Laura C. Shapiro-Kargakis, RN
Rockwall,TX
Overview
13
13
years of professional experience
Work History
Clinical Manager
Gentiva - New Century Hospice
08.2022 - Current
- Identified opportunities to improve clinical practices, devised strategies and implemented plans to increase patient care standards and enhance operational procedures.
- Regularly evaluated employee performance and provided feedback.
- Promoted high morale and staff retention through dynamic communication, prompt problem resolution, proactive based practices and facilitation of positive work environment.
- Implemented new policies and educated staff on changes.
- Prepared and led Interdisciplinary Team meetings.
- Delivered effective onboarding and training to new and existing employees.
- Delegated tasks to staff members, monitored completion of all duties and provided support to enhance performance areas.
- Performance improvement - safety, risk and regulatory; utilizes process improvement principles to assess and improve quality of service/care provided within department.
- Managed daily operations of office supporting approximately 60-70 patients per week.
- Managed 20 employees with various personalities and from different cultures.
RN Case Manger/Nurse Preceptor
Gentiva - New Century Hospice
03.2021 - 08.2022
- Plans and delivers holistic care to patients employing nursing process of assessment, planning, interventions, implementation, and evaluation
- Effective communication and coordination of care with patients, family members, and Hospice team members
- Maintains standards of professional nursing and clinical competency
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Responded promptly and professionally to patient questions and concerns.
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
- Responsible for training new employees in field responsibilities and EMR.
RN Case Manager
Providence Hospice Of Snohomish
08.2018 - 08.2020
- Plans and delivers holistic care to patients employing the nursing process of assessment, planning, interventions, implementation, and evaluation
- Effective communication and coordination of care with patients, family members, and Hospice team members
- Maintains standards of professional nursing and clinical competency.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Received performance-based recognition due to steady pursuit of additional skills and responsibilities, exceptional client feedback, and effective communication with Medical Director, management team, co-workers, and office staff.
RN Float Team - Charge Nurse/House Supervisor/Floor Nurse
Providence/ Swedish Edmonds Hospital
09.2014 - 08.2018
- Floats to: ICU, SWAT, PCU, PACU, Ortho/Medical, Oncology/Surgical, and Psychiatry
- Relief charge: ICU, PCU, Ortho/Medical, Oncology, and Psychiatry
- Relief House Nursing Supervisor
- Professionally excels in varied and challenging settings
- Floating provides “big picture” approach to staff supervision/ patient care house-wide.
- Investigated and resolved issues affecting hospital operations and patient care.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
ICU/CCU RN/Relief Charge
Providence/Swedish Edmonds Hospital
07.2012 - 01.2018
- Intensive Care Unit ICU/CCU
- Assessment and management of Critical patients
- Manage intubation/arterial line/CVP/Temporary Pacers
- Responds to codes/assists with Rapid Sequence Intubation
- Administration and titration of vasoactive/neuromuscular blocking agents/conscious sedation
- Provides emotional support and education to patients and families
- Trained new nurses on hospital policies and procedures, patient care protocols, medical procedures and patient interventions.
- Monitored patient reactions after administering medications and IV therapies.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging/acuity needs.
- Provided exceptional care to high-acute patients needing complex care such as ventilator management and ACLS life support/rescue modalities, including aortic balloon pump and post-cardiac cooling protocol.
- Utilized critical thinking skills to assess, plan and implement evidence-based patient care.
RN Navigator/Case Manger
Providence/Swedish Edmonds Breast Center
08.2015 - 04.2017
- Navigate and coordinate major aspects of care delivery
- Employ appropriate skills for patients in need of information, education and resources
- Manage referrals, communicate patient information to all provider
- Schedule appropriate evaluations and follow-ups, and manage database to track all relevant patient information and activity
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
RN Case Manager Per Diem
Tidewell Hospice
02.2012 - 04.2012
- Case Management and Care Implementation
- Fostering relationships with patients, family members, physicians, and staff
- Supervisory and management skills among hospice aides and LPNs
- 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.
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
RN
St. Joseph’s Hospital, PCU
02.2011 - 02.2012
- Provided primary care to complex medical, cardiac, and pulmonary patients
- Performed numerous tasks involving continuous cardiac monitoring, medication monitoring, titration, management of artificial airways and mechanical ventilation
- 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.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
Education
Associate Degree - Nursing
Keiser University
Sarasota, FLBachelor of Arts - Psychology
University of California - Davis
Davis, CA05.2001
Skills
- Nursing Protocols
- Team Meetings
- Training Program Implementation
- Direct Patient Care
- Unit Supervision
- Employee Issue Resolution
- Clinical Quality Improvement
- Clinical Operations Planning
- Post-Cardiac Cooling Protocol
- Team Management
- Quality Assurance Process Optimization
- Onboarding and Coaching
- Resource Management
- Effective Communication
- Organizing Staff Schedules
- BLS – Basic Life Support
- IABP – Intra-Aortic Balloon Pump
- MOAB
- Mechanical Ventilation
- ECG/Telemetry
- Critical Care Consortium
- Office Procedures
- Quality Control
- Staff Development
Timeline
Clinical Manager
Gentiva - New Century Hospice
08.2022 - Current
RN Case Manger/Nurse Preceptor
Gentiva - New Century Hospice
03.2021 - 08.2022
RN Case Manager
Providence Hospice Of Snohomish
08.2018 - 08.2020
RN Navigator/Case Manger
Providence/Swedish Edmonds Breast Center
08.2015 - 04.2017
RN Float Team - Charge Nurse/House Supervisor/Floor Nurse
Providence/ Swedish Edmonds Hospital
09.2014 - 08.2018
ICU/CCU RN/Relief Charge
Providence/Swedish Edmonds Hospital
07.2012 - 01.2018
RN Case Manager Per Diem
Tidewell Hospice
02.2012 - 04.2012
RN
St. Joseph’s Hospital, PCU
02.2011 - 02.2012
Associate Degree - Nursing
Keiser University
Bachelor of Arts - Psychology
University of California - Davis
Summary
A strong history of leading high performance nursing teams and adept quality improvement. Outcomes-oriented and holistic-based management style backed by extensive clinical knowledge in both acute and home-based care. Incorporates counseling experience/education to ensure effective communication, team building, and staff retention. Familiar with Quality Improvement, LOCs/Medicare, CAHPS, and Survey preparation. Excellent supervisory skills and performance working under pressure.
Affiliations
- American Nurses Association
- American Association of Critical-Care Nurses
- Critical Care Consortium
- Behavioral Nurse Quality Leader
- ICU Shared Leadership Co-chair
- Hospice and Palliative Nurses Association
- CHPN Exam date December 2023
EMR Experience
- Epic Acute Care
- Epic Home-based care
- Homecare Homebase - Pointcare
- Homecare Homebase - Back Office
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