Melissa Sconce
Springfield,MO
Summary
Diligent nursing professional with demonstrated success in emergency patient care. Agile and responsive to dynamic patient needs and environmental conditions. Team-oriented and reliable with expert healthcare knowledge, clear verbal and written communication skills and sound clinical judgment. Skilled nursing professional with more than 20 years of experience and passion for providing highest quality of behavioral and medical care. Compassionate and empathetic advocate for patients and families. Skillfully assesses health status, develops diagnoses and manages care for patients with acute and chronic concerns. Experienced in structured and unstructured environments, smoothly coordinating multiple activities and competing priorities.
Overview
21
21
years of professional experience
1
1
Certification
Work History
RN Staff Nurse
Perimeter Behavioral of Springfield
Springfield, MO
07.2022 - Current
- Care of children and adolescents in the psychiatric setting
- SAMA trained
- Administered medications via oral, IV and intramuscular injections and monitored responses.
- Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
- Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
Staff Nurse
Phoenix Home Care and Hospice
Springfield, MO
09.2021 - Current
- Care of chronically ill children in the home setting.
- Administered medications via Gtube and and monitored responses.
- Monitored patients' conditions and reported changes in physical presentation, appearance and behavior to discuss treatment with physicians.
- Implemented medication and airway management via tracheostomy
- Directed patient care by initiating and following through with plan of care, continuing care and discharge instructions.
- Identified patient care requirements by establishing personal rapport with patients and families.
Registered Nurse
Fassnight Medical Solutions
Springfield, MO
12.2021 - 05.2022
- Care of patients in long-term care
- Placed in different facilities per shift
- Flexibility is a must as well as critical thinking skills.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Pediatric Private Duty Nurse
Maxim Healthcare Group
Springfield, MO
04.2021 - 02.2022
- Care of the pediatric chronically ill patient in the home setting.
Registered Nurse
Family Healthcare, Inc
Springfield, MO
06.2020 - 04.2021
- Care of inpatient and outpatient substance use clients
- Facilitate and schedule inpatient and outpatient appointments with providers for medication assisted treatment
- Use Microsoft office programs for presentations, tracking/logging information, creating documents and video conferencing
- Collaborate with counselors and coworkers to provide the best care and set clients up for successfully recovering from addiction
- Education of inpatient and outpatient clients via Google meet with presentation software
- Many other duties
- Excellent at multi tasking.
Assistant Director of Nursing
Springfield Skilled Care Center and the Lodges
Springfield, MO
01.2020 - 04.2020
- Scheduling of employees(50+),
- discipline of employees, payroll duties (watching hours, inputting missed time, etc.)
- Hiring and termination of employees, filling in for employees when unable to fill shifts
- chart audits, narcotic audits,
- Performed rounds to observe care and interview staff, residents and families.
- Collaborated with staff, management and external groups to coordinate patient care.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Developed positive employee relations, incentives and recognition programs to promote teamwork and mutual respect.
- Participated in daily management team meetings to discuss resident status, census changes and resident complaints or concerns.
- Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections.
- Evaluated work performance of 50+ nursing personnel to determine wage increases and implement discipline.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Identified department issues to recommend corrective actions.
- Communicated with patients, ensuring that medical information was kept private.
- Direct day-to-day administrative and operational functions for 120-bed facility, providing guidance and leadership to over 50 employees
Assistant Director of Nursing
Ozark mountain Regional Healthcare
, MO
12.2019 - 01.2020
- Management duties including infection prevention, inservice, tracking, QA/PI, etc.
Assistant Director of Nursing/Weekend Supervisor
Springfield Skilled Care and The Lodges
07.2018 - 11.2019
- Performed rounds to observe care and interview staff, residents and families.
- Collaborated with staff, management and external groups to coordinate patient care.
- Planned and assigned workload to 50+-person nursing staff to direct patient care.
- discipline of employees,
- payroll duties (watching hours, inputting missed time, etc.),
- Hiring and termination of employees
- filling in for employees when unable to fill shifts
- chart audits, narcotic audits,
- Weekend supervisor-most duties as stated above
- No payroll or hiring/termination duties
- Weekend supervisor-most duties as stated above
Registered Nurse
Intrepid USA
Mount Vernon, MO
11.2017 - 07.2018
- Care and management of clients in the home setting
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Collected blood, tissue and other laboratory specimens and prepared for lab testing.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
Registered Nurse
Access Home Health
Monett, MO
03.2017 - 11.2017
- Care and management of clients in the home setting
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Collected blood, tissue and other laboratory specimens and prepared for lab testing.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
RN Pediatric Private
Phoenix Home Care And Hospice
05.2014 - 03.2017
- 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.
- Implemented medication and IV administration, catheter insertion and airway management.
- Administered medications via oral, IV and intramuscular injections and monitored responses.
- Managed care from admission to discharge.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Collected blood, tissue and other laboratory specimens and prepared for lab testing.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Monitored patient reactions to drugs and carefully documented findings.
Lacoba Homes
Monett, MO
01.2013 - 05.2014
- Care and management of Geriatric Clients,
- Management of Staffing
Assistant Director of Nursing
Benchmark Healthcare, LLC
10.2012 - 12.2012
- Assisting the Director of Nursing with staffing, scheduling, Projects, working the Floor, ETC.
