Marci Gosbee
Registered Nurse, BSN, CARN
Arvada,CO
Summary
Passionate nurse with 21 years experience working in various areas of nursing. The majority of my experience is in geriatrics, but my passion is in mental health and addiction. Coming through much adversity in my own life and struggling with my own substance use, I am able to relate and empathize with this clientele. I am highly motivated and efficient and work very well under pressure. I am skilled in managing my time and prioritizing. I am able to handle a high patient load and work well in a high paced environment while dealing with crisis. I am compassionate, caring, and comfortable working with people of all backgrounds. I pride myself in that I am hardworking and committed in excelling in any task I am given. I am working on my psych certification and have obtained my addiction certification. I hope to go far in this field and be a provider someday!
Overview
12
12
years of professional experience
1
1
Certification
Work History
RN Floor Nurse
Summitstone Health Partners
09.2023 - Current
- Daily nursing care for up to 16 patients in crisis for mental health, detox, or both
- Educate patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Oversaw care of suicidal patients and acted swiftly to reduce risk of harm to themselves or others.
- Respond to numerous volatile situations and violent outbreaks to restore safety and security of patients and staff.
- Explain useful coping methods to relieve depression and anxiety.
- Provide direct quality care to patients by monitoring, recording and evaluating psychiatric conditions.
- Advocated for and strived to protect health, safety, and rights of patient.
- Perform patient assessments to monitor expected response to medications and altering treatment plans.
- Coordinate with medical and paramedical professionals to provide appropriate input and effectively formulate and implement treatment plans for patients.
- Provide Medication Assisted Treatment to include methadone, Vivitrol and Sublocade for substance use disorders.
- Provide safe medical detox, prevention of seizures, responding to seizures if necessary.
- Avert mental health crisis and counseling in situations of clients wanting to leave against staff advice, panic attacks, psychiatric crisis, etc.
- Crisis situations presented occasional need to call codes for help via relay, and occasional use of restraint chair if there is a physical threat to themselves or others
RN
Valley Hope Of Parker
08.2022 - Current
- Care of up to 8 detox and 30 residential patients in treatment for SUD
- Charting assessments daily or more often, depending on where the patient is with detox to include CIWA, COWS, vitals,
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Provided direct patient care, stabilized patients and determined next course of action.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
- Discussed relapse prevention strategies/tools with patients daily
- Managed care from admission to discharge.
RN
Harmony Foundation
03.2020 - 08.2022
- Collaborate with Mental Health Staff and Providers to assess and provide client needs best suited for the client
- Monitor up to 8 clients in acute detox situations from various chemical dependencies and provide care to prevent crisis as well as intervention in emergency situations (seizures, etc.)
- Also cared for 30 plus residential patients and gave them meds, treatments, labs, etc.
- Responsibilities include daily assessments, COWS, MINDS, and charting for each patient on detox, medications for everyone, charting by exception, admissions and discharges
- Monitor clients progress and work with providers in determining continued need for detox
- Worked with providers, clinicians and care coordinators daily to manage the care and eventual discharge for each patient
- Trauma informed interactions with all clients
- Work with a population in where the majority of clients are dual diagnosis
- Counsel clients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
- Avert mental health crisis and counseling in situations of clients wanting to leave against staff advice, panic attacks, psychiatric crisis, etc.
Medical Staff Associate
CSL Behring
09.2017 - 05.2019
- Performed health physicals for donors to in order to determine ability or safety to donate plasma
- Met with donors as needed for health or medical concerns
- Dealt with adverse events that occurred during or after donation
- Reviewed new donors for potential donation,
- Screened donors prior to donating
- Increased team efficiency by implementing process improvements
- Entered patient insurance, demographic and health information into software and confirmed records
- Hooked up and disconnected donors when donation complete
- Cleaned plasmapheresis machines after each donor and set up the next round
RN Charge Nurse
Woodridge terrace
03.2016 - 07.2016
- Charge nurse for anywhere from 15-30 residents at a time
- Medication administration (to include injections, IV, etc.)
- Wound care; highly skilled to include wound vacs, mist therapy
- Procedures such as bladder scans, blood draws, foley catheter insertions and removals, gastro-tube care, trach care and changes, etc.
- Worked closely with patients and built strong rapport with them and their loved ones
- Admissions and discharges
- Working on the rehab/skilled hall caring for critically ill clients and status post surgical clients
- Worked a locked unit with the Alzheimer's and mental health clients as well
- Supervised and delegated at least 2 CNA's
- Observed and reported patient condition, progress and medication side effects to accurately document updates
- Adhered to strict safety measures by carefully determining proper dosages before administering medications/following rights of medication policies
- Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care
- Educated patients and answered questions about health condition, prognosis and treatment
- Charted to include narrative charting and skilled documentation
- Handled incidents and incident follow up for things such as falls, injuries
- Worked closely with Providers, social workers and Interdisciplinary team for a thorough approach to patient care
Registered Nurse Supervisor
Cambridge Care Center
02.2013 - 09.2014
- Managed facility staff during evening shift to include nurses and certified nurses aids
- Responded to all incidents and issues in the building
- Managed staffing, call-ins, and coverage for the facility
- Nursing care on skilled/Medicare floor and Psych unit in addition to managerial duties
- Communication with Director of Nursing to update on events during my shift, discuss ideas, notify of staffing issues, and collaborate on plans to correct any issues
- Communication with physicians as needed for patient care
- Audits of all medical documentation
- Delegated tasks to staff
- Keeping staff on task and dealing with conflict as necessary
- Maintaining morale and promoting a positive work environment
- Communication with family members, sometimes in very difficult situations
- Care of hospice patients
Education
Alto High School
Alto, TXLicensed Practical Nurse
Tyler Junior College
Tyler, TX01-2003
Bachelor's of Science in Nursing
University of Phoenix
Lonetree, CO.01-2013
Skills
- Intravenous therapy and blood draws
- Chronic disease management
- Emergency and crisis intervention
- Staff supervision
- Care plan development
- High level of autonomy
- Strong assessment skills
- Professional bedside manner
- Wound care experience
- Time management skills
- Strong clinical judgment
- Addiction specialist
- Seizure Management
- Strong Clinical Judgment
- Patient and Family Education/Advocacy
- Mental Health Care
- Patient Detoxification
- EMR Systems
Certification
- BLS/First Aid certified
- CARN (Certified Addiction Registered Nurse)
Accomplishments
- Supervised team of 4 staff members when in charge of facility restorative program. Revamped the entire program and my department had zero deficiencies when we had a state survey.
- I graduated 2nd in my clas9s9 when obtaining my LPN.
- Accomplished my RN while working a full time job and raising a child.
Additional Information
- Will provide references upon request
Timeline
RN Floor Nurse
Summitstone Health Partners
09.2023 - Current
RN
Valley Hope Of Parker
08.2022 - Current
RN
Harmony Foundation
03.2020 - 08.2022
Medical Staff Associate
CSL Behring
09.2017 - 05.2019
RN Charge Nurse
Woodridge terrace
03.2016 - 07.2016
Registered Nurse Supervisor
Cambridge Care Center
02.2013 - 09.2014
Alto High School
Licensed Practical Nurse
Tyler Junior College
Bachelor's of Science in Nursing
University of Phoenix
- BLS/First Aid certified
- CARN (Certified Addiction Registered Nurse)
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