Kimberly Palmer

• Performed accurate documentation of patient assessments, interventions, and outcomes in compliance with regulatory standards.
• Educated patients on disease management, self-care techniques, and wellness strategies to improve long-term health outcomes.
• Improved patient satisfaction ratings by delivering compassionate and personalized care.
• Utilized strong clinical judgment in prioritizing patient needs during high-stress situations, ensuring optimal outcomes.
• Mentored and precepted new nursing staff members, fostering teamwork and improving unit efficiency.
• Reduced medication errors through thorough double-checking of prescriptions and dosages.
• Maintained up-to-date knowledge on emerging trends in nursing practice to enhance effectiveness in delivering quality care.
• Increased quality of care by participating in ongoing professional development opportunities such as workshops and online courses.
• Provided emotional support to patients'' family members during critical incidents, strengthening overall trust in the healthcare team.
• Streamlined communication between patients, families, and healthcare providers to ensure comprehensive understanding of care plans.
• Evaluated patient histories, complaints, and current symptoms.
• Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
• Offered exceptional care and support to individuals recovering from acute incidents, mental health, and dealing with chronic conditions.
• Performed triage on incoming patients and determined severity of injuries and illnesses.
• Used first-hand knowledge and clinical expertise to advocate for patients under care.
• Evaluation of patients' health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans.

• Knowledge of Medicare and Medicaid regulations.

• Knowledge of utilization management processes.

• Review consumer medical documentation and /or health referral forms, as relevant to the case.

• Enter evaluation data into electronic evaluation form and transmit, as required.

• Document any concerns, conflicting information, other issues that surface during the evaluation process.

• Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan.

• Discuss with consumer on health care options, supports needed, service vendor options and waiver options.

• Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan.

• Telehealth triage nurse for all Active Duty Members, their families and all Veterans.
• Provide telephonic clinical assessment, health education and utilization management services to all ages of beneficiaries.
• Performed telephonic triage for beneficiaries seeking care with multiple health complaints, including mental health, and educational needs for disease management.
• Serve as a clinical liaison for beneficiaries, their families, Veterans, health care care providers and other members of the beneficiaries care team.
• Assessment and provision of care using telecommunication devices.
• Application of the nursing process in tele-health care.
• Precepted new hires and provided mentorship to teammates.
• Team coach for fellow nurses that requires additional training and support.
• Participated in quality improvement initiatives related to telehealth nursing practice, enhancing service delivery and patient experience.
• Provided emotional support to patients during difficult times, promoting trust between nurse and patient through compassionate virtual interactions.
• Utilized evidence-based practices when delivering telehealth nursing services, ensuring safe and effective care for all patients.
• Promoted continuity of care by maintaining accurate documentation and sharing relevant information with multidisciplinary team members.
• Enhanced patient satisfaction by providing comprehensive telehealth nursing services in a timely and efficient manner.
• Maintained strict confidentiality standards while handling sensitive medical information in accordance with HIPAA and DHA regulations during remote consultations.
• Utilized critical thinking skills when assessing patient needs, swiftly identifying potential concerns and implementing appropriate interventions remotely.
• Conducted remote patient education sessions on topics such as disease management, nutrition, and self-monitoring techniques for improved health outcomes.
• Obtained beneficiary medical history and gathered triage information to determine appropriate avenue for care.

