Kristina Shelton

To enhance healthcare services to children by providing quality after-hours care and supporting healthcare providers and parents with professionalism and compassion using

Values
Respect: Treating physician clients, their patients, and other healthcare professionals with compassion and courtesy
Service: Dealing with callers in a sincere, trustworthy, and fair manner Quality: Striving for the highest level of excellence in nursing service
Teamwork: Communicating and supporting each other in an understanding, flexible way

Triage the situation, give Home care, Urgent care, ED guidance

Call in prescriptions, communicate with providers all while providing caring, compassionate and kindness to elevate parental and children's concerns

• Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
• Supervised and maintained all utilization review documentation through WebTPA software.
• Submitted cases for criteria failures and helped facilitate resolutions and approvals.
• Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
• Devise or identify solutions for irregular requests and issues.
• Performed admission reviews based for medical necessity based upon InterQual, Milliman, Aetna, BCBS, CIGNA specification.
• Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
• Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Evaluated patient histories, complaints, and current symptoms.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Performed prior authorization review of services requiring notification.
• Sent medical review organizations denied procedures for quality checks

• Maintained continuous growth of professional knowledge and competencies through ongoing education opportunities.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Educated family members and caregivers on patient care instructions.
• Evaluated patient histories, complaints, and current symptoms.
• Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
• Monitored patient reactions after administering medications and IV therapies.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
• 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.
• Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
• Recorded details regarding therapies to keep patient charts updated.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Equipped patients with tools and knowledge needed for speedy and sustained recovery.
• Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
• Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
• Administered age appropriate vaccinations and IM medications
• Preformed vitals on children of all ages
• Triaged incoming calls from parents. Only triage during the "swine flu" outbreak
• Called in prescribed medications
• Lead team of nurses in the office

• Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
• Obtained client medical history, medication information, symptoms, and allergies.
• Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
• Sanitized, restocked, and organized exam rooms and medical equipment.
• Performed medical records management, including filing, organizing and scanning documents.
• Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
• Answered telephone calls to offer office information, answer questions, and direct calls to staff.
• Collected pertinent data and calculations to aid physician in interpreting results.
• Collaborated with medical and administrative personnel to maintain patient-focused, engaging, and compassionate environment.
• Oriented and trained new staff on proper procedures and policies.
• Implemented care and efficiency improvements to support and enhance office operations.
• Taught patients about medications, procedures, and care plan instructions.
• Helped improve patient outcomes by educating and advising on relevant treatments and care.
• Explained procedures to patients to reduce anxieties and increase patient cooperation.
• Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus. Flexible sigmoidoscopy. Stress tests
• Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
• Obtained and documented patient medical history, vital signs and current complaints at intake.
• Measured patient pulse oximetry.
• Collected and documented patient medical information such as blood pressure and weight.
• Completed EKGs and other tests based on patient presentation in office.
• Measured patient spirometry.
• Prepared lab specimens for diagnostic evaluation.
• Assisted with routine checks and diagnostic testing by collecting and processing specimens.
• Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
• preparing referrals
• calling in prescribed medication, administering injections, scheduling outside appointments

• Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
• Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
• Sanitized, restocked, and organized exam rooms and medical equipment.
• Performed medical records management, including filing, organizing and scanning documents.
• Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
• Taught patients about medications, procedures, and care plan instructions.
• Explained procedures to patients to reduce anxieties and increase patient cooperation.
• Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
• Obtained and documented patient medical history, vital signs and current complaints at intake. Collected and documented patient medical information such as blood pressure and weight.
• Measured patient pulse oximetry.
• Completed EKGs and other tests based on patient presentation in office.
• Measured patient spirometry.
• Prepared lab specimens for diagnostic evaluation.
• Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
• ICD-9 coding, CPT coding
• phlebotomy