Theresa Panganiban

Assistant Director of Nursing for 127 bed skilled nursing facility including LTC and short stay rehab residents.

• Assist the DON in overseeing efficient nursing operations for the skilled nursing facility.
• Assist in evaluating and improving the quality of nursing care.
• Oversee adherence to federal, state and company requirements and regulations.
• Collaborate with interdisciplinary teams to control specific disease entities and support quality initiatives. Collaborate with a multidisciplinary team to improve overall resident care and response times.
• Assist in managing nursing resources and establishing standards, goals, and objectives to assist residents with achieving and maintaining their highest level of physical, spiritual, and psychosocial wellbeing.
• Assist in supervising the nursing department. Facilitate peer-to-peer conflict resolution.
• Assist in implementing changes needed to correct deficiencies found during government inspections.
• Assess competency of clinical staff to promote quality, continuity and safety.
• Address unit staff concerns, including staffing ratios, resource management, allocation of responsibilities and optimize workload management.
• Active role in monthly QAPI meetings
• Develop policies to align procedures with nursing home strategic initiatives and comply with statutory, regulatory, state and federal guidelines.
• Active part of facility IDT team-review events and revise care plan to provide a safe environment and quality resident care
• Advocate for resident needs with interdisciplinary team and implement outlined treatment plans
• Train and mentor new licensed nurses on best practices, policies and standards of care.
• Facilitated orientation, competencies and skills validation processes for nursing assistants and licensed nurses
• Develop clinical staff with regular evaluations and annual feedback sessions.
• Conduct clinical interviews and assisted with hiring decisions for licensed nurses and nursing assistants
• Rotate on-call responsibilities with other clinical supervisors per established schedule to address 24/7 patient care needs.
• Create and maintain facility documents and records, maintaining accuracy while managing sensitive data.
• Improve resident outcomes and quality of care by determining and suggesting changes to processes.

Infection Control Nurse for both Skilled Nursing and Housing

• Oversee and manage the infection prevention program, including surveillance and compliance.
• Maintain infection control logs and improve resident outcomes through training and leadership.
• Oversee and manage the Antibiotic Stewardship Program-surveillance, analysis, and reporting.
• Investigate clusters and outbreaks to identify source of infection, educating healthcare personnel regarding short and long term control measures.
• Collaborate with physicians, nurse practitioners, and pharmacists regarding antibiotic use
• Investigate outbreaks
• Communicate trend data and analysis to implement process improvement initiatives.
• Covid-19 monitoring, reporting, testing
• Develop educational programs for personnel, residents, and families to enhance knowledge of infection control.
• Consult with local and state health departments to report infectious cases.
• Recognize areas for improved performance to protect employees, residents, and visitors from infectious and communicable conditions.
• Implement CDC and OSHA driven infection prevention and control policies to guide departments.

RN Clinical Manager for skilled nursing unit

• Assessments-quarterly, annual, significant changes
• Facilitate admissions and discharges
• Experience with MDS assessments
• Highly experienced in development, implementation, and updates of individualized care plans
• Develop and adapt individualized treatment plans according to resident goals.
• Determine and coordinate appropriate level of care to meet individual resident needs.
• Care conferences with families and residents
• Deliver quality resident care from admission to discharge through direct supervision of all nursing and ancillary staff.
• Counsel residents and caregivers, providing emotional, psychological and spiritual support.
• Provide resident and family education
• Coordinate resident care with hospice facilities
• Counsel caregivers and families on end-of-life planning and educate on resident care options.
• Coordinate resident care-work closely with physicians, nurse practitioners, and licensed nurses to provide quality care.
• Assess resident conditions, monitor behaviors and update supervising physicians with observations and concerns.
• Collaborate with physicians during medical rounds, update treatment plans, and provide plan of care to residents and families.
• Wound Care-participate in wound rounds with wound team, wound vacs
• Phlebotomy
• Use facility EMR system to update patient records
• Administer medications and treatment plans in accordance with physician orders, track dosages, and document patient conditions.
• Deliver direct patient care, monitor and record resident condition, vital signs, recovery progress and medication side effects
• Provide care using pharmacological and non-pharmacological treatment modalities to residents suffering from chronic and acute medical concerns, including CHF, Diabetes Mellitus, CVA, and Dementia.
• Monitor and manage various treatment and care interventions, including IV administration, ostomy care, and catheter insertion.

Clinical Coordinator for 80 Rehab residents

• Assessments-quarterly, annual, significant changes
• Facilitate admissions and discharges
• Writing and implementation of care plans
• Care conferences with families and residents
• Supervision of licensed nurses and nursing assistants
• Wound Team Lead for facility
• Coordinate resident care-work closely with physicians, CNP, and licensed nurses to provide quality care
• Active part of facility IDT team-review events and revise care plan to provide a safe environment and quality resident care
• Wound care-Wound team, wound vacs
• Phlebotomy
• Provide resident and family education
• Coordinate resident care with dialysis and hospice facilities

• In charge of a Subacute Unit with 40 patients, oversees Nursing, Support Staff.
• Sets work schedule, delegate daily assignments, assigns tasks, and evaluate employee job performance, as well as disciplining employees who don't fulfill their job requirements or provide inadequate care.
• Establishes employee policies and procedures for the unit based on facility standards.
• Mentors less experienced nurses offering clinical and career advice.
• Sets goals and standards for the unit, and may hold regular staff meetings to give directions and discuss areas for improvement.
• Establish standards of nursing care for the unit, applying evidence-based standards and healthcare research.
• Monitor patient care to ensure that it meets the facility’s standards, and review patients records to analyze the effectiveness and efficiency of the care provided by the unit.
• Consults the patient’s physician or recommend treatment options, if the nurse has a question or a concern about the patient’s care.
• Monitor patient’s overall care, may review an individual patient’s case, especially if it’s complicated or if the patient is not responding to treatment.
• Address questions or complaints brought forward by patients or their families.
• Ensures unit is well-stocked with medical supplies, including medications and equipment.
• Represents the unit’s interest, consulting with senior management if the staff has questions or concerns, recommending changes and improvements, and offering unit’s opinion regarding proposed changes or decisions under consideration by the facility’s leadership staff.

• Mentored new hires during orientation periods for seamless integration into the team while maintaining high-quality patient care standards.
• Assisted in development and implementation of policies, procedures, and regulations for unit operations.
• Maintained adequate stock of medications, supplies and equipment to meet patient needs.
• Increased staff retention rates with supportive leadership techniques, mentoring programs, and positive work environment initiatives.
• Enhanced patient care by implementing efficient unit management processes and coordinating interdisciplinary teams.
• Protected patients and employees by developing and interpreting infection-control policies and protocols and maintained patient confidence by monitoring confidential information.
• Addressed clinical issues promptly to reduce risks associated with patient care or operational inefficiencies in the unit.
• Streamlined daily operations for increased productivity by delegating tasks and supervising nursing staff.
• Coordinated discharge planning processes effectively to ensure a seamless transition for patients from the hospital to their next level of care.
• Reduced medication errors by diligently overseeing the administration of medications to patients.
• Evaluated employee performance regularly for professional growth opportunities, accountability measures, and feedback-driven improvement strategies.
• Coordinated nursing with other services to promote continuity of total regimen of care.
• Maintained accurate documentation of patient care activities, staff schedules, and unit metrics for transparency and efficient reporting.