Michelle Schlueter
Jacksonville,FL
Summary
Compassionate RN with extensive experience at HCA-Orange Park Medical Center, skilled in critical care and patient assessment. Proven ability to enhance patient outcomes through effective communication and advanced clinical judgment. Committed to fostering a supportive environment while implementing evidence-based practices to ensure optimal recovery and satisfaction.
Overview
27
27
years of professional experience
1
1
Certification
Work History
RN/Clinical Scribe
Whatever It Takes Medical
07.2024 - Current
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Provided emotional support to patients during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Scribe for the Physician after patient visits.
- Streamlined documentation processes to ensure accurate record-keeping and compliance with regulatory standards.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Improved patient care by accurately documenting medical histories and examination findings.
- Ensured accuracy in billing processes, diligently verifying insurance coverage, and obtaining necessary authorizations for procedures.
- Maintained a high standard of professionalism, consistently exhibiting excellent organizational skills and attention to detail in all aspects of the role.
- Facilitated timely treatment plans by promptly transcribing doctors'' orders for medication prescriptions and referrals.
- Streamlined appointment processes by efficiently scheduling and managing patient appointments.
- Maintained patient confidentiality through diligent adherence to HIPAA regulations while handling sensitive information.
- Documented complete information about examinations, treatment plans, lab results, and other details directly into charts.
- Used [Software] to input information into computerized patient record system.
- Gathered patient charts to prepare for upcoming appointments and maintain organization.
- Transcribed sensitive documents with complete confidentiality.
- Verified medical terminology and codes to deliver accurate and up-to-date information.
- Reviewed and edited transcripts to verify and provide accurate and complete information.
- Produced and delivered transcripts within anticipated timeframes to meet tight deadlines.
- Collaborated with team members to share knowledge and keep workflow moving smoothly.
- Managed electronic files and archives to keep transcripts organized and accessible.
- Utilized templates and macros to streamline transcription processes.
- Attended continuing education workshops to maintain professional standards and stay up-to-date with new developments.
CVICU/TRAUMA/MSICU RN
HCA-Orange Park Medical Center
04.2015 - 12.2024
- Administered medications accurately and safely, reducing medication errors and adverse reactions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
- Served as a liaison between physicians and patients'' families to facilitate clear communication regarding treatment options and progress updates.
- Mentored new nursing staff, contributing to a supportive work environment and improved retention rates.
- Assessed patient conditions promptly upon admission to determine appropriate interventions and prioritize care needs.
- 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.
- Monitored patient reactions to drugs and carefully documented findings.
- Managed complex cases of critically ill patients, ensuring optimal treatment plans were executed effectively.
- Utilized advanced clinical skills such as wound care management or IV therapy administration, leading to faster recovery times for patients treated under my supervision.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Educated family members and caregivers on patient care instructions.
- Managed patients recovering from medical or surgical procedures.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
- Provided emotional support to patients during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing.
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Evaluated patient histories, complaints, and current symptoms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Recorded details regarding therapies to keep patient charts updated.
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
RN/Scribe
Vigilant Health
05.2018 - 07.2024
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
- Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
- Managed patient caseloads effectively, ensuring timely interventions and thorough follow-ups to mitigate potential complications.
- Devised individualized care plans tailored to each patient''s unique situation, optimizing clinical outcomes.
- Streamlined documentation processes to ensure accurate record-keeping and compliance with regulatory standards.
- Evaluated patient histories, complaints, and current symptoms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Recorded details regarding therapies to keep patient charts updated.
- Streamlined physician workflow by transcribing medical information in real-time during patient consultations.
- Enhanced patient care by accurately documenting medical histories, physical examinations, and procedures.
- Assisted in the training of new scribes, sharing best practices for efficient documentation and communication with medical staff.
- Increased physician productivity by handling administrative tasks such as scheduling appointments and managing patient inquiries.
- Documented complete information about examinations, treatment plans, lab results, and other details directly into charts.
- Developed strong working relationships with physicians, nurses, and other healthcare professionals through effective communication skills.
- Expedited patient care decisions by promptly providing physicians with relevant clinical data from previous encounters or test results.
- Improved patient follow-up and treatment plans by ensuring accurate and timely documentation of diagnoses and prescriptions.
- Selected appropriate ICD-10 and CPT codes for records.
- Contributed to a collaborative work environment by acting as a liaison between physicians, nursing staff, and ancillary personnel.
- Gained valuable exposure to various specialties within medicine through diverse scribe assignments across different departments.
- Collaborated with physicians to review and edit medical documents for accuracy and compliance with industry standards.
- Followed specific guidelines and style rules to meet clients' requirements and maintain consistency.
- Returned printed and electronic form dictated reports for physician's review, signature, and corrections.
- Maintained database of transcribed documents for easy access and retrieval.
- Stayed organized and kept detailed records to accurately track progress and client information.
- Reviewed completed reports for proper formatting, grammar, and sentence structure.
- Strived to deliver transcribed documents to appropriate personnel on time to increase chances of future collaboration.
- Developed and implemented strategies to improve transcription efficiency.
- Verified accuracy of transcribed material prior to finalization.
- Stayed current with industry terminology to provide accurate transcription services.
- Trained new transcriptionists to improve skills in use of transcription equipment.
