Loretta Purves
El Dorado,CA
Summary
Diligent nursing professional with demonstrated success in long term care setting working directly with rehabilitation patients recovering from a multitude of surgeries. In addition to long term care patients, hospice patients as well as respite care. I am very responsive to patient needs and environmental conditions and changes which may occur. Team-oriented and reliable with expert healthcare knowledge in Med Nurse, Charge Nurse, Wound Care Nurse and Assistant Director of Nursing working at the same skilled nursing for 17.5 years.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Medical Case Manager
Travelers
Rancho Cordova, United States
01.2024 - Current
- Monitored injured workers progress closely and adjusted interventions accordingly to maximize treatment effectiveness.
- Coordinated care of injured workers by liaising with clinic and office staff to organize treatments and program resources.
- Took active role in patient planning process, detailing instructions, and responding appropriately and effectively to questions and concerns.
- Worked with different disciplines to provide cohesive care to injured workers.
- Worked with medical teams, injured workers and Adjusters to implement effective treatment plans.
- Documented case notes daily and coordinated follow-up for seamless case management.
- Assisted in coordinating care for injured workers.
LVN - Strike Team Nurse
US Nursing
NA, CA
09.2023 - Current
- Triaged patient at an Kaiser Urgent Care Clinic.
- Evaluated patient histories, complaints, and current symptoms.
- Administered medications and injections to patients.
- Developed and implemented individualized patient care plans.
- Performed routine evaluations of each patient's status, needs, and preferences.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Obtained patient vital signs and input/output measurements from inpatients.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
- Delivered updates in patient status to charge nurse, recording changes in medical records.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Minimized staff and patient infection risk by cleaning and disinfecting equipment instruments.
- Cared for wounds, provided treatments, and assisted with procedures.
- Gathered lab specimens, ordered testing, and interpreted results to diagnose patients.
- Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
- Conducted CPS/APS reporting when required.
Home Health Nurse
Caring Hands Home Health Services
Sacramento, CA
08.2023 - Current
- Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation.
- Administered different therapies and medications in line with physician orders and treatment plan.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Provided physical assessments, medication, and chronic disease management to home health patients.
- Advised and coached patients progressing from hospitals, rehab facilities, and other medical organizations to at-home treatment settings.
- 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.
- Assisted patients with activities of daily living to promote independence.
- Educated patients and families on disease processes, medications and treatments.
- Delivered after-hours care to patients based on strict role-call rotations.
- Administered medications and treatments as prescribed by physicians.
- Monitored vital signs, developed and implemented care plans, and documented patient progress.
Wound Care LVN
Marshall Medical Center
Placerville, United States
09.2023 - 12.2023
- Educated patients and their families on disease management, and Wound Care.
- Evaluated patients'' wounds and recommended appropriate treatments, expediting the healing process.
- Contributed to clinic efficiency by streamlining documentation processes and maintaining accurate patient records.
- Educated patients and caregivers on proper at-home wound care, promoting self-management and reducing complications.
- Conducted regular assessments of patients'' wounds to monitor progress and adjust treatment plans accordingly.
- Enhanced patient healing by implementing advanced wound care techniques and evidence-based practices.
- Instructed patients and caregivers on how to clean and dress wounds and how to prevent infections.
- Provided post-surgery treatment and care for patients with ostomies.
Assistant Director of Nursing
Western Slope Health Center
Placerville, CA
03.2015 - 07.2023
- Performed rounds to observe care and interview staff, residents, and families.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Collaborated with staff, management, and external groups to coordinate patient care.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Planned and assigned workload to >50 personal nursing staff to direct patient care.
- Identified department issues to recommend corrective actions.
- Developed positive employee relations, incentives, and recognition programs to promote teamwork and mutual respect.
- Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections.
- Established new policies and updated existing policies to improve standard of care for patients.
- Evaluated work performance of approximately 25 nursing personnel to determine wage increases and implement discipline.
- Facilitated continuing education and training programs to drive staff competency and professional development.
- Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
- Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
- Worked closely administration to develop and implement best practices to improve patient outcomes.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
- Successfully negotiated client contract renewals to create increased revenue.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Spearheaded and implemented new projects to expand scope of engagement.
Wound Care Nurse
Western Slope Health Center
Placerville , CA
01.2013 - 03.2015
- Maintained comprehensive understanding of genitourinary, gastrointestinal and integumentary systems and provided treatment for wounds impacting them.
- Instructed patients and caregivers on how to clean and dress wounds and how to prevent infections.
- Implemented plans to prevent pressure ulcers and other wound developments.
- Disseminated instructions for primary home caregivers and patients in preparation for discharge from hospital.
- Treated and carefully tended to vascular and diabetic ulcers.
- Provided post-surgery treatment and care for patients with ostomies.
- Maintained impeccable hospital cleanliness and sanitation for most effective treatment of wounds.
- Treated over 100 patients per year with wounds caused by medical treatments, diseases and injuries.
- Advised patients on proper nutrition and offered holistic solutions to severe conditions.
- Collaborated with healthcare team to implement interventions for wound healing and skin breakdown prevention.
- Remained situationally aware and nimble despite critical health conditions.
