Nikole Denton
Lawton,OK
Summary
Dedicated and patient-focused registered nursing professional, offering comprehensive experience within the hospital, clinic, and home health settings. Meticulous regard for detail and accuracy with strong follow-through. Maintain composure and make decisions in fast-paced, unpredictable, and stressful environments. Interface seamlessly with doctors, specialized support services, pharmacists, patients, and families. Resourceful in perceiving and resolving problems. Clear communicator, both written and oral. Knowledge of military family lifestyles, both active duty and retired. Deliver safe and effective care to patients via face-to-face, video, and telephone. Possess clinical knowledge in assessing, planning, implementing, documenting, and evaluating acute/urgent care needs, as well as chronic disease management needs for assigned patients. Without fail, projects a polished, positive, and professional demeanor.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Clinical RN, Specialties Clinic
Reynolds Army Health Clinic
Ft. Sill, OK
11.2021 - Current
- As the Clinical RN for the Specialties Clinic, which includes the dermatology clinic, physical medicine clinic, neurology clinic, sleep clinic, and pulmonary function lab, I perform duties such as relief and triage nurse, screen walk-in patients, assess patient conditions to determine their severity, and seek provider intervention if warranted
- Execute and ensure the completion of orders and ensure appropriate patient follow-up
- Assist providers with examinations and procedures and respond to emergency situations
- Instruct patients in self-medication of prescribed medications, reinforce health care provider instructions and encourage patients in the maintenance of health and self-care
- Ensure nursing staff competencies are initially evaluated, maintained, and documented in accordance with clinic policies and nursing standards of practice
- Ensure coordination of patient referrals internally and to network providers
- Provide education to staff and implement process improvements.
Care Manager RN, Patient Aligned Care Team 1
Department of Veterans Affairs
Ft Sill, OK
08.2020 - 11.2021
- Perform independent comprehensive telephone and clinical triaging and facilitate continuity of care and care coordination of the empaneled population through a multidisciplinary approach
- Serves as Care Manager for PACT (Patient Aligned Care Team)
- Also manage other teams simultaneously within the FT
- Sill Veteran Affairs as well as OKC Veteran Affairs outpatient clinics
- Other assignments include triaging Express Care patients and administration of weekly allergy injections in the Ft Sill, Veteran Affairs Allergy Clinic
- Conducts team huddles each morning with the PACT team, which includes the primary care provider, licensed practical nurse, and Advanced Medical Support Assistant (AMSA)
- During the huddle, identify and assess needs the team may have prior to the veterans’ scheduled appointments and delegate duties to ensure lab work, images, and previous hospital records are available for review prior to the veteran's scheduled appointment
- Responsible for Lead RN duties on a rotating basis
- As Lead RN, responsible for staffing
- Assign nurses (LPNs and RNs) as appropriate to assist providers
- Communicates information from leadership, staff leave, callouts, and updates the clinic of any changes/assignments throughout the day
- Conducts nurse face-to-face appointments, VA Video Connect, and telephone appointments with veterans and collaborates with Pact Team members for follow-ups as needed
- Ensure Quality Care Measures are monitored monthly and collaborate with PACT team members to ensure veterans are contacted and scheduled as appropriate to meet measure standards
- These measures include A1C monitoring, BP >140/90, colorectal screenings, cervical screenings, mammograms, and others
- Establish priorities for patient care, evaluate patient progress toward high-level wellness, and provide patient education
- Respond to Myhealthevet, Veteran Affairs Secure Messaging by the end of the business day
- Independently instruct and demonstrate to patients how to provide self-care
- Assist with staff education
- Assess patient’s emotional, cognitive, social, and motivational status relative to education and determine their educational needs and priorities.
