Elizabeth Calcara Wagner BSN, RN
Clinton,NY
Summary
Well rounded, intelligent, compassionate, highly motivated, flexible, Registered Nurse, Bachelors prepared, with experience offering comprehensive patient care. Works well with diverse patient populations and fosters trusting relationships to improve outcomes. Efficiently coordinates with healthcare professionals to advance patient care who is actively seeking a rewarding and exciting career in Nursing.
Overview
25
25
years of professional experience
Work History
Registered Nurse
Upstate Home Care
11.2014 - 06.2023
- Clinical Nurse Liaison in charge of all IV and enteral teaching in the area hospitals, nursing homes, rehab facilities and direct home referrals from MD offices
- Administered medications via IV and Enteral routes
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Conferred with Certified Home Health Agencies to facilitate a smooth discharge from facility to home with all correct disciplines needed to carry out appropriate care and treatment.
- Administered medications and treatment to patients to include, weekly assessments, central line dressing changes and blood work. enteral pump teaching and enteral formula administration via G, J and NG tubes and monitored their responses while working with healthcare teams to adjust care plans.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Audited charts and reviewed clinical documents to verify accuracy.
RN Field Nurse Supervisor
Visiting Nurse Association
05.2011 - 11.2014
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Assisted nurses in patients home that needed extra guidance on new procedures or with complicated patients. Examples; wound vacs, pleural vacs, central line care and IV administration and blood work via central lines.
- Supervised RNs, LPNs, and HHA's in a regular basis to maintain competencies.
- Called Physicians to clarify and obtain new orders r/t, but not limited to, medications needed/changes and wound care orders/changes, any chang es in patient's condition, admissions and discharges from agency and follow up in regards to obtaining 485 orders.
- Audited charts and reviewed clinical documents to verify accuracy.
RN Intake Coordinator
Upstate Home Care
09.2005 - 05.2011
- Responsible for taking referrals via phone from MD offices, hospitals, nursing homes, rehab facilities for IV home infusion and Enteral tube feeding referrals.
- Reviewed each referral and called the patient's their insurance companies and verified coverage for their specific infusion/enteral need.
- Managed care from admission to discharge with great communication between MDs and discharge planners and RN on the floor taking care of the patient currently, if applicable.
- Worked diligently with my Pharmacist at Upstate Home Care to make sure all supplies needed to administer the therapy ordered is correct prior to delivery to the patient.
- Coordinated our field Nurse schedules for the week.
- Audited charts and reviewed clinical documents to verify accuracy.
Discharge Planner/Home Health RN Case Manager
CCH Home Care
09.2002 - 09.2005
- Worked as a discharge planner for my CHHA with multidisciplinary team in the area hospitals, rehab facilities and nursing homes to carry out successful treatment plans for diverse acute and chronic conditions at time of discharge for home care needs.
- Educated patients and families on disease processes, medications and treatments.
- Coordinated with other healthcare team members to support patient needs.
- Saw patients in their home for palliative care prior to Hospice admissions.
- Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation.
- Insertion and maintenance of urinary catheters.
- Developed and implemented discharge plans to promote continued care after discharge.
- Assessment/ care of wounds.
- Collaborated with vendors to procure medical equipment, supplies and services.
- assessment and care of central lines and blood draws from central lines.
- Administered medications and treatments as prescribed by physicians.
- Provided physical assessments, medication, and chronic disease management to home health patients.
- Educated patients in their home on medications administration through various routes such as, oral, enteral, IV, Sub Q, IM rectal etc...
- Monitored vital signs, developed and implemented care plans, and documented patient progress.
RN Staff Nurse
St Luke's Hospital And Medical Center
01.1998 - 09.2002
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
- Implemented medication and IV administration, catheter insertion, and airway management.
- 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.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Identified patient care requirements by establishing personal rapport with patients and families.
- Managed elements of patient care from admission to discharge or transfer to other units.
- Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Coordinated patient discharge planning to provide post-discharge patient care, promoting healing and recovery.
- Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
- Developed and implemented individualized patient care plans for optimal outcomes.
Education
Bachelor of Science - Nursing
SUNY Institute of Technology @ Utica/Rome
Utica, NY05.1998
Associate of Applied Science - Nursing
Mohawk Valley Community College
Utica, NY05.1996
Skills
- Home Visits
- Team Coordination
- Patient Monitoring
- Physical Assessment
- Care Plan Development
- IV Drug Therapy Management
- Medication Distribution
- Intravenous Therapy
- Wound Care
- Feeding Pumps Understanding
- Patient Care
- Foley Catheter Insertion and Removal
- Patient Education
- Patient Assessments
- Gastrostomy Tube Care
- Hospice Philosophy Understanding
- Patient Discharging
Timeline
Registered Nurse
Upstate Home Care
11.2014 - 06.2023
RN Field Nurse Supervisor
Visiting Nurse Association
05.2011 - 11.2014
RN Intake Coordinator
Upstate Home Care
09.2005 - 05.2011
Discharge Planner/Home Health RN Case Manager
CCH Home Care
09.2002 - 09.2005
RN Staff Nurse
St Luke's Hospital And Medical Center
01.1998 - 09.2002
Bachelor of Science - Nursing
SUNY Institute of Technology @ Utica/Rome
Associate of Applied Science - Nursing
Mohawk Valley Community College
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