Microsoft Teams and Outlook
Michele Murtha
Tallahassee,Florida
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.
Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
34
34
years of professional experience
Work History
Registered Nurse-Care Manager
Panoramic Health
07.2023 - Current
- Conducted remote and in person comprehensive assessments of patients' physical, emotional, social, and environmental needs to form personalized transitional care and hospital prevention plan to prevent hospitalizations and slow progression of chronic kidney disease.
- Performed home visits and provided education to patients within 24 to 48 hours after placement of vascular or PD access.
- Performed home visit or in office visit to conduct Kidney Disease Education related to renal replacement therapies.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Reduced hospital readmissions through effective coordination of care, communication with patients, and proactive followup.
- Facilitated patient education on disease management, medication adherence, and lifestyle modifications to promote optimal health.
- Identified gaps in care for at-risk populations, leading to development of targeted interventions to improve health outcomes.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Evaluated patient progress regularly, adjusting care plans as needed to ensure continued improvement.
- Strengthened continuity of care by collaborating with external agencies such as home health services or rehabilitation centers.
- Coordinated seamless transitions between healthcare settings by maintaining clear communication with patients, families, and providers.
- Educated patient and caregiver on treatment options, diagnosis information and home care techniques to continue care consistency.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms and with teach back.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Established trusting relationships with patients and families through empathetic listening and consistent follow-through on commitments made during the care planning process.
- Eased the burden on family caregivers by providing practical support such as resource referrals to dieticians, social workers and local or national community programs.
- Enhanced patient satisfaction by providing compassionate and personalized nursing care throughout their healthcare journey.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Implemented quality improvement initiatives which streamlined care management processes that resulted in measurable improvements in patient outcomes and overall service delivery.
- Trained new registered nurses and medical assistants in proper work flow documentation, care standards, operational procedures, and safety protocols.
- Chosen by Panoramic Health leadership and presented successful hospital prevention case studies to Panoramic Health peers during biweekly company wide meetings.
- Stayed informed about relevant industry trends and new treatment options by attending regular continuing education courses.
Clinical Nurse Coordinator/Manager
DaVita Healthcare, INC
06.2016 - 06.2023
- Managed and directly cared for 120 hemodialysis patients with Acute Kidney Injury & End Stage Renal Disease receiving outpatient hemodialysis treatments.
- Supervised 6-12 teammates involved in performing the hemodialysis procedure.
- Triaged changes in patient status before, during and after the hemodialysis procedure and notified physician for orders and/or activate EMS.
- Communicated with the Nephrologist to initiate and process patient referrals to vascular and specialty physicians as indicated by patient assessment.
- Rounded weekly with the Nephrologist during which patient plan of care is reviewed and adjusted per physician orders and then processed those orders.
- Managed both patient and staff schedules.
- Prepared and performed the hemodialysis procedure
- Prepared and led daily, weekly and monthly teammate meetings and continuing education.
- Monitored and performed quality water testing and mixed bicarbonate and acid solutions per policy and procedure and in accordance with AAMI guidelines for safe water treatment in the outpatient hemodialysis facilities.
- Mentored and supervised nursing staff, fostering professional growth and development.
- Promoted a safe and supportive environment by adhering to infection control policies and procedures.
- Participated in continuing education opportunities to stay current on industry advancements while sharing knowledge with colleagues.
- Provided comprehensive patient education on disease management, medication administration, and self-care techniques.
- Contributed to quality improvement initiatives through data collection, analysis, and implementation of best practices.
- Demonstrated commitment to ethical decision-making in all aspects of clinical practice, prioritizing patient safety and wellbeing.
- Reduced hospital readmissions through effective case management, including identifying high-risk patients for targeted interventions.
Telephone Triage Registered Nurse
Big Bend Hospice
09.2014 - 05.2016
- Managed approximately 15-20 incoming calls during after-hours hospice setting, providing skilled nursing assessment and teaching.
- Communicated verbally and electronically with physicians and pharmacies to provide hospice patients comfort care needed in times of crisis.
- Managed high-stress situations calmly, providing reassurance to distressed callers while gathering necessary triage information for accurate decision making.
- Obtained case history and gathered triage information to determine appropriate avenue for care.
- Counseled patients via telephone according to established guidelines and protocols, advising on provider-established plans of care and orders and documenting properly within patients EMR.
- Relayed triage information and facilitated communication between provider, field registered nurse and patient concerning patient disposition.
- Dispatched on call hospice registered nurses to conduct immediate home visits on patients in distress, transitioning to the dying process or had passed away.
- Accessed Allscripts EMR to document communication with the hospice patients & families, providers and patients' team members.
- Streamlined workflow processes by utilizing electronic medical record systems proficiently during telephone assessments.
- Ensured compliance with established clinical guidelines during telephonic assessments, promoting best practice standards.
- Supported quality improvement initiatives by maintaining detailed records of telephone encounters and providing feedback on process improvements.
- Increased efficiency in triage call handling through effective communication and active listening skills.
- Fostered a positive work environment within the telephone triage nursing team, promoting open communication and collaboration among colleagues.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Staff/Charge Registered Nurse
Fresenius Medical Care/Alachua Kidney Center
02.1999 - 12.2006
- Provided all aspects of hemodialysis nursing care to 10-19 End Stage Renal Disease patients per shift and supervised 3-5 patient care technicians in performance of their duties in the outpatient hemodialysis clinic setting.
