Kosha Nicholson-Kirlew
Avon Park,FL
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Hardworking Registered Nurse with success providing individualized patient care. Committed to delivering best-in-class patient care through effective education and counseling. Proven leadership focused on increasing and enhancing patient care and satisfaction. Streamline safety protocols for comprehensive patient care. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Register Nurse PRN
Lakeside Neurological Rehab
Wauchula, FL
12.2018 - Current
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Monitored patient reactions after administering medications and IV therapies.
- Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
- Evaluated patient histories, complaints, and current symptoms.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Verified patients had information necessary for ongoing care, providing guidance on diagnoses, management of medications, and prevention methods.
- 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.
- Managed elements of patient care from admission to discharge or transfer to other units.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
- Coordinated patient discharge planning to provide post-discharge patient care, promoting healing and recovery.
- Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
RN Supervisor (house supervisor & bed management)
Adventist Health Sebring
Sebring
06.2016 - Current
- Assesses type of patient served, competency and skill level of staff, availability of supplies and equipment to meet patient needs
- Implements policies, procedures, protocols and standards of care to ensure that patients receive care within these guidelines
- Maintains effective communication between administration, physicians, staff, patients, and families
- Prepares HPPD report with sufficient explanation of over or under staffing assumes full administrative responsibility for the overall management of the Hospital in the absence of Directors or Administration implementing policies, oversees staffing, supplies, equipment and ensures delivery of quality care.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Developed strong communication and organizational skills through working on group projects.
- Delivered services to customer locations within specific timeframes.
- Applied effective time management techniques to meet tight deadlines.
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
- Exercised leadership capabilities by successfully motivating and inspiring others.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Discussed medical histories with patients in effort to provide most effective medical advice.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Collaborated with store manager to maintain daily operations.
RN Staff Nurse
Florid hospital heartland
Sebring
09.2015 - 03.2016
- Providing patient care on cardia progressive care unit
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
- Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Gathered patient health data through interviews and observation, documenting data in electronic records.
- Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
Registered Nurse
Nurse on call
Sebring
10.2013 - 01.2015
- Oasis assessment, Evaluation for home health admission, Providing patient care and treatments, Developing care plans, Supervisory visits
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Administered different therapies and medications in line with physician orders and treatment plan.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
- Provided didactic and clinical instructions to orient new nurses and potential student nurses to achieve training outcomes.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Maintained quality care and comfort for patients with heart failure, pulmonary hypertension, and other conditions.
- Organized and managed care of patients undergoing various therapies and procedures.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Audited charts and reviewed clinical documents to verify accuracy.
- Managed care from admission to discharge.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
Registered Nurse
The oaks at avon
Avon Park
11.2011 - 08.2014
- Supervise unlicensed and licensed staff, Communicate with physicians and families, Provide pt care within state guidelines, Review patient charts for accuracy, Patient assessment, Documentation to meet cms guild line for skill services, Orientate new nurses, Preceptor to new employees
- Audited charts and reviewed clinical documents to verify accuracy.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Assisted with Safety Risk Management (SRM) process.
- Developed short-term goals and long-term strategic plans to improve risk control and mitigation.
- Instituted regular safety inspections and hazards management strategies to keep operations compliant.
- Looked at current and new merchants and individual sales to evaluate fraud, chargeback and compliance risks.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Communicated with patients, ensuring that medical information was kept private.
- Complied with federal and state regulations for completion and coordination of RAI process.
- Led weekly utilization review to go over recent clinical activities.
- Set schedules for staff to start and complete MDS assessments and care plan meetings.
- Reviewed missing assessment reports and analyzed issues for leadership team.
- Trained staff in correct techniques for completing and signing MDS assessments.
- Completed assessments for residents admitted under assessments requiring [Number] day books.
- Followed up on outstanding clinical items within established timelines for optimal care delivery.
- Assessed electronic medical record for required documentation to support MDS coding.
- Verified prompt and accurate completion of MDS activities for billing.
- Upheld critical security standards when managing user access actions such as setting up and removing accounts.
- Minimized manual system errors with streamlined data entry process.
- Developed comprehensive data dictionary for efficient and accurate data tracking.
- Participated in quality assurance reviews to verify accuracy and reliability of data.
- Created data management plans and provided input on study designs.
- Enforced strict data validation rules to maintain accuracy and completeness of clinical data.
- Collaborated with medical teams to create uniform standards for clinical data reporting.
- Managed system for secure storage, transmission and manipulation of clinical data.
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Provided didactic and clinical instructions to orient new nurses and potential student nurses to achieve training outcomes.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.
- Orchestrated quality-driven, cost-effective care in high-volume trauma setting.
- Maintained quality care and comfort for patients with heart failure, pulmonary hypertension, and other conditions.
- Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Organized and managed care of patients undergoing various therapies and procedures.
- Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Managed care from admission to discharge.
- Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
Registered Nurse Supervisor
Hope hospice inpatient HHR
Sebring
03.2010 - 09.2012
- Charge nurse inpatient hospice unit, Supervise license and unlicensed staff, Provide patient care, Implementing care plan, Collaborating with families, social workers and MD regarding change in condition
- Taught family members and caregivers various ways to manage patients' pain, how to check for vital signs and proper methods for dressing changes.
