Summary
Overview
Work History
Education
Skills
Timeline
Generic

KRYSTLE GRAHAM

Killeen,TX

Summary

I have a total of sixteen years nursing experience. This experience includes three years of med surgical ten plus, years of dialysis and five plus years of case management experience. Nine years of my nursing career have been in leadership roles including six years in Clinical Management. As a Clinical Nurse Manager some of my duties include directing, organizing, and supervising the work of all nursing staff. Oversight of the task of register nurses, licensed vocational nurses and certified dialysis technicians while complying with State, CMS and ESRD guidelines teaching and training of staff and patents Skills Assisted physicians in all aspects of patient care, Developed and planned Continuous Quality including medication administration, patient Improvement and Risk Management programs, and Utilized clinical expertise and critical nursing implement corrective action plans for both programs judgment to establish a therapeutic relationship Researched, developed, and implemented policies and with patients and families through effective procedures specific to the clinical operation of the facility communication and mutual goal setting. Ensured Reviewed and collaborated with the regional compliance with standards of care outlined in administrator to improve fiscal outcomes by maximizing FMC policies and departmental Educated staff productivity and managing supply cost Coordinated patients regarding their conditions and possible scheduling for patient care staff in the hemodialysis unit treatment options and transplant maximizing efficiency in patient care and personal organizational skills Provided treatment, therapy, assessment and education .

Overview

18
18
years of professional experience

Work History

Care Manager

Baylor Scott & White Medical Center
10.2021 - Current
  • Duties included responsibility for assessing and coordinating patient care across the continuum utilizing accepted criteria and guidelines to manage benefits and determine medical necessity of services provided, functions as a clinician, case manager, and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce discharge transition plans.
  • precepting new employess

Charge Nurse

Fresenius Kidney Care
03.2021 - 06.2021
  • Provided day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation
  • Participate in the department staffing and the appropriate hiring, firing and disciplinary actions
  • Recommend disciplinary action to Facility Administrator and initiate as appropriate
  • Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies
  • Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift
  • Participate in patient care plan meetings
  • Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services
  • Train and orient staff as necessary .Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures
  • Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment
  • Maintain overall shift operation in a safe, efficient, and effective matter
  • With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care
  • Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information
  • Supervise all documentation of patient information
  • Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity
  • Assess daily patient care needs and develop and distribute patient care assignments appropriately
  • Assume primary responsibility in an emergency situation
  • Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician
  • Implement changes in patient care/treatment as directed
  • Monitor and supervise all patient care activity during dialysis and assist as necessary
  • Collaborate with direct patient care team in making decisions to benefit patient care
  • Continuously monitor patient’s condition with regards to problems and potential complications associated with dialysis
  • Administer medications to patients per physician’s orders
  • Act as the subject matter expert and as a resource for staff members
  • Supervise and participate in completion of short- and long-term care plans
  • Admit new patients according to facility procedure.

Home Therapies Nurse

CAP RN2, Fresenius Kidney Care
11.2019 - 05.2021
  • My duties include the following: responsible for coordinating the services related to home modalities including patient training, follow up care, case management, primary nursing, education and promotion of home treatment modalities to patients and staff.

RN Care Manager

Case Management, Baylor Scott and White Medical Center Temple
06.2018 - 04.2020
  • Duties included responsibility for assessing and coordinating patient care across the continuum utilizing accepted criteria and guidelines to manage benefits and determine medical necessity of services provided, functions as a clinician, case manager, and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization.

Clinical Manager

Fresenius Kidney Care
02.2016 - 06.2018
  • Duties include assisting and managing other staff in the performance of their duties in accordance with policies and as allowed by state regulations, CMS guidelines and ESRD network of opening new dialysis unit which consist of teaching patients empowered dialysis
  • Initiate communication with multiple physicians to obtain patient assignments and delegate assignments to staff nurses based on geographic location and multiple staff barriers
  • Prioritize and strategically rearrange patient assignments throughout the workday based on acuity level and medical necessities of critically ill patients
  • Reinforced leadership skills by fulfilling managerial role.

Charge Registered Nurse

Fresenius Kidney Care
03.2015 - 02.2016
  • Patient triage and initiating hemodialysis
  • Assessing heart catheters, fistulas, and grafts via vena-puncture connection to artificial kidneys
  • Administering routine medications and anticoagulants to prevent clotting of the kidney
  • Monitoring patients for severe hypotension and hypertension
  • Performing diabetic foot checks and routine catheters care
  • Daily labs drawn and hemoglobin and hematocrit levels established and monitored
  • Routine charting and team work essential to the care of the patient.

