NICOLE FISCHER
Mill Valley,CA
Summary
Team Player, Self-Directed, Advocate, Skilled, Collaborative, Patient, Caring, Friendly nursing professional with more than 15 years of experience and passion for providing highest quality of medical care. Compassionate and empathetic advocate for patients and families. Skillfully assesses health status, develops diagnoses and manages care for patients with acute and chronic concerns. Experienced in structured and unstructured environments, smoothly coordinating multiple activities and competing priorities.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Staff Nurse, 1A Oncology, Med-Surg, Telemetry
SFVA Medical Center
10.2017 - Current
- Reviews orders and labs, checks for accuracy, collaborates with providers and pharmacists, and administers medications, transfusions, chemotherapy and immunotherapy via oral, IV, and intramuscular injections and monitors responses.
- Performs various nursing interventions such as wound care, vitals monitoring, and specimen collection.
- Collaborates with interdisciplinary team members for comprehensive patient assessments and treatment plans.
- Uses respectful, supportive rapport with Veterans and families, fostering trust and open communication during challenging times.
- Demonstrates excellent time management skills while juggling multiple priorities in a fast-paced environment.
- Mentors new nursing staff, Registered Nurse Transition to Practice (RNTTP), and Post-Baccalaureate Registered Nurse Residency (PBRNR) participants, supporting their professional growth and development.
- As part of the 1A Charge RN pool, maintains a smooth workflow by collaborating with management on admissions and discharges; collaborating with unit and hospital staff, updating nursing assignments, and maintaining concise shift reports detailing pertinent updates on Veteran's conditions and treatment plans.
- Trained and competent in Outpatient Infusion Center processes and workflow, and floats to Infusion Center as needed.
Team Leader/Clinical Manager
Hospice by the Bay
01.2015 - 09.2017
- 2+ years Hospice Clinical Management – Overseeing care to south/west Marin hospice patients.
- Supervised 9 team members, including 6 RN Case Managers (Primary Nurses), 2 Social Workers, and the Chaplain.
- Facilitated interdisciplinary team meetings to review patient care plans and progress, ensuring cohesive approach to patient care while maintaining compliance with medicare regulations.
- Set performance expectations for the team, monitoring progress towards goals and providing constructive feedback as needed
- Evaluated team member performance against established objectives during regular reviews, offering praise for achievements or identifying areas requiring further development.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Assisted in recruitment to build team of top performers.
Primary Nurse (Case Manager)
Hospice by the Bay
01.2012 - 01.2015
- Provided end of life care to hospice patients and their family members and caregivers in private homes, skilled nursing facilities, and residential care facilities. Managed 12 -16 cases at a time, and averaged 3-5 nursing visits daily.
- Advocated for patients, and collaborated with physicians to optimize medication and treatment regimens for symptom control in terminally ill patients.
- Educated patients and families about illness progression, treatment options, and available resources for additional support.
- Used the team-based approach for wholistic care of the hospice patient and family/caregivers, integrating nursing services with social work, spiritual care, home health and volunteer services.
- Served as a preceptor to nursing students and mentored new hires.
RN Case Manager
Heartland Hospice
01.2010 - 01.2012
- Became competent in hospice admissions and hospice patient visits in variety of settings, including homes, skilled nursing facilities and residential care facilities.
- As hospice case manager, developed strong rapport with patients and families, building trust and easing emotional burden of end-of-life care.
- Maintained up-to-date knowledge of hospice care best practices, and Medicare Conditions of Participation.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Education
BS - Nursing
Samuel Merritt University
San Francisco, CA04.2009
BS - Biology
California Polytechnic State University
San Luis Obispo, CA06.1994
Skills
- Direct patient care
- Case management
- Health promotion
- Diabetes management
- Oncology nursing
- Critical thinking
- Compassionate and caring
- Hospice and palliative care
Certification
- Registered Nurse, 750772 (2009)
- Public Health Nurse (PHN 82721)
- Fundamentals of Chemotherapy Immunotherapy Administration ONS ID# 676173
- AHA BLS/ACLS (ongoing RQI)
Timeline
Staff Nurse, 1A Oncology, Med-Surg, Telemetry
SFVA Medical Center
10.2017 - Current
Team Leader/Clinical Manager
Hospice by the Bay
01.2015 - 09.2017
Primary Nurse (Case Manager)
Hospice by the Bay
01.2012 - 01.2015
RN Case Manager
Heartland Hospice
01.2010 - 01.2012
BS - Biology
California Polytechnic State University
BS - Nursing
Samuel Merritt University
Similar Profiles
Kristie Meek BSN, RNKristie Meek BSN, RN
Oncology Nurse at SFVA Medical CenterOncology Nurse at SFVA Medical Center
MELISSA MACHINMELISSA MACHIN
Medical Support Assistant at Department Of Veterans Affairs - Eureka CBOC/SFVA Call CenterMedical Support Assistant at Department Of Veterans Affairs - Eureka CBOC/SFVA Call Center
Nicole AmundsonNicole Amundson
PACU RN at SFVAPACU RN at SFVA
Josh MalvaseJosh Malvase
Enterprise Success Manager at WineDirectEnterprise Success Manager at WineDirect
Sydney GohSydney Goh
Fundraising Chair and Community Service Chair at High School Leadership CouncilFundraising Chair and Community Service Chair at High School Leadership Council