Registered Nurse (Charge Nurse)
The Ozarks Methodist Manor
05.2010 - 10.2012
- Care and management of Geriatric Clients
RN Pediatric Private Duty
Maxim Healthcare
08.2009 - 05.2010
- Care and management of pediatric clients
Nursing Supervisor
Quality Care of Preston
07.2009 - 01.2010
- Admission and supervision of Care Directed Services Clients and Staff
Registered Nurse
St. John's Hospital Springfield MO, MO
Springfield, MO
02.2004 - 08.2009
- Care of Hospitalized and Emergency clients in the Hospital setting
Registered Nurse
Citizen's Memorial Hospital Bolivar MO
Bolivar, MO
12.2002 - 02.2004
- Care of hospitalized clients from Birth to geriatric
Education
Master of Science - Nursing Education
Chamberlain University
Downers Grove, ILBSN-MSN -
L Cox College of Nursing And Health Science
05.2025
Bachelor of Science - Nursing in Nursing
Chamberlain University
12.2020
Associate of Science -
Cox College of Nursing
12.2002
Skills
- Leadership Experience
- Employee Orientation
- Nurse Management
- Infection Control Training
- EMR Systems
- Medication Administration
- Hospital Experience
- Vital Signs
- Home Care
- Laboratory Experience
- Typing
- Microsoft Office
- Documentation review
- Physiology knowledge
- Communication skills
- Computer literacy
- Medical records
- Certifications and Licenses
- BLS for Healthcare Providers
- Compact State Nurse License
- Assessments
- Nursing Skills:
- Clinical Judgment — Expert
- October 2019
- Assessing patient's condition and implementing appropriate medical intervention
- Electronic Medical Records: Best Practices — Proficient
- Knowledge of EHR data, associated privacy regulations, and best practices for EHR use
- Persuading reluctant customers to buy products or services, and influencing and negotiating with
- Data Entry: Accuracy — Proficient
- Entering data quickly and accurately
- Understanding the procedures and forms used for medical billing
- Home Health Aide Skills — Proficient
- Medical terminology — Expert
- December 2020
- Understanding and using medical terminology
- Data entry: Attention to detail — Familiar
- Maintaining data integrity by detecting errors
- Lymphedema Therapist-Norton school of Lymphatic Therapy
- Extensive Computer Skills
- Currently Enrolled in RN to BSN to MSN program for Nursing Education
- Infection Control Measures
- Intravenous Injections
- Medical Recordkeeping
- Patient Examination
- Clear Patient Communication
- Immunizations and Vaccinations
- Clinical Leadership and Supervision
- Patient Care Assessment
- Charting and Documentation
- PICC Lines
- Treatment Preparation
- Patient Education
- Medication Side Effect Knowledge
- Intakes and Discharges
- Preventive Healthcare
- Monitoring Vital Signs
- Patient Ventilation
- Medical Supply Management
- Nursing Consultation
- Accurate Documentation
- Compassionate and Caring
- Blood Draw and Sample Collection
- PointClickCare EMR
- Patient Condition Monitoring
- Prioritizing Patients
- First Aid
- Diagnostic Test Ordering
- Unit Oversight
- Daily Audits
- Treatment Recommendations
- Patient Intervention
- Delegation and Motivation
- Prescription Drug Recommendations
- Community Healthcare Programming
- Treatment Plan Modification
- Needs Assessment
- Healthcare Personnel Supervision
- Student Precepting
Accomplishments
- Used Microsoft Excel to develop laboratory tracking spreadsheets.
- Supervised team of 50+ staff members.
Certification
AED Certification
CPR Certification
Certified Lymphedema Therapist
Norton Certified in Manual Lymphatic Drainage, Compression bandaging and compression garments
Timeline
RN Staff Nurse
Perimeter Behavioral of Springfield
07.2022 - Current
Registered Nurse
Fassnight Medical Solutions
12.2021 - 05.2022
Staff Nurse
Phoenix Home Care and Hospice
09.2021 - Current
Pediatric Private Duty Nurse
Maxim Healthcare Group
04.2021 - 02.2022
Registered Nurse
Family Healthcare, Inc
06.2020 - 04.2021
Assistant Director of Nursing
Springfield Skilled Care Center and the Lodges
01.2020 - 04.2020
Assistant Director of Nursing
Ozark mountain Regional Healthcare
12.2019 - 01.2020
Assistant Director of Nursing/Weekend Supervisor
Springfield Skilled Care and The Lodges
07.2018 - 11.2019
Registered Nurse
Intrepid USA
11.2017 - 07.2018
Registered Nurse
Access Home Health
03.2017 - 11.2017
RN Pediatric Private
Phoenix Home Care And Hospice
05.2014 - 03.2017
Lacoba Homes
01.2013 - 05.2014
Assistant Director of Nursing
Benchmark Healthcare, LLC
10.2012 - 12.2012
Registered Nurse (Charge Nurse)
The Ozarks Methodist Manor
05.2010 - 10.2012
RN Pediatric Private Duty
Maxim Healthcare
08.2009 - 05.2010
Nursing Supervisor
Quality Care of Preston
07.2009 - 01.2010
Registered Nurse
St. John's Hospital Springfield MO, MO
02.2004 - 08.2009
Registered Nurse
Citizen's Memorial Hospital Bolivar MO
12.2002 - 02.2004
Master of Science - Nursing Education
Chamberlain University
BSN-MSN -
L Cox College of Nursing And Health Science
Bachelor of Science - Nursing in Nursing
Chamberlain University
Associate of Science -
Cox College of Nursing