Misty Decker
Tallahassee
Summary
Detail-oriented, self-starter nursing professional with vast experience ensuring accuracy, consistency and quality data. Adept at interpreting volumes of data and collaborates with stakeholders to devise successful improvement initiatives. Systematic and organized leader with excellent interpersonal and problem-solving skills ready to make an immediate contribution to your organization.
Overview
19
19
years of professional experience
Work History
Trauma Quality Improvement Advisor
Tallahassee Memorial Healthcare
02.2021 - Current
- Created and implemented Registrar Onboarding Pathway with successful Registrar orientation within 12 weeks
- Moderated Quality Operations meeting and presented trauma quality data
- Responsible for preparing and taking meeting minutes for Quality Peer meeting
- Responsible for primary review of charts identifying data validation issues and performance improvements oppotunitiues
- Responsible for monthly data quality scrub and report running for hospital compliance
- Responsible for developing activities to support the accuracy of data
- Vendor Aggregator utilized to identify errors and create submission file
- Monthly data submission to ACS Data Platform/Florida Trauma Registry
- Responsible for assigning charts for re-abstraction for IRR and reviewed percent of agreement with registrars
- Responsible for moderating Registrar meeting including developing agenda and education topics monthly
- Monthly data scrub, a series of audits/reports are performed to validate data
- Maintained Quality dashboard focusing on ACS and State trauma standards
- Applied knowledge of TQIP Benchmark reports to make insightful observations of deviations and successes.
- Increased Tertiary Survey documentation compliance from 30% to 92%
- Created Practice Management Guideline measures of compliance document
Trauma Registrar RN
Tallahassee Memorial Healthcare
10.2018 - 02.2021
- Identified trauma registry patients based on NTDS inclusion using multiple databases
- Maintained Trauma Registry by using clinical and financial database tools to identify and analyze opportunities for improvement.
- Identified and performed data collection, abstraction, and entry of all trauma patients into Trauma Registry.
- Accurately coded diagnostics, procedures, and E-codes in registry and assigned abbreviated injury scores for all injuries.
- Analyzed all trauma patients records for quality assurance trauma standards recommended by State of Florida, American College of Surgeons and Trauma Quality Improvement Program.
- Ran monthly reports for trauma quality dashboard
PACU RN
Tallahassee Memorial Healthcare
02.2018 - 10.2018
- Monitored and recovered adults and pediatric patients from anesthesia and surgical procedures
- Performed airway assessment and management, cardiac and hemodynamic monitoring, and assessed neurological stability in Phase I recovery
- Identified and managed life threatening postoperative and anesthetic complications under direction of anesthesiologist and surgeon
- Assisted anesthesiologist with preoperative/postoperative peripheral nerve blocks
- Safely administered conscious sedation for pain management procedures under supervision of surgeon.
Preoperative/Postoperative RN
Tallahassee Memorial Healthcare
06.2016 - 02.2018
- Created PowerPoint presentation on safe and efficient preparation of a surgical patient for hospital-wide nursing staff using ASPAN and best practice guidelines
- Served as preceptor for new nurse colleagues and successfully completed Mosby's Preceptor Course
- Conducted admission history interviews on preoperative patients, witnessed informed consent, obtained intravenous access, and carried out physician preoperative orders
- Cared for postoperative patients in Phase II recovery; prepared patient and family for discharge by providing education and discharge instructions, and nurse preceptor
- Managed care up up to five medical/surgical patients.
Perioperative RN
Laredo Laser and Surgery
02.2011 - 05.2016
- Functioned in all roles of perioperative nursing.
- Special interest in preoperative and PACU nursing.
- Functioned as PACU charge nurse.
- Assigned patients to nursing staff based on competencies Participated in orientation of new nursing staff.
- Served as role model and preceptor.
- Monitored surgical centers quality of service by interpreting patient experience surveys and identified opportunities for improvement
- Worked collaboratively with Nurse Administrator to create and implement change strategies
- Abstracted and submitted clinical quality metrics to reporting programs implemented by CMS
- Developed a Fall protocol for Pediatric Surgical patients
Clinical RN
Doctors Hospital of Laredo
12.2009 - 02.2011
- Served as a nurse preceptor to new nursing staff
- Managed care of up to seven medical/surgical patients
- Monitored, recorded, and reported symptoms or changes in patient conditions to physicians using effective communication.
Clinical RN
Champlain Valley Physicians Hospital
06.2005 - 11.2009
- Monitored patients, evaluated results and recommended further courses of treatment to quickly improve patient outcomes.
- Served as a nurse preceptor to new nursing staff
- Managed care of up to five medical/surgical patients
Education
Master of Science - Nursing
Texas A&M
Corpus Christi, TX2017
Bachelor of Science - Nursing
State University of New York
Plattsburgh, NY2009
Associate of Applied Science - Nursing
Clinton Community College
Plattsburgh, NY2006
Skills
- Highly organized, effective time management skills
- Solution driven, exceptional critical thinker and problem solver
- Active facilitator, clear communicator
- Proficient in Microsoft Excel, Word, PowerPoint, Outlook, Zoom, and Teams
- AIS15 Course
- Trauma Registrar Mentorship Course
Timeline
Trauma Quality Improvement Advisor
Tallahassee Memorial Healthcare
02.2021 - Current
Trauma Registrar RN
Tallahassee Memorial Healthcare
10.2018 - 02.2021
PACU RN
Tallahassee Memorial Healthcare
02.2018 - 10.2018
Preoperative/Postoperative RN
Tallahassee Memorial Healthcare
06.2016 - 02.2018
Perioperative RN
Laredo Laser and Surgery
02.2011 - 05.2016
Clinical RN
Doctors Hospital of Laredo
12.2009 - 02.2011
Clinical RN
Champlain Valley Physicians Hospital
06.2005 - 11.2009
Master of Science - Nursing
Texas A&M
Bachelor of Science - Nursing
State University of New York
Associate of Applied Science - Nursing
Clinton Community College
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