• Responsible for making the initial health evaluation and individualized plan of care.
• Managed complex caseloads efficiently by prioritizing tasks, delegating responsibilities to support staff, and maintaining detailed records.
• Provided medical care in patient homes daily and as needed.
• Administerered medications and assisted with pain management.
• Provided skilled wound care and wound care education to patients and their families.
• Documented and monitored vital signs.
• Monitored patient health and update care plan accordingly.
• Educated patients and their family on proper home care, infection control, and safety in home.
• Supervised and delegated job duties to home health aides and LPNs.
• Communicated with physicians, social workers, and other clinicians about patient health and outcomes and developed individualized care plans.
• Provides encouragement and support to patients and their family.
• Case manager for all patients and other clinicians.
• Provided skilled nursing care to patients in their homes, assessing and monitoring their health status.
• Educated patients and their families on disease management, medication administration, and self-care techniques.
• Performed comprehensive assessments of patients' physical, emotional, and psychosocial needs. Managed mental health patients and prescribed treatments.
• Managed patient caseload effectively, prioritizing tasks based on acuity levels and scheduling visits accordingly
• Ensured accurate documentation of patient assessments, interventions, outcomes, and progress notes in electronic medical records (EMR).
• Coordinated with other healthcare providers to ensure continuity of care for patients transitioning between different settings.
• Responded promptly to changes in patients' conditions or emergencies during home visits.
• Advocated for the needs of patients within the healthcare system while respecting their autonomy and preferences.
• Collaborated with community resources to facilitate access to additional support services for patients as needed.
• Participated in quality improvement initiatives aimed at enhancing patient outcomes and satisfaction levels.
• Maintained compliance with all applicable laws, regulations, policies, procedures, and standards of practice related to home health nursing.
• Implemented evidence-based practices into daily nursing interventions to optimize patient outcomes.
• Evaluated effectiveness of treatment plans through ongoing assessment of patient responses.
• Managed wound care including dressing changes, wound vacs, pressure ulcer prevention strategies, and infection control measures.
• Counseled patients on lifestyle modifications such as diet, exercise, and medication adherence for chronic disease management.
• Collaborated with physical therapists, occupational therapists, and speech-language pathologists to coordinate rehabilitative services for post-surgical or injured individuals.
• Demonstrated proficiency in using medical equipment and devices such as IV pumps, oxygen concentrators, and cardiac monitors.
• Provided emotional support to patients and their families during challenging times.
• Implemented strategies to promote patient safety at home, including fall prevention measures and medication reconciliation.
• Assessed the need for durable medical equipment (DME) and facilitated its provision to enhance patient comfort and mobility.
• Participated in interdisciplinary team meetings to discuss complex cases and develop comprehensive care plans.
• Managed complex medication regimens including administration of intravenous medications, injections, and infusion therapies.
• Trained and precepted newly hired nurses.

• Provides efficient direct patient care in an Urgent are setting
• Maintains an advanced knowledge base of disease entities, medications, and other treatments and procedures specific to Urgent Care/Emergent Practice
• Provides timely and accurate assessment, evaluation, and treatment of patients of all ages
• Consistently evaluates effectiveness of care, monitors and documents changes in patient conditions, and intervenes as necessary according to policy and after consultation with physician
• Delegates appropriately to unlicensed assistive personnel and monitors their performance
• Performs triage accurately and directs physician exams according to patient acuity
• Initiates tests prior to physician exam according to written protocols as appropriate based on patient assessment
• Collaborates with physician to determine management of emergent evaluation of patient flow and rounds on waiting patients
• Serves as advocate for patients and family members
• Assists physician during examinations
• Returns telephone encounters promptly during assigned shifts if possible

• Monitor, record, and report symptoms or changes in patients' conditions to physician.
• Performs triage accurately and directs physician exams according to patient acuity.
• Serves as an advocate for patients and family members.
• Maintain accurate, detailed reports and records.
• Consults and coordinates with healthcare team members to assess, plan, implement, or evaluate patient care plans.
• Administer local, inhalation, intravenous, or other anesthetics according to policy.
• Prepare rooms, sterile instruments, equipment, or supplies and ensure that stock is maintained.
• Provides direct care and treatments to critical and emergent patients on a daily basis.
• Critical thinking for effective assessment and care of emergent patients.
• Ensured HIPAA compliance.
• Collected blood and other laboratory specimens and prepared them for lab testing.
• Managed care for preoperative patients through discharge to surgery.
• Provides continuity of care of patients throughout stay in emergency department.
• Provides care for Infants/Children/Pediatric &Adolescent, Adult, and Geriatric populations.
• BLS, ACLS, PALS/ENPC certified
• Provided direct patient care in a fast-paced emergency room setting, ensuring timely and accurate assessment, treatment, and monitoring of patients.
• Administered medications, treatments, and interventions as prescribed by physicians, following established protocols and guidelines.
• Performed triage assessments to prioritize patient care based on the severity of their condition or injury.
• Assisted providers in emergency procedures such as intubation, chest compressions, wound suturing, and splinting.
• Monitored vital signs including heart rate, blood pressure, respiratory rate, oxygen saturation levels, and temperature.
• Documented all patient interactions accurately and thoroughly in electronic medical records (EMR) system.
• Educated patients and their families about their conditions or injuries, providing instructions on self-care at home after discharge from the ER.
• Coordinated with other departments such as radiology or laboratory services to ensure prompt diagnostic tests or imaging studies for patients in need of further evaluation.
• Responded quickly to emergencies within the hospital premises or during ambulance transfers by implementing appropriate life-saving measures.
• Maintained a clean and organized work environment by restocking supplies regularly and ensuring equipment functionality.
• Maintained strict adherence to infection control protocols and procedures to prevent the spread of communicable diseases within the ER setting.
• Demonstrated effective communication skills when interacting with patients from diverse cultural backgrounds or those with limited English proficiency.
• Provided emotional support and comfort measures to patients experiencing pain, distress, or anxiety during their ER stay.
• Answered codes quickly and orchestrated efficient, skilled medical care.
• Deescalated tense situations involving agitated patients or family members through active listening skills and empathetic responses.
• Prevented medication errors by diligently verifying drug orders against patient records before administering treatments.
• Mentored new nursing staff in emergency room procedures and techniques, promoting team cohesion and a supportive learning atmosphere.
• Educated patients and families on post-discharge care instructions, promoting adherence to prescribed regimens for improved health outcomes at home.
• Participated in quality improvement initiatives within the emergency department, contributing ideas for process enhancements based on clinical experiences and patient feedback.

