Marjorie Hensley
Fayetteville,North Carolina
Summary
Compassionate Nurse with 30 years of experience in a variety of fields such as renal, urology, transplantation, neurology and ICU/CCU. I have over 9 years of experience in Clinical Documentation Improvement. I am always a team player and willing to help a fellow colleague in need. I appreciate constructive criticism to improve performance. I love interacting with my patients.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Nurse Practice Educator
Pembroke Center Liquors
Pembroke, NC
02.2024 - 05.2024
- Participated in committees or task forces focused on enhancing clinical practice standards or protocols.
- Delivered educational lectures and seminars on evidence-based practice guidelines.
- Developed tools such as checklists or job aides to assist nursing staff in providing safe patient care.
- Facilitated collaborative learning experiences among peers based on shared interests or experiences.
- Implemented systems for tracking patient data including vital signs, lab results, medications administered.
- Served as a resource person for questions related to professional practice issues.
- Promoted collaboration among departments within the organization by facilitating meetings or discussions.
- Conducted clinical audits of documentation to ensure accuracy and compliance with regulations.
- Ensured that all nursing staff was compliant with applicable laws and regulations governing the profession.
- Coordinated continuing education activities such as webinars, conferences, and workshops.
- Monitored current trends in health care practices to keep up with changing regulations.
- Collaborated with interdisciplinary teams to develop innovative strategies for improving quality of care outcomes.
RN/QAPI/Falls Coordinator
North Carolina State Vterans Home
Fayetteville, NC
04.2023 - 02.2024
- Utilize various reporting tools to discover trends/patterns
- Educational offerings to staff related to falls
- Falls auditing
- Part of THE ADMINISTRATION team with on call for 4 hours on THE WEEKEND
- Conduct detailed report of any repairs/fixes that need to BE DONE in or around the FACILITY
- STAFF ONBOARDING
- Counseled patients on lifestyle changes that could improve their overall health outcomes.
- Assessed patient health and developed individualized care plans accordingly.
- Carried out physician orders regarding tests or medication administration accurately and safely.
- Developed education materials to help explain various conditions and treatments to patients.
- Educated patients on health maintenance, disease prevention, and treatment options.
- Collaborated with physicians in developing patient-specific treatment plans.
- Ensured compliance with infection control policies and procedures.
- Administered prescribed medications and treatments in accordance with approved nursing protocols.
- Monitored vital signs, such as blood pressure, temperature, respiration rate, pulse rate and weight.
RN/CDIS Coordinator
Southwest Medical Center
07.2022 - 04.2023
- Uncovered discrepancies in the health records and contact physicians to provide further documentation to clarify these issues
- Effectively utilized the query process to obtain quality and integrity for the medical record
- Interact with physicians daily to educate and clarify deficiencies in the medical record
- Used various reports within Chartwise for the use in quarterly bonuses for hospitalists
- Attend daily IDT rounds where we discuss length of stay, patient condition, and any barriers at discharge
- Attending weekly HARMS/HAC meeting to go over both in- house and discharged patients
- We discuss any HAC/Harm that has been identified and follow up as needed, whether that is a conversation with a physician or a query
- Ongoing educational offerings
RN/CDIs
Cape Fear valley Health System
09.2017 - 07.2022
- Uncovered discrepancies in the health records and contact physicians to provide further documentation to clarify these issues
- Effectively utilized the query process to obtain quality and integrity for the medical record
- Interact with physicians daily to educate and clarify deficiencies in the medical record
- Actively maintain up to date knowledge of applicable changes in regulations both state and federal to follow query process
- I attend weekly webinars on a variety of topics
- Mortality chart reviews as well as long length of stay patients
- Responsible for finding any undocumented CC’s or MCC’s to raise SOI/ROM to reflect severity of condition
- Ability to work on a variety of platforms to ensure the most appropriate documentation for the patient’s record
- Appropriately capture necessary documentation to allow more clarity for claims
- Work with other CDIS in the department to resolve questions and issues
- Observe strict confidentiality to include all patient related information
- Transitioned from Cerner/Sorian product to Epic
- Coding the patient’s chart concurrently
- Coder input begins at the time of discharge
- I continue to work unresolved queries after discharge
- I collaborate with HIM/Coding to correct any mismatches, Quality issues, and implementation of retro queries when appropriate
Clinical Documentation Specialist
LOGAN REGIONAL MEDICAL CENTER
01.2013 - 08.2017
- Uncovered discrepancies in the health records and contacted physicians to provide further documentation to clarify these issues
- Effectively utilized the query process to obtain quality and integrity to the medical record
- Interact with physicians daily to educate and clarify deficiencies in the medical record
- Actively maintain up to date knowledge of applicable changes in regulations both state and federal to follow query process
- I attend weekly webinars every week on a variety of diagnosis
- Ability to work on a variety of platforms to ensure the most appropriate documentation for the patient’s record
- Appropriately capture necessary documentation to allow more clarity for claims
- Work with other CDIS in the department to resolve questions and issues
