treated draining of wounds and burns.
Collaborated with healthcare team to implement interventions for wound healing and skin breakdown prevention.
Treated and carefully tended to vascular and diabetic ulcers.
Implemented care plans for patient treatment after assessing physician medical regimens.
Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
LVN Charge Nurse
San Gabriel Rehabilitation Care Center
09.2018 - 03.2021
Documented patient vitals, behaviors and conditions to communicate concerns to supervising nurse.
Responded to patient requests with appropriate clinical and personal assistance.
Promoted patient independence by teaching self-care skills and explaining conditions and medications.
Delivered direct quality care to patients by evaluating medical conditions and managing and assessing treatments.
Documented vitals and medical histories in patient charts when assessing patients and communicated patient information to physicians and other nurses for care continuity.
Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
Analyzed patient assessments and laboratory data to bring any issues to attention of physicians.
Served as charge nurse, caring for patients with serious illnesses.
Administered medications and injections to patients.
Lvn Charge Nurse
Epworth Village Retirement Community
04.2017 - 09.2018
Oversaw patient conditions, administered medicine, performed interventions and took detailed records.
Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
Delivered direct quality care to patients by evaluating medical conditions and managing and assessing treatments.
Managed daily staff assignments and patient scheduling to guarantee clinic coverage and flow.
Reviewed patient history to verify conditions and current medications.
Evaluated patient histories, complaints, and current symptoms.
Administered medications and injections to patients.
Certified Nursing Assistant
Heartland Healthcare Center
06.2014 - 04.2017
Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
Supported ambulation and physical therapy needs by conducting planned exercise routines.
Participated in fun group activities with patients to boost mood, improve overall memory, and provide light entertainment.
Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
Prevented cross-contamination by cleaning and sterilizing equipment.
Completed activities of daily living for patients unable to self-care, and assisted those with limited mobility in completing tasks.
Supported needs of 15+ residents under long-term care with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
Education
Associate of Science - ADN
Galen College of Nursing
Austin, TX
10.2023
Licensed Practical Nursing - Practical Nursing
Lindsey Hopkins Technical College
Miami, FL
07.2016
High School Diploma -
Miami Lakes Educational Center
Miami Lakes, FL
06.2015
Certified Nursing Assistant - Nursing
Miami Lakes Educational Center
Miami, FL
03.2014
Skills
Languages: English
Tracheostomy Care
Foley Catheter Care
IV Therapy
Gastric Tube Care
Medication Administration
Wound Care/ Management
Diabetes Management
Admission/ Discharge Process
Transcribing Physician Orders
Staff Training and Development
Care Plan Development
Audit management
Statistical Analysis
Time Management
Interdisciplinary Team Collaboration
Regulatory Compliance
Timeline
MDS Coordinator
San Gabriel Rehabilitation & Care Center
05.2023 - Current
Charge Nurse
San Gabriel Rehabilitation & Care Center
04.2022 - 05.2023
Wound Care Nurse
San Gabriel Rehabilitation & Care Center
03.2021 - 04.2022
LVN Charge Nurse
San Gabriel Rehabilitation Care Center
09.2018 - 03.2021
Lvn Charge Nurse
Epworth Village Retirement Community
04.2017 - 09.2018
Certified Nursing Assistant
Heartland Healthcare Center
06.2014 - 04.2017
Associate of Science - ADN
Galen College of Nursing
Licensed Practical Nursing - Practical Nursing
Lindsey Hopkins Technical College
High School Diploma -
Miami Lakes Educational Center
Certified Nursing Assistant - Nursing
Miami Lakes Educational Center
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