Pearl Welch

• Conduct comprehensive health assessments, including gathering medical histories, monitoring vital signs, and evaluating physical conditions.
• Perform telephone or in-person triage to assess patient symptoms and determine the urgency of care needed.
• Perform various health screenings such as blood tests, EKGs, and vision/hearing tests.
• Administer prescribed medications, vaccinations, and injections, ensuring proper dosage and documentation.
• Provide care for wounds, including cleaning and dressing changes.
• Help patients manage chronic conditions like diabetes and hypertension through education, medication reconciliation, and treatment plan adjustments.
• Educate patients and their families on medical conditions, treatment options, and strategies for disease prevention, lifestyle changes, and self-care.
• Educate patients on proper medication use and adherence to ensure treatment effectiveness.
• Assist Physicians during medical exams and various diagnostic procedures.
• Collect specimens such as blood, urine, and swabs for diagnostic testing.
• Accurately and timely document patient histories, exams, plans, and treatments in Electronic Health Records.
• Act as a liaison between patients, providers, pharmacies, and other referral sources to ensure seamless care across different settings.
• Facilitate referrals and coordinate care across the healthcare continuum, including home care and specialist services.

• Utilize critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Perform physical assessments and gather patient history for respiratory conditions.
• Monitor vital signs, document patient progress, and assess adherence to treatments.
• Perform diagnostic tests such as spirometry and Six Minute Walk tests.
• Administer prescribed medications, including inhaled bronchodilators and steroids.
• Oversee oxygen therapy and provide care for patients using breathing equipment.
• Educate patients and their families on respiratory conditions, treatment plans, and self-care techniques.
• Provide guidance on smoking cessation, breathing exercises, and other health promotion activities.
• Maintain accurate and detailed medical records of patient assessments, interventions, and outcomes.
• Provide telephone triage, manage follow-up care, and coordinate scheduling for special procedures
• Maintain strong working relationships with physicians and ancillary staff, fostering a collaborative approach to patient care delivery.
• Collaborate with physicians, respiratory therapists, and other members of the interdisciplinary team for optimal patient outcomes and efficient care coordination.
• Respond to patient emergencies to provide prompt and correct intervention .

• Triage patients to obtain medical information, weight and height measurements and vital signs
• Maintain accurate patient medical records by recording medical history, vital statistics and test results always ensuring Patient privacy and Clinical compliance
• Evaluate patient care needs, prioritized treatment, and maintained
• Deliver high quality and compassionate treatment to a very diverse socioeconomic and ethnic population of patients, providing health education and training as needed
• Assess patient conditions by performing thorough examinations and asking appropriate medical questions
• Skillfully perform a number of medical procedures, including obtaining temperature, pulse and blood pressure readings, TB testing, vaccine administrations, Nebulizer treatments, venipuncture , PICC line dressing changes , Suture / staple removals , Foley catheter insertions /removals, wound care and 12 Lead EKG's
• Responsible for telephone triage of all messages being routed from the Contact Center
• Responsible for the total care of all the Patients on the Nurse's schedule
• Order lab tests , Radiology studies and entered both internal and external referrals to various specialists under the direction of a Physician
• Evaluate patient progress and responses to various treatments
• Handle patient pharmacy needs by phoning in prescriptions to preferred pharmacies and assisting with application and processing of medical assistance through pharmaceutical companies
• Assist Physicians with various procedures
• Accurately document all elements of nursing assessment, treatments, medications, discharge instructions, and follow-up care
• Educate Patients/ families on the proper set up and use of Glucometers , Insulin administration, ongoing dressing changes to be done at at home and Lovenox injection administration
• Skillfully initiate and maintain peripheral IV access and administer IV medications or IV fluid infusion as directed by a Physician
• Able to work in a fast paced environment with high volume of Patients while always maintaining excellent standards of care

* Managed a panel of 80+ diabetic Patients.

* Responsible for weekly contacts with Patients to assess their daily blood sugar readings.

* Encouraged strict adherence to medication schedule, diabetic diet and physical activity.

* Ensured completion of Proactive care recommendations.

* Placed lab order for Hgb A1c and ensured that Patients completed them every 6 weeks until they achieved the goal of their HgbA1c < 8.

* Initiate medication adjustment following Treat to Target protocol.

* Responsible for contacting patients who had a recent visit to the Emergency Room or have been discharged from the hospital and schedule a Hospital follow up with their Physician.*

* Responsible for telephone triage of all messages being routed from Contact Center.
* Responsible for contacting and discussing normal and abnormal lab/radiology results with patients after they have been reviewed by their physician.
* Responsible for triage of all patients who walk into the department without an appointment.
* Record patient’s medical information and vital signs.
* Responsible for the care of the patients on the Nurse’s Schedule.
* Monitor, record and report symptoms and changes in patients’ conditions.
* Administer oral medications, injections and/or nebulizing treatments as ordered by the physician.
* Initiate peripheral IV access and administer IV medications or IV fluid infusion as directed by the physician.
* Consult and coordinate with healthcare team members
* Strong knowledge of nursing procedures and protocols assess, plan, implement and evaluate patient care plans
* Outstanding ability to identify patient needs in a timely manner
* Proficient in telecommunications’ technologies and basic computer applications
* Ability to work with high volumes of patients while maintaining care standards
* Capable of working well individually and in group settings
* Excellent critical reasoning and analytical skills

* Monitor all aspects of patient care, including diet and physical activity.
* As part of the Maternal Child Department, I have worked in the Neonatal ICU /Pediatric ICU / Newborn Nursery and Postpartum units as need arose.

* Worked on a 30 bed Pediatrics Unit which comprised of Medical, Surgical, Orthopedic, Neuro and Respiratory patients.
* Modify patient treatment plans as indicated by patients’ responses and conditions.
* Was responsible for the primary care of 6-8 patients depending on the acuity and level of care required.
* Record patient’s medical information and vital signs.
* Performed the role of Charge Nurse for the night shift as needed.
* Monitor, record and report symptoms and changes in patients’ conditions.
* Consult and coordinate with healthcare team members to assess, plan, implement and evaluate patient care plans.
* Assess the needs of individuals, families or communities, including assessment of individual’s home or work environments to identify potential health or safety problems.
* Prepare patients for, and assist with examinations and treatments

* Was responsible for telephone/walk-in triage and nursing assessments and accurate documentation of all information obtained.
* Other responsibilities included performing 12 lead EKG’s, assisting physicians with various procedures, administering immunizations and allergy shots, preparing for and assisting with Stress Tests and Echocardiograms, and extensive patient education.
* Worked as a Clinical Nurse in a Multi-Specialty Physicians Practice which comprised of Internists, Family Practitioners, Pediatricians, Adult/Pediatric Nurse Practitioners and 10 Adult and Pediatric Specialists.
* Performed the role of a Charge Nurse for the Urgent Care hours and effectively managed a team of 8 employees which included a Receptionist, Phlebotomist, Medical Records Staff and Nurses

• Consult and coordinate with healthcare team members to assess, plan, implement and evaluate patient care plans
• Worked in a 25 bed Level II Neonatal ICU
• Monitor, record and report symptoms and changes in patients' conditions
• Record patient medical information and vital signs
• Modify patient treatment plans as indicated by patients' responses and conditions
• Was responsible for attending high risk deliveries, assisting with resuscitation/ stabilization of the newborn infant in the delivery room and transport to the Neonatal ICU
• Responsibilities included Primary Care for 2-3 Intensive Patients or 4-6 Intermediate Care Patients, ventilator management and ongoing patient/family education