Linda Engle

I work in the cardiac/vascular outpatient cath lab and am responsible for knowing the patients' medical history, making them feel as comfortable as possible, sedating patients, administering dye allergy protocol, heparin, antihypertensives, narcotic reversal if needed, protamine, keeping contrast full, monitoring VS, setting up the med rad and documenting procedures, such as stents, PTA, atherectomy, IVUS, closure devices, etc. In addition, cath lab has to be stocked. I assist with pulling sheaths when needed and follow-up in recovery after duties in cath lab completed. After reviewing patients hx, I always give a time out to physicians and the techs prior to procedure. My training included admitting & discharging patients, before and after procedures which include rt & lt cardiac caths, vascular caths, aortagrams with run-offs & venograms. Since I am a retired RN from the federal government, I chose to only work 2 days per week. My position is very fast paced in getting the cath lab turned around, cleaned and set up for the next patient. A day can be 14 hrs, yet I am always able to keep up. I am also adept at admitting and discharging.

• Exceeded goals through effective task prioritization and great work ethic.
• Collaborated with team members to achieve target results.
• Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
• Worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Actively listened to customers' requests, confirming full understanding before addressing concerns.
• Proved successful working within tight deadlines and fast-paced atmosphere.
• Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
• Worked with customers to understand needs and provide excellent service.

• Followed quality standards and procedures to minimize errors and maximize customer satisfaction
• Developed and executed formatted plans to monitor process adherence
• Evaluated medical guidelines and benefit coverage to determine appropriateness of services for 3rd party billing
• Supervised and maintained all utilization review documentation through VISTA (claims tracking, debtor comments, quick edit for UR), electronic service files ( Inpatient Admissions, ROIs,) Word/ Excel documents and CPRS tools
• Submitted cases to Tricare, Champ VA, other health insurances and Department of Labor for denials and helped facilitate resolutions and approvals
• Served as subject matter resource for Tricare/Champ VA, SC/all Special Authorities sharing information and processes with PBS, EE, physicians, nurse practitioners, PAs, Social Workers, Psychologists, CPAC, pharmacy, coders, CBOCs, Columbus VA Clinic and veterans
• Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches
• Obtained authorizations from multiple insurance carriers for various levels of care including inpatient/outpatient medical & behavioral health, SNF, and IOP
• Performed clinical appeals through documentation and letters of medical necessity..
• Performed admission reviews based for medical necessity based upon Medicare specification.
• Communicated openly and collaboratively with all healthcare staff to organize successful patient care when working in ER for Covid screening.

• Delivered outstanding patient care in CCU ,MICU, SICU critical care units
• Performed patient treatment according to urgency of condition while multitasking and delegating treatment needs to qualified staff to ensure effective and safe care to promote better outcomes
• Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions, and follow-up care
• Reviewed documentation for compliance with requirements and accuracy of information
• Monitored patient reactions to drugs and carefully documented progress of individuals participating in clinical trials
• Managed care for post-operative patients from initial recovery through discharge from ICU, including emergency dialysis PRISMA/CCRT.
• Provided patient education & staff education
• Participated in facility audits, surveys and inspections made by authorized governmental agencies (JCAHO) and VA OIG
• Improved delivery of patient care through reviewing and submitting improvement suggestions for clinical approaches
• Collected blood, tissue and other laboratory specimens and prepared for lab testing & 1st assist for emergent procedures such as chest tubes, pacemaker insertion, GI procedures.
• Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit to achieve optimal outcomes.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.

• Delivered age-appropriate medical care for adult, adolescent and geriatric ICU patients
• Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care, central & pulmonary artery catheters and rehabilitation
• Collected blood, tissue and other laboratory specimens and prepared for lab testing
• Implemented interventions, including medication and IV administration, catheter insertion and airway management
• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity
• Adhered to strict safety measures by carefully determining proper dosages before administering medications
• Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit to achieve optimal outcomes

Supervised patient care in 18 bed coronary care ICU and managed cardiac catheterization lab. Developed expertise is cardiac assessment and pacemaker care. Supervised medical technicians and civilian nurses.

• Resolved conflicts and negotiated mutually beneficial agreements between parties
• Managed quality assurance program, including on-site evaluations, internal audits and customer surveys
• Used coordination and planning skills to achieve results according to schedule
• Carried out day-day-day duties accurately and efficiently
• Developed and implemented performance improvement strategies and plans to promote continuous improvement

Awarded Flight Nurse wings in San Antonio and completed survival school.

Physical fitness and weight control officer at Rickenbacker . Triaged patients for medical evacuation readiness on C130 and C-9. Provided patient care at Ft Sam Houston burn center, WPAFB intensive care unit, and neuro intensive care at Riverside Hospital in Columbus OH along with flight nursing.

• Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization
• Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care
• Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads
• Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches
• Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals
• Supervised new employees, student nurses and [Type] to promote adherence to established patient care standards and practices

• Administered different therapies and medications in line with physician orders and treatment plan
• Observed and reported patient condition, progress and medication side effects to accurately document updates
• Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads
• Answered codes quickly and orchestrated efficient, skilled medical care