Nelly Ulate

• Assess oncology patients and family needs (via distress tool) and navigate them thru the continuum of cancer care by coordinating oncology services (i.e. surgeon, oncologist)in both the inpatient and outpatient settings.
• Identify barriers to oncology care -including financial barriers, and assist patient with resources so they can pursue oncology treatment.
• Refer to Medicaid program for breast cancer and cervical cancer when appropriate.
• Refer to surrounding counties' Hospital District Assistance program and help them navigate approval process.
• Educate patients and family with diagnosis specific information and community resources and support.
• Navigate patient once they are home and continue with coordinating oncology and pain management services in outpatient setting.
• Navigate patients in Breast center if pathology reveals malignancy or high risk benign diagnosis.
• Prepare appropriate patients for end of life care with palliative care or hospice care referrals.
• Collaborate with inpatient interdisciplinary team consisting of physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans to assure proper medical care and safe home transition of patient.
• Collaborate with outpatient interdisciplinary team ( Texas Oncology, PCP's, surgeons, financial assistance programs) to assure patient's continued access to oncology treatment.
• Document all patient interactions and interventions in electronic charting systems.
• Collaborate with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Participate in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities.
• Participate every year in community outreach by organizing booth at health fair that focuses on cancer screenings.
• Write Pink the Basin grant every year to fund mammograms and diagnostic procedures for uninsured patients.
• Generate annual financial report for Pink the Basin.
• Have co-authored Pink the Basin policy at current facility specifying qualifying criteria for applicants.
• Lung Cancer Screening Coordinator duties involve following thru with orders for low dose CT scan (LDCT) of chest for purposes of lung cancer screening so patient gets scheduled.
• Enter results of LDCT into National Radiology Data Registry (NRDR) to meet CMS guidelines.
• Navigate any patients with abnormal LDCT results.
• Successfully decreased "no-shows" for the LDCT appointments by approximately 75% by mailing patient reminder letters.
• Recorded all patient discussions and transactions in charts for future reference
• Previously served as Community Outreach Coordinator for Commission on Cancer (COC) accreditation. .
• Successfully navigated approximately 350 of the, approximately 640 oncology navigator, referrals in 2021.
• Counseled patients and provided listening ear and emotional support.
• Educated patients on such topics as nutrition, medication side effects and proper skin treatments after radiation.
• 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.
• Investigated and resolved issues affecting hospital operations and patient care.
• Equipped patients with tools and knowledge needed for speedy and sustained recovery.
• Evaluated patient histories, complaints and current symptoms.

• Set up DME, home health services, outpatient services, hospice care or whatever patient needed for safe transition home.
• Referred patients to Long Term Acute Care Hospitals (LTACH), Skilled Nursing Facilities (SNF), Inpatient Rehabs (IPR).
• Developed system of staff communication that ensured proper implementation of treatment plans and comprehensive patient care.
• Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
• Assisted with decreasing Length of stay and readmissions.
• Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Equipped patients with tools and knowledge needed for speedy and sustained recovery.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.

• Provided pain and symptom management to terminally ill patients by implementing Standing Orders and maintaining close communication on symptoms with medical director.
• Provided generalized nursing care- vital signs, head to toe assessments, inserting foley catheters, wound care & teaching, etc.
• Managed medication refills.
• Assessed need for DME and arranged their delivery from contracted DME company.
• Provided emotional support to patient and family.
• Provided extensive teaching given to patient and family on end of life care and medication administration.
• Destroyed medications upon patient's death as per state of Texas requirements.
• Provided postmortem care.
• Arranged funeral home pick up of deceased patient.

• Assessed & admitted vaginal and C/S post partum mother as she arrived to post partum floor.
• Assessed for firm fundus, fundus location, bladder distention, foley catheter placement, lochia color and quantity changes, surgical incision, dressing removal, vital signs and any other nursing responsibilities that needed attention.
• Administered scheduled medications and managed symptoms through use of PRN medication administration.
• Admitted and completed newborn assessment of infant immediately after birth.
• Implemented pediatrician standing orders for injection of Vitamin K, Hepatitis- B vaccine, applying erythromycin ointment to eyes and providing umbilical cord care with TAO or triple dye.
• Encouraged mother- baby bonding via skin to skin contact and assisted mother with breast feeding assistance.
• Extensive teaching to parents on care for post partum mother and newborn infant.

In this position, I was occasionally floated to NICU.

• Responsible for assessment and total care of the premature &/or ill infant.
• NGT feedings, Q 3 PO feedings, CBG's, daily weights, obtaining lab samples.
• Continuous monitoring ( cardiac, pulse ox and respiratory, temperature)
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• Extensive teaching to parents and family.
  

• Provided pain and symptom management for terminally ill patients by implementing Standing Orders and maintaining close communication on symptoms with medical director.
• Provided generalized nursing care- vital signs, head to toe assessments, inserting foley catheters, wound care & teaching, etc.
• Managed medication refills.
• Assessed need for DME and arranged their delivery from contracted DME company.
• Provided emotional support to patient and family.
• Extensive teaching given to patient and family on end of life care and medication administration.
• Destroyed medications upon patient's death as per state of Texas requirements.
• As PRN staff nurse at Hospice House, maintained pain and symptom management for terminally ill patients with severe symptoms that were not manageable in home setting.
• Provided post mortem care.
• Arranged for funeral home to pick up deceased patient.
  