Clinical RN, Family Medical Home, Team Integrity
Reynolds Army Health Clinic
Ft Sill, OK
02.2016 - 07.2020
- Perform independent comprehensive telephone and clinical triaging and facilitate continuity of care and care coordination of the empaneled population through a multidisciplinary approach
- Establish priorities for patient care, evaluate patient progress toward high-level wellness, and provide patient education
- Act as relief nurse
- Supervise 6 LPNs who are assigned to 3 PCMs
- 2 LPNs per PCM
- Conduct Team Huddle each morning
- Ensure team members are working with their dedicated team
- Identify all procedures and patient appointments that may need extra consideration
- Triage and screen walk-in and telephone patients to assess severity of patient condition, and need for provider intervention, or need for same day or future appointment
- Discuss needs with PCM to have patient seen if necessary
- Execute and ensure the completion of orders from health care providers
- Recognize and report abnormal test results, changes in symptoms and need for follow-up
- Assist with examinations and procedures
- Address all high priority T-cons within 2 hours
- Respond to all Army Secure Messaging by the end of the business day
- Identify and contact patients with unacknowledged labs for tracking and NCQA compliance
- Direct patient care as needed to include medication delivery, procedures, POCT, IV starts, nebulizers, and lab draws
- Independently instruct and demonstrate to patients how to provide self-care
- Assist with staff education
- Assess patient’s emotional, cognitive, social and motivational status relative to education and determines their educational needs and priorities
- Ensures nursing staff competencies are evaluated, maintained, and documented in accordance with clinic policies and nursing standards of practice.
Registered Nurse, Surgicare Department
Comanche County Memorial Hospital
Lawton, OK
09.2014 - 02.2016
- Develop and implement total nursing care for patients by assessment, nursing diagnosis, and patient care plans
- Provide leadership by working cooperatively with ancillary staff and personnel to maintain standards for professional nursing practice in the clinical setting
- Provide pre-op and post-op care for infants, children, adolescents, adults, and geriatrics
- Implement age specific care and interaction
- Perform head to toe assessments on all patients
- Interpret data about the patient’s status in order to identify each patient’s age specific needs
- Interact effectively with patient/family and to develop appropriate care plans
- Flexible, organized, and able to function under stressful situations
- Administer medications accurately and safely
- Evaluate patient’s response to interventions to determine the patient’s progress and revise care plan as needed
- Communicate accurately and effectively with patients/families and members of the healthcare team
- Proficient in IV start, lab draws, and performing of EKGs as needed
- Perform clinical triaging and establish priorities for patient care and evaluate patients’ progress toward high-level wellness
- Recognize changes in patient condition, such as abnormal test results, symptoms, and the need for follow-up
- Educate patients on a variety of topics, such as acute or chronic illnesses, self-care, wellness/preventive health measures, and normal development and physiology.
Registered Nurse, Home Health
Healthback Home Health
Lawton, OK
11.2013 - 05.2014
- Administered skilled nursing care to patients on an intermittent basis in their place of residence
- Supervised the care of Licensed Practical Nurses and Home Health Aides
- Assessed patient health problems and needs, developed and implemented nursing care plans, and maintained medical records
- Administered nursing care to ill, injured, convalescent, or disabled patients
- Advised patients on health maintenance and disease prevention and provided case management
- Educated both the patient and family about case management, community resources
- Attend multidisciplinary meetings, and identified patient who would benefit from case management
- Assess patient health needs to develop appropriate plans of care.
