Michelle M. Johnson

• Provided critical care to pediatric patients in high-acuity environments.
• Collaborated with physicians, therapists, and parents to develop and implement patient care plans.
• Conducted thorough handoff reports during shift changes to ensure seamless continuity of care for patients.
• Enhanced patient outcomes by skillfully assessing, diagnosing, and treating medically fragile pediatric patients.
• Maintained accurate medical records, updated electronic health records, and reported changes in the child’s condition
• Used and maintained pediatric medical devices such as Kangaroo and Infinity feeding pumps, Rifton standers, Crocodile R82 gait trainer/walkers, ventilators, infusion pumps, and oxygen systems
• Administered medications, including specialized pediatric dosing; monitored vital signs; performed wound care; and assisted with daily living activities

Duties: Performed direct nursing care functions as ordered/prescribed and in compliance with applicable policies, Florida Statutes, and scope of practice. Provided health and safety monitoring of all residents by performing thorough, documented nursing assessments upon complaints, referrals, or signs and symptoms of adverse medical or psychiatric conditions. Notified and referred to medical or psychiatric provider and documented actions. Ensured all physician-ordered treatments were carried out as prescribed (BP, Pulse, Respirations, Temperatures, I & O, Phlebotomy, Wound Care, Radiological Exams Preparation, Application of Salves/Bandages, UAs, EKGs, etc.). Served as charge person in management for medical/psychiatric emergencies (i.e., Oxygen, Suction, CPR, Splints, Documentation of event, etc.) pending the arrival of the attending physician or EMS for transport out of the facility. Prepared and documented administration and /or refusals of medications according to applicable policies, scope of practice, and best practices. Performed quality control protocols on medications received from pharmacy against physician orders to ensure accuracy, stamped with medication stamp and completed other required information as appropriate. Timely and accurately completed documentation within the electronic Medication Administration Records (MARs). Assumed accountability and security of controlled substances from licensed nurse being relieved and transferred accountability to the relieving licensed nurse by confirming count and security of all controlled substances before leaving the facility. Participated in appropriate audit/survey processes. Ensures/gives/receives reports of incidents, illness, and other relevant data pertaining to resident care with appropriate documentation, at the beginning and end of shift to ensure continuity of resident care. Direct observation of each new admission to gather baseline data for completion of Nursing Assessment on admission and annually; Completed Monitoring of Side Effects Scale (MOSES) on admission. Initiated flow sheets to identify conditions that may require treatment or follow-up (i.e., BP, Meal Intake, Voiding, etc.).

Assisted physicians during resident examinations, documented findings in patient charts, and communicated orders for diet, laboratory, x-ray studies, and other medical treatments to ensure coordinated care. Developed, implemented, and/or monitored assigned residents’ treatment and overall well-being. Ensured monthly documentation of care given with notation of progress/lack of progress as well as response to all prescribed treatments. Ensured emergency medical carts “Crash Carts” were checked per policy and restocked as required to ensure that all necessary items are present and in good working condition. Completed mandatory training sessions to enhance nursing skills and knowledge. Maintained MANDT certification to effectively manage crises and ensure patient safety, as required. Facilitated therapeutic communication and crisis intervention, redirecting negative behaviors to help patients regain coping abilities and prevent further disability. Taught patients how to improve lifestyle choices, dramatically reducing the chance of symptom recurrence. Quickly responded to situations impacting safety and security on the unit, implementing crisis prevention interventions to control and de-escalate situations.

Administered comprehensive patient assessments to develop individualized care plans.

Collaborated with interdisciplinary teams to optimize patient outcomes and enhance treatment protocols.

Educated patients and families on health management strategies and disease prevention techniques.

Duties: Skilled nursing care in Day Health Center environment and during transport to and from facility. Delivered nursing services as part of multidisciplinary team, enhancing care for medically fragile children. Pediatric Private Duty home nursing services to children ages birth to 8 years old in a developmentally appropriate center-based setting. Followed physician orders for plan of care and provided documentation of care delivered. Administered prescribed medication, treatments, tracheostomy care, suctioning, oxygen therapy, gastrostomy tube/MIC-Key button feeding and care, skin assessments and treatments, and other therapeutic interventions. Monitored adherence to safety measures and ensured adequate food, nutrition intake, and output for optimal pupil health. Documented and tracked each assigned pupil’s academic, social, emotional, nutritional, and physical day and shared with parents/caregivers at the end of each day and intermittently during the day if a health or safety issue were to arise.

Administered medications and treatments as prescribed by healthcare providers.

Monitored patient vital signs and responded to changes in condition promptly.

Collaborated with interdisciplinary teams to develop comprehensive care plans.

• Duties: Made the initial and|or comprehensive nursing evaluation visit, determined primary focus of care, developed the plan of care within State specific guidelines, and submitted accurate, complete, and timely documentation, per policy. Regularly evaluated and re-evaluated the patients’ nursing needs as warranted by changes or improvements in conditions (within a 60 day certification period). Performed patient comprehensive assessments at designated time points and develops the appropriate POC, in collaboration with physician orders. Verified patients' home health eligibility and medical necessity guidelines defined by payer source. Initiated, developed, implemented and made necessary revisions to the plan of care in collaboration with the physician and other health care professionals involved in care.Made referrals to other disciplines, as indicated by patient's assessed need. Clarified OASIS assessments for outcome coordinator|coder and Patient Care Manager on same day requests for additional information were received to maintain compliance and quality care. Plotted patient encounters/visits for the episode and determines needed RN encounters based on patient's needs and regulations. Instructed and supervised the patient's family|caregiver in the care of the patient and maintenance of a healthy environment for the patient. Actively participated in weekly case conferences. Maintained a current and accurate patient medication profile. After start of care (SOC) assessment, reports the status of the patient, assessed needs, and plan of care overview to the team leader on same day (or by next business day if after hours). Observed, recorded and reported to the physician and/or team leader the patient's signs and symptoms, response to treatment and changes in the patient's condition, as appropriate. Ensured adequate Team Leader (TL) communication when physician follow-up is needed. Communicated changes in visit assignments, dates of scheduled visits, and schedule changes to scheduler and Patient Care Manger to ensure patient needs were met. Communicated timely and effectively with agency personnel and ordering physician as required to process orders and OASIS data sets, schedule home visits, and deliver services to patient as ordered by physician. Participated in on-call rotation. Assisted in the orientation of new agency personnel as assigned. Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed. Negotiated with suppliers and vendors to procure medical equipment, supplies and services. (with specialty in Pleu-evac, IV/infusion therapy, and wound therapy). Examined patients and documented history of current and previous conditions, illnesses, injuries and current medications. Engaged patients and families in planning process, providing detailed instructions and addressing concerns to enhance understanding and adherence to care plans.
• Coordinated comprehensive care plans for diverse patient populations, ensuring individualized support and timely interventions.
• Collaborated with interdisciplinary teams to optimize patient outcomes and enhance service delivery.
• Conducted thorough assessments to identify patient needs, facilitating appropriate resource allocation and referrals.

• Duties: Provided admission, case management, and follow-up skilled nursing visits for home health patients. Managed quality care for patients with varied acute and chronic conditions (including, but not limited to heart failure, ESRD, CAD, and pulmonary hypertension). Administered on-going care and case management for each patient, provided necessary follow-up as directed by the Clinical Manager.Collaborated with physician to develop initial treatment plan based on orders and patient assessment. Provided hands-on care, management and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision. Revised plan in consultation with physician based on ongoing assessments. Coordinated care among healthcare personnel, including physical therapists, occupational therapists, home health aides, and external providers. Reported patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis. Executed patient care plan alongside patient and family to ensure optimal resolution of needs and concerns. Coordinated with and supervised the work of Home Health Aides, Certified Home Health Aides and Personal Care Workers and provided written personal care instructions/care plan that reflect current plan of care. Discharged patients after consulting with the physician and Clinical Manager, preparing and completing needed clinical documentation. Prepared appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes. Prepared visit/shift reports, updated/summarized patient records, and conferred with other health care disciplines in providing optimum patient care.
• Coordinated patient care plans with interdisciplinary teams to enhance health outcomes.
• Evaluated patient needs through comprehensive assessments and developed tailored interventions.
• Monitored patient progress, ensuring adherence to care protocols and adjusting plans as necessary.

Duties: Provided private duty care and treatments for chronic and acute illnesses and disabilities for pediatric patients, including skilled nursing for children requiring tracheostomy and ventilator management, enteral care and management, ensuring high-quality support throughout their care. Accurately documented all elements of nursing care and assessments, including treatments, medications IVs administered, discharge instructions and follow-up care. Managed comprehensive care for patients with various diagnoses, facilitating treatment from initiation through completion to promote recovery and well-being. Changed out tracheostomies, gastrostomy buttons and catheters regularly to prevent infection or other problems. Educated patients, families and caregivers on diagnosis, prognosis, treatment options, disease management, and lifestyle changes to enhance understanding and compliance.

Administered medications and treatments following established protocols for pediatric patients.

Collaborated with multidisciplinary teams to develop comprehensive care plans tailored to individual needs.

Monitored vital signs and health status, ensuring timely intervention for changes in condition.