- Documented and examined patient recovery and reported progress to doctors for effective management.
- Provided consultation, education and counseling to patients, staff and wound centers in the community.
- Offered emotional support to patients and family members experiencing trauma.
- Assessed and treated draining of wounds and burns.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- 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.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Investigated and resolved issues affecting hospital operations and patient care.
- Managed patients recovering from medical or surgical procedures.
- Educated family members and caregivers on patient care instructions.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
Licensed Vocational Nurse
Western Slope Health Center
Placerville, CA
08.2012 - 01.2013
- Gathered lab specimens, ordered testing, and interpreted results to diagnose patients.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Responded to patient requests with appropriate clinical and personal assistance.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
- Assisted with admissions, appointments, transfers, and discharges.
- Documented patient vitals, behaviors, and conditions to communicate concerns to supervising approximately 10 staff members.
- Used aseptic techniques to provide sterilized wound care and dressing applications.
- Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
- Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
- Cared for wounds, provided treatments, and assisted with procedures.
- Documented patient vitals, behaviors and conditions to communicate concerns to supervising nurse.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
- Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Minimized staff and patient infection risk by cleaning and disinfecting equipment instruments.
- Performed routine evaluations of each patient's status, needs, and preferences.
- Comforted and counseled patients and families throughout care process.
Certified Nurse Assistant
Western Slope Health Center
Placerville, CA
02.2006 - 08.2012
- Supported ambulation and physical therapy needs by conducting planned exercise routines.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
- Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
- Reduced risks of patient infection and cross-contamination by cleaning and sterilizing equipment.
- Helped patients with self-feeding and assisted feeding, based on individual needs.
- Upheld infection control and prevention policies across different patient-facing areas.
- Maintained patient stability by checking vital signs and weight and recording intake and outtake information.
- Followed directions of licensed nurses to administer medications and treatments.
- Changed linens in rooms, keeping spaces fresh and clean for patient health and satisfaction.
- Observed patients under care conditions to help identify symptoms, responses to treatments and progress with goals.
- Helped patients complete range of motion exercises to prevent loss of function during care.
- Documented patient information and care activities in electronic health record.
- Responded to patient requests for supplies and personal comfort items such as extra blankets.
- Completed activities of daily living for patients unable to self-care, and assisted those with limited mobility in completing tasks.
- Participated in fun group activities with patients to boost mood, improve overall memory, and provide light entertainment.
- Oversaw and maintained patients' rooms, group living areas, and nurse stations.
Education
Vocational License - Nursing
Kaplan College of Sacramento
Sacramento, CA07.2012
Skills
- Critical Thinking
- Regulatory and Statutory Compliance
- Hazard Elimination
- Interdisciplinary Care
- Long-Term Care
- Risk Management
- Team Meeting Management
- Medical and Nursing Coordination
- Recruiting and Hiring
- Nursing Protocols
- Quality Assurance
- Patient Education
- Staff Evaluations
- Performance Evaluations
- Process Improvement
- Multidisciplinary Team Collaboration
- Leadership and Guidance
- Shift Scheduling
- Profitability Strategies
- Corrective Actions
- First Aid
- Family Support
- Verbal and Written Communication
- Patient Care Assessment
- Medical Equipment Services
- Practice Standards
- Program Development
- Effective Multitasking
- Discharge and Transfer Procedures
- Time Management
- Emergency Response
- Quality Improvement
- Leadership Development
- Employee Coaching
- Team Supervision
- Staff Scheduling
- Electronic Medical Record Software
- Best Practices and Standards
- Train Employees
- Administrative Staff Supervision
- Establish Policies
- Recruit Well-Qualified Staff
- Code Compliance
- Medicare Compliance
- Clinical Staff Management
- Floor Assignments
- Nursing Operations Management
- HIPAA Guidelines
- Quality Assurance Controls
Accomplishments
- Supervised team of >50 nursing staff members.
- Documented and resolved a multitude of concerns which led to positive outcomes that at times was able to remediate further actions against the company.
- I was wound care Certified since 2018. Unfortunately, during COVID I was unable to re-certify, however I do have many years of experiencing include wound V.A.C and ostomy.
- CPR Certification up to date since June 2023
- Dean's list obtained all 4 semesters of Nursing School.
Certification
- Licensed Director of Staff Development. May 2016- present
- Wound Certified in 2018 (SWOC) However d/t COVID I was unable to renew. I am very well versed and experienced in wound care including V.A.C systems.
Timeline
Medical Case Manager
Travelers
01.2024 - Current
LVN - Strike Team Nurse
US Nursing
09.2023 - Current
Wound Care LVN
Marshall Medical Center
09.2023 - 12.2023
Home Health Nurse
Caring Hands Home Health Services
08.2023 - Current
Assistant Director of Nursing
Western Slope Health Center
03.2015 - 07.2023
Wound Care Nurse
Western Slope Health Center
01.2013 - 03.2015
Licensed Vocational Nurse
Western Slope Health Center
08.2012 - 01.2013
Certified Nurse Assistant
Western Slope Health Center
02.2006 - 08.2012
Vocational License - Nursing
Kaplan College of Sacramento