Pinky T. Holmstrom
Las Vegas,NV
Summary
Healthcare professional with 22+ years of nursing experience seeking a RN position as a Case Manager. Dedicated to providing individualized patient focused care. Promotes teamwork and brings positive energy to the department. Strong analytical skills, resourceful, independent, thrives on challenge, educator, and highly skilled in assessing conditions and implementing proper interventions.
Overview
22
22
years of professional experience
1
1
Certification
Work History
RN Cardiology Navigator
VA Medical Center
Las Vegas, USA
09.2023 - Current
- Manages Cardiology referrals for the community for tests and procedures not available at the Las Vegas VA. Some of the procedures are CCTA, Cardiac MRI, Cardiac Catheterization, TAVR, TMVR, Open Heart Surgeries, Pacemakers, AICD, PET Scan, etc.
- Effectively communicates the plan of care to the Veteran and ensures full understanding and adherence to the plan.
- Collaborates with other departments, such as Referral Coordination Initiative, Community Care, Intense Case Management, other VA hospitals, Nellis Air Force Base, etc., to ensure the Veterans' needs are met.
- Guides patients through the healthcare system by assisting with access issues and serves as a resource nurse for the Cardiology Clinic. Some examples are obtaining a Beneficiary Travel Consult from the PCP for transport needs and requesting booking on behalf of the Veteran. The coordinator works with the PACT team to assist the Veteran in scheduling lab tests in other VA locations outside of the city, like Laughlin.
- Tracks the progression of the community referral to ensure the veteran is scheduled with the proper specialist, receives the correct test/procedure, no duplication of tests, and returns to the LV VA to follow up with their primary cardiologist. The goal is to achieve patient satisfaction and cost avoidance.
- Requests for patient records in the community, especially in relation to the community care referral.
- Create workflow for the Nurse Navigator role, as it is a new role in the Cardiology clinic.
- Education provided on Nurse Cardiology Navigator role to the Cardiology Clinic, other Specialty Clinics, and to Executive Leadership of Las Vegas VAMC.
- Develop metrics and report to management and Cardiology department.
- Promotes I-CARE and WE-CARE values of the VA Healthcare System
RN Case Manager, Inpatient
HCA Healthcare
Las Vegas, USA
11.2021 - 09.2023
- Responsible for coordination of patient transition to the next level of care
- Conducted weekly interdisciplinary team meetings to review case management activities for assigned caseloads.
- Actively participated in multidisciplinary rounds discussing complex cases with members of the healthcare team.
- Facilitated referrals to community resources for additional support services via Care Port or Wellsky.
- Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
- Focuses and arranges patients' specific needs for post-acute services, such as setting up durable medical equipment, home health care, rehab (SNF and Acute), and long-term placement and hospice.
- Coordinate acute transfers to other hospitals for a higher level of care.
- Evaluates the criteria for inpatient stay and evaluates progression of care by utilizing InterQual in Midas.
- Communicates with insurance case managers for patient's benefits and authorization for services.
- Arranges family meetings, education and self care management in preparation for discharge
- Utilized I-Mobile to communicate with doctors, specialists, PT/OT, nurses, charge nurses, CM leadership and other hospital personnel.
RN Case Manager, Hospice
Nathan Adelson
Las Vegas, USA
10.2021 - 11.2021
- Communicated regularly with family members regarding patient care needs and progress toward goals.
- Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.
- Provided direct nursing care such as wound dressing changes, IV therapy, medication administration and patient education.
- Monitored and evaluated effectiveness of treatment plans and interventions.
- Collaborated with physicians, nurses and other healthcare professionals to ensure optimal patient outcomes.
RN Case Manager, Hospice
Evergreen Healthcare System
Kirkland, USA
02.2021 - 09.2021
- Assessed patient's physical, psychological, and spiritual needs and formulate an individualized care plan
- Provided comprehensive education on hospice care and symptom management to pt and families
- Administered medications as needed to achieve comfort
- Highly effective in managing pain and anxiety symptoms and ability to avoid crisis.
- Communicated well with the interdisciplinary team to achieve the needs and goals of the patient and family.
- Ability to adapt quickly to the new hospital policies and procedures and EMR.
RN Patient Care Coordinator, Hospice
CHI Franciscan/CommonSpirit
Burien, USA
03.2018 - 02.2021
- Focused and managed end-of-life care and support.
- Ensured comfort and patient centered goals are met.
- Communicated patient's needs to the Hospice MD, obtained needed orders, and processed them. Orders such as DME, medications for comfort, etc
- Participated in multidisciplinary team meeting weekly and as needed to formulate a holistic care plan.
- Provided education and emotional support to the patients and their families.
- Supervised CNAs and worked closely with LSW and Chaplain.