- Reviewed and edited transcribed reports and corrected material for spelling, grammar, and clarity.
- Communicated with healthcare providers to clarify information and resolve issues.
- Maintained accurate and complete medical records to comply with regulations and standards.
- Transcribed sensitive documents with complete confidentiality.
- Verified medical terminology and codes to deliver accurate and up-to-date information.
- Attended continuing education workshops to maintain professional standards and stay up-to-date with new developments.
- Utilized templates and macros to streamline transcription processes.
- Produced and delivered transcripts within anticipated timeframes to meet tight deadlines.
- Reviewed and edited transcripts to verify and provide accurate and complete information.
- Managed electronic files and archives to keep transcripts organized and accessible.
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
RN CVICU/MSICU/Charge Nurse
HCA-Memorial Medical Center
05.2002 - 04.2015
- Proactively identified potential patient safety risks, taking corrective actions to prevent harm or injury.
- Served as a liaison between patients, families, and healthcare providers to facilitate clear communication and coordination of care plans.
- Provided compassionate and empathetic support to patients and their families during difficult situations.
- Maintained accurate and detailed records of patient assessments, treatments, and progress notes for seamless continuity of care.
- Assisted physicians during medical procedures, ensuring accurate delivery of care as prescribed by the healthcare provider.
- Implemented effective time-management strategies to optimize productivity while maintaining high-quality patient care standards.
- Managed complex wound care cases using advanced skills in assessment, dressing application, and infection control measures.
- Mentored new nursing staff, contributing to a more cohesive and efficient team environment.
- Conducted thorough patient assessments upon admission to determine appropriate level of care required based on individual needs.
- Collaborated with interdisciplinary team members to develop comprehensive patient care plans, improving patient outcomes.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Participated in hospital committees to recommend quality improvement initiatives.
- Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Monitored patient reactions after administering medications and IV therapies.
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
- Conducted daily shift briefs to inform staff of changes in patient care assignments.
- Served as a liaison between nursing staff, physicians, and management, fostering open communication channels among all parties involved in patient care.
- Supervised and managed daily scheduling, tasking, and administration.
- Managed staffing schedules, ensuring adequate coverage while minimizing overtime expenses.
- Contributed significantly towards Joint Commission accreditation compliance through regular audits, staff education and process improvement recommendations.
- Facilitated ongoing education for nursing staff through in-service training sessions and workshops on relevant topics.
- Maintained high standards of patient care during high-volume shifts, managing patient assignments to optimize nurse workload.
- Conducted regular audits of nursing practices, identifying areas for improvement and implementing corrective actions.
- Educated family members and caregivers on patient care instructions.
- Managed patients recovering from medical or surgical procedures.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
RN Step-down ICU/MSICU/Charge Nurse
St Charles Hospital
05.1998 - 03.2002
- Participated in professional development opportunities regularly to stay current on best practices in the field of nursing.
- Implemented infection control measures within the unit, maintaining a safe environment for both patients and staff members.
- Administered medications and treatments as prescribed by physicians.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Promoted a safe working environment by adhering to infection control policies and regularly reviewing safety protocols.
- Collaborated with other healthcare professionals to provide quality patient care.
- Maintained accurate documentation of patient information, enabling informed decision-making among the healthcare team members.
- Oversaw administration of medication, ensuring adherence to strict safety protocols, thereby maintaining patient safety.
- Streamlined shift handovers, ensuring seamless continuity of care and minimizing information gaps.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Monitored patient reactions after administering medications and IV therapies.
- Educated family members and caregivers on patient care instructions.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Contributed significantly towards Joint Commission accreditation compliance through regular audits, staff education and process improvement recommendations.
Education
Bachelor of Science - Nursing
Ohio University
Athens04-2016
Nursing
Owens Community College
Perrysburg, OH05-1998
Skills
- Basic life support
- Clinical judgment
- Compassion and empathy
- Discharge planning
- Geriatric care
- Medication and IV administration
- Direct patient care
- Patient assessment
- Medication administration
- Strong clinical judgment
- Patient monitoring
- Precepting
- Patient care
- Physical assessments
- Staff supervision
- Nursing staff leadership
- Infection control measures
- Professional bedside manner
- EMR / EHR
- Cardiac care
- Intravenous therapy
- Advanced cardiac life support (ACLS) certification
- Telemetry monitoring
- Tracheostomy care
- Critical care
- Performing EKG's
- Patient discharge
- IV setup
- Lab result interpretation
- Proper catheter insertion/removal
- Procedure preparations
- Medication distribution
- Oxygen saturation standards
- Medical records management
Certification
BLS
ACLS
Nursing Excellence 2000
Nursing Excellence award in 2000
Timeline
RN/Clinical Scribe
Whatever It Takes Medical
07.2024 - Current
RN/Scribe
Vigilant Health
05.2018 - 07.2024
CVICU/TRAUMA/MSICU RN
HCA-Orange Park Medical Center
04.2015 - 12.2024
RN CVICU/MSICU/Charge Nurse
HCA-Memorial Medical Center
05.2002 - 04.2015
RN Step-down ICU/MSICU/Charge Nurse
St Charles Hospital
05.1998 - 03.2002
Bachelor of Science - Nursing
Ohio University
Nursing
Owens Community College