Careful and meticulous with dedication to accuracy. Proven history of working closely with team members to complete safe and effective data management. Skilled at digitizing documents, modernizing systems and organizing data for optimized productivity. Punctual and reliable employee committed to thoroughness and quality.
I have many years entering medical data into multiple systems, for lab use, facility use, state prison use, as well as 2 years of chart review every friday between 20-40 new intake inmate charts. With a proven history of successful error detection and correction.
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
19
19
years of professional experience
Work History
Elementary School Nurse
Florida Department of Health Brevard County
Viera, FL
08.2020 - 02.2024
Provided health services to students, including first aid and administering medication daily an on an as needed basis.
Implemented school policies related to health and safety of students.
Developed individualized healthcare plans for students with special needs.
Maintained accurate records of student health information.
Advised parents and guardians about their child's health status at school or home.
Investigated incidents of abuse or neglect reported by faculty members or other staff members.
Reported pertinent information to authorities in cases of child endangerment, neglect or abuse.
Inventoried and ordered medical or office supplies or equipment.
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
Utilized computerized FOCUS system and AS-400..
Reviewed patient records for accuracy and completeness, ensuring that all required information was included for new and returning students.
Entered data into electronic health record systems to ensure accuracy and completeness of medical records.
Scanned paper documents into electronic health record systems using document imaging software.
Assisted with the release of confidential health information according to established procedures.
Provided technical support for computer applications related to clinical documentation systems.
Participated in meetings with DOH staff members to discuss issues related to healthcare documentation.
Safeguarded patient records, managing data transfers in compliance with HIPAA standards and organizational regulations.
Maintained complete confidentiality in accordance with organization and legal requirements.
Organized patient charts, gathering medical histories, lab results and consents.
Purged outdated files and prepared them for archiving.
Retrieved medical charts for healthcare staff for filing in medical records.
Supported administration staff with records requests to support student care.
Proofread documents carefully to check accuracy and completeness of all paperwork.
Maintained positive working relationship with fellow staff and management.
Set up patient charts and documented information in various company software.
Answered questions and fulfilled requests with friendly and knowledgeable service.
Pulled student records and transferred information to appropriate parties
Transmitted information or documents to other DOH staff or other schools through email, mailings or facsimile machine.
Handled incoming calls and directed callers to appropriate employee.
Mentored junior team members.
Entered students demographic and health information into software and confirmed records.
Assigned students to diagnosis-related groups using appropriate computer software.
Determined and implemented techniques to improve medical records retrieval process.
Streamlined day-to-day office processes to meet long-term goals.
LPN School Nurse
Florida Department of Health Brevard County
Titusville, FL
01.2012 - 08.2013
This Employment does not need to list the the experiences due to it being the same employment as above, just in a different time frame. It was an elementary school just as the other, for the State of Florida Brevard County.
LPN
Vista Manor Skilled Nursing
Titusville, FL
12.2006 - 11.2011
Assisted physicians with patient care by taking vital signs, administering injections and performing other nursing duties.
Provided direct physical and emotional support to patients and their families.
Performed routine laboratory tests including urinalysis, blood glucose monitoring and others.
Maintained accurate medical records of each patient's health condition. Entered all charting, orders, and lab requests into different computer avenues.
Ensured that all medications were administered accurately and on time as prescribed by the physician.
Observed patients for any changes in their condition or behavior, reported findings to the supervisor or physician in charge.
LPN
HEALTH CARE CENTER OF MERRITT ISLAND
Merritt Island, FL
09.2009 - 10.2010
Once again, this employer also is the same work experience as the one above it. Vista Manor and Health Care Center of Merritt Island are the same type of facility and the job requirements are the exact same.
LPN Charge Nurse
Vista Manor Skilled Nursing
Titusville, FL
05.2008 - 09.2009
Supervised the activities of other nursing staff members and provided guidance when necessary.
Ensured all safety protocols were followed during patient care.
Communicated effectively with patients, families, colleagues, and other healthcare professionals.
Coordinated shift schedules and assigned duties to LPNs and CNAs based on qualifications.
Identified potential problems or risks that could affect patient outcomes.
Responded promptly to emergency situations as needed.
Monitored medication administration for accuracy, compliance, and effectiveness of treatment plan.
Developed strategies for improving quality of care standards within the unit or department.
Conducted regular training sessions for new hires or existing staff members on proper clinical procedures or techniques.
Collaborated with multidisciplinary teams to coordinate effective patient care delivery systems.
Reviewed lab results and made appropriate recommendations for further testing or treatment.
Implemented new floor assignments based on evaluation of staffing requirements.
Evaluated patient care needs to prioritize treatment and maintain patient flow.
Established direct lines of communication between nursing staff and other interested departments, supporting patient care with collaboration between personnel with complementary specialties.
Developed individual care plans to meet patient needs and achieve treatment goals.
Analyzed charts and utilized data to recommend proper treatment courses to physicians.
Supervised exceptional team with collaborative leadership and creative responses to resource scarcity and nurse availability.
