NICHOLE FORTUNE

Currently, providing advanced wound care to variety of patients

• Case manager for physician and carry a caseload of 40 patients
• Provide education, supplies, set up home health, and order any equipment needed to provide wound care.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
• As of August 2022, had the role of Assistant Nurse manager at the wound clinic. Manage 15 employees and responsible for everyday activities of the wound clinic. Responsibilities included payroll, rounding, education, ordering of supplies, staff schedules, along with case managing for my patient load. Reviewing current patient census of 263 to ensure wound etiology is accurate and if patient can benefit from advanced modality to include skin sub, HBO, wound vac, etc. Maintain staff productivity efficiently. Run reports to assess outliers (why hasn't the patient healed in 14 weeks), progress notes out of date for the providers, and staff signatures. Meet with the providers weekly to discuss the patients that are on the outlier report to come up with a plan to try and heal the wound. I review policies and procedures with the Medical Director and sing off or add suggestions when needed. Responsible for the hiring of staff in all areas to include the program director, front office coordinator, and Medical Director. Currently working with supply chain to decrease supply costs. Work billing ques in EPIC to submit any additional documentation needed to complete billing i.e. modifiers and CPT codes. Provide patient advocacy by rounding on patients and following up on any complaints.
• Took on the role of Program Director 11/2023-3/2024 until one was hired. As the program director, worked on the fiscal report, ran expense reports and presented the findings to the VP.
• Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
• Audited charts and reviewed clinical documents to verify accuracy.
• Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
• Trained at the front desk to check patients in and out. This includes running insurances to verify eligibility.
• Currently hold Hyperbaric Tech certification and administer hyperbaric oxygen treatment to patients that meet criteria.

• Provided safety and care to a variety of patients with mental health diagnoses.
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Provided group therapy
• Administered routine medications and IM medications to patients' in crises.
• Completed admissions to include safety searches to ensure no unauthorized items makes it into the facility.
• Provided safety checks through rounding at night every 15 minutes.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
• Held CPI certification while working.

• Provided outpatient chemotherapy to cancer patients
• Included in this care was accessing ports, starting IVs, drawing and processing blood
• Held a chemotherapy certification and provided education to cancer patients.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Managed care from admission to discharge.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.

• Provided hospice care to patients with end-of-life diagnosis
• Caring for patients required an interdisciplinary approach.
• Worked with full autonomy with a census of 20 patients.
• Care provided required excellent communication assessing the needs of patient and families.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Educated patients, families, and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
• Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
• Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.

Worked on a busy 32-inpatient hospital bed unit, specializing in medical-surgical, oncology, and palliative care.

• Along with being a bedside nurse, also became an assistant nurse manager for 10 years.
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Managed care from admission to discharge.
• Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
• Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
• Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Working as an assistant nurse manager, worked alongside the nurse manager to manage the unit. Managed 60 associates.
• Held the role of assistant nurse manager and bedside nurse simultaneously.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Administered medications via oral, IV, and intramuscular injections and monitored responses. IV administration to include chemotherapy, blood product transfusions, cardiac drips, insulin drips, heparin drips, and palliative sedation protocol to include propofol, morphine, and dilaudid.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Provided direct patient care, stabilized patients, and determined next course of action.
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
• Implemented medication and IV administration, catheter insertion, and airway management.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
• Organized and managed care of patients undergoing various therapies and procedures.
• Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
• Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Maintained quality care and comfort for patients with heart failure, pulmonary hypertension, and other conditions.
• As the ANM, attended hospital committee meetings. Onboard new staff. Completed payroll. Acted as a patient advocate by rounding on patients and handling any complaints. Maintained staff accountability to include handling of disciplinary actions. Completed the staffing schedule monthly. Became interim nurse manager for 6 months until one was hired. Completed hospice stats and presented them to the oncology board meeting. Assisted in the development of the palliative care unit to include designing the area and developing protocols.
• Held a certificate in the administrating of chemotherapy and telemetry.

• Worked on a 38 bed unit that was med-surg, diabetes, oncology unit.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Managed care from admission to discharge.
• Prevented spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
• Acted as charge nurse during some of my shifts.