- Observe strict confidentiality to include all patient related information
- One of 2 CDIS to begin the program implementation successfully
- Ability to effectively use Meditech, Huron, Chart Wise, ChartMaxx, 3M and Meditech
- Responsible for initial and ongoing education for physicians, nurses, and case management
- Responsible to attend daily rounds to address outliers and update any DRG changes that have occurred, as well as general length of stay for that DRG and current length of stay
- Attended monthly and quarterly medical staff meetings to provide statistics and any changes to the process in the facility and updated information on coding changes
- Began monthly CDI Newsletter to distribute to reinforce education
- Also began physician recognition for various kinds of challenges such increase in appropriate responses, decrease in unknown or unable to determine responses etc
- Monitored metrics for CDIS such as reviews per day, response rates, and query rates
- Implemented solutions to address any issues
- Planned activities and education specials during CDIS week
- Learned how to shift the focus of physicians from a monetary standpoint to a complete record view
- Responsible for dealing with physicians with different tactics to encourage open communication lines
PRN CLINICAL DOCUMENTATION AUDITOR (REMOTE)
WOODHAM & ASSOCIATES
Tequesta, FL
11.2014 - 04.2015
- Learned the process of working remotely with frequent phone calls and emails to ensure proper follow-up and to decrease delays
- Ability to work well independently with minimal supervision
- Ability to use web-based applications for maintaining accurate time for payroll
- Ability to multi-task and use a variety of different systems, based on assignment of facility
- Ability to critique other clinical documentation specialist’s records and give appropriate recommendations
- Extensive utilization of Excel spreadsheets to expedite the vital information back to leadership
Case Management
LOGAN REGIONAL MEDICAL CENTER
09.2012 - 01.2013
- Responsibilities included assuring patients had a safe home environment to go back to
- Find appropriate rehabilitation services or nursing home placement as needed
- Interact with physicians daily to obtain all services and equipment needed to prevent readmissions and increase good patient outcomes
- Reported to CPS/APS as needed
- Coordinated with multi-agencies for discharge planning
- Appropriately capture necessary documentation to allow for needed services
- Attended rounds every day to report on the status of all patients in house
- Attended training sessions related to best practices in case management.
- Identified opportunities for improvement within the organization's case management system.
- Participated in team meetings regarding case management strategies and outcomes assessment.
- Maintained organized records of case management activities.
- Provided case management services for families in need of assistance.
- Provided case management services to ensure successful implementation of recommended interventions.
- Ensured compliance with regulations related to Long-Term Care Case Management.
- Provided ongoing case management services for individuals receiving Supported Employment Services.
- Participated in continuing education programs related to Case Management Services.
RN Neurology
Charleston Area Medical Center
01.2011 - 01.2013
- Cared for patients with CVA, Dementia, Alzheimer’s, Guillain-Barré Syndrome, Glioblastomas, Seizures etc
- Also worked in Progressive Care caring for acutely ill, Telemetry, post-operative burr holes, craniotomies, etc
- And Neuro ICU with critical patients with drains, burr holes, halos
RN Renal, Urology and Transplantation. RN
Charleston Area Medical Center
Charleston, WV
01.1995 - 03.2011
- Responsible for pre-op transplant recipients testing and reinforcement of education
- Responsible for transplant patient’s daily lab results and weights
- Responsible for drawing labs for central line and shipping to lab
- Starting peritoneal dialysis with or without additives
- Education of patient about clean technique, diet, etc
- Utilized CCPD machine or traditional in and out bags
- Obtaining weight and dry weights
- Charge nurses most nights either with or without orientees with full load patients
- Attended staffing rounds where we planned for any further admissions, moving patients to receive any new renal, urology or transplantation from ED or other floors
- Ability to stick arteriovenous grafts in emergency situations
- Ensured compliance with infection control policies and procedures.
- Responded quickly to life-threatening situations by providing appropriate interventions.
- Carried out physician orders regarding tests or medication administration accurately and safely.
- Administered prescribed medications and treatments in accordance with approved nursing protocols.
- Assessed patient health and developed individualized care plans accordingly.
- Participated in continuing education programs related to nursing practice.
- Collaborated with physicians in developing patient-specific treatment plans.
- Assisted doctors during medical procedures.
ICU Director/Manager
LOGAN REGIONAL MEDICAL
06.2006 - 09.2009
- Performed essential duties over critical care area including budgeting, staffing, hiring, terminations, and staff education for twelve bed unit
- Served on many committees such as Rapid Response Team, Stroke Protocols, and Standardizing DVT prophylaxis
- Also attended Medical Staff meetings for medical and surgical to present education, issues with process and questions as needed
- Attended rounds every day to report on the status of all patients in house
- Established and implemented departmental policies, goals, objectives with interaction with physicians, nursing, and corporate officers
ICU/CCU Registered Nurse
Logan Regional Medical Center
Logan, WV
03.2003 - 06.2006
- Monitored vital signs, laboratory results, and other indicators of patient health.