RN/Case Manager, Hospice
Providence
Tukwila, USA
05.2018 - 08.2018
- Managed patient's needs in an urgent situation during end of life.
- Effectively prioritized patients who are in symptom crisis situation and managed symptoms appropriately to achieve comfort.
- Communicated with hospice MD to obtain orders needed for comfort.
- As a PRN/Per Diem RN, communicated well with the primary hospice RN what the needs, interventions and plans are for continuity of care.
- Provided education to patients and families to ensure full understanding of the plan of care in order to meet the patient's goals.
RN/Case Manager, Hospice
MultiCare Hospital
Tacoma, USA
08.2017 - 03.2018
- Provided patients with personalized care to improve their qualify of life
- Offered physical, psychological, emotional and spiritual needs to the patients and families through the difficult process of end of life care
- Assessed patient's comfort level, needs, and goals and ensured they are met.
- Provided comfort measures, such as administering comfort medications, skin care, oral care, positioning, massage, and bathing.
- Communicated effectively with the interdisciplinary team to ensure the patient's individualized care is met
- As a travel/contract RN, adapted to the facilities policies and procedures and EMR very quickly.
- Worked very well with the Hospice team.
RN Case Manager, Palliative Care
WellMed Medical Group
San Antonio, USA
08.2016 - 07.2017
- Manages case load of up to 65 patients
- Performs comprehensive assessment and determine patient’s individual needs
- Communicates with MD/ARNP closely to report abnormal assessments and the possible need for ER/hospitalization
- Obtains referrals for specialists as needed
- Assesses patients for hospice qualifications and refer if appropriate
- Performs annual screenings, ie
- Lab draws, questionnaires to determine functional status, depression, tobacco hx and use, etc
- Schedules all patients
- Determines the frequency of visit for high risk patients
- Admits and discharges patients based on MD/ARNP approval
- Adheres to company policies and procedures
RN Patient Care Coordinator, Hospice
CHI Franciscan
University Place, USA
05.2015 - 07.2016
- Manages case load of up to 18-23 hospice patients per week during end of life.
- Experienced in providing care in both private homes and facilities.
- Performs comprehensive assessments, formulates individualized care plan and ensures patient’s wishes and needs are met
- Provides direct care (administering medication PO, IV, SL, AQ, IM and Rectal), education, and emotional support to patients and families.
- Collaborates with interdisciplinary team to maintain patient’s highest level of comfort and quality of life
- Performs procedures including, but not limited to: draining abdominal fluid and pleural effusion via Pleurx catheter, IV lab draws, foley catheter insertion, and complex wound care
- Complies with documentation for admission, recertification and decertification
- Maintained thorough, accurate and confidential documentation in electronic medical records in accordance with HIPAA regulations.
- Monitored vital signs, such as blood pressure, temperature, respiration rate, pulse rate and weight.
Nurse Specialist, Gastroenterology Clinic
Madigan Army Medical Center
WA, USA
11.2014 - 05.2015
- Admitted and recovered after GI procedures such as Endoscopy, Colonoscopy, ERCP, EUS, paracentesis, liver biopsy, and Manometry
- Assisted MDs with sedation, biopsy dilatation, cautery and banding
- Provided education and support for patients and their families about illness prevention, treatment options, and lifestyle modifications.
Nurse Specialist, Cardiopulmonary
Eglin Hospital
Eglin AFB, USA
11.2012 - 11.2014
- Followed PCMH model
- Assessed and triaged patients
- Reconcile medications
- Obtained reports/labs necessary for visit
- Reviewed consults
- Ordered tests/labs for the next visit
- Proficiently accomplished telephone consults
- Coordinated and assisted with cardiopulmonary appointments and procedures
- Screened Cardiology consults
- Arranged referrals to off base facilities to include cardiac catheterization, cardiac MRI, cardiac CT, Electrophysiology procedures, CABG, PFO closure, needle guided lung biopsy/surgery and sleep study
- Supported mission by providing assistance to Internal Medicine, GI and Nephrology clinics
Clinic RN, Cardiology Clinic
Wilford Hall Ambulatory Surgical Center
Lackland AFB, USA
11.2011 - 11.2012
- Responsible for providing care to over 35,000 patients annually
- Coordinated and arranged cardiac procedure to include cardiac catheterization
- Assisted Cardiologists with TEE and Cardioversion
- Performed conscious sedation
- Monitored pre and post procedure
- Performed Dobutamine Stress Echocardiogram and administered Dobutamine under the supervision of a Cardiologist
- Provided assistance to physician’s daily routine such as patient teaching, phone triage, phlebotomy, and EKG
Case Manager/Discharge Planner
Wilford Hall Medical Center
Lackland AFB, USA
08.2011 - 11.2011
- Performed a comprehensive assessment to determine the appropriate needs of the patient.
