Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Margaret Ann Bunch

Wylie,USA

Summary

Nursing professional with 36 years of experience, including 17 years in hospice and home health care. Demonstrated expertise in pain management, symptom control, and end-of-life planning, providing compassionate care to patients and families. Skilled in utilization review, ensuring treatment appropriateness and optimizing reimbursements through thorough medical record evaluations. Committed to enhancing patient outcomes while maintaining compliance with regulatory standards and documentation accuracy.

Overview

34
34
years of professional experience
1
1
Certification

Work History

LVN. Hospice. PRN status.

Lovewell Hospice
McKinney, Texas
12.2022 - 2025
  • Provided compassionate care to patients in hospice settings.
  • Administered medications and monitored patient responses.
  • Collaborated with interdisciplinary teams for patient care planning.
  • Educated families on end-of-life care and support services.
  • Assisted in managing pain and other symptoms effectively.
  • Conducted regular assessments to evaluate patient needs and condition changes.
  • Supported emotional well-being of patients through active listening and comfort measures.
  • Conducted home visits regularly to assess patient's condition and provide necessary interventions.
  • Educated patients and family members on disease process, medication administration, nutrition and symptom management.
  • Maintained accurate records of patient progress notes, treatments administered, medications given.
  • Assisted in end-of-life decision making processes with respect to patient wishes.
  • Responded promptly to emergency situations such as pain crisis or respiratory distress.
  • Provided physical, emotional, and spiritual support to patients and their families.
  • Collaborated with other healthcare professionals including social workers, chaplains, and doctors to ensure quality care is provided throughout the hospice experience.
  • Educated patients and families on disease management and self-care techniques.
  • Maintained a clean and safe environment following infection control guidelines rigorously.
  • Observed changes in patient conditions and reported any unusual findings to supervising physician or registered nurse.
  • Implemented infection control measures per facility policy.
  • Kept EHR updated with patients' vital statistics, tracking metrics and observations about behaviors or responses.

Home Health LVN. PRN status

Amcare Pro Home Health
Richardson, Texas
06.2022 - 2025
  • Provided direct patient care, adhering to established care plans.
  • Monitored vital signs, documenting changes in patient health status.
  • Assisted patients with daily living activities to enhance independence.
  • Administered prescribed medications, ensuring accurate documentation.
  • Educated patients and families on health management practices.
  • Maintained accurate medical records while ensuring confidentiality.
  • Performed wound care services, including dressing changes and topical applications.
  • Collaborated with healthcare team to coordinate comprehensive patient care.
  • Implemented infection control protocols to safeguard patient health.
  • Observed changes in patient conditions and reported any unusual findings to supervising physician or registered nurse.
  • Monitored vital signs, such as blood pressure, temperature, pulse rate and respiration rate.
  • Observed strict confidentiality and safeguarded all patient-related information.
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Kept EHR updated with patients' vital statistics, tracking metrics and observations about behaviors or responses.
  • Collected specimens for laboratory analysis; prepared specimens for transport to lab.
  • Looked for physical, emotional, and symptomatic changes in patient condition and obtained necessary care for medical concerns.
  • Answered patient and family questions to educate on optimal treatment procedures.
  • Managed patient records, ensuring confidentiality and compliance with healthcare regulations.
  • Facilitated communication between patients, families, and healthcare professionals.

LVN. Home Health /Hospice. Group home managemen

Reliant Home Health
Allen and Plano locations., TX
06.2006 - 09.2023
  • Established strong relationships with patients, families, physicians, and administrative staff.
  • Coordinated patient care plans with physical and occupational therapists.
  • Monitored vital signs and documented changes in patient conditions.
  • Administered medications and educated patients on treatment regimens.
  • Implemented infection control measures to enhance patient safety.
  • Collaborated with interdisciplinary teams to optimize individualized care.
  • Performed clinical skills including wound care and IV management.
  • Facilitated effective communication between healthcare providers and families.

HOSPICE:

  • Provided compassionate end-of-life care to patients and families.
  • Educated families on hospice services and bereavement support.
  • Documented patient progress and maintained accurate health records.
  • Collaborated with interdisciplinary teams to develop care plans.
  • Administered medications and monitored patient health regularly.
  • Conducted home visits regularly to assess patient's condition and provide necessary interventions.
  • Educated patients and family members on disease process, medication administration, nutrition and symptom management.
  • Listened to patients and loved ones, offering emotional support, and kindness to help with end-of-life transition.
  • Maintained accurate records of patient progress notes, treatments administered, medications given.
  • Collaborated with health groups to plan or implement programs designed to improve overall health of communities.
  • Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
  • Assisted with discharge planning activities prior to a patient leaving hospice service.

