Maria Pai Cisneros

• Manage after-hours and weekend triage services, providing clinical assessment and intervention via telephone for over 300 patients under hospice care.
• Accurately assess urgent needs and determine appropriate interventions including dispatching on-call visits, medication adjustments, and hospitalizations when necessary
• Deliver empathetic support to patients and families, guiding them through symptom changes and emotional crises
• Collaborate with interdisciplinary team members, including on-call nurses, CNA's social workers and chaplains to ensure seamless continuity of care
• Document patient interactions and clinical decisions in real time using HCHB

• Managed budgetary finances of unit to ensure department operated within funding limits.
• Ensured nursing staff remained up-to-date and compliant with laws and regulations.
• Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
• Interviewed and hired RN's and CNA's.
• Oversaw and managed 42 clinical and support staff in patient care activities while maintaining high level of staff morale and professionalism.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping staff improve coping abilities to prevent further conflict.
• Investigated MeQIMS and provided appropriate education and change in practice to ensure patient safety.

• Followed all HIPAA rules and regulations regarding patient confidential information.
• Assessed treatment plans and made adjustments as needed for maximum benefits.
• Adhered to established policies, procedures and compliance for satisfactory audit rating.
• Followed quality standards and procedures to minimize errors and maximize customer satisfaction.
• Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
• Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
• Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
• Monitored patient reactions after administering medications and IV therapies.

Travel assignment Tacoma General NTICU

• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
• Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
• Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management.
• Collected blood, tissue and other laboratory specimens and prepared for lab testing.
• Changed out tracheostomies, gastrostomy buttons and catheters regularly to prevent infection or other problems.
• Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
• Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to patients daily.

• Provided high level of individualized care to adult patients across multiple medical specialties.
• Collaborated with all members of patient's healthcare team to ensure proper and appropriate level of care.

• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Equipped patients with tools and knowledge needed for speedy and sustained recovery.
• Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.