• Administered medications and treatments according to prescriptions, ensuring patient safety and compliance with healthcare regulations.
• Monitored vital signs and reported changes in patient conditions to nursing staff for timely interventions.
• Assisted in developing individualized care plans based on patient assessments and healthcare goals.
• Collaborated with interdisciplinary teams to enhance patient care and streamline operational processes.
• Educated patients and families on health management strategies and medication adherence for improved outcomes.
• Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.
• Mentored new nursing staff to enhance professional development opportunities within the team dynamic.

Duties: Provided care for patients in a pediatric and family care setting. Triaged and assessed all walk-in patients and determined the clinical priority for treatment. Telephone/triage for all incoming or scheduled patients to determine severity of symptoms, illnesses, or injuries. Nursing visits for family planning, monthly injections. Performed and documented part of the physical assessment including, but not limited to, chief complaint and vital signs. Obtained and recorded patient medical history; reviewed current medications and updated lists to keep records current; reviewed laboratory and other test results. Performed nursing care and treatment modalities appropriate for individual patients. Assisted with procedures, performed EKGs, treadmill stress testing, removed sutures, cleaned wounds and applied dressings, and unna boots. Assessed patient education needs and planned educational sessions. Evaluated patient comprehension and compliance with care plans, ensuring understanding of treatment protocols. Collected lab specimens & ordered testing. Called patients to explain laboratory and test results under the direction of the physician. Administered medications (including oral, IV, injections, topicals, and vaccines). Maintained logs of laboratory work, X-rays and other tests and monitored receipt of results to ensure continuity of care. Prepared patients, exam rooms and medical records for scheduled and non-scheduled patients. Assisted with PAP smears. Instructed patients on lifestyle modifications to significantly decrease risk of symptom recurrence. Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.

Administered medications and treatments according to physician orders and established protocols.

Monitored patient vital signs and documented changes in conditions to ensure optimal care.

Developed individualized care plans in collaboration with multidisciplinary healthcare teams.

• Collaborated with interdisciplinary healthcare teams to ensure continuous quality improvement in patient care delivery.
• Provided direct patient care, ensuring comfort and safety in home environments.
• Assisted with admissions, appointments, transfers, and discharges.
• Obtained patient vital signs and input/output measurements from inpatients.
• Adapted quickly to changing patient needs, adjusting care plans accordingly to ensure optimal outcomes in diverse clinical scenarios.
• Answered incoming phone calls from patients to provide basic assistance and triage medical concerns.

• Duties: Supervised 2-3 registered nurses, a nurse technician/EMT, and a unit secretary as charge nurse, ensuring effective team collaboration and patient care in an 8-bed pediatrics intensive care unit. Evaluated staff requirements and coordinated care for an 8-bed pediatrics intensive care unit. Admitted and transferred patients, implemented total patient care to up to 1-3 high acuity patients per shift; recorded client histories and made preliminary observations of clients’ condition; noted and documented subtle changes and irregularities related to patients’ condition; efficiently performed skills in medical/surgical, neonatal, orthopedic, neurology, cardiology, and oncology nursing; organized patient care and treatments using computerized kardexes, medications records and patient care standards. Systematically assessed patients based on signs/symptoms, subjective/objective data, and monitoring/diagnostic data. Prepared patients for medical treatment and surgical procedures; assisted nurse practitioners, intensivist, and neonatologist with various procedures. Educated clients and family members on self/home care, CPR, and equipment use while precepting new staff to enhance team knowledge and patient support. Communicated patient care details and significant issues to oncoming shifts, collaborating with nurse managers, nursing supervisors, physicians, and ancillary staff to ensure seamless continuity of care. Attended in-services, workshops, participated in staff meetings to enhance nursing skills; attained CEUs to promote proficient patient care and to continue professional growth.
• Administered medications and monitored vital signs for critically ill pediatric patients.
• Collaborated with interdisciplinary teams to develop and implement patient care plans.
• Conducted thorough assessments to identify patient needs and adjust care strategies accordingly.

• Implemented infection control protocols effectively, contributing to enhanced patient safety within the facility.
• Led quality improvement initiatives, identifying opportunities for enhancing patient care workflows and efficiencies.
• Dressed wounds for patients in a clinical setting, provided treatments, and assisted with procedures.
• Documented accurate and complete patient information to address patient problems and expected outcomes.
• Performed routine evaluations of each patient's status, needs, and preferences.
• Educated patients and families on health promotion, disease prevention, and self-care management strategies.
• Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
• Maintained meticulous records of patient care, treatments, and progress, ensuring continuity of care.
• Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.

• Provided comprehensive patient assessments to determine individualized care plans.
• Implemented evidence-based nursing practices to improve clinical protocols and workflows.
• Collaborated with multidisciplinary teams to enhance patient outcomes and treatment efficacy.
• Mentored junior nursing staff on best practices and professional development opportunities.