Leah FLETCHER

• Effectively working in ICU environment prioritizing assignments, executing care based on each patient's relative condition and delegating tasks to available personnel to deliver safe and efficient care.
• Assessed physical, psychological, physiologic and cognitive status of patients.
• Directed patient care by initiating and following through with plan of care, continuing care and discharge instructions.
• Ordered, interpreted and evaluated diagnostic tests to identify and assess patient condition.
• Coordinated with physicians to perform bedside procedures such as intravenous injections, vascular line insertions and arterial line insertions.
• Managed elements of patient care from admission to discharge or transfer to other units or hospitals.
• Floating to units of most need for efficient patient care to ED and Medical Surgical Units.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.

Experienced Sr Clinical Analyst. Supported Epic users focused mainly in the ED,OB, ICU and Medical Floors. Employed in Information Systems, working with multiple systems in a hospital setting since 2007. At times building and managing the computer systems and working on the units as an RN.

During employment with Avita also worked ED RN . See ED experience for further skills.

• Work with management to resolve issues related to computer system which includes mediating between Nursing units and OSU IS Department
• Training of physicians in ED and throughout hospital on Epic system. Elbow support given during first shifts worked at hospital
• Assist Risk management with litigation processes to collect information for court cases
• Collaborate with Quality Management assure proper procedure documentation

As RN in home care was responsible for entire care and organization of care for patients that I served. Care ranged from admitting patients for physical therapy at home to IV antibiotic treatments and Wound Vacs. Education was key . Educated patient and families on how to care for themselves or loved ones in home environment. Skills built in home care environment were many. Learned, more communication skills, product information, coding, how to organize a team to care for patient, education skills and used all skills learned from previous ED, ICU and Supervisor roles.

Performed many roles during this employment. Nursing offers flexibility.

House Supervisor : 5 years experience

• Direct day-to-day Nursing functions for 25-bed facility, providing guidance and leadership to over 100 employees in more than 6 departments.
• Monitored and inspected staff processes to eliminate hazards posed for both patients and staff while ensuring continuous compliance with regulations.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
• Was routinely involved in Emergency Preparations such as HEICS. Regular testing of emergency systems.
• Managed staffing between units.

ED RN : 5 years experience

• Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
• Educated patients and answered questions about health condition, prognosis and treatment.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
• Answered codes quickly and orchestrated efficient, skilled medical care.
• Assisted patients dealing with traumatic injuries or illnesses, including stroke patients, accident victims and cardiac patients.
• Administered different therapies and medications in line with physician orders.

ICU/CCU : 12 Years Experience

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings. Worked with TPA, arterial lines, Swan-Ganz with hemodynamic monitoring. gastric lavage, chest tubes and beside surgical procedures. Performed Post Surgical Recovery after hours.
• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings. Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
• Audited charts and reviewed clinical documents to verify accuracy.

RN Clinical Analyst/Nursing Liaison

• Built and deployed plans, reports, validation procedures and entry processes for data management needs.
• Designed, deployed, validated and finalized database systems for Nursing operations.
• Resolved software problems, improved operations and provided exceptional client support.
• Created policies related to Nursing documentation in a atmosphere that had not previously used electronic documentation.

• Collaborated with healthcare team members to assess, implement and evaluate nursing care plans.
• Managed medication cart and dispensed pills, oral therapies and intramuscular injections to patients on 4 floors.
• Coped effectively with mental and emotional challenges of positions by remaining centered on patients' needs and delivering quality care.
• Examined and treated patients' injuries and pressure wounds to promote healing.