Registered Nurse, Emergency Department
Brian Allgood Army Community Hospital
Seoul, South Korea
01.2012 - 05.2013
- Clinical Staff Nursing at level II emergency room which serves approximately 36,000 patients annually
- Responsibilities include assessing, planning, implementing, evaluating, and documenting patient care of all ages in five distinct acuity levels, including medical/surgical, obstetric/gynecology, pediatrics, and psychiatric
- Implements the nursing process and maintains standards of practice in accordance with Department of Nursing and Emergency Medicine Policies and Procedures
- Initiates emergency measures for patients with life threatening illnesses or injuries
- Coordinates related health care activities in treatment of patients
- Assume responsibilities of relief charge nurse and triage nurse as assigned
- As charge nurse, supervises 1 RN, 1-2 LPNs, 2-4 medics/medical assistants, and one medical clerk
- Assist in the orientation and training of newly assigned personnel, rotating nursing students, physicians, and physician assistants
- Responsible for the provision of direct patient care, and for the delivery of quality nursing care to a culturally diverse population
- Effectively applies all aspects of the nursing process within a collaborative, interdisciplinary clinical setting
- Possess the knowledge and skills necessary to effectively apply all aspects of the nursing process within a collaborative, interdisciplinary practice setting
- Effectively implement health promotion and prevention interventions, manage acute and chronic illness states, assist patients to attain optimal levels of functioning through rehabilitation, and provide supportive measures for the dying patient and significant others
- Possess the knowledge and skills necessary to: Communicate and interact appropriately and courteously with internal and external customers; maintain confidentiality of patient information electronically, verbally, and written; work and function within a safe manner including infection control and operation of equipment, collect and record data specific to patients status
- Carry out duties such as patient assessments, vital signs, medication administration, maintaining patent airway, administer oxygen, initiate intravenous fluids, blood transfusions and administer prescribed medications by oral, rectal, topical, inhalation, intravenous, intradermal, subcutaneous, and intramuscular routes
- Provide patient education, admissions, discharges, patient care assignments, assist physicians with procedures at bedside, and monitoring patients on cardiac monitoring devices.
Registered Nurse, Ortho-Neuro, Medical- Surgical, 4West
Comanche County Memorial Hospital
Lawton, OK
06.2009 - 06.2011
- Primary nursing care for adult patients on an ortho-neuro, medical surgical unit, with chronic and acute illnesses
- Duties included patient care and computerized documentation
- Provided patients with pre-op and post op instructions
- Review of lab and diagnostic test to assess readiness for surgery
- Communicate with physicians and other health care professionals to ensure safe and quality care
- Act as a resource nurse for staff and clinical coach for newly graduated nurses
- Performed charge nurse duties
- Carried out duties such as patient assessment, vital signs, medication administration, maintaining patent airway, administer oxygen, initiate Intravenous fluids, blood transfusions and administer prescribed medications by oral, rectal, topical, inhalation, intravenous, intradermal, subcutaneous, and intramuscular routes
- Provide patient education, admissions, discharges, patient care assignments, assist physicians with procedures at bedside, and monitoring patients on cardiac monitoring devices
- Assessing patients for post-op complications and reporting findings to physician
- Responsible and accountable for the provision of direct patient care and for the delivery of quality nursing care to a culturally diverse population
- Effectively applied all aspects of the nursing process within a collaborative, interdisciplinary clinical setting
- Possess the knowledge and skills necessary to effectively apply all aspects of the nursing process within a collaborative, interdisciplinary practice setting
- Effectively implemented health promotion and prevention interventions, managed acute and chronic illness states, assisted patients to attain optimal levels of functioning through rehabilitation, and provide supportive measures for the dying patient and significant others
- Possess the knowledge and skills necessary to: Communicate and interact appropriately and courteously with internal and external customers; maintain confidentiality of patient information electronically, verbally, and written; work and function within a safe manner including infection control and operation of equipment, collected and recorded data specific to patients status.
Licensed Practical Nurse, various units, float pool
Comanche County Memorial Hospital
Lawton, OK
09.2005 - 06.2009
- Nursing care for patients with acute and chronic illnesses on various units including medical-surgical, orthopedic, neurology, oncology, pediatrics, post-partum, maternal health, child health, new-born nursery, emergency department, recovery, rehabilitation, gero-psych, long-term care and coronary care units.
Licensed Practical Nurse, Medical Surgical, 7th floor
Kaiser Permanente
Bell Flower, Ca
08.2004 - 08.2005
- Nursing care for adult patients
- Duties consisted of medication administration, patient assessment, review of labs, monitoring for changes in condition, reporting of pertinent patient information to on coming staff.