- Established and maintained successful relationships with patients, families and physicians by utilizing exemplary communication and active listening skills.
- Offered listening ear to both patients and loved ones to meet emotional and mental, as well as physical needs.
- Recognized and understood specific stages of dying process, providing comfort-based care during vulnerable times.
- Provided high level of quality, compassionate care to patients and caregivers during each nursing shift.
- Established hospice care services for elderly and disabled patients.
- Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Evaluated patient histories, complaints, and current symptoms.
- Recorded details regarding therapies to keep patient charts updated.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Monitored patient reactions after administering medications and IV therapies.
Registered Nurse Assistant director of nursing
Winter Haven Health and rehab
Winter Haven
11.2009 - 08.2011
- Supervised unlicensed and licensed staff, Risk management Completing state and federal investigation reports, Monitoring infections and reporting, Ensuring staffing is accurate and meet state guidelines
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Identified department issues to recommend corrective actions.
- Collaborated with staff, management, and external groups to coordinate patient care.
- Developed positive employee relations, incentives, and recognition programs to promote teamwork and mutual respect.
- Performed rounds to observe care and interview staff, residents, and families.
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
- Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
- Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Facilitated continuing education and training programs to drive staff competency and professional development.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Ordered all pharmacy supplies and kept check on inventory levels.
- Discussed medical histories with patients in effort to provide most effective medical advice.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
Registered Nurse risk manager and MDS coordinator
The oaks at avon
Avon Park
08.2003 - 11.2009
- Complete MDS assessment timely and accurately, Implement care plan, Staff education, Complete risk management assessment
Education
Bachelor's in Nursing -
South Florida State College
Avon Park, FL05.2017
AS nursing in Nursing -
South florida state college
Avon Park, FL01.2009
Practical nursing in Nursing -
South florida state college
Avon Park, FL01.2003
Skills
- MDS
- Nursing
- Hospice Care
- Medication Administration
- IV Drug Therapy Management
- Staff Supervision
- Process Improvement
- Hospice and Palliative Care
- Patient and Family Advocacy
- Direct Patient Care
- Nursing Staff Management
- Acute and Rehabilitative Care
- Home Visits
- Customer Service
- Patient Assessments
- Medical Screening
- Tracheostomy Care
- Gastrostomy Tube Care
- Patient Care
- Schedule Coordination
- Scheduling and Planning
- Shared Governance
- EMR Systems
- Patient Monitoring
- Patient Discharging
- Disease Management Programs
- Medication Side Effect Knowledge
- Clinical Management
- Regulatory and Statutory Compliance
- Intakes and Discharges
- Diagnostic Tools Knowledge
- Intravenous Therapy
- Body Mechanics Knowledge
- Complex Problem-Solving
- Education Model Development
- Community Resources
- Hospice Philosophy Understanding
- Diversity and Inclusion
- Wound Care
- Nursing Assignments
- HIPAA Education
- Patient Education
- ELNEC Training (End-of-Life-Care)
- Medical Records Management
- Family Planning Services Education
- Diabetes and Nutrition Education
- Follow-Up Calls
- Neurology Expertise
- Managing Deadlines
- Individualized Care
- Conflict Resolution
- Problem Identification
- Statistical Data and Reports
- Performing EKGs
- Insulin Medication Assistance
- Removing Sutures
- Health and Wellness Expertise
- Medical Laboratory Procedures
- Family Education
- Administering Immunizations
- Assessing Residents
- Care Plan Development
- Emergency Response
- Pain Management
- Work Assignments
- Chart Review assessments
Certification
- BLS, ACLS,
- RN, 06/2009 Present
- LPN 2003
Accomplishments
- Documentation - Ensured charting accuracy through precise documentation.
- Patient Care - Delivered compassionate care that exceeded hospital requirements.Successfully provided quality care to patients in acute and rehab environment.
- Clinical Skills - Monitored patients' respiration activity, blood pressure and blood glucose levels in response to medical administration.
- Supervised team of 100 staff members.
- Collaborated with team daily to ensure acurate bed placements .
Timeline
Register Nurse PRN
Lakeside Neurological Rehab
12.2018 - Current
RN Supervisor (house supervisor & bed management)
Adventist Health Sebring
06.2016 - Current
RN Staff Nurse
Florid hospital heartland
09.2015 - 03.2016
Registered Nurse
Nurse on call
10.2013 - 01.2015
Registered Nurse
The oaks at avon
11.2011 - 08.2014
Registered Nurse Supervisor
Hope hospice inpatient HHR
03.2010 - 09.2012
Registered Nurse Assistant director of nursing
Winter Haven Health and rehab
11.2009 - 08.2011
Registered Nurse risk manager and MDS coordinator
The oaks at avon
08.2003 - 11.2009
Bachelor's in Nursing -
South Florida State College
AS nursing in Nursing -
South florida state college
Practical nursing in Nursing -
South florida state college
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