Marybeth L Gregory

Detail-oriented Patient Service Specialist specializing in clinical support, time management, and effective communication. Successfully coordinated care and maintained strict confidentiality while enhancing the patient experience through efficient appointment scheduling and record management.

CNA 1987-1988

• Pt ADLs
• Assist with feeding
• Bathing/hygiene
• Cath care
• Incontinence care
• Vital signs
• Transfers
• Clean rooms
• Other duties as assigned

Licensed Practical Nurse 1989 (licensed expired 2024)

After obtaining my LPN license I worked in several LTC facilities with various duties:

• Charge Nurse 3-11 and 11-7 shifts
• Catheter care and changes monthly and as needed.
• Incontinence Care
• Obtain urine samples
• Nasogastric Tube placement and care
• NG tube feeding via Kangaroo pump or gravity, maintain patency
• Care of G-tubes, bolus feedings and maintain patency
• Trach Care and cannula changes
• Trach suctioning
• Monitor blood sugars,maintain/ensure glucometers in good working order
• Vital Signs
• Medication passes
• Reconcile med count twice per shift
• Injections
• Wound care, mostly decubitus
• Occult fecal blood tests
• Post Mortem care
• Hang IV solutions
• D/C IVs
• Take verbal orders
• Shift notes
• Scheduling CNAs
• Ensure adequate supplies
• Rounds
• Shift report

Licensed Practical Nurse II State of Tennessee Mental Health Hospital at Lakeshore           1991-1998

• Acute adult admissions
• Assist with new admission physicals with MD
• TB skin tests for new admits
• Float between male, female and geriatric units
• Administer medications to between 30 and 60+ patients daily occasionally multiple units
• Administer antipsychotic injections to pt in restraints or in seclusion.
• Participated in restraint of patients who were actively at risk of harm to themselves or others.
• Monitor patients in restraints
• Wound care and suture/staple removal
• Bolus tube feedings with catatonic patients
• Stock crash cart and ensure adequate supplies
• Reconcile medical records
• Assist specialty practitioners when in clinic.
• Assist RN with employee health
• Administer Hep B vaccines, flu vaccines and TB skin tests
• Attend unit meetings

Supportive Living Agencies 

Sertoma Center LPN Assistant Health Office Manager 1998

• Coordinate medical appointments for day program and supported living clients
• Track and follow up on all medical appointments ensuring all appointments are kept and all annual evaluations are maintained.
• Administer medication to day program clients
• Coordinate medication refills, changes and stocks with pharmacy.
• Home visits to ensure proper polices and procedures are maintained.
• Participate in ISP meetings with ISCs, clients, family members and other practitioners as necessary.
• Meet with governing agencies ie JCAHO

RHA Health Services,LLC 1999-2015 LPN Clinical Services Coordinator Lead for Knoxville and Nashville Units

• Schedule, obtain and followup on all medications, medical appointments, medical tests, procedures and after care instructions along with the supervision of 90 + Direct Support Professionals (DSPs) who are providing direct care to individuals supported.
• Participate in ongoing training for employees in regard to annual and updated healthcare policies.
• Provide training classes and track when an employee is due for annual refreshers.
• Provide training for new hires and annual refreshers in Bloodborne pathogens, medical issues and medication policy.
• Ensure compliance in record keeping with state and company policy.
• Participate in interview process for potential DSps and nurses.
• Conduct corrective action per policy in regards to medication management and training.
• Participate in monthly Quality Assurance meetings.
• Present data for monthly tracking of client healthcare status and training compliance
• Co-chaired Incident Review Committee in East Tennessee and attended DIDD scheduled trainings for Protections from Harm.
• Member of Circles of Support
• Participated in CQL accreditation process
• On call 24/7 until 2009 then split call with new LPN
• Conducted unannounced home visits to supported living homes to ensure client safety and compliance with policies and procedures. Check medication supplies and report med variances.
• Participant in developing and implementing policies and procedures with the DON, QA specialist and other team members.

RHA Health Services Behavior Respite Coordinator/Program Manager/LPN

• Position required start up of behavior respite home that would provide crisis stabilization to individuals with intellectual disabilities, who find themselves in emotional crisis but are not at a point for emergency services.
• Provide input and drafting of policy and processes for admission agreements to the program.
• Work closely with Behavior Analyst to provide needed supports for those in crisis,
• Conduct intake assessment and work with the team to decide of if our service is appropriate.
• Update providers and other supported living agencies on progress and recommendations, both behavioral and through medication review by the MD.
• Ensure that a structured day schedule is followed , allowing for a therapeutic milieu.
• Confirm compliance with budgetary funds , schedule staff and provide on call 24/7 availability.
• Liaison with healthcare providers in the community, law enforcement and local businesses to ensure the vocation of behavioral respite can be successful.
• Data entry for incident management.
• Provide nursing peer to peer reviews to ensure compliance and continuity of healthcare records.
• Maintain OSHA requirements for the program
• Make unannounced visits to the home to check for safety issues, adhere to policies and program protocols.
• Ensure proper storage of food and cleaning products.

Miscellaneous Jobs at pop up health service clinics:

Flu vaccine clinics

Pneumonia injections at clinics

Mini Dexa Screens