Clinical Manager

Baylor Scott and White Dialysis
02.2014 - 03.2015
  • Initiate communication with multiple physicians to obtain patient assignments and delegate assignments to staff while operating in compliance with ESRD, CMS and state guidelines
  • Reinforced leadership skills by fulfilling managerial role over 24 station unit.

Travel Dialysis Charge Nurse

American Mobile Travel Nursing
08.2012 - 02.2014
  • Greeting patients, performing patient assessments, reviewing dialysis orders, note physical and mental condition of patients through observation and interviews, document data to determine compliance to dietary or medication regime, review lab work, and work with team to develop patient care plans
  • Initiate and administer hemodialysis treatment via subclavian catheters, A-V grafts and fistulas, administer parental and po medications, fluid therapy, blood products
  • Employed in a fast-paced environment working directly with a multidisciplinary team of Physicians, RNs, Case Managers, LVN, MSW, and support staff, in providing nursing care services in the clinical environment Perform patient care activities such as taking vital signs, perform treatments Taking V.S., assessments of systems, wound care, venipuncture, patient and family/caretakers teaching
  • Performed patient care activities within the scope of practice which included preparing patients for exams, gather and analyze data information independently and developed alternative solutions.

Charge Nurse/Floor Nurse

DCI
05.2009 - 08.2012
  • Performed charge nurse duties for daily operations of 24 adult station hemodialysis unit Responsible for the application of dialysis nursing skills in delivery of treatment to patients, including venipuncture, catheter care, medication administration, anemia management, blood draws, wound care, basic EKG interpretation, recognition of cardiac arrests and performance of Rerecorded, interpreted and reported patient responses and collaborated with appropriate members of the interdisciplinary care team Provided patient and family teaching Documented and maintained assigned primary patient charts Prepared, monitored and maintained dialysis machines and systems
  • Assisted other staff in the performance of their duties in accordance with policies and as allowed by state regulations
  • Implemented dialysis treatments on patients with permanent fistulas, grafts, and catheters
  • Developed and implement patient care plans.

LVN Floor Nurse

Southeast Alabama Medical Center
02.2005 - 05.2009
  • Monitored the status of all clients while administering medication Admitted and discharged patients including monitoring vitals and preparing lab specimens Performed catheterizations, provided wound care, and implemented precautions
  • Collaborated with the primary Physician concerning new medications and verified previous standing orders for individual cases
  • Reinforced patient teaching on post-procedure care and follow up
  • Assisted RN as needed and provided medical back-up to physician as indicated
  • Reviewed medical records for completeness, accuracy and comply with all medical and administrative protocols.

Education

Bachelor of Science - Nursing

Grand Canyon University
Grand Canyon, AZ
08.2019

Associate of Applied Science - Nursing

Associates Wallace Community College
Dothan, AL
06.2009

Diploma LPN - LVN

Wallace Community College
Dothan, AL
12.2004

High School Diploma -

Dothan High School
Dothan, AL
06.2000

ACLS certification - undefined

2000

Skills

  • Expert in Microsoft Office (Word, Excel, and PowerPoint), Epic documentation, and computerized charting
  • communication skills
  • Problem solving
  • Critical thinking
  • Judgment and decision making
  • Time management skills
  • Communication skills
  • People skills

Timeline

Care Manager

Baylor Scott & White Medical Center
10.2021 - Current

Charge Nurse

Fresenius Kidney Care
03.2021 - 06.2021

Home Therapies Nurse

CAP RN2, Fresenius Kidney Care
11.2019 - 05.2021

RN Care Manager

Case Management, Baylor Scott and White Medical Center Temple
06.2018 - 04.2020

Clinical Manager

Fresenius Kidney Care
02.2016 - 06.2018

Charge Registered Nurse

Fresenius Kidney Care
03.2015 - 02.2016

Clinical Manager

Baylor Scott and White Dialysis
02.2014 - 03.2015

Travel Dialysis Charge Nurse

American Mobile Travel Nursing
08.2012 - 02.2014

Charge Nurse/Floor Nurse

DCI
05.2009 - 08.2012

LVN Floor Nurse

Southeast Alabama Medical Center
02.2005 - 05.2009

Bachelor of Science - Nursing

Grand Canyon University

Associate of Applied Science - Nursing

Associates Wallace Community College

Diploma LPN - LVN

Wallace Community College

High School Diploma -

Dothan High School

ACLS certification - undefined

KRYSTLE GRAHAM