Kim Vogelgesang

Responsible for everchanging patient caseload of terminally ill patients in their homes and long-term facilities. Evaluate potential patients for hospice eligibility, complete assessment and admission process, designate frequency of skilled nurse/hospice aide visits. Work closely with certified nurse practitioner and hospice medical director, hospice protocols, to ensure appropriate comfort medications are prescribed and therapeutic.

• Authored initial assessments of patients and families to develop plans for individual home care needs.
• Administered physical examinations and documented history of current and previous conditions, illnesses, and injuries.
• Developed close, professional relationships with patients and families to ensure comfort through end of life.
• Educated and supported home healthcare providers with training, guidance, mentoring and resources required to achieve objectives."
• Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans.
• Worked with suppliers and vendors on provision of medical equipment, items, and services.
• Liaised with physicians regarding patient needs, performance, and changes.
• Actively engaged in on-call rotations to deliver continuous quality care to patients.
• Performed evaluations on consistent basis to address changes in patient needs conditions and medications, altering care plans when required.
• Used Crencendo software to maintain database of relevant information for practitioners to access and coordinate patient care.
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.

• Shift charge nurse
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals.
• Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
• Observed and reported patient condition, progress and medication side effects to accurately document updates.
• Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
• Verified patients had information necessary for ongoing care, providing guidance on diagnoses, management of medications and prevention methods.
• Educated patients and answered questions about health condition, prognosis and treatment.
• Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
• Monitored patients' conditions and reported changes in physical ability, appearance and behavior to discuss treatment with physicians.
• Identified learning needs of patients and families and responded with advocacy and health education.
• Formulated plans for nursing measures to restore, maintain and promote patients' physical and mental health.
• Identified patient care requirements by establishing personal rapport with patients and families.

• Lead charge nurse in neuro interventional radiology department for busiest comprehensive stroke center in the Central Ohio Region.
• Lead preceptor.
• Coordinate team approach between physicians, nurses, radiology techs and nurse practitioners, neuro critical care unit, other nursing units to keep procedure labs working, avoiding delays between cases.
• Instrumental member of shared governance council, developing department staffing and scheduling guidelines.
• Prepare patients for neuro interventional radiology, educating patients and family members on endovascular procedures such as diagnostic cerebral angiograms and cerebral endovascular interventions.
• Coordinated and implemented in-service educational programs focusing on safety and adherence to protocols.
• Leads teams in driving successful patient outcomes by prioritizing standard of care and best practices. Instrumental in developing new department standards of work, policies and procedures.
• Collaborate with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions. Coordinate with anesthesia to quickly address decompensating acute ischemic stroke patients.
• Train new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
• Participate in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities. Participate in staff led in-services to further department knowledge regarding patient population, i.e. use of Labetalol in cocaine induced hypertension in the acute ischemic stroke patient.
• Manage care for interventional radiology patients from initial pre-procedure, intra-procedure and post- procedure recovery through discharge.
• Contribute substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
• Collaborate with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
• Address disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability.
• Developed strategy to target nursing and patient satisfaction issues, improve response and patient care quality and suggest actionable improvements to promote hospital-wide quality and safety initiatives .
• Monitor patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.

• Provide compassion, respect, empathy and acceptance to all patients, families and colleagues Provide optimal primary care for critically ill patients and their families via assessment, planning and implementing appropriate care and collaboration with multidisciplinary team Excellent leadership qualities as night shift Charge Nurse, code blue responder and rapid response nurse, supporting all units in the facility Preceptor for new RN colleagues Active in unit leadership and collaboration with colleagues to maintain and improve quality care delivery Past chair Mount Carmel East Practice Council, facilitating practice procedure and policy improvement and adherence Past co-chair Pharmacy/Nursing Council, facilitating proper medication administration policy and procedure improvement and adherence.

• Oversee RN, PCA, UC schedules to maintain fair and proper coverage for Observation Unit Oversee RN, PCA, UC timecards for payroll Inventory, order and maintain all supplies, medical or otherwise Maintain JCAHO readiness, education for Observation Unit.

• Decipher and enter into computer physician's written orders Complete and maintain patient charts for critical care patients Order appropriate diagnostic tests and coordinate completion of these tests Liaise between multidisciplinary team members to coordinate care of critically ill patients.