Patricia Jansen
Jefferson City,MO
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Motivated professional offering RN. Adds value to any organization in need of great collaboration, interpersonal and multitasking abilities. Meets tight deadlines.
Overview
16
16
years of professional experience
Work History
Registered Nurse
Medical Solutions Healthcare Services
Tampa, FL
08.2013 - Current
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Participated in multidisciplinary team meetings to discuss patient care plans.
- Ensured compliance with standards of professional practice as well as state and federal regulations related to health care delivery services.
- Demonstrated knowledge of current trends in nursing practices by attending continuing education classes or seminars.
- Actively participated in quality improvement initiatives within the department.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
- Maintained a safe environment for all patients by adhering to infection control policies and procedures.
- Evaluated effectiveness of interventions through ongoing assessment of patient responses.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
- Evaluated patients, recognized and addressed complications and coordinated treatment with other members of critical care team.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Advocated for patients by supporting and respecting basic rights, values and beliefs.
- Trained and mentored new RNs on best practices, hospital policies and standards of care.
- Maintained personal and team compliance with medication administration standards and patient care best practices.
- Created, implemented and evaluated patient care plans with medical team.
MDS Coordinator
Medical Solutions Healthcare Services
Tampa, FL
08.2013 - Current
- Conducted assessments to determine the resident's functional and cognitive abilities, as well as their level of care needs.
- Monitored residents' progress and updated MDS records accordingly.
- Developed individualized plans of care for each resident based on assessment findings.
MDS Nurse
Golden Living Nursing Home
JEFFERSON CTY, MO
06.2011 - 08.2013
- Assessed and monitored patient care plans and progress to ensure compliance with regulations.
- Collaborated with healthcare team members to develop individualized resident care plans based on assessments.
- Provided support and education to families, caregivers, and other staff members on MDS processes and procedures.
- Conducted a comprehensive assessment of residents' physical, psychological, social, spiritual, cultural, and environmental needs.
- Ensured accuracy in completion of the Minimum Data Set for all assigned patients and residents.
- Reviewed medical records for accurate documentation of diagnoses according to established criteria.
- Developed goals for each resident's plan of care that reflected their physical, mental health status and preferences.
- Facilitated interdisciplinary team meetings to discuss resident care plans and outcomes.
- Participated in quality improvement initiatives related to MDS activities as required by regulatory standards.
- Utilized computer systems such as Point Click Care or other electronic health record software programs for data entry purposes.
- Analyzed patient data including lab results, vital signs, medications, to assess current condition and make recommendations regarding treatment options.
- Supported the development of new policies and procedures related to MDS activities.
- Monitored changes in residents' conditions through observation or communication with family members or other healthcare professionals.
- Identified potential issues related to coding accuracy within the MDS process.
- Initiated appropriate interventions when needed based on identified problems or changes in condition.
- Provided leadership in implementation of evidence-based practices pertaining to MDS processes.
- Fostered an environment that promotes collaboration between interdisciplinary teams while utilizing best practice guidelines.
- Performed chart audits on a regular basis to ensure accuracy of documentation.
- Educated staff on proper use of PCC or EHR software programs used for data entry into the MDS system.
- Verified quality of assessments in accurately reflecting physical, mental and psychosocial status of each resident.
- Coordinated completion of resident assessments in accordance with current federal and state regulations.
- Helped develop comprehensive resident assessment and care plans for [Number]-bed facility.
- Reviewed and validated care plan reports and monitored follow-up actions to identify systemic deficiencies.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Collaborated with health groups to plan or implement programs designed to improve overall health of communities.
- Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
- Modified patient treatment plans as indicated by patients' responses and conditions.
- Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
Clinical Resource Nurse
Correctional Medical Services
JEFFERSON CTY, MO
06.2008 - 01.2011
- Provided direct clinical care to patients in accordance with established standards and practices.
- Developed, implemented, and evaluated patient care plans based on medical diagnosis and individualized patient needs.
- Assessed, monitored, and documented patient progress throughout the course of treatment.
- Collaborated with other healthcare professionals to develop comprehensive treatment plans for patients.
- Instructed nursing staff regarding proper techniques for administering medications, treatments, and procedures.
- Conducted regular rounds to ensure that all patients were receiving quality care in a timely manner.
- Performed ongoing assessments of the changing needs of each patient in order to provide appropriate interventions as needed.
- Educated patients and families about health conditions, treatments, self-care strategies, disease prevention methods.
- Facilitated communication between physicians and nurses to ensure effective delivery of care services.
- Participated in multidisciplinary team meetings to discuss new initiatives or changes in policies and procedures related to patient care management.
- Mentored junior nurses by providing guidance on best practices for delivering high quality nursing care.
- Managed time effectively while prioritizing tasks according to urgency level.
- Ensured compliance with all applicable regulations related to infection control measures or safety protocols.
- Responded quickly and appropriately during times of crisis or emergency situations.
- Maintained current knowledge base by attending educational seminars or conferences as required.
- Served as a resource person for other members of the healthcare team regarding clinical issues or questions.
- Educated patients on lifestyle changes and choices, proper nutrition and medication side effects.
- Prioritized nursing care after evaluating patients and determining severity of illnesses or injuries.
- Promoted kind nursing environment to alleviate stress on patients and medical staff alike.
- Thoroughly evaluated patients by asking right questions and recording symptoms and health histories to implement proper plan of care.
- Collaborated with physicians and staff in other disciplines.
- Utilized strong assessment skills to determine necessary patient care.
- Administered medications and treatments to residents per doctors' orders or CRNP orders.
- Carried out comprehensive care focused on patient needs and meeting care goals.
- Recorded patients' medical history, vital statistics and test results in medical records.
- Used [Software] to update electronic medical records with relevant patient information, laboratory test results and clinician orders.
- Observed and reported symptoms, reactions and progress of each patient.
- Analyzed, collected and recorded patient health data.
- Assessed healthcare needs of patients by conducting health evaluations.
- Evaluated effectiveness of care by comparing patient response with observable outcomes.
- Stocked clinical workstations and procedure rooms with necessary supplies.
- Kept accurate account of all sharps
- Kept accurate account of controlled medications
- Drew labs as needed
- Conducted sick call
- Answered emergency calls in the housing units and in the emergency room
- Other tasks as needed
Education
ADN - Nursing Practice
State Fair Community College
Sedalia, MO12.2006
LPN - Nursing Practice
Lex-La-Ray Technical School
Lexington, MO12.1996
Skills
- Electronic Health Records Management
- Patient Management
- Nursing Staff Leadership
- Mobility Assistance
- Staff Training
- Care Planning
- Regulatory Compliance
- Case Management
- Needs Assessment
- Student Precepting
- Documentation
- Patient Condition Monitoring
- Staff Development and Precepting
- Treatment Recommendations
- ICD-10
- Training Staff
- Strong Clinical Judgment
- Specialized Healthcare Referrals
- Critical Thinking
- Patient and Family Advocacy
- Patient Care Assessment
- Geriatric Treatment Knowledge
- Accurate Documentation
- Patient Care Oversight
- Treatment Plan Modification
Timeline
Registered Nurse
Medical Solutions Healthcare Services
08.2013 - Current
MDS Coordinator
Medical Solutions Healthcare Services
08.2013 - Current
MDS Nurse
Golden Living Nursing Home
06.2011 - 08.2013
Clinical Resource Nurse
Correctional Medical Services
06.2008 - 01.2011
ADN - Nursing Practice
State Fair Community College
LPN - Nursing Practice
Lex-La-Ray Technical School
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