Licensed Practical Nurse, Medical-Surgical, Oncology, 2 south
Comanche County Memorial Hospital
Lawton, OK
10.2002 - 07.2004
- Duties: Skilled nursing assessments, patient and family education
- Prepared patients for diagnostic procedures and assisted MD with procedures done at bedside
- Medication administration, dressing changes using sterile technique, and maintaining and starting IV’s for intravenous infusions.
Licensed Practical Nurse
Life Care Center of Colorado Springs
Colorado Springs, Co
06.2001 - 07.2002
- Provided nursing care to the geriatric patient population in a nursing home setting with acute and chronic conditions.
Education
Bachelor of Science, Nursing -
University of Phoenix
12.2012
Associates Degree, Nursing -
Western Oklahoma State College
05.2009
Licensed Practical Nurse -
Pikes Peak Community College
12.1999
Masters Degree Nursing Education -
Northeastern State University
Skills
- Compassion and Empathy
- Geriatric Care
- Health Promotion
- Pediatric Care
- Patient Examination
- Disease Prevention
- Treatment coordination
- Family Education
- Team Supervision
- Vital Signs Documentation
- Intake and discharge
- Resource Utilization
- Infection Control
- Medication Administration
- Patient Relations
- Care Planning
- Quality Improvement
- Care Coordination
Certification
- Registered Nurse, State of Oklahoma
- Basic Life Support
Professional References
- Regina High RN, Reynolds Army Health Clinic, Fort Sill, OK, 558-699-6073
- Tiffany Johnson RN, MSN, Reynolds Army Health Clinic, Fort Sill, OK, 915-342-6625
- Morticia Hurley RN, MSN, Reynolds Army Health Clinic, Fort Sill, OK, 580-583-1082
- Caleb Miller RN, Reynolds Army Health Clinic, Fort Sill, OK, 580-583-3043
- Gail Thomas RN, Reynolds Army Health Clinic, Fort Sill, OK, 708-902-6604
Organizations
American Nurses Association
Committees
- Patient Safety and Infection Control Committee Reynolds Army Health Clinic
- Patient and Family Partnership Council Reynolds Army Health Clinic
- Process Improvement Committee Reynolds Army Health Clinic
- Research and Education Committee at Comanche County Memorial Hospital
Awards
Employee of the Month for the month of January 2024 Reynolds Army Health Clinic
Timeline
Clinical RN, Specialties Clinic
Reynolds Army Health Clinic
11.2021 - Current
Care Manager RN, Patient Aligned Care Team 1
Department of Veterans Affairs
08.2020 - 11.2021
Clinical RN, Family Medical Home, Team Integrity
Reynolds Army Health Clinic
02.2016 - 07.2020
Registered Nurse, Surgicare Department
Comanche County Memorial Hospital
09.2014 - 02.2016
Registered Nurse, Home Health
Healthback Home Health
11.2013 - 05.2014
Registered Nurse, Emergency Department
Brian Allgood Army Community Hospital
01.2012 - 05.2013
Registered Nurse, Ortho-Neuro, Medical- Surgical, 4West
Comanche County Memorial Hospital
06.2009 - 06.2011
Licensed Practical Nurse, various units, float pool
Comanche County Memorial Hospital
09.2005 - 06.2009
Licensed Practical Nurse, Medical Surgical, 7th floor
Kaiser Permanente
08.2004 - 08.2005
Licensed Practical Nurse, Medical-Surgical, Oncology, 2 south
Comanche County Memorial Hospital
10.2002 - 07.2004
Licensed Practical Nurse
Life Care Center of Colorado Springs
06.2001 - 07.2002
Bachelor of Science, Nursing -
University of Phoenix
Associates Degree, Nursing -
Western Oklahoma State College
Licensed Practical Nurse -
Pikes Peak Community College
Masters Degree Nursing Education -
Northeastern State University
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