Nikkida Ghent MSN, APRN, FNP-C

Transition case management and utilization review of up to 60 patients in case load to determine medical necessity and level of care under Milliman and Interqual criteria

• Completed in-depth discharge planning to assess patients every clinical need of services including treatments to medical necessities
• Analyzed patient's medical records and claims to provide proper documentation and reasoning in the utilization review process
• Communicated with physician and social worker of any changes of patients medical conditions

Responsible for delivering quality/patient-centered care to 6 clients simultaneously on a med-surg unit with limited experience practicing on telemetry, oncology, mother/baby, and rehab departments as well

• Implemented current evidence-based findings into practice, in accordance with JACO standards/regulations
• Conducted daily patient assessments, documented findings, monitored patient status, utilized clinical reasoning skills to determine when orders/interventions were warranted, and intervened accordingly
• Administered medications, with adherence to proper guidelines, in order to minimalize near misses/med errors; Comfortable operating the Pyxis medication system
• Collaborated, communicated, and delegated effectively with all members of the interdisciplinary team to ensure patient safety, involvement, and satisfaction
• Completed all EMAR and computer program based documentation in a thorough and timely manner
• Responsible for all components, (including paperwork, treatment initiation, medication reconciliation, and patient education) of the high volume of admissions, transfers, and discharges assigned daily
• Regularly performed NG tube maintenance, venipuncture, catheter insertion/maintenance, ostomy care, wound care, tracheostomy care, J tubes/G tube feeding/maintenance, blood transfusions, chest tube maintenance/removal, bariatric surgical care, central line care, and many other technical tasks

Performed assessments, disease instruction and review, medication management, and skilled nursing care including Negative Pressure Wound Therapy (wound vacuum), intravenous therapy, and drainage systems.

• Referred disciplines including all therapies and social work as appropriate to patient and families as well as provided coordination of care and management of disciplines.
• Initiated insurance requests, organized, and completed follow up reports.
• Served as a case manager seeing 6 - 8 patients in a day
• Very experienced with EMR and Epic
• Coordinated with ancillary staff such as Physical Therapists and Occupational Therapists
• Provided discharge planning and referrals to specialty care/community resources

Responsible for providing patient care on a surgery unit with 40 medical surgical beds with a 6:1
patient to nurse ratio

• Provided comprehensive in-patient care to preoperative, postoperative, and general medical
• Administered drug therapy.
• Collaborated with hospital staff.
• Responsible for admitting and discharging patients from hospital.
• Enhanced patients' knowledge of recognition of illness requiring medical intervention.
• Provided guidance for dietary recommendations, exercise and stress management
• Participated in grand rounds, in-service training and development.

Responsible for critically ill pediatric patients care from birth to age eighteen

• Monitored patients, provided appropriate care, and taught patients and their families about their plan of care for the day
• Advocated for patients and families who are unable to do so themselves
• Worked closely and collaborated with a diverse team in a teaching hospital including residents, fellows, attending physicians, respiratory therapists, pharmacists, and nutritionists among others
• Member of the Patient Safety and Quality Committee
• Pressure Ulcer Prevention Unit Champion
• Unit Resource Nurse and Rapid Response Team member

Prioritized and triaged all calls for high volume, fast-paced medical office; implementing strict triage policy protocols to seamlessly facilitate home care advice, coordination of future care needs, specialty care intervention, and elevation of serious situations to the ER.

• Spearheaded the management of 11 doctors' schedules utilizing electronic medical records.
• Administered medications & immunizations with ease, compassionately provided delivery of test results and confidentially updated EMR with patient records and necessary instructions.
• Facilitated beneficial patient outreach & education to improve overall care, while flawlessly coordinating communication between hospital staff, doctors and home health organizations.
• High productivity and strong time management enabled me to assist clinical staff with rooming of patients, lab tests, EKG's, vision screening, hearing tests and pulmonary function tests.

Provided high quality nursing care in both Skilled and Rehabilitation units.

• Performed wound care to a variety of wounds ranging from venous, arterial, diabetic, pressure ulcer and post-operative wounds and incisions.
• Evaluated, advised and educated the client and caregivers in the recovery and rehabilitation process to prepare them for discharge to ensure the client experiences a healthier recovery at home.
• Proficient in working with medical staff involving the care of a rehabilitation of clients.
• Experienced in a wide variety of wounds ranging in venous, arterial, diabetic, pressure ulcers and post-operative surgical wounds and incisions.
• Performed assessments and medication management for clients in a 124 bed facility.
• Assumed role as Nurse Preceptor.