Proficient and caring nursing team member offering outstanding patient-facing experience. Adept at addressing patient needs with compassionate care and attention to detail. Diligent about maximizing satisfaction, safety and wellness while serving patients of all backgrounds. Retired in Feb 2021, and am ready to go back to work, miss the residents/patients.
Overview
35
35
years of professional experience
Work History
Licensed Practical Nurse
The Gardens On University
10.2015 - 02.2021
Assisted in development of risk management program. Investigated falls, wounds,skin issues, decubitus (including staging of wounds and treatments), allegations abuse/neglect, theft, elopement, medication errors, resident to resident interactions in 120 bed facility.
Reported directly to Director of Nursing and Administrator.
Reported to state as indicated by CMS.
Reported to Physician, patients/residents, families, guardian as indicated.
Documentation of accurate and complete information.
Investigations performed with root cause analysis process. Determining what happened, why incident happened and how to reduce likelihood of incident happening again.
resident/patient interviews, staff interviews, written witness statements, drawings, copies of documentation, educations, supporting labs, medication administration records, h&p's, nursing and physician notes description and summary of incident.
Collaborated with interdisciplinary team of healthcare, therapy and social service providers for root cause analysis and
Developed and implemented individual care plans.
Provided written and verbal education to staff and residents/patients.
kept state log on all incidents, updated daily and prn. Started new log each month.
Provided incident log and pulled all files requested by state surveyors.
Developed working relationship with state surveyors.
Participated in annual survey and survey plans of correction.
I also assisted with patient care as needed, wound care as needed (including wound vac, measurement of wounds, staging of wounds), admissions, discharges, catheterizations, administered controlled narcotics, aseptic technique as needed, offered immediate assistance in emergency and routine situations to evaluate and deliver care, triage medical concerns, vital signs, medication administration, injections.
Licensed Practical Nurse
Sunshine Health & Rehab
06.2008 - 10.2015
RAI process MDS 2.0 and 3.0. for Medicare residents with number of residents varying up to thirty.
Assisted with admissions and discharge.
Medicare documentation and assessment.
Setting up Alert charting.
Communication with MDS Coordinator, staff, therapists, physicians, social services, residents/patients.
Documented accurate and complete patient information to address patient problems and expected outcomes
Performed routine evaluations of each patient's status, needs, and preferences.
Comforted and counseled patients and families throughout care process
Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
Offered immediate assistance in emergency and routine situations to evaluate needs and deliver care.
Monitored patient health conditions to report changes to assigned physician.
Reviewed patient history to verify conditions and current medications.
Responded to patient requests with appropriate clinical and personal assistance.
Developed and implemented individualized patient care plans.
attending weight/nutrition at risk meetings to establish individual nutritional needs.
weekly skin sheets, identifying healing or progressing of wounds and effectiveness of treatments.
Wound log reviewed and kept up to date.
staff resident/patient education, for prevention of wounds, care of wounds and treatments.
working with interdisciplinary team, communication with residents/patients, physicians, families and guardians.
Review of h&p's, physician notes and orders, labs, po intake, hydration, labs.
assessment of beds, mattress, wheelchairs for specific resident/patient.
Wound documentation in nursing notes including but not limited to, location, size, color, odor, treatment, special equipment, pain, labs, interventions, effectiveness and communications.
Development of individualized care plan for each patient/resident and each specific wound.
Education
No Degree - License Practical Nurse
North Idaho College
Coeur D'alene, ID
12.1987
Skills
Emergency Response
Wound Care
Clinical Documentation
Physical Assessment
Family Communication
Patient Evaluations
Patient Triaging
Transcribing Orders
Immunization Administration
Medication Dispensing
Patient Assessments
Patient Management
Vital Signs
Medication Administration
Staff Supervision
Writing Reports
Patient Relationship Building
Patient Care
Care Planning
Behavioral Assessment
Writing reports
Decision-Making
Timeline
Licensed Practical Nurse
The Gardens On University
10.2015 - 02.2021
Licensed Practical Nurse
Sunshine Health & Rehab
06.2008 - 10.2015
Licensed Practical Nurse
The Gardens On University
05.2003 - 06.2008
No Degree - License Practical Nurse
North Idaho College
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