- Educated patients on proper self-care techniques and preventive measures.
- Facilitated communication between the multidisciplinary team members involved in the care of the patients.
- Identified potential ethical issues related to clinical decision making and consulted with attending physician if needed.
- Participated in interdisciplinary team meetings to discuss the plan of care for each patient.
- Conducted comprehensive teaching sessions with patients and families regarding disease process and management strategies.
- Assessed patient condition and planned appropriate interventions accordingly.
- Provided direct patient care including wound dressing, medication administration, IV therapy, and catheterization.
- Administered medications according to physician orders and monitored response to treatments.
- Collaborated with physicians to develop individualized treatment plans for patients.
- Managed time effectively while prioritizing tasks according to urgency of needs.
- Initiated referrals when needed such as physical therapy or home health services.
- Maintained accurate documentation of all patient assessments, treatments, medications, progress notes, discharge summaries.
- Provided emotional support to families dealing with critical illnesses or end of life situations.
- Promoted continuity of care by accurately communicating patient information to other healthcare providers.
- Performed CPR and other emergency medical procedures when necessary.
- Developed nursing care plans based on assessment data and identified goals for improvement in patient health status.
- Responded quickly to changes in a patient's condition by initiating appropriate interventions.
- Utilized evidence-based practice guidelines for best practices in providing quality care.
Education
Nursing
Southern WV Community And Technical College
Mount Gay, WV07-1995
Skills
- Critical thinking proficiency
- Effective communication
- Medical record documentation evaluations
- Ability to use multiple software platforms
- Team player
- Actively participates in Quality Initiative program
- Ability to change and grow
- Quality Improvement
- Teaching strategies
- Mentoring abilities
- Evidence-Based Practice
- Patient Safety
- Leadership and mentoring abilities
- Student Evaluation
- Excellent Communication
- Time management abilities
Certification
- Hold unencumbered multi-compact state RN license
- Previously Certified Peritoneal Dialysis Nurse
- Previous BLS and ACLS
Leadership Experience
- Was ICU/CCU director for 3 years and learned an extensive amount of information regarding revenue cycle, budgeting, staffing and the ability to communicate effectively
- As well as managing people, inventory, policies and procedures and the ability to maintain the department so that it was conducive to the patient and family’s wellbeing with appropriate information and treatments
- Maintain a balance of work life for staff to prevent burnout and mistakes
- Instituted policy and procedure for Rapid Response program and implementation
- Had multi-disciplinary input with Radiology, Pharmacy, Respiratory Therapy, Lab, ED, Physician and Leadership
- Many hours of research and development based on our patient population and disease processes
Personal Information
Title: Registered Nurse
References
- Dan Bray RN/CCDS Manager, dbray@capefearvalley.com, Fayetteville, NC
- Valerie Newsome RN, BSN, CCDS, Vnewsome35@yahoo.com, 183 Right Fork Laurel Creek, Lenore, WV, 25676
- Jillian Hubbard MPH, RN, ACM-RN, CCDS, Jfore90272@gmail.com, Jacksonville, FL
Volunteer Experience
- Volunteer for many hospital and community events such as Free Health Fairs and yearly sports physicals for youths
- Drive-Thru-Flu Shots to increase the number of vaccinations to prevent avoidable sickness and deaths
- Participated in yearly education booths for entire facility
- Took donations for a local State Park so that they could increase their ability to maintain and potentially add new displays for Christmas in the Park
References
References available upon request.
Timeline
Nurse Practice Educator
Pembroke Center Liquors
02.2024 - 05.2024
RN/QAPI/Falls Coordinator
North Carolina State Vterans Home
04.2023 - 02.2024
RN/CDIS Coordinator
Southwest Medical Center
07.2022 - 04.2023
RN/CDIs
Cape Fear valley Health System
09.2017 - 07.2022
PRN CLINICAL DOCUMENTATION AUDITOR (REMOTE)
WOODHAM & ASSOCIATES
11.2014 - 04.2015
Clinical Documentation Specialist
LOGAN REGIONAL MEDICAL CENTER
01.2013 - 08.2017
Case Management
LOGAN REGIONAL MEDICAL CENTER
09.2012 - 01.2013
RN Neurology
Charleston Area Medical Center
01.2011 - 01.2013
ICU Director/Manager
LOGAN REGIONAL MEDICAL
06.2006 - 09.2009
ICU/CCU Registered Nurse
Logan Regional Medical Center
03.2003 - 06.2006
RN Renal, Urology and Transplantation. RN
Charleston Area Medical Center
01.1995 - 03.2011
Nursing
Southern WV Community And Technical College
- Hold unencumbered multi-compact state RN license
- Previously Certified Peritoneal Dialysis Nurse
- Previous BLS and ACLS
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