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
- Skillfully performed various clinical procedures such as IV insertion ensuring optimal comfort levels for patients during these processes.
- Enhanced interdisciplinary collaboration through effective communication and teamwork with physicians, therapists, and support staff.
- Increased patient satisfaction scores by delivering compassionate care and advocating for individual needs.
- Performed patient assessments and adjusted care plans accordingly.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Managed medication administration safely and accurately while maintaining meticulous documentation in electronic health records systems.
- Participated in professional development opportunities to stay current on best practices within the nursing field, applying newly acquired knowledge to improve daily practice.
- Promoted a culture of safety within the unit, adhering to strict infection control protocols and reporting potential risks promptly.
- Supported patients through difficult diagnoses by explaining treatment options, risks, and benefits while addressing any concerns or questions.
- Developed strong relationships with patients'' families by providing regular updates on treatment progress supporting decision-making processes surrounding end-of-life care options when needed.
- Participated in quality improvement initiatives, identifying areas for improvement and implementing changes to enhance patient care delivery.
- Monitored nursing care, patient assessment processes, and treatment implementations.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Monitored patient reactions after administering medications and IV therapies.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Staff RN/Telephone Triage Nurse
University of Florida Healthcare Center
04.1997 - 12.1998
- Worked in outpatient family practice/pediatric clinics and managed 25 to 35 inbound calls of patients and patient families via telephonic communication under direction of Family Practice and Pediatric physicians.
- Utilized critical thinking skills to make quick decisions in high-pressure situations, prioritizing patient needs and addressing emergent issues promptly.
- Evaluated patient histories, complaints, and current symptoms.
- Relayed triage information and facilitated communication between provider and patient concerning patient disposition.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
- Implemented appropriate interventions based on assessment findings to maintain or improve patients' health status.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Educated family members and caregivers on patient care instructions.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
Staff Registered Nurse-Progressive Care Unit
Florida Hospital
06.1990 - 12.1991
- Completed a 6 month Florida Hospital Critical Care Nurse Internship Program and received certification in ACLS.
- Utilized my Registered Nurse knowledge and skills on Cardiac Progressive Care Unit administering critical skilled nursing care to 3 to 4 predominantly cardiac and multi system organ failure adult patients.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Consistently maintained accurate documentation of all relevant information related to patient progress, treatments administered and other pertinent data.
- Provided emotional support for patients and families during difficult times, helping them navigate the healthcare system with compassion and understanding.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
- Implemented appropriate interventions based on assessment findings which resulted in improved symptoms management.
- Educated patients on disease prevention and management strategies, empowering them to make informed decisions about their health.
- Collaborated with physicians to develop comprehensive treatment plans tailored to individual patient needs.
- Served as a strong advocate for patients' rights, ensuring that their needs were met in accordance with ethical guidelines and regulatory requirements.
- Contributed to a reduction in hospital-acquired infections through strict adherence to infection control protocols and proper hand hygiene.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Monitored patient reactions after administering medications and IV therapies.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
Education
Bachelor of Science in Nursing -
University of Florida
Gainesville, Florida05.1990
Bachelor of Arts in Philosophy -
Creighton University
Omaha, Nebraska05.1985
Skills
- Compact Licensed Registered Nurse
- Certified in AHA CPR/AED for Healthcare Providers
- EMR/EHR Systems: EPIC, Allscripts, CWOW, Intergy, Citrix
- Telephone Triage
- Chronic Kidney Disease, End Stage Renal Disease and Palliative Care/ Hospice Case Management
- Hemodialysis Machine Set Up & Procedure Preparation, Initiation and Termination
- Blood Draw and Sample Collection
- Lab Result Interpretation
- Expert Cannulator of Vascular Accesses
- Expert in Central Venous Catheter and Vascular Access Care
- Medication and IV Administration Therapy
- Infection Control Measures
- Training staff and Precepting on Incenter Hemodialysis Policy & Procedures and Patient Management
References
References are available on request.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeWork Location
RemoteHybridImportant To Me
Work-life balance4-day work weekFlexible work hoursWork from home optionCompany CultureHealthcare benefitsPaid time offPaid sick leaveSoftware
Microsoft Word & Excel
Microsoft Powerpoint
EPIC EMR/EHR
Davita CWOW
Allscripts
PMD
Powerchart
Interests
Scrapbooking; Walt Disney World Annual Passholder; Fall Football-Go Gators!; Vacationing to Florida Beaches; Vacationing on the highway to places near and far
Timeline
Registered Nurse-Care Manager
Panoramic Health
07.2023 - Current
Clinical Nurse Coordinator/Manager
DaVita Healthcare, INC
06.2016 - 06.2023
Telephone Triage Registered Nurse
Big Bend Hospice
09.2014 - 05.2016
Staff/Charge Registered Nurse
Fresenius Medical Care/Alachua Kidney Center
02.1999 - 12.2006
Staff RN/Telephone Triage Nurse
University of Florida Healthcare Center
04.1997 - 12.1998
Staff Registered Nurse-Progressive Care Unit
Florida Hospital
06.1990 - 12.1991
Bachelor of Science in Nursing -
University of Florida
Bachelor of Arts in Philosophy -
Creighton University
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