LESHETTA GELLINGTON-ACOFF

• Responsible and accountable for all elements of nursing process when providing and/or supervising direct patient care
• Education and coordination of LPN and Nursing assistants
• Assesses, plans, implements and evaluates care based on age-specific components
• Assumes responsibility for coordination of care focused on patient transition through continuum of patient care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction
• Administers medications and treatment procedures per established policies and guidelines
• Considers all characteristics of individual, including sex and sex role identification, age and life stage, state of health, race and culture, socio-economic status, values and previous experience with similar events, in order to assist each patient to identify and meet basic health needs and improve their health status to individual's maximum
• Demonstrates knowledge of VA policies, procedures and clinical protocols
• Influences outcomes by collaborating with members of interdisciplinary team
• Actively participates in unit / program level quality improvement processes, initiatives, and customer service
• Takes initiative in developing and evaluating unit level and/or disease specific to standards of care, policies, procedures and nursing programs that guide nursing practice and/or measure performance
• Completes all required education in prescribed timelines, including Talent Management, recertification and continuing education
• Ensures actions contribute to mode of continued accreditation readiness regarding Joint Commission (TJC), Office of Inspector General (OIG), Commission on Accreditation of Rehabilitation Facilities (CARF), VA surveyors, Laboratory College of American Pathologists (CAP), and other survey teams
• Consistently protects printed and electronic files containing sensitive data in accordance with provisions of Privacy Act of 1974 and other applicable laws, federal regulations, statues and policy, and VHA policy.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.

• Participated in treatment planning and collaborating with other professional disciplines to ensure effective patient care
• Ensured development and/ or implementation of patient care plans, providing direct nursing in accordance with standards of nursing practice
• Supervised and assigned work of LPNs and unlicensed staff, making patient and environmental rounds while providing patient education.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
• Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.

• Provide nursing care to hospice patients in their homes
• Supervise RNS, LPNs and Hospice Aides
• Assess patient and family needs to provide comprehensive plans of care
• Educate patients and caregivers
• Document patient status and communicate appropriate with Interdisciplinary team members and/or physicians
• Work with interdisciplinary team to achieve patient/family goals.
• Educated patients and caregivers on healthcare protocols and processes
• Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction
• Led teams in driving successful patient outcomes by prioritizing standard of care and best practices
• Communicated with healthcare team members to plan, implement and enhance treatment strategies
• Managed support services and fostered communication among social workers, therapists, hospital staff, and patients
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities
• Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans
• Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies
• Educated family members and caregivers on patient care instructions
• Worked with healthcare team to develop new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.

• Provided skilled nursing care to assigned caseload of patients
• Monitored care, treatment and services provided by other disciplines such as SN, PT, OT ST
• MSS, HH Aides,
• To ensure patients receive care required to improve their health status
• Established, evaluated and revised plan of care as appropriate, based on patients identified needs and progress towards goals
• Communicated regularly with Clinical Manager regarding patient's progression towards set goals
• Established and maintained positive working relationship with physicians and physician office staff, while keeping them informed of patients’ status.
• Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions
• Traveled to patients' homes on daily basis to assess health conditions and provide superior level of nursing care
• Informed physicians of any changes to patients' health or concerns observed during home visits
• Incorporated therapeutic, rehabilitative and nursing goals into detailed, individualized care plans based on diagnoses
• Assessed patients' health conditions and asked appropriate questions to better understand current feelings
• Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation
• Provided emotional support and kind companionship to patients and families to increase overall wellness
• Documented patient vitals, behaviors and conditions to communicate concerns to supervising nurse
• Coordinated with other healthcare team members to support patient needs
• Collaborated with vendors to procure medical equipment, supplies and services

Provide direct professional nursing care to patients

• Completed and documented assessments of patients in accordance with unit/ facility policy, coordinated by doctors and other nurses to develop care plans for patients
• Skillfully performed suture removal for patients
• Maintained patients charts and confidential files
• Achieved departmental goals and objective by instituting new processes and standards for in-patient care
• Evaluated patient care needs, prioritized treatment and maintained patient flow
• Assisted patients with multiple chronic diagnosis and behavioral/emotional diagnosis
• Acted as patient advocate and implemented total patient care through team nursing process covering 8-10 patients.