Nancy Ann Fisher
Los Angeles,Los Angeles
Summary
With decades of bedside nursing and case management experience in hospice and palliative care, I integrate clinical knowledge into the field. Expertise in pain and symptom management, medical ethics, and facilitating serious illness life care planning conversations with patients, families, and medical providers. Dedicated to providing high-quality, culturally sensitive, and ethical end-of-life care to patients of all ethnicities. Possess a deep understanding of bio-medical ethical issues from various perspectives, including patient, family, medical team, research, organization, and society. Upholding ethical principles to support organizational policies and goals is a priority. Excel in facilitating relational and multidisciplinary collaboration while fostering professional camaraderie. Utilize critical analysis to expedite thoughtful resolutions for patient and organizational satisfaction. Reconcile perceived conflicts in a fair and equitable manner with integrity and respect.
Overview
39
39
years of professional experience
Work History
Per Diem Contracting RN
Affiliated Monitors, Inc.
Boston, MA
01.2022 - Current
- Company Overview: Healthcare Professionals Licensees Division, Boston MA
- Facilitates mandatory California Medical Board office practice site assessments for MD/DO Providers on medical board probation.
- Collaborates closely with AMI health analyst casemanager on outcomes.
Voluntary Participant
Kaiser Permanente Bernard J. Tyson School of Medicine
Pasadena, USA
01.2022 - Current
- Participation in Palliative Medical School, Resident and Fellow MD education utilizing interdisciplinary team simulation training in the setting of compassionate palliative pulmonary extubation.
In-Patient Palliative Care RN
Kaiser Permanente West Los Angeles Medical Center
Los Angeles, USA
01.2007 - 01.2022
- Lead RN WLA In-Patient Palliative Medicine Consultation Service and Palliative Medicine Fellowship
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Skilled at working independently and collaboratively in a team environment.
- Educated patients, families and caregivers on serious illness, diagnosis, and prognosis, treatment options, disease process, and continuing care management.
- Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
- Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
- Mentored new nursing staff, contributing to a supportive work environment.
RN-Hospice Liaison
Kaiser Permanente West Los Angeles and Los Angeles Medical Centers
Los Angeles, USA
01.1999 - 01.2007
- Close collaboration with Hospice Medical Director
- Served as a liaison between departments, fostering open communication channels that improved overall organizational efficacy.
- Educated Physicians, Staff, Case Managers, Patients and Families to Hospice Medicare Benefit, eligibility, and program enrollment process.
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
- Coordinated discharge planning efforts with social workers, case managers, and other multidisciplinary team members for smooth transitions posthospitalization.
RN
Queen of Angels, Hollywood Presbyterian Hospital
Los Angeles, USA
01.1995 - 01.1998
- Collaborated with Hospice Administrator on hospital hospice program start up by serving as Home Hospice Liaison/Educator to MD, Nursing, Medical Center Staff, Patient case managers and after-hours on call.
Staff RN
Century City Hospital
Los Angeles, USA
01.1994 - 01.1995
- Gero-psychiatry
- Utilized critical thinking skills to make quick decisions in high-pressure situations, prioritizing patient needs and addressing emergent issues promptly.
Home Health RN
Saint Agnes Medical Center
Fresno, USA
01.1992 - 01.1993
- On Call Trouble Shooter (Solo position, PM shift)
- Administered medications accurately and safely, reducing medication errors and adverse reactions.
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
RN Psychiatric
Fresno Community Hospital
Fresno, USA
01.1990 - 01.1993
- In-patient locked unit and facilitated group psychotherapeutic process
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
Staff RN Positions
Saint Agnes Medical Center
Fresno, USA
01.1986 - 01.1992
- In telemetry with ACLS, PICU, orthopedics, etc
- Managed time efficiently during busy shifts by multitasking effectively without compromising quality of care.
Education
MA - Bioethics
Loyola Marymount University
01.2010
Certification in Hospice/Palliative Nursing -
01.2003
BS Nursing/PHN -
University of Phoenix
01.2002
Registered Nursing (RN) -
Merced College
01.1986
Psychology and general courses -
Cal State University, Fresno
01.1977
Skills
- Provides patients of all ethnicities high-quality, culturally sensitive, and ethical end-of-life care
- Deep grasp of bio-medical ethical issues from the perspectives of patient, family, medical team, research, organization, and society
- Upholds ethical principles to support organizational policies and goals
- Facilitates relational and multidisciplinary collaboration while empowering professional camaraderie
- Employs critical analysis to expedite thoughtful resolution for patient/ organizational satisfaction
- Reconciles perceived conflicts with integrity and respect
- Employs critical analysis to expedite thoughtful resolution for patient/ organizational satisfaction
- Reconciles perceived conflicts with integrity and respect
Accomplishments
- 01/03, Participated with inter-hospital patient/family recruitment for Kirby Dick's documentary on End of Life entitled 'The End.'
- 01/10, End of Life Nursing Educational Consortium (ELNEC) training Pittsburgh, PA.
- 01/15, Facilitates bi-monthly Bioethics Committee and Inpatient Palliative Medicine overview to nurses for KPWLA new employee orientation.
- 01/19, Emotional Intelligence Overview Inservice to KPWLA Resource Quality Management.
Affiliations
- Member, Hospice and Palliative Care Nurses Association
- Member, American Society for Bioethics and Humanities
- Member, American Holistic Nurses Association
Credentials
- RN
- BSN
- PHN
- MA
Appointments
- 01/08, Accepted seat on WLA Bioethics Committee.
- 01/10, Nurse Co-Chair to WLA Bioethics Committee. Includes policy review, ethics consultation, identification and education with nursing on ethical quality gaps in the ICU. In the process of co-championing, planning, and implementing medical center-wide education on POLST (Physician Orders on Life-Sustaining Treatments). Co-Collaborating in planned Bioethics Retreat. Participates on SCAL Regional Bioethics Committee.
- 01/12, Co-Lead SCAL Regional Advance Care Planning Class Curriculum Revision and Approach.
Awards
Southern California Cancer Pain Initiative (SCCPI) Award of Excellence, 11/08, In Recognition of Contribution to Cancer Pain Relief.
Timeline
Per Diem Contracting RN
Affiliated Monitors, Inc.
01.2022 - Current
Voluntary Participant
Kaiser Permanente Bernard J. Tyson School of Medicine
01.2022 - Current
In-Patient Palliative Care RN
Kaiser Permanente West Los Angeles Medical Center
01.2007 - 01.2022
RN-Hospice Liaison
Kaiser Permanente West Los Angeles and Los Angeles Medical Centers
01.1999 - 01.2007
RN
Queen of Angels, Hollywood Presbyterian Hospital
01.1995 - 01.1998
Staff RN
Century City Hospital
01.1994 - 01.1995
Home Health RN
Saint Agnes Medical Center
01.1992 - 01.1993
RN Psychiatric
Fresno Community Hospital
01.1990 - 01.1993
Staff RN Positions
Saint Agnes Medical Center
01.1986 - 01.1992
Certification in Hospice/Palliative Nursing -
BS Nursing/PHN -
University of Phoenix
Registered Nursing (RN) -
Merced College
Psychology and general courses -
Cal State University, Fresno
MA - Bioethics
Loyola Marymount University