• Responsible for managing needs of acutely and chronically ill inmate, that came into jail.
• In charge of clinic twice weekly with Texas Tech residents for ill inmates.
• Arranged for specialty MD appointments and transportation as necessary outside of jail.
• Set up qualifying inmates on Ector County Hospital District Assistance to help with medication costs and provider visits in order to maintain inmate health.
• Supervised staff RN's. LVN's and CMA's) making sure meds were being administered in an accurate and timely manner & that strong assessment skills were being used in the evaluation of inmates that were in need of medical services.
• Responsible for new employee and annual evaluations as well as disciplinary write ups and maintaining communication with Sheriff on them.
• Along with assistance of DON, was responsible for interviewing applicants and firing when necessary.

• Provided pain and symptom management for terminally ill patients by implementing Standing Orders and maintaining close communication on symptoms with medical director.
• Provided generalized nursing care- vital signs, head to toe assessments, inserting foley catheters, wound care & teaching, etc.
• Managed medication refills and assessed for need for DME and arranged their delivery from contracted DME company.
• Provided emotional support to patient and patient's family.
• Extensive teaching given to patient and family on end of life care and medication administration.
• Destroyed medications upon patient's death as per state of Texas requirements.
• Provided post mortem care.
• Arranged for funeral home to pick up deceased patient.

• Provided pain and symptom management for terminally ill patients by implementing Standing Orders and maintaining close communication on symptoms with medical director.
• Provided generalized nursing care- vital signs, head to toe assessments, inserting foley catheters, wound care & teaching, etc.
• Managed medication refills.
• Assessed for need for DME and arranged their delivery from contracted DME company.
• Provided emotional support to patient and patient's family.
• Extensive teaching given to patient and family on end of life care and medication administration.
• Destroyed medications upon patient's death as per state of Texas requirements.
• As PRN staff nurse at Hospice House, maintained pain and symptom management for terminally ill patients with severe symptoms that were not manageable in home setting.
• Provided post mortem care.
• Arranged for funeral home to pick up deceased patient.

• Responsible for assessing patients to determine appropriateness for admission and discharge purposes.
  
• Physical assessment for changes and overall well being.
  
• Wound care
• Teaching: medication administration, disease process, self care (CBG's, foley catheter care, etc.)
• Calling MD to report changes and adjust Plan of Care as necessary.
  
• Called in drug refills to pharmacy and provided detailed prescription information to pharmacies.
• Collected blood specimen and delivered to laboratory.
  

• Assessed patients in their home to determine need for Community Based Alternative assistive programs.
• Determined what ADL's they were needing assistance with.
  
• Set up schedule for caregivers to assist patient with hours allotted to them by CBA program.
• Supervised caregivers to assure they were attending work and providing quality care to patients in their home.
• Assured caregivers time was submitted to payroll.
• Assessed patient for need of incontinent care supplies and DME. Arranged for those items to be delivered when necessary.
  

• Assessed & admitted the vaginal and C/S post partum mother as she arrived to the post partum floor.
• Assessed for firm fundus, fundus location, bladder distention, foley catheter placement, lochia color and quantity changes, surgical incision, dressing removal, vital signs and any other nursing responsibilities that needed attention.
• Administered scheduled medications and managed symptoms through use of PRN medication administration.
• Admitted and completed newborn assessment of infant immediately after birth.
• Implemented pediatrician standing orders for injection of Vitamin K, Hepatitis- B vaccine, applying erythromycin ung to eyes and providing umbilical cord care with TAO or triple dye.
• Assisted mother with breast feeding.
• Extensive teaching to parents on care for post partum mother and newborn infant.
  
• Charge nurse on post partum floor after I received my RN license. Oversaw average of 20-30 patients per shift.
• I was also floated to NICU occasionally during my employment.
  

• Chronic patient care in med-surg unit, adeptly handling all aspects of treatment from medication to wound care to monitoring 5-7 patients per shift.
• Self-directed with astute judgment skills. High level of personal accountability.
• Managed care for post-operative patients through discharge.
• Liaised between patients and physicians to ensure patient comprehension of treatment plans.
• Instructed patients and family members on proper discharge care.
• Closely monitored acute conditions.
• Monitored patient reactions to drugs and carefully documented progress.
  
• Developed and implemented nursing care plans.
• Documented patient information obtained from interviews & assessments.
• Assisted patients with daily functions.
• Followed infection control procedures.
• Monitored fluid intake and output levels.
• Primary care, assessment and evaluation of pediatric patients.
• Worked in the Flex Pool PRN in medical- surgical and Pediatric units.
  

• As an agency nurse, worked in medical surgical units of hospitals in the San Diego, CA.
• Provided private care for pediatric and adult patient's in their home with a variety of conditions including Cerebral Palsy and quadriplegia.
• G-tube feeding to pediatric patient.
• Total care of quadriplegic man involving use of hoyer lift for transfers to electric wheelchair and securing in modified van to drive to appointments and social events.
  

• Chronic patient care in med-surg unit, adeptly handling all aspects of treatment from medication to wound care to monitoring 5-7 patients per shift.
• Closely monitored acute conditions.
• Monitored patient reactions to drugs and carefully documented progress.
• Diagnosed and treated patients with chronic and acute health problems such as, asthma, COPD and pneumonia.
• Ensured efficacy of treatments through monitoring of treatment regimens.
• Followed infection control procedures.
• Assisted patients with daily functions.
• Monitored fluid intake and output levels.