Melissa Pisano BSN, RN-C

• Collected blood, tissue and other laboratory specimens and prepared for lab testing.
• Minimized hospital stays with recovery-centered approaches, reducing average in-patient stay length while patient remains in emergency department area due to overcrowding.
• Organized and managed care of patients undergoing various therapies and procedures.
• Monitored patient reactions to drugs and carefully documented findings.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Implemented medication and IV administration, catheter insertion and airway management.
• Triaging incoming patient.
• When there are no express admit patient, I transition into helping hands.

My journey began on a post surgical floor caring for patient that needed to be monitoring after a variety of surgical procedures. Evolved into a relief charge nurse and mentor for novice nurses. As my experiences at Jupiter evolved I became a Transition Coordinator. Unfortunately, the COVID pandemic lead to the demise of this position. I was absorbed into Case Management, and became the COVID and PCU case manager.

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
• Provided direct patient care, stabilized patients and determined next course of action.
• Administered medications via oral, IV and intramuscular injections and monitored responses.
• Managed care from admission to discharge.
• Monitored patient reactions to drugs and carefully documented findings.
• Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit.
• Minimized hospital stays with recovery-centered approaches, reducing average in-patient stay length.
• As Case Manager, I was responsible for assessing patient at time of admission for needs, preferences, and abilities while tailoring discharge need appropriately.
• Working with outside resources to obtain necessary referrals for safe discharges, while try to prevent readmissions.
• Utilization review with medicare and insurance companies to get authorization for inpatient/observation stay and discharge services.
• Using InterQual for utilization review and reimbursements for either inpatient/observation statuses.
• Providing referrals through Enzocare, for referrals with submission of clinicals to support the needs of patient.

• Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.
• Managed care from admission to discharge.
• Provided direct patient care, stabilized patients and determined next course of action.
• Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
• Collected blood, tissue and other laboratory specimens and prepared for lab testing.
• Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit.
• Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
• Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.

• Documented accurate and complete patient information to address patient problems and expected outcomes.
• Performed routine evaluations of each patient's status, needs and preferences.
• Obtained patient vital signs and input/output measurements from inpatients.
• Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
• Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
• Cared for wounds, provided treatments and assisted with procedures.
• Gathered lab specimens, ordered testing and interpreted results to diagnose patients.
• Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
• Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.