Leslie Pauloski
Lake Orion,MI
Summary
Skilled Licensed Practical Nursing, offering 30+ years of nursing experience. Strong documentation with a firm grasp of compliance requirements. Retired last year, but interested in returning to "remote" workforce.
Overview
42
42
years of professional experience
Work History
Licensed Practical Nurse
Balian Eye Center
Rochester, Michigan
02.1981 - 04.2023
- Transcription of Medical Records
- Performed physical assessments, including vital signs and health history documentation.
- Maintained a safe environment by following infection control policies and procedures.
- Provided patient care in accordance with physicians' orders and nursing standards of practice.
- Administered prescribed medications or started intravenous fluids, noting times and amounts on patient charts.
- Monitored patient's respiration activity, blood pressure and blood glucose levels in response to medical administration.
- Adhered to facility policies and procedures while providing quality nursing care.
- Managed emergency situations promptly according to established protocols.
- Ensured that all clinical documentation is accurate and up-to-date in the electronic medical record system.
- Answered patient and family questions to educate on optimal treatment procedures.
- Promoted culture of safety for patients and employees through proper identification, reporting documentation and prevention.
- Coordinated scheduling of follow-up appointments with primary care providers.
- Used sterile techniques to prepare patients for procedures.
- Interviewed patients to obtain medical history.
- Collected biological specimens and packaged for laboratory transport to complete diagnostic tests.
- Prevented drug interactions and contributed to correct diagnosis by recording patient health information, monitoring vitals and updating patient files.
- Facilitated referrals for specialty services when necessary.
- Administered medications and therapies in accordance with physicians orders.
- Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
- Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
- Observed strict confidentiality and safeguarded all patient-related information.
- Measured and recorded patient height, weight and other vital signs.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Documented patient medical histories, current symptoms and vitals.
- Communicated with patients with compassion while keeping medical information private.
- Answered patients' calls to determine how to assist.
- Monitored infection control procedures to verify facility-wide health and safety.
- Counseled clients, patients and families and provided emotional and psychosocial support.
- Demonstrated strong knowledge of medical terminology and anatomy.
- Demonstrated extremely fast and accurate typing abilities.
- Ensured proper formatting of transcribed documents according to facility standards.
- Reviewed transcribed documents for accuracy and completeness in accordance with established procedures.
Education
Associate of Applied Science - Nursing
Baker College
Flint, MI01-2006
Skills
- Strategic decision making
- Patient evaluation
- Analytical thinking
- Positive behavior modeling
- Clerical writing
- Information collection
- One-on-on instruction
- Physical assessments
- Strong clinical judgement
- CPR certification
- Skilled in Excel, Windows, Microsoft office
- Quality Assurance participation
- Referrals to outside specialty physicians
- Telephone triage
- Participation in AAAHC Surveys for Clinic
Timeline
Licensed Practical Nurse
Balian Eye Center
02.1981 - 04.2023
Associate of Applied Science - Nursing
Baker College