MARIAN A. BOSARGE

• Surgical Services
• -Practice Administrator and nurse for clinical services. Overseeing the day to day operations of the service lines. After growth of clinic addition of full time administrator, I resumed full time nursing duties.
• -Coordinate setting up new clinical services for general surgery, digestive health and cardiology outpatient clinics

-Ordering all supplies and equipment to establish new clinics

• -Work with physicians to meet their needs in the clinical setting
• -Audit clinical encounters to ensure charges are captured
• -Educate staff on customer service, organization of clinic schedule for best flow
• -Oversee staff and coordinated with surgery for scheduling of patients
• Oversaw daily operations to ensure efficient practice management and patient flow.
• Developed and implemented standard operating procedures to improve practice efficiency.
• Managed appointment scheduling and patient coordination, enhancing overall service delivery.
• Analyzed operational workflows, identifying areas for process improvement and cost reduction.
• Collaborated with healthcare providers to streamline communications and enhance patient care services.

• Wound Care
• -Manager wound care staff, oversee schedules, ordering supplies, ensuring Joint Commission readiness, monitoring patient satisfaction and healing rates
• -Patient intake and compressive medical history
• -Assessment of wounds
• -Communication with staff, home health agencies and MD’s for plan of care and continuity of care
• -Use of advance modalities for wound care, appropriate dressings, wound VACs, TCC and operation of hyperbaric oxygen chamber
• -Risk assessments of patients for HBOT
• -Teaching and education of patients, family members and caregivers on wound care and wound prevention

• Employee Health Nurse
• -In processing of new hire employees, fit testing for N-95, assessing immunization records and obtaining necessary titers.
• -Assessing employees after exposure to COVID-19 patients. Follow-up for those becoming symptomatic.
• -Ensuring all employees were up to date on vaccines, to include yearly flu vaccines.
• -Follow up on accidental sharps exposures.

• Emergency Nursing
• -Triage of patients, with frequent reassessment to medications, treatment and changes in conditions
• -Strong commitment to teamwork
• -Preparing patients for transfers to Level 1 Trauma Centers by air and ground
• -Coordination of care for patients for admission and transfer to other hospitals

• Telemetry
• -Care for patients step down from ICU
• -Cardiac rhythm monitoring and intervention as needed
• -Assessment of patients with acute chest pain and patients returning form heart catheterizations

• Provide Care to Developmentally Disabled in group home and independent living settings
• -Monitor clients on psychotropic and seizure medications
• -Collect and analyze behavior data
• -Coordinate for in-house psychiatrist clinic and follow-ups
• -Train staff in medication administration
• -Wellness monitoring

• Long Term Care
• -Unit supervisor and care nurse for 44 bed skilled unit and Alzheimer’s wing
• -Oversee staff and complete schedules
• -Assist with activities of daily living and provide total care
• -Document responses to medications and treatments
• -Evaluate residents with chronic illness and implement follow-up

• Public Health
• -Screen pregnant women, infant and children, provide individualized teaching and maintain records for the WIC program for 13 counties
• -Administer immunizations
• -Perform Kan-Be-Healthy exams, kindergarten physicals and refugee screenings
• -Monitor clients receiving tuberculosis treatments

• Obstetrical Nursing
• -Provide total patient care support during labor and delivery
• -Assessed and triaged incoming labor patients
• -Assist doctors with deliveries vaginal and c-sections