KRISTINE ISABEL M. MALLARI

• Provides patient-centered supportive care, evidence-based nursing care with a focus on serving memory disorder adult populations (ie Mild Cognitive Impairment, Alzheimer’s Disease and Lewy Body Dementia, Parkinsons Disease).

• Coordinates multidisciplinary care and reinforces patient education through clinic visits, patient messages and phone calls.

• Assists with managing Stanford ADRC Supportive Care Study (led by Dr. VJ Periyakoil) Sees new and follow up patients, serves as RN scribe and closely supports patients to execute follow up recommendations/treatment plans.

Skills: Patient Education · Patient Assessment · Nursing · Neurology · Symptom Management

• Quality Improvement Nurse - ensures that all metrics and forms needed for the study are done within the timeline outlined in the study's goal.

• Oversees participants and components for longitudinal, observational study aiming to collect data from adults with mild cognitive impairment, Parkinson’s Disease, Lewy Body disease, or Alzheimer’s Disease. The study’s goal is to better understand what is important to patients in regards to their healthcare and quality of life, and how we can improve the care being provided to our patients. We also assist them in completing their Advanced Directive documents while they are still capable of making decisions for themselves.

• coordinates patient care collaborating with other care providers and health team members to provide required care.
• acts as a patient teacher and advocate, assisting the patient in seeking information, assuring the patient has the opportunity for informed consent for treatment decisions, and promotes the maximum level of patient-desired independence.
• utilizes the nursing care processes across multiple modalities to include Chronic Dialysis treatment.
• floats to a variety of centers as needed to meet staffing needs, and is available for assignment on an ad hoc basis, usually to assist in times of unusually heavy workloads or to assume the duties of absent nursing personnel.
• Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.

• is responsible for the delivery of safe, quality care of dialysis treatments by assisting the Center Manager (CM) with oversight of the center's operations.
• worked as a liaison to physicians in regards to patient information, and company policy & procedures.
• team leader who educates and mentors center staff as appropriate.
• responsible for the daily management of the center alongside the CM.
• Critical Results/Situations: Uses professional discretion in critical or emergency situations and directs the necessary intervention; provides the appropriate information to the physician
• Patient Schedule: Provides oversight of the patient schedule and makes staff assignments; consistently reviews and evaluates patient priorities as changes occur in the condition of the patient or center; directs staff in work assignments to address these changes
• Patient Admissions: implements them and/or delegates to appropriate staff; in the absence of the CM, ensures admission procedures are followed, approves the patient for admission and makes the staff training assignment

• Oversees front office desk/office administration for the center
• Oversees admissions for all patients for the center; audits all admissions following admit
• Oversees discharges for all patients for the center; audits discharge records and is responsible for document management of records
• Oversees maintenance of patient medical records to include auditing of proper completion to ensure information is accurate for the center; scans documents and files in to SPIN Back Office
• Prepares and reconciles monthly and quarterly Network, Kaiser and other reports; assists center management with adjusting reports as needed, and ensures timely and accurate completion
• Assists the center management with all aspects of onboarding and orienting new hires and transfers into the center
• Facilitates the accurate and timely completion of payroll; acts as the liaison with payroll department; trains employees on time management system and payroll policies & procedures
• Tracks and maintains employee records; notifies employees of upcoming expiration dates for license/certification expiration dates
• Organizes CPR training at the direction of center management
• Oversees monthly patient billing and prepares billing reports for the center; ensures accurate and timely completion of billing and acts as the liaison with the Accounts Receivable Department

• Assisted in care of chronically-ill patients, with focus on patients with kidney disease, high blood pressure and asthma.
• Provided each chronic and acute renal patient with compassionate and dedicated plan of care for treatment.
• Prepare and maintain dialysis machines and systems per policy: maintain dialysis records, prepare dialysis water treatment system for use according to established procedure and understand technical operations to resolve minor problems independently.
• Provided peritoneal dialysis in addition to Hemodialysis, CCPD and TPE/Plasmapheresis.
• Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.
• Assure proper coordination of care between hospitals and outpatient dialysis facilities as applicable.
• Maintain communication and continuity of planned care when a patient is transferred to other company facilities.

• Clinical Coordinator (Sept 2018 - Feb 2019)
• Performs all essential functions under the direction of the Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment.
• Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire.
• Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed.
• Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input.
• Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.
• Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients.
• Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
• Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
• Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record

• Educated family members and caregivers on patient care instructions.
• Recorded details regarding therapies to keep patient charts updated.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• Performed triage on incoming patients and determined severity of injuries and illnesses.
• measuring and recording height, weight, and vital signs.
• admitting patients taking Personal, Social and Health History
• listen to and record any symptoms of illness or injury as well.
• collect samples, such as mucus or blood samples, which can be later studied in a laboratory to aid in diagnosing illnesses and infections.
• changing wound dressings
• giving flu shots/ other vaccines
• assisting Primary Health MD in other outpatient procedures
• giving discharge/ patient education
• compiling files/ patient charts
• making follow up calls/ setting up follow up appointments

• Monitored patients before, during and after surgical operations to evaluate patient care.
• Managed patients' pain by implementing pharmacological and non-pharmacological pain management interventions.
• Managed caseload of 12 patients simultaneously by providing bedside care, treatments, IV therapy and wound care.
• Started intravenous fluids, administered medications and documented patient charts by recording food and fluid output and intake.
• Recorded and measured patients' weight, temperature, respiration and blood pressure.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Managed patients recovering from medical or surgical procedures.

• Provided primary customer support to internal and external customers.
• Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
• Collected and analyzed customer information to prepare product or service reports.
• Recommended products to customers, thoroughly explaining details.
• Clarified customer issues and determined root cause of problems to resolve product or service complaints.
• Processed customer adjustments to maintain financial accounts.
• Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions.
• Answered customer telephone calls promptly to avoid on-hold wait times.