- Provided education to the patient to ensure full understanding of the plan to promote adherence.
- Participated in a weekly interdisciplinary meeting to formulate an individualized care plan and to continue to evaluate the effectiveness of the plan.
- Planned, coordinated and facilitated all discharge needs for patients including Home Health, DME, Rehab placement, and hospice care
- Collaborated with community liaisons and agencies to ensure patient's needs are met post hospitalization
Nurse Specialist, Cardiology/Coumadin Clinic
Wilford Hall Medical Center
Lackland AFB, USA
03.2010 - 08.2011
- Charge Nurse of the Coumadin Clinic
- Supervised nurses and techs
- Provided care to over 1000 patients
- Performed INR testing, interpreted results, dosed per protocol, and communicated with providers
- Coordinated care with home health agencies and rehabilitation facilities
- Telephone triage
- Arranged and assisted in TEE and Cardioversion
- Conscious sedation trained
Discharge Planner, General Surgical Unit
Wilford Hall Medical Center
Lackland AFB, USA
07.2007 - 03.2010
- Responsible for providing discharge planning services to all eligible DoD beneficiaries and civilian trauma patients in same day surgery and General Surgical Unit in the Air Force’s largest Trauma Medical Center during this time
- Focused on early identification of services needed for discharge
- Monitored and tracked patient’s eligibility for continued hospital stay
- Worked collaboratively with the interdisciplinary team to assess, plan, and facilitate patient hospital discharge or transfer to appropriate safe setting.
Clinical Nurse, Telemetry
Wilford Hall Medical Center
Lackland AFB, USA
12.2006 - 07.2007
- Provided comprehensive nursing care to patients on a 24 bed telemetry floor
- Performed specialized care and teaching for patients with chest pain, myocardial infarctions (MI), congestive heart failure (CHF), cardiomyopathy (CMP), and arrhythmias
- Responsible for preparing patients for cardiac stress test and cardiac catheterization, recovery and discharge
Clinical Nurse, Cardiac/Transplant Unit
Christus Santa Rosa
San Antonio, USA
08.2006 - 11.2006
- Provided comprehensive nursing care to patients on a 40 bed cardiac/transplant unit
- Managed post op CT surgery patients such as CABG, MVR, AAA and transplant patients mainly kidneys and liver
- Administered and monitored anti-rejection and anti-infective medications to post transplant patients
- Administered and monitored both PO/IV antiarrhythmics, Anticoagulation, Antihypertensive medications to Cardiac patients
- Cared for Cardiac patients with Arrhythmias, CP/MI, DVT, PE
- Communicated needs, abnormal testings and change in condition to the Attending MD or the appropriate Specialist.
Clinic Nurse, Ambulatory Treatment Center
Kaiser Permanente Moanaloa
Honolulu, USA
02.2006 - 06.2006
- Highly specialized in care of patients with wound vacs, PICC line and portacath
- Transfused Packed Red Blood Cells and Fresh Frozen Plasma
- Infused Infed and Rituxan and monitored closely
Clinic Nurse, Cardiology/Treadmill
Kaiser Permanente Moanaloa
Honolulu, USA
06.2005 - 06.2006
- Monitored patients during pharmacologic and treadmill stress tests
- Infused Adenosine and Dobutamine in high doses required for the stress test
- Identified abnormal EKGs, symptoms and vital signs throughout the entire test
- Assisted the cardiologist in preparation for emergent cardiac catheterization when necessary
Clinical Nurse, Telemetry
Kaiser Permanente Moanaloa
Honolulu, USA
10.2002 - 06.2006
- Provided comprehensive nursing care to patients on a 40 bed cardiac unit
- Performed specialized care and teaching for patients with Acute Coronary Syndrome, CHF, CMP, arrhythmias and other cardiac related issues
- Prepared patients for TEE, echocardiogram, stress tests, cardiac catheterization and CABG
- Managed pre and post procedure care
- Cared for post CABG patients as early as POD#1
- Assisted with post cardiac catherization sheath pulling and monitoring
- Closely monitored patients receiving blood products and/or on IV medications such as antiarrhythmics, vasopressors, and anticoagulants
- Provided cardiac rehabilitation
Education
Bachelor of Science - Nursing
Hawaii Pacific University
Kaneohe, Hawaii05-2002
Skills
- Communication
- Organization
- Delegation
- Time Management
- Conflict Resolution
- Care Coordination
- Leadership
- Computer and Technology
- Advocacy
- Teaching
Awards
- ICare Award Winner at HCA Healthcare for Quality Outcomes- Mountainview Hospital
- Friend of Nursing of the Year award from HCA Mountainview Hospital
- Awarded with General’s coin at Lackland AFB
Training
- CPRS
- Vista Imaging
- JLV
- Jabber
- Meditech
- Midas
- