Kristine Shouse
Nursing
Fresno,California
Summary
In and Out Patient-oriented nursing professional with several decades of hands-on experience in delivering quality direct and indirect patient care to individuals in multiple settings. Skillfully completes tasks and fosters relationships with patients, caregivers and coworkers. A seasoned LVN with expertise in multiple areas. I have worked effectively within interdisciplinary teams to educate patients as well as to help promote positive lifestyle changes. Being the best that I can be for others, is one of my life's goals.
Overview
28
28
years of professional experience
2
2
Certifications; IV, Blood Draw
2
2
years of post-secondary education
Work History
LVN Case Manager
Personify Health/ Health Comp
Fresno, CA
04.2013 - 03.2025
- Maintained confidentiality and adhered to professional ethics and standards.
- Advocated on behalf of clients to secure necessary services and support.
- Identified barriers to client success and developed strategies to overcome them.
- Participated in regular team meetings and in-house training sessions to boost group effectiveness.
- Maintained accurate case records and documentation according to agency guidelines.
- Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
- Maintained up-to-date case records with case activity status.
- Collaborated with multidisciplinary teams to provide holistic support to clients.
- Supported family members by providing information on local support groups.
- Assessed clients' needs, developed service plans and monitored progress towards goals.
- Collaborated with other service providers to ensure continuity of care.
- Collaborated with healthcare team to improve care quality, reduce costs and gauge patient progress.
LVN
Central Valley Indian Health
Prather, CA
11.2011 - 05.2012
- Collected biological specimens and packaged for laboratory transport to complete diagnostic tests.
- Used sterile techniques to prepare patients for procedures.
- Assisted physicians with examinations and treatments as needed.
- Guaranteed exceptional care quality by correctly administering medication, starting IV fluids, inserting and caring for catheters, dressing and changing wounds and assisting with personal hygiene.
- When rooming patients, obtained physical, emotional, and symptomatic changes in patient condition and obtained necessary care for medical concerns.
- Prepared exam rooms prior to patient visits including stocking supplies and ensuring equipment was functioning properly.
- Administered prescribed medications and started intravenous fluids to address patient symptoms and underlying etiologies.
- Communicated concerns regarding patients' status, care and environment to nursing supervisors, clinical care supervisors and case managers. Updated patient files & complied with HIPPS regulations.
- Sterilized medical equipment and supplies with germicides, sterilizers and autoclaves.
- Provided patient education regarding health promotion and disease prevention.
Clinic LVN/Floor Nurse-LVN
Kaiser Permannte
Fresno, California
02.2003 - 06.2011
- Managed patient care through closely monitoring respiration, blood pressure, heart rate, O2 sats, and blood glucose levels.
- Administered controlled narcotics, insulin, inserted IVs, and performed catheterizations as ordered.
- Worked with multidisciplinary team members to carry out successful treatment plans for diverse acute and chronic conditions.
- Monitored patient health conditions to document and report changes to assigned physician in a timely manner.
- Provided patient education on health care issues, diagnosis, treatments available, over the counter and prescribed medications.
- Administered basic patient care and treatments by dressing wounds via aseptic technique, treated bedsores, gave enemas and performed catheterizations as ordered.
- Established compassionate environment by providing psychological, emotional and spiritual support to patients and families.
- Supported patients in completing activities of daily living such as dressing, grooming and shower assistance.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Performed routine evaluations of each patient's status, needs, and preferences.
- Provided IP care to patients on Med/Surg & in Post-partum and all that entails.
- Worked in the Pediatric Clinic for 6 years, as well as worked urgent care every other weekend at various sites to meet the staffing needs. Completed all back-office procedures, gave immunizations to all ages and dispensed medication as ordered by attending physicians.
Post-partum LVN/LVN float
Community Hospital of Central California
Fresno/Clovis, California
02.1997 - 11.2005
- Obtained patient vital signs and input/output measurements from inpatients.
- Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
- Administered controlled narcotics, inserted IVs, and performed catheterizations.
- Delivered updates in patient status to charge nurse, recording changes in medical records.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Educated patients on medical diagnoses, treatment options, chronic disease self-management and wound management.
- Assisted with admissions, appointments, transfers, and discharges.
- Used aseptic techniques to provide sterilized wound care and dressing applications.
- Delivered emotional support to patients and families during challenging times.
- Took samples to complete diagnostic and routine assessment tests.
- Helped patients complete bathing, dressing and eating.
Home Health/Staff Relief LVN
Interim Health Care
Fresno/Clovis, California
11.1996 - 12.2001
- Responsible for all aspects of in-home nursing care; direct patient care, organizing, labeling, cleaning all patient areas.
- Maintained all client logs and documentation of their care.
- Established positive relationships with patients/clients and other staff members.
- Worked in multiple Facilities in the Central Valley as a staff relief nurse.
- Experience consists of; ADL's, medication administration, PEG tube, NG tube, Urostomy, colostomy, wound dressing/packing, Broviac line and tracheostomy care.
- Comforted and counseled patients and families throughout care process.
Education
No Degree - BLS/CPR
American Heart Association
Fresno 03.2025 - 03.2025
LVN - Nursing
Clovis Adult
Clovis 05.1990 - 06.1992
Skills
- Case management
- Detailed Patient Analysis
- Health education
- Care coordination
- Conflict Resolution
- Record management
Certification
IV and Blood Draw certified, since December 1992
Timeline
No Degree - BLS/CPR
American Heart Association
03.2025 - 03.2025
LVN Case Manager
Personify Health/ Health Comp
04.2013 - 03.2025
LVN
Central Valley Indian Health
11.2011 - 05.2012
Clinic LVN/Floor Nurse-LVN
Kaiser Permannte
02.2003 - 06.2011
Post-partum LVN/LVN float
Community Hospital of Central California
02.1997 - 11.2005
Home Health/Staff Relief LVN
Interim Health Care
11.1996 - 12.2001
LVN - Nursing
Clovis Adult
05.1990 - 06.1992
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