Utilization Review Nurse:

  • Conducted comprehensive utilization reviews for patient care plans.
  • Collaborated with healthcare teams to assess treatment necessity and appropriateness.
  • Analyzed clinical documentation for compliance with regulatory standards.
  • Educated staff on utilization review processes and best practices.
  • Reviewed patient records to identify potential gaps in care coordination.
  • Facilitated communication between providers and payers regarding authorization issues.
  • Developed guidelines for efficient resource utilization in patient care management.
  • Utilized evidence-based guidelines to support utilization review decisions and recommendations.
  • Monitored ongoing treatment plans to ensure alignment with established criteria.
  • Assessed patient medical records to determine the appropriateness of requested services and procedures.
  • Served as a resource for staff members seeking guidance on utilization review matters.
  • Evaluated clinical documentation for accuracy and completeness in order to make decisions about coverage determinations.
  • Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
  • Maintained up-to-date knowledge of health plan benefits, policies, procedures, regulations, coding guidelines.
  • Provided education to providers regarding utilization management processes and protocols.
  • Monitored pre-authorization requests to ensure that all necessary information was received prior to approval or denial of services.
  • Remained up-to-date on various benefit plans, medical policies and state-specific clinical guidelines or criteria.
  • Reviewed denial letters issued by insurance companies to ensure that they were appropriate and timely.
  • Collaborated with staff members in group meetings to identify issues and find cost-effective solutions.
  • Attended conferences and training sessions related to utilization review topics such as best practices or new technologies.

LVN Nurse

Carestaff
Dallas, TX
06.2003 - 06.2006

I worked at many facilities in the DFW area. Lake Pointe Medical Center. Mesquite Hospital. Terrell Medical Hospital. Baylor Garland Hospital and Rehab. Dallas, Baylor, and Rehab. LTAC and SNF. Med surg, gerontology, pediatrics, psychology, and several other areas. Tele. Orthopedics, L/D.

  • Patient Assessment: Assess and evaluate patients' medical conditions, symptoms, vital signs, and medical history to create and implement effective nursing care plans.
  • Direct Patient Care: Administer medications, intravenous therapy, and other treatments as ordered by physicians, or healthcare providers. Monitor patients’ conditions and report any changes to the appropriate medical staff.
  • Documentation: Document all patient care activities, including treatments, medications, and assessments, in electronic medical records to ensure accurate and up-to-date information is available for healthcare teams.
  • Patient Education: Educate patients and their families on medication use, medical conditions, and lifestyle changes to improve health outcomes.
  • Collaboration: Work collaboratively with other healthcare professionals to ensure comprehensive patient care and participate in staff meetings and educational sessions to stay updated on new medical trends and regulations.
  • Adaptability: Quickly adapt to new healthcare environments, protocols, and procedures, demonstrating flexibility and resourcefulness in various clinical settings.
  • Monitored patient vital signs and reported changes to nursing staff.
  • Documented patient information accurately in electronic health records systems.
  • Collaborated with interdisciplinary teams to optimize patient care plans.
  • Educated patients and families on health management and treatment options.
  • Prepared and maintained medical equipment for clinical procedures.
  • Provided emotional support to patients, fostering a compassionate environment.
  • Conducted discharge planning for discharged patients by coordinating with other healthcare team members.
  • Communicated effectively with other healthcare professionals regarding changes in patient status or plan of care updates.
  • Administered diagnostic tests accurately following established protocols.
  • Identified potential safety risks for patients and implemented appropriate interventions.
  • Ensured that all clinical practices were performed within scope of practice guidelines set forth by governing bodies.
  • Maintained accurate records of patient progress notes, treatments, medications, and test results.
  • Collaborated with physicians, nurses, social workers, dietitians, therapists, and pharmacists to ensure continuity of care across multiple disciplines.
  • Performed various treatments, such as wound dressing changes and catheterizations.
  • Participated in interdisciplinary meetings to discuss patient treatment plans and outcomes.
  • Supervised nursing assistants in providing quality care to patients.
  • Instructed family members regarding proper post-discharge home care activities.
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Communicated with patients with compassion while keeping medical information private.
  • Assembled and used catheters, tracheotomy tubes or oxygen suppliers.
  • Communicated effectively with patients and loved ones to explain diagnoses, treatment options and procedures.
  • Worked with social workers, physical therapists and speech therapists to assess patient needs, plan and adjust plans of care and actualize nursing interventions to promote and restore patient health.
  • Directed implementation of improved patient care and documentation methods and procedures to achieve quality objectives.
  • Prepared or examined food trays for conformance to prescribed diet.