LPN
Florida Department Of Corrections
Cocoa, Florida
02.2006 - 12.2008
Assisted physicians with patient care by taking vital signs, administering injections and performing other nursing duties.
Performed routine laboratory tests including urinalysis, blood glucose monitoring and others.
Maintained accurate medical records of each patient's health condition.
Ensured that all medications were administered accurately and on time as prescribed by the physician.
Observed patients for any changes in their condition or behavior, reported findings to the supervisor or physician in charge.
Maintained, reviewed, and monitored patient records for accuracy and completeness.
Coordinated with external organizations to ensure secure exchange of patient data.
Resolved discrepancies between paper and electronic versions of patient records.
Verified accuracy and completeness of documentation prior to filing or submitting.
Monitored quality assurance processes related to medical record keeping.
Evaluated existing procedures for storing, retrieving, and archiving medical records.
Assisted physicians with locating relevant clinical information stored in the EHR system.
Safeguarded patient records, managing data transfers in compliance with HIPAA standards and organizational regulations.
Maintained complete confidentiality in accordance with organization and legal requirements.
Organized patient charts, gathering medical histories, lab results and consents.
Retrieved medical charts for healthcare staff for filing in medical records.
Managed release of information requests and identified requestors, and transferred information to appropriate parties.
Supported administration staff with records requests to support patient care.
Obtained information by contacting appropriate personnel or patients.
Consolidated diverse medical records.
Maintained positive working relationship with fellow staff and management.
Proofread documents carefully to check accuracy and completeness of all paperwork.
Transmitted information or documents to customers through email, mailings or facsimile machine.
Processed patient admission and discharge documents.
Streamlined day-to-day office processes to meet long-term goals.
Verified record copies before handing each over to check for and remove unnecessary details.
Located and retrieved files, assisting public with general information.
Compiled and coded patient data using standard classification systems.
Ordered and restocked supplies in line with budget limits and office needs.
Mentored junior team members and managed employee relationships.
LPN
Cape Canaveral Hospital
Cape Canaveral, FL
10.2004 - 02.2005
Provided patient care in a surgical ICU setting, including monitoring vital signs, administering medications and providing wound care.
Assisted physicians with procedures such as intubations, chest tube insertions and central line placements.
Performed assessments of patients' physical condition to identify changes in status or risk for complications.
Educated families on post-operative care instructions, follow up appointments and discharge planning.
Implemented evidence-based practices to improve quality of care outcomes for patients.
Identified potential problems by analyzing data from laboratory results and diagnostic imaging studies.
Managed complex medical cases requiring close observation and frequent interventions.
Maintained accurate documentation of patient progress notes, treatments and medication administration records, with accurate entering into multiple electronic records.
Facilitated communication between healthcare providers regarding patient conditions, treatment plans and test results.
Evaluated effectiveness of treatment plans and made necessary adjustments to ensure optimal health outcomes for patients.
Assisted with orientation of new staff members within the Surgical ICU unit.
Demonstrated effective time management skills while managing multiple tasks simultaneously.
Administered intravenous fluids as prescribed by the physician's orders.
Performed sterile dressing changes to maintain a clean environment around wounds or incisions.
Monitored trends in lab values over time to detect any abnormalities or changes in patient condition.
Conducted bedside teaching sessions with patients and families about disease processes, symptom management strategies, nutrition requirements and lifestyle modifications.
Responded quickly to life-threatening situations involving unstable patients in a timely manner.
Provided emotional support to family members during times of crisis or distress.
Evaluated patient vital signs and laboratory data to assess needs and provide emergency interventions.
Supervised cardiac monitors, mechanical ventilators and alarms and oxygen delivery devices.
Detected emerging problems by monitoring patients' behavior, vital signs and fluid intake and output.
Checked on patients regularly to track progress with treatments, changes in symptoms and need for emergency interventions.
Observed strict safety measures, including checking medication dosages before administration to patients.
Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Identified abnormal and critical respiratory patterns through direct pulmonary assessments.
Kept track of patients' changing pain levels and proactively worked to minimize excess pain or discomfort.
Education
Practical Nursing
Ocean County Vocational-Technical School
Toms River, NJ
08-1981
Skills
Privacy and Confidentiality
HIPAA Requirements
Medical Terminology
EMS Charting
Electronic Records Management
Patient Assessments
Regulatory Compliance
Communication Abilities
Analytical Thinking
References
References available upon request.
Timeline
Elementary School Nurse
Florida Department of Health Brevard County
08.2020 - 02.2024
LPN School Nurse
Florida Department of Health Brevard County
01.2012 - 08.2013
LPN
HEALTH CARE CENTER OF MERRITT ISLAND
09.2009 - 10.2010
LPN Charge Nurse
Vista Manor Skilled Nursing
05.2008 - 09.2009
LPN
Vista Manor Skilled Nursing
12.2006 - 11.2011
LPN
Florida Department Of Corrections
02.2006 - 12.2008
LPN
Cape Canaveral Hospital
10.2004 - 02.2005
Practical Nursing
Ocean County Vocational-Technical School
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