Noel Angelo Toling
Great Neck,USA
Summary
Knowledgeable Registered Nurse with extensive experience in supervising nursing staff and managing patient care. Successfully led teams to improve patient outcomes through efficient resource allocation and adherence to best practices. Demonstrated leadership and communication skills in high-pressure environments.
Overview
10
10
years of professional experience
1
1
Certification
Work History
RN Supervisor
East Neck Nursing and Rehabilitation Center (Cassena Care)
03.2024 - Current
- Ensure adequate staffing for tour of duty
- Review 24-hour report in accordance with oral report at the start of shift and address issues that are pending resolution
- Monitor lab and diagnostic results and provide said results to providers in a timely manner
- Execute medical regimens as prescribed by licensed providers as members of interdisciplinary health care team
- Perform health assessments to identify new symptoms of possibly undiagnosed conditions or complications and implement orders and changes to plan of care based on patient assessment
- Conduct admission assessments, establish plan of care and implement orders based on assessment and patients needs as annotated in Patient Review Instrument (PRI)
- Direct daily functions of nursing staff in accordance with current rules, regulations and guidelines that govern facility protocol
- Completing initial assessment of patient condition and response to treatment and initiating follow-up as needed
- Discharge planning in collaboration with IDT, patients, and their families
- Medication and Treatment administration in the event of staffing emergencies
- Conduct audit reviews and address discrepancies found, as well as those found by third party audit team
- Coordinate with DNS and Staffing Coordinator to ensure adequate staffing
- Provide teaching and counseling to patients and their families as well as staff regarding plan of care, medications and health procedures
MDS Assessor
West Village Rehabilitation and Nursing Center (Cassena Care)
10.2023 - 03.2024
- Obtain necessary information to perform thorough and accurate assessment in MDS process
- Review daily census and input data needed for Medicare/Medicaid
- Prepare Interim Schedules/ Significant Change For Medicaid And Medicare MDS Assessments Daily
- Prepare and transmit MDS/PRI
- Initiating care plans and supporting activities as assigned
- Maintaining & updating all care plans and assessments as required
- Monitoring & auditing clinical records, ensuring accuracy & timeliness
- Assessing and monitoring patient health to meet CMS compliance requirements
Assistant Director of Nursing
Workmen’s Circle MultiCare Center (Cassena Care)
07.2023 - 10.2023
- Provide support and assistance to DNS in daily operations
- Provide support and assistance to RN supervisors to address clinical, family, and IDT issues or concerns
- Perform RN Supervisor duties in the event RN supervisors are unavailable in response to staffing emergencies or while addressing other clinical issues/emergencies
- Review Accident/Incident reports and take appropriate action as needed
- Conduct investigation and take appropriate action in the event of reportable cases to NYDOH
- Provide teaching and counseling to patients and their families as well as staff regarding plan of care, medications and health procedures
MDS Coordinator/Assessor
Peninsula Nursing and Rehabilitation Center (Cassena Care)
05.2023 - 07.2023
- Obtain necessary information to perform thorough and accurate assessment in MDS process
- Review daily census and input data needed for Medicare/Medicaid
- Prepare Interim Schedules/ Significant Change For Medicaid And Medicare MDS Assessments Daily
- Prepare and transmit MDS/PRI
- Initiating care plans and supporting activities as assigned
- Maintaining & updating all care plans and assessments as required
- Monitoring & auditing clinical records, ensuring accuracy & timeliness
- Assessing and monitoring patient health to meet CMS compliance requirements
- Complete and assure the accuracy of the MDS process for all residents
- Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement
- Monitor Medicare assessment schedules and nursing documentation to ensure accuracy and timely submission
- Determine potential Resource Utilization Groups (RUGs) and expense associated with admissions
MDS Coordinator/Assessor
Downtown Brooklyn Nursing and Rehab Center (Cassena Care)
02.2023 - 05.2023
- Obtain necessary information to perform thorough and accurate assessment in MDS process
- Review daily census and input data needed for Medicare/Medicaid
- Prepare Interim Schedules/ Significant Change for Medicaid And Medicare MDS Assessments daily
- Prepare and transmit MDS/PRI
- Initiating care plans and supporting activities as assigned
- Maintaining & updating all care plans and assessments as required
- Monitoring & auditing clinical records, ensuring accuracy & timeliness
- Assessing and monitoring patient health to meet CMS compliance requirements
- Complete and assure the accuracy of the MDS process for all residents
- Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement
- Monitor Medicare assessment schedules and nursing documentation to ensure accuracy and timely submission
- Determine potential Resource Utilization Groups (RUGs) and expense associated with admissions
Assistant Director of Nursing
Morningside Nursing and Rehabilitation Center (Cassena Care)
03.2022 - 02.2023
- Provide support and assistance to DNS in daily operations
- Provide support and assistance to RN supervisors to address clinical, family, and IDT issues or concerns
- Perform RN Supervisor duties in the event RN supervisors are unavailable in response to staffing emergencies or while addressing other clinical issues/emergencies
- Review Accident/Incident reports and take appropriate action as needed
- Collaborate with DNS and Staffing Coordinator to ensure adequate staffing on a daily basis
- Medication and Treatment administration in the event of staffing emergencies
- Conduct investigation and take appropriate action in the event of reportable cases to NYDOH
- Collaborate with IDT to address concerns brought by the team, patients, and their families
- Provide guidance and support to unit nurses
- Provide teaching and counseling to patients and their families as well as staff regarding plan of care, medications and health procedures
- Review 24-hour report in accordance with oral report at the start of shift and address issues that are pending resolution
- Conduct audit reviews and address discrepancies found, as well as address discrepancies found by third party audit team
- Coordinate with DNS and Staffing Coordinator to ensure adequate staffing
- Execute medical regimens as prescribed by licensed providers as members of interdisciplinary health care team
- Perform health assessments to identify new symptoms of possibly undiagnosed conditions or complications and implement orders and changes to plan of care based on patient assessment
Infection Preventionist
Margaret Tietz Nursing and Rehabilitation Center (Cassena Care)
11.2021 - 03.2022
- Collect and update admission immunization information as well as new immunization for current patients
- Obtain and document patients’/families’ consent refusal for immunizations and ensure vaccines are administered once consents are obtained and vaccines on hand
- Obtain and document staff consents for immunizations (Influenza, Pneumonia, COVID) and administer vaccines once consents are obtained and vaccines on hand
- Maintain a COVID vaccine tracker for staff and patients
- Maintain respiratory line list for staff and patients in the event of an outbreak
- Coordinate with HR in the event staff tests positive for COVID
- Coordinate with Administrator for accurate reporting of daily COVID cases in the facility
- Provide interdisciplinary team up to date list of patients on isolation, indication and remaining days on isolation
- Provide teaching and counseling to patients and their families as well as staff regarding infections, infection control, plan of care, medications and health procedures
RN Supervisor
Margaret Tietz Nursing and Rehabilitation Center (Cassena Care)
04.2020 - 11.2021
- Ensure adequate staffing for tour of duty
- Review 24-hour report in accordance with oral report at the start of shift and address issues that are pending resolution
- Monitor lab and diagnostic results and provide said results to providers in a timely manner
- Perform health assessments to identify new symptoms of possibly undiagnosed conditions or complications and implement orders and changes to plan of care based on patient assessment
- Execute medical regimens as prescribed by licensed providers as members of interdisciplinary health care team
- Conduct admission assessments, establish plan of care and implement orders based on assessment and patients needs as annotated in Patient Review Instrument (PRI)
- Direct daily functions of nursing staff in accordance with current rules, regulations and guidelines that govern facility protocol
- Respond in a timely manner to address patients’ change in condition, concerns, as well as family and IDT issues/concerns
- Discharge planning in collaboration with IDT, patients, and their families
- Medication and Treatment administration in the event of staffing emergencies
- Conduct audit reviews and address discrepancies found, as well as those found by third party audit team
- Coordinate with DNS and Staffing Coordinator to ensure adequate staffing
- Provide teaching and counseling to patients and their families as well as staff regarding plan of care, medications and health procedures
Registered Nurse
Margaret Tietz Nursing and Rehabilitation Center (Cassena Care)
10.2019 - 04.2020
- Notify RN supervisor if assigned staff are not on the unit at the start of shift
- Direct CNAs to address patient needs such as incontinence care, assistance with transfers and toileting, personal hygiene and other needs or requests
- Give directive to CNAs in accordance with patient needs such as patient needing to be dressed and out of bed first for an appointment
- Perform health assessments to identify new symptoms of possibly undiagnosed conditions or complications and implement orders and changes to plan of care based on patient assessment
- Execute medical regimens as prescribed by licensed providers as members of interdisciplinary health care team
- Coordinate with IDT to address changes in patient condition or may cause changes to patient safety and condition
- Medication and Treatment administration
- Discharge planning in collaboration with IDT, patients, and their families
- Notify RN Supervisor of changes in patient condition, interventions initiated, provider orders, and intervention effects
- Notify families of changes in patient condition, interventions initiated, provider orders, and changes to plan of care
Registered Nurse
St. Francis Hospital
07.2019 - 09.2019
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
Health Care Specialist/Sergeant
US Army
04.2015 - 04.2019
- Conduct assessment and gather HPI on soldiers prior to being seen by provider
- Monitor medical supplies and equipment and ensure proper use and maintenance
- Provide first aid and treatment for soldiers and base personnel
- Respond to medical emergencies and provide medical support
- Conduct medical equipment checks and maintenance
- Conduct maintenance checks and repairs on Medical Evacuation Vehicle (MEV)
- Provide education to soldiers (health maintenance, combat lifesaver course, medications, and treatments)
- Ensure safety of soldiers and equipment assigned to the barracks during charge of quarters and staff duty
- Ensure mission readiness by coordinating with leadership and providing the appropriate leaders medical readiness deficiencies at all levels
Education
Bachelor of Science - Nursing
University of San Carlos
04.2009
Skills
- Critical Thinking and Problem Solving Skills
- Leadership
- Effective Communicator
- CPR
- First Aid
- Health Assessment
- Care Plan Development
- Patient and Family Education
- Empathy
- Patient Centered Approach
- Resilience
- Flexibility and Adaptability
- Multitasking and Prioritization of skills
Certification
- Registered Nurse License # 655708
- Basic Life Support
Languages
English
Filipino
Timeline
RN Supervisor
East Neck Nursing and Rehabilitation Center (Cassena Care)
03.2024 - Current
MDS Assessor
West Village Rehabilitation and Nursing Center (Cassena Care)
10.2023 - 03.2024
Assistant Director of Nursing
Workmen’s Circle MultiCare Center (Cassena Care)
07.2023 - 10.2023
MDS Coordinator/Assessor
Peninsula Nursing and Rehabilitation Center (Cassena Care)
05.2023 - 07.2023
MDS Coordinator/Assessor
Downtown Brooklyn Nursing and Rehab Center (Cassena Care)
02.2023 - 05.2023
Assistant Director of Nursing
Morningside Nursing and Rehabilitation Center (Cassena Care)
03.2022 - 02.2023
Infection Preventionist
Margaret Tietz Nursing and Rehabilitation Center (Cassena Care)
11.2021 - 03.2022
RN Supervisor
Margaret Tietz Nursing and Rehabilitation Center (Cassena Care)
04.2020 - 11.2021
Registered Nurse
Margaret Tietz Nursing and Rehabilitation Center (Cassena Care)
10.2019 - 04.2020
Registered Nurse
St. Francis Hospital
07.2019 - 09.2019
Health Care Specialist/Sergeant
US Army
04.2015 - 04.2019
Bachelor of Science - Nursing
University of San Carlos
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