Kelly M. Ayotte

• Assessed and documented patient wound conditions to determine appropriate care plans.
• Collaborated with multidisciplinary teams to implement effective wound management strategies.

• F2F visits for recertification services for hospice care
• Manage medications and modify care plans and goals according to hospice philosophy.

• Preformed history and physicals on all veterans under my care in the sub-acute area and primary care
• Assessments, Medical Care, and follow-up for chronic disease processes
• Discuss advance directives and complete life-sustaining measures
• Referrals for consults or services needed with the VA system and the community.
• Discussed emergency referrals from CLC and Community with ER/specialists providers to ensure a warm handoff when veterans required care outside of my current field of practice.
• Manage subacute/primary care veterans with acute and chronic illness
• Order and interrupt diagnostics testing to help manage acute and chronic illness
• Provide education and counseling to patients and families as it relates to their medical condition for shared decision-making on treatment choices.
• Follow-up and continued evaluation of the need for prescribed medications and treatment to include opioid treatment of chronic pain use.
• Provide follow up care to have a continuous evaluation of chronic conditions in an attempt to avoid emergency room use or acute hospital admissions
• Collaborate with multidisciplinary team PT/OT/KT/ST/Wound care/Nursing to have positive outcomes for veteran’s to regain the highest level of function to return home or lower care facilities
• Consult home health services and order DME for safe home discharges
• Manage inpatient hospice veteran’s as well to ensure the highest quality of life with comfort and hospice philosophy
• During recent pandemic utilized telemedicine to assist with lessening the spread of pandemic and keeping our veterans safe.

• Perform history and physicals, provide primary care in their homes
• Order labs/x-rays for diagnostics purposes to treat and provide the highest quality of care
• Consult specialist as needed if patient/families desire this level of care to manage chronic illness
• Palliative care measures with comfort in mind while still treating chronic conditions to allow the highest quality of life.
• Attempt to keep the patients in their home environment as long as possible and work with community home health agencies to provide supportive care in the homes.
• Billing per Medicare guidelines
• Manage medications and medical needs, prescribe treatment plans that ensure respect of wishes of the patient and family
• Collaborate with patients, families, and team members on treatment plans to ensure the highest level of comfort while maintaining the highest quality of life.

• Perform history and physicals for patients in a subacute setting for ongoing rehabilitation and medical management.
• Collaborate with therapists, nursing, patients, and families on a common goal to a better quality of life and better manage health comorbidities.
• Evaluate, assess, interrupt diagnostics and implement medical treatment plans to include but are not limited to medication prescribing.
• Primary care provider to all assisted living patients and manage all their comorbidities and refer a specialist if needed for collaborative care.
• Discuss prognosis and treatment plans with patients, families, and other healthcare professionals to provide the safest and highest quality care

• Obtain medical histories, order diagnostic tests, and timely document all services in the patient’s electronic record (EMR).
• Order, interpret, and records results of clinical tests and initiate a treatment plan.
• Prescribes medication as necessary according to hospital policy and procedure.
• Provide warm handoff of patient care to admitting providers or oncoming shift emergency providers during a patient stay in the department
• Coordination of department personnel, including physicians and nursing, to ensure high quality and effective patient care.
• Provides distinctive personalized patient care to exceed patient excellence expectations.
• Contributes to hospital quality improvement activities.
• Adheres to hospital bylaws including those for documentation and behavior.

• Obtain medical histories and manage chronic and acute complaints
• Manage medications and medical needs, prescribe treatment plans
• Order and interrupt diagnostic testing and collaborate with patients and families on treatment plans and options.
• Refer to a specialist when needed for the highest quality of care possible
• Team dynamic medicine approach working closely with psychiatry with most clients to ensure medical and psychiatric care is aligned.
• Communicate acute changes medically with clients to referred specialists or emergency rooms
• Collaborate with community agencies for seriously mentally ill clients including emergency departments and community agencies

• 02/01/2000-06/15/2003 Medical-Surgical/Telemetry Registered Nurse
• 06/15/2003-06/15/2004 Emergency Room Registered Nurse
• 06/01/2004-10/02/2012 Administrative Coordinator
• 10/03/2012-05/01/2013 Clinical Coordinator Labor and Delivery
• 05/01/2013-06/01/2015 Emergency Room/Critical Care Registered Nurse
• 06/02/2015-01/29/2017 Emergency Room Charge Nurse
• Administrative Coordinator duties:
• Oversee entire hospital operation
• Ensure proper staffing levels for the acuity of each unit
• Worked with a call center to ensure transfers of patients coming into the healthcare system where the appropriate level of care
• Collaborated with the administration on a day to day operations and safety concerns
• Collaborated with providers on discharge and admission needs
• Called in emergency surgical teams after hours

Charge Nurse duties:

• Manage the flow of ER patients and assist with dispositions of admission, transfer, or discharges
• Oversee the entire ER department and communicate care needs with axillary areas to ensure high-quality care
• Assist with procedures as directed by the state board of nursing and facility policies
• Registered Nurse Duties:
• Directing and delivering patient care

Educated families and patients during care and at discharge for continuing care needs