• Evaluates new admission charts within 24 hours.
• Issued disciplinary actions to employees.
• Monitors behavior medications and documentation for all patients in facility.
• Participates in clinical meetings daily with interdisciplinary team members.
• Assist with family, resident, and staff grievances.
• Provides direct patient/client care as needed (administering medications via different routes and providing wound care and treatments).
• Manage and provide care to patients routinely on rehab units with PICC lines and intravenous medications.
• Manages tracheotomy patients routinely.
• Manages wound vac patients routinely.
• Consults with facility physician and practitioners regarding patients' care and routine treatments.
• Monitors registered and licensed nurses' documentation and assessments on a daily basis.
• Performed wound management rounds with certified wound consultants and specialists on a weekly basis.
• Provides care for LTC, STC, Rehab, Respite Care, mental health, and Hospice care.
• Provided leadership and support to the nursing staff, ensuring the delivery of high-quality patient care.
• Assisted in the development and implementation of nursing policies, procedures, and protocols.
• Oversaw daily nursing operations, including patient admissions, assessments, and discharges.
• Collaborated with the Director of Nursing to develop and manage the department budget and performed utilization review.
• Developed and maintained strong relationships with physicians, healthcare providers, and interdisciplinary teams.
• Ensured compliance with state and federal regulations, maintaining accurate and up-to-date records.
• Assisted in the recruitment, hiring, and orientation of new nursing staff members.
• Collaborated with the Quality Assurance department to track and improve patient outcomes.
• Ensured compliance with HIPAA regulations and patient confidentiality requirements.
• Assisted in the development of patient education materials and programs.
• Served as a liaison between nursing staff and upper management, conveying concerns and suggestions.
• Managed and maintained nursing staff schedules to ensure adequate coverage.
• Provided clinical expertise and guidance to nursing staff in complex patient care situations.
• Participated in the development and maintenance of electronic health record (EHR) systems.
• Monitored and ensured proper documentation of patient assessments, care plans, and interventions.
• Participated in accreditation and certification processes, ensuring compliance with regulatory requirements.
• Assisted in the development and implementation of staff education and training programs.
• Provided support and guidance to nursing staff during critical situations and emergencies.
• Implemented staff training programs, enhancing skills and knowledge within the nursing team.

• Administer prescribed medications or start intravenous fluids/antibiotics, noting times and amounts on patients' charts
• Observe patients, charting and reporting changes in patients' conditions, such as adverse reactions to medication or treatment, and taking any necessary action while notifying physician
• Provide basic patient care and treatments such as monitoring vital signs, dressing wounds, performing urinary catheter insertions
• Supervise nursing assistants and aides daily
• Order, interpret, and evaluate diagnostic tests to identify and assess patients' conditions
• Provide basic patient care and treatments such as monitoring vital signs, dressing wounds, performing urinary catheter insertions
• Evaluate nursing intervention outcomes, conferring with other healthcare team members as necessary

• Monitored and recorded patients' vital signs daily.
• Provided basic patient care needs and implemented interventions as needed.
• Supervised nursing assistants and homes aides.
• Administered medications to patients and monitored for adverse reactions daily.
• Documented in Medicare/Medicaid charting daily. Maintained knowledge of Medicare and Medicaid rules and regulations.
• Performs daily assessments of patients' skin and Activities of daily living.
• Provided wound care treatments with detailed documentation.
• Followed and implemented infection control procedures.
• Managed time-sensitive tasks effectively under pressure while maintaining composure during critical situations or emergencies.
• Provided compassionate palliative care for terminally ill patients while supporting their emotional needs during end-of-life stages.
• Mentored new nursing staff to enhance professional development opportunities within the team dynamic.

• Answered patient call signals, bells, lights or intercom systems to determine patients' needs.
• Changed bed linen and made beds daily.
• Cleaned and sanitized patient rooms, bathrooms, examination rooms, or other patient areas.
• Fed patients and assisted them with eating and drinking during meals.
• Restocked patient rooms with personal hygiene items and ancillary supplies.
• Performed ADL care that included: undressing, bathing, and dressing patients who were unable to do so for themselves.
• Lifted/assisted to lift patients off/on beds, examination tables, or stretchers.
• Assisted with patient transfers and ambulation.