LVN

Dr. Sandknop Family Practice
Rockwall, TX
09.1989 - 06.2003
  • Have patients ready for Dr. All rx's written. Physicals. V/S, Ekg, xray, H/P and ready for any procedures. Injections, strep test, Urine, stool, cbc in house and venipuncture. Pediatric immunizations. Call backs, schedule procedures, call in rx, etc.
  • Administered medications as prescribed by physicians in a family practice setting.
  • Assisted with patient assessments and vital sign monitoring during routine visits.
  • Educated patients on post-treatment care and medication management effectively.
  • Collaborated with healthcare team to ensure comprehensive patient care plans.
  • Maintained accurate patient records and documentation in electronic health systems.
  • Provided support during minor surgical procedures and patient recovery phases.
  • Communicated effectively with patients to address concerns and provide reassurance.
  • Trained and mentored new staff on protocols and best practices in patient care.
  • Observed changes in patient conditions and reported any unusual findings to supervising physician or registered nurse.
  • Monitored vital signs, such as blood pressure, temperature, pulse rate and respiration rate.
  • Implemented infection control measures per facility policy.
  • Coordinated care provided by other healthcare professionals involved in patient's care plan.
  • Prepared patient rooms for examination, including stocking supplies and ensuring cleanliness.
  • Maintained accurate patient records documenting treatments, medications administered and other pertinent information.
  • Observed strict confidentiality and safeguarded all patient-related information.
  • Utilized medical instruments safely and effectively while providing direct care to patients.
  • Managed patients' hygiene with comprehensive care for toileting, bathing and grooming needs.
  • Addressed patient care needs, collected vitals, dressed wounds, and managed catheters.
  • Assisted with patient transfer activities utilizing appropriate equipment and safety measures.
  • Answered patient calls, identified issues, and determined how best to provide assistance within parameters established by facility and supervisor.
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Assisted with the administration of injections and IV fluids to patients.
  • Performed basic medical procedures such as catheterization, EKGs and phlebotomy according to established protocols.
  • Directed implementation of improved patient care and documentation methods and procedures to achieve quality objectives.
  • Performed laboratory tests such as urinalysis, glucose testing and hemoglobin and hematocrit levels.
  • Collected specimens for laboratory analysis; prepared specimens for transport to lab.
  • Participated in continuing education programs to maintain licensure requirements.
  • Evaluated patient responses to treatments; documented assessments in medical record system.

Education

Lvn - Lvn

Grayson College
Denison, TX
08-1989

Some College (No Degree) - Courses Toward RN Degree.

Collin County Community College
Plano, TX

Some College (No Degree) - Courses Toward RN degree

Richland College
Dallas, TX

Skills

  • Patient Care
  • Medical-surgical
  • EMR systems
  • Microsoft Word
  • Epic
  • Computer skills
  • Experience Administering Injections
  • Hospital experience
  • Customer service
  • Home health
  • Medical terminology
  • Triage
  • Vital Signs
  • Venipuncture
  • Hospice Care
  • Phlebotomy
  • Group home
  • Laboratory Experience
  • Pediatrics
  • Documentation review
  • Nursing
  • Typing
  • Tube Feeding
  • Medication Administration
  • Case Management
  • Medical Imaging
  • Crisis Intervention
  • Patient assessment
  • Wound care
  • Care coordination
  • Emotional support provision
  • Problem solving
  • Quality assurance
  • Clinical documentation
  • Regulatory compliance
  • Team collaboration
  • Effective communication
  • Wound care management
  • Infection control measures
  • Care plan coordination
  • Electronic health records
  • Attention to detail
  • Time management
  • Team building
  • Nursing processes
  • Patient care
  • Personal hygiene support
  • Pediatric care
  • Postoperative care
  • Mental health support
  • Compassionate care
  • Catheter care
  • HIPAA compliance
  • Nutrition support
  • Diabetes management
  • Care plan development
  • Geriatric care
  • Trauma-informed care
  • End-of-life care
  • Pulse oximetry tracking
  • Medication dispensing
  • EMR / EHR
  • Immunization administration
  • Patient management
  • EKG administration
  • Psychotropic medications
  • Medical records security
  • Biomedical hazard disposal
  • Home health care
  • Pain management

Certification

  • Compact State Nurse License, LVN, 12/01/89, 01/01/26
  • LPN, 12/01/89, 01/01/26
  • BLS Certification
  • AED Certification

Timeline

LVN. Hospice. PRN status.

Lovewell Hospice
12.2022 - 2025

Home Health LVN. PRN status

Amcare Pro Home Health
06.2022 - 2025

LVN. Home Health /Hospice. Group home managemen

Reliant Home Health
06.2006 - 09.2023

LVN Nurse

Carestaff
06.2003 - 06.2006

LVN

Dr. Sandknop Family Practice
09.1989 - 06.2003

Lvn - Lvn

Grayson College

Some College (No Degree) - Courses Toward RN Degree.

Collin County Community College

Some College (No Degree) - Courses Toward RN degree

Richland College
Margaret Ann Bunch