MARCIE SMITH

• Performs patient assessments, obtains reports from referral source, determines the need for stabilization, performs intervention and assesses outcome to those interventions.
• Uses medical devices, medications, equipment and procedures. Include in this would be cardiac monitoring and Ekg interrogation infusion pumps, ventilators, high flow oxygen, other airway interventions
• Communicates with hospital physicians and nurses to receive medical direction as needed
• Document all treatment and transport activities in precise and accurate manner
• Time management and organizational skills, including the ability to prioritize patient care, assignments and work within standardized policies, procedures, and practices to achieve objectives and meet time sensitive activities.
• Work independently as well as be part of the team, while accomplishing multiple interventions in an ever-changing environment.
• Ability to communicate and engage team members, patients and families in a variety of stressful situations.
• Use existing procedures and critical thinking to identify and solve routine or complex problems.
• Delivered comprehensive patient assessments in critical care settings, ensuring timely interventions and accurate documentation.
• Collaborated with interdisciplinary teams to develop individualized care plans, fostering optimal patient outcomes and continuity of care.
• Implemented evidence-based practices to enhance patient recovery times and reduce adverse events within the critical care unit.
• Evaluated patient responses to treatments, adjusting care strategies proactively to align with evolving patient needs.
• Managed complex ventilation settings and titrated vasoactive medications in accordance with established protocols and physician orders.
• Operated critical care equipment to keep patients stable and promote recovery.
• Utilized critical thinking skills to assess, plan and implement evidence-based patient care.
• Ensured high-quality care for critically ill patients by maintaining current knowledge on critical care advancements and best practices.

• Deliver one on one infusion treatment and provide education to patient and family
• Establish IVs and access ports for therapy for therapy
• Maintain verbal and written communication with doctors, pharmacist, as well as other providers daily
• Maintain supplies and medication for all patients, ordering as needed
• Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
• Achieved positive client outcomes by developing and implementing comprehensive case management plans.
• Improved client satisfaction by efficiently addressing concerns or grievances in a timely manner.
• Coordinated essential services for clients, resulting in improved overall well-being and self sufficiency.
• Conducted thorough assessments to identify client needs, laying groundwork for effective case management.
• Managed crisis situations with empathy and professionalism, ensuring client safety and continuity of care.

• Performs a patient assessment, obtains a pertinent medical report from the referral staff, determines the need for stabilization in a collaborative manner, performs interventions and assesses the patient response to those interventions.
• Use medical supplies, medications, equipment and procedures including, but not limited to, defibrillators, EKG monitors, infusion pumps, ventilators, oxygen administration and suction devices, hemodynamic monitoring, intravenous fluids, CPR and other procedures as required to provide the highest quality inter-hospital patient care.
• Communicate with hospitals and other receiving facilities in order to receive medical direction and provide critical patient care information.
• Able to respond to conflict or stressful situations in a positive and constructive manner.
• Maintains current knowledge of nurse practice and standards of care.
• Educate EMT and paramedic partners on new and changing treatment information.
• Document all treatment and transport activities in an accurate, concise, and complete manner.
• Evaluated patient responses to treatments, adjusting care strategies proactively to align with evolving patient needs.
• Delivered high-quality direct patient care to diverse populations in the critical care setting including trauma, cardiovascular, neurologic, pulmonary, and surgical cases.
• Managed complex ventilation settings and titrated vasoactive medications in accordance with established protocols and physician orders.
• Promoted a safe environment for patients, families, and staff by adhering to infection control protocols and hospital safety guidelines.

• Communicate with hospitals and other receiving facilities in order to receive medical direction and provide critical patient care information
• Delivered comprehensive patient assessments in critical care settings, ensuring timely interventions and accurate documentation.
• Administered medications and therapies according to established protocols, enhancing patient safety and treatment efficacy.
• Implemented evidence-based practices to enhance patient recovery times and reduce adverse events within the critical care unit.
• Provided compassionate end-of-life care, supporting patients and their families during difficult transitions.
• Managed complex ventilation settings and titrated vasoactive medications in accordance with established protocols and physician orders.
• Facilitated timely transfers of critically ill patients between units or facilities while maintaining continuity of care.
• Utilized critical thinking skills to assess, plan and implement evidence-based patient care.
• Responded rapidly to critical codes to coordinate stabilization treatments and restore vital functions.

• Support acute care patients at their homes by performing activities such as cardiac monitoring, acquiring 12-lead EKGs, and coordinating virtual visits with doctors to discuss patient care and any necessary changes to their individualized plan.
• Oversee scheduling, equipment, supply maintenance, and other operational support functions as directed by the MH-RN Base Manager, including supply counts, managing vehicle maintenance, and record keeping.
• Manage supply inventory to ensure the team has adequate resources for successful operations, including maintaining daily narcotic logs and completing vehicle checks for on-board supplies and equipment.
• Collaborate with a network of partners, including patients and their families, public safety agencies, training institutions, hospital personnel, and other relevant entities to ensure cohesive operations.
• Maintain quality field operations through daily contact, oversight, communication, and evaluation to uphold high standards of service.
• Ensure the completion and accuracy of Patient Care Reports (PCRs) and other necessary field documentation, contributing to effective patient care and record keeping.
• Comply with local, state, and federal employment laws and company policies, such as the Americans with Disabilities Act and Affirmative Action Plan, ensuring adherence to all company policies, procedures, and standards.

• Provide direct nursing care to residents, ensuring individualized and compassionate treatment in alignment with their healthcare needs.
• Supervise day-to-day nursing activities performed by nursing assistants, ensuring adherence to federal, state, and local standards, guidelines, and regulations governing the facility.
• Record and perform patient assessments before and after diagnostic tests, contributing to accurate diagnoses and effective treatment plans.
• Assist with medical examinations, supporting physicians and ensuring thorough and precise evaluations of residents’ health conditions.
• Work closely with the Director of Nursing Services and Nurse supervisor to ensure the highest degree of quality care.
• Trained and mentored junior nurses on best practices in emergency medical response and patient assessment.
• Developed and implemented patient care protocols to enhance overall service delivery and safety standards.
• Evaluated patient conditions, providing timely interventions based on clinical assessments and evolving needs.
• Coordinated with healthcare providers to streamline treatment plans for improved patient outcomes during transport.

*Registered professional nurse who prescribes, coordinates, and evaluates patient care activities .

* collaborative efforts with the interdisciplinary care team in accordance with the nursing process and the standards of care and practices.

*The RN is responsible for complete oversight of all patient care activities during their assigned shift and will have supervisory responsibility for other RNs, LVNs, and MHTs.

• Evaluated patient conditions, providing timely interventions based on clinical assessments and evolving needs.
• Coordinated with healthcare providers to streamline treatment plans for improved patient outcomes during transport.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
• Streamlined medication administration processes for increased safety and accuracy during busy shifts.
• Evaluated patient histories, complaints, and current symptoms.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.

• Administered medications, performed EKG interpretation, managed chest tubes, and executed various critical care skills, ensuring comprehensive and effective patient care.
• Collected and documented data related to patients’ individualized care, ensuring comprehensive and accurate medical records.
• Demonstrated age-specific competency in patient assessments by obtaining and interpreting information according to the patients’ needs, knowledge of growth and development, and understanding of the appropriate range of treatments.
• Assessed patient and family educational needs and used an individualized approach to deliver relevant information effectively.
• Assessed and interpreted patient data upon arrival at the referring hospital, ensuring timely and accurate information transfer.
• Conducted complete assessments and documentation of events, ensuring detailed and precise records.

• Provided basic and advanced life support to county citizens, including EKG interpretation, IV initiation, medication administration, intubation, spinal immobilization, and hemorrhage control.
• Maintained the ambulance fleet, ensuring all vehicles were operational and properly equipped for emergencies.
• Supervised a team of 30-50 employees, providing guidance, support, and oversight to ensure high standards of service delivery.
• Conducted in-service training and education for all employees, ensuring continuous professional development and competency.
• Interacted with multiple doctors and nurses across various hospitals, ensuring seamless patient care and coordination.
• Managed the schedule for 24-hour coverage of numerous paramedic units, ensuring consistent and reliable emergency response.
• Handled daily payroll and conducted yearly evaluations of employees in accordance with county protocols, ensuring accurate compensation and performance assessments

• Designed class schedules for primary and continuing education EMS academy courses, emergency medical programs, community education programs, and school educational programs.
• Updated the curriculum in coordination with the Medical Director and the Education and Training Manager to reflect current practices and standards.
• Led, guided, and trained staff, teaching assistants, skills instructors, and volunteers in patient care and educational practices through simulation training, tabletop scenario training, office hours, lab days, and optional study sessions for EMS academy students.
• Attend internal and external/interagency meetings to represent the program and share information concerning patient treatment techniques and educational practices.
• Enhanced teams to offer service to over covered regions.

• Responded to emergency calls as captain of the paramedic unit, assessing and evaluating scenes, securing areas, and determining necessary equipment and rescue protocols.
• Conducted patient assessments to determine the need for immediate transportation or further evaluation, providing Basic Life Support care, including maintaining airway management, hemorrhage control, shock treatment, spinal immobilization, and monitoring vital signs.
• Maintained clear communication with EMS and hospital personnel, documenting all observations, incidents, and treatments performed, and ensuring that any deviations from standard operating procedures were in the best interest of the patient.
• Engaged in continuous training to improve medical and ambulance service competence, keeping updated on operational protocols, and studying street and road networks to ensure efficient response times.
• Developed training programs for new paramedics, enhancing skills and knowledge retention.
• Coordinated multi-agency responses for large-scale emergencies, optimizing resource allocation and effectiveness.
• Analyzed incident reports to identify trends, driving improvements in operational efficiency.