MARISOL DE HOYOS
Veterans Health Administration
St Cloud,USA
1
Certification
31
years of professional experience
Compassionate Registered Nurse with extensive experience in inpatient medical/surgical care, specializing in critical interventions and complex patient management. Demonstrated leadership as Charge Nurse and Care Coordinator, ensuring high-quality care through effective collaboration and adherence to clinical standards. Focused on patient advocacy, staff education, and continuous improvement in care delivery, resulting in enhanced patient outcomes and satisfaction.
Work History
Case Manager
14 Years 2 Months- Managing care for various specialties: cardiology, vascular surgery, cardio-thoracic surgery, pulmonary, infectious disease, EEG, radiology vascular, rheumatology services. Managing interfacility and Non-VA care consults for vascular (AAA/carotid referrals), actively providing coordination for their care. Ensuring proper authorization, ensures sure that what was recommended by the specialists is in the authorization. Maintaining contact with patient and caregiver to ensure they have the proper education on how to follow up on procedures, appointments and surgeries. Discuss care options with veterans for assistance in travel or social worker needs. Clarified policies or regulations with the I H S leadership team through effective communication. Stay current in nursing and the specialties through online courses, literature reviews, attending in-services, monthly unit meetings and VHA mandatory clinical educations.
- Knowledge about Nursing Protocol orders to enter laboratories, diagnostics as requested by Non VA care provider. Utilized CPRS, Excel, and Outlook effectively to manage data and communications.
- Coordinated comprehensive care plans for veterans, ensuring alignment with individual needs and goals.
- Assessed patient eligibility for services, maintaining compliance with regulations and standards.
- Facilitated interdisciplinary team meetings to discuss case progress and implement necessary adjustments.
Team Leader/Care Coordinator/Assisting Nurse Manager
13 Years 1 Month- Different roles in leadership, care coordination, medical, surgical and rehabilitation nurse. Conducted assessment, provided support to other services, coordinated proper care, treatment, diagnostic to the in patient population. Recorded patient's medical history, vital statistics and test results in medical records utilizing the CPRS system. Administered IV therapy, medication administration. Delivered high quality and compassionate treatment to geriatric population. Managed patient care processes to ensure quality and safety., wound care, IV therapy administration preceptor and evaluated new nurses on the medication administration, led recruiting and hiring, managed employee review process and ensured compliance with state and federal regulations. Developed and maintained quality care systems and standards, improving medical protocols and guidelines to enhance patient outcomes. Ensured patient's safety was the priority in the medical unit, being in committees of pain management, fall risk, new medication administration updates, reported missing narcotics, trained new employees about unit and hospital guidelines, protocols, center memo. Actively participated in unit-based and hospital wide Quality/Performance Improvement program. Lead nurse for more than 30 nurses at medical/surgical/rehabilitation for 12 years in total from patient care, to medication administration. Sound, ethical and independent decision-making ability consistent with medical protocol and knowledge of Joint Commission, CARF, IG standards. Disciplined, energetic employee who quickly establishes rapport with patient and colleagues. Completed all assigned nursing duties with attention to patient needs. with a patient-centered focus while seeking opportunities for improvement of processes and treatments. Implemented new floor assignments based on evaluation of staffing requirements and supervised each one of them with their needs and requirement. Engaged in medical rounds to provide input on patient treatment plans. being part of their team and able to provide suggestions and recommendations. Updated patient records daily to support effective care coordination. by auditing making sure that no documentation was missing from the charts. Ensured timely preparation of discharge instructions, including medication orders and transportation arrangements. Provided staff training to have the patient ready for discharge, orientation and call family member the night before to let them know about the discharge time and process.
- Led cross-functional teams to improve patient care processes and enhance service delivery.
- Developed training programs for staff, fostering professional growth and operational excellence.
- Implemented quality assurance measures, ensuring compliance with regulatory standards and best practices.
Register Nurse
3 Years 3 Months- Conducted screening, treatment, blood pressure monitor, diabetes monitoring, wound care, change of foley, nasogastric tube change, draw laboratories at their houses, gastrostomy care and education, Provided patient education health related, nutrition, wound care, foley care, health promotion. Trained new nurses in home health nursing practices, enhancing overall patient care quality. Traveled to different physicians' offices to have signed the authorization for ongoing treatments or initial treatments. Trained for wound care and differences of wound care treatments. Provided emotional/behavioral support, training and supervision for those with dementia and Alzheimer's and to caregivers. Evaluated patient care needs independently, prioritized treatment, and maintained effective patient flow. Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions and follow up care. Utilized strong assessment skills to determine necessary patient care. Often commended for maintaining the safety, respect and dignity of patients. Coordinated with doctors and registered nurses to develop tailored care plans for patients. Prepared for HIPAA and JCAHO reviews, ensuring required brochures and pamphlets were available to patients in all clinics. Interviewed patient and family members to obtain medical information and measure their vital signs, weight and height. Tested glucose and administered injections, skillfully performed suture removals for patients of all ages.
- Provided comprehensive patient care, including assessments, treatments, and education to ensure optimal health outcomes.
- Collaborated with multidisciplinary teams to develop and implement individualized patient care plans.
- Mentored junior nurses, enhancing their clinical skills and promoting adherence to best practices.
Education
Associate of Science - Nursing
Master of Science - Nursing
Bachelor of Science - Nursing
Skills
Medication administration expert
Skilled cardiac care nurse
Vascular care understanding
Geriatric treatment knowledge
Diabetes
Hospice and Stroke Patient Care
Chronic disease management
Patient education techniques
Health and wellness expertise
Infection control specialist
Wound care specialist
Wound cleaning/care expertise
Acute and rehabilitative care
Physical examination skills
IV drug therapy management
Mobility assistance
Colostomy care familiarity
Gastroenteral nutrition education
Broad medical terminology knowledge
Diagnostic tools experience
Computerized charting specialist
Flow sheet charting
ELNEC training (End-Of-Life-Care)
Rapid response team knowledge
SBAR report knowledge
Quality improvement
Compliance reporting
Utilization review knowledge
Familiarity with disease management programs
Trained in in- and out-patient care
Expertise in BCMA since 2001
BCMA train the trainer since 2003
Expertise in CPRS since 2001
CPRS train the trainer since 2003
Medication administration trainer since 2003
Certified nurses to begin medication administration since 2006
GEC referral since 2003
Patient safety round
Fall risk management
Spinal cord injury knowledge
Bilingual in English and Spanish
Body mechanics knowledge
Utilization review knowledge
Patient safety round
Infection control knowledge
Fall risk management
Spinal cord injury knowledge
Certification
- Basic Life Support (BLS) instructor through American Heart Association since 2004
- Bachelor Science Nurse since 1995
Timeline
Case Manager
Veterans Health Administration
05.2012 - CurrentRead More
Team Leader/Care Coordinator/Assisting Nurse Manager
Veterans Administration
04.1999 - 05.2012Read More
Register Nurse
Corporation Las Vegas
01.1996 - 04.1999Read More
Interamerican University
Bachelor of Science from Nursing
Read More
Turabo University
Master of Science from Nursing
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Interamerican University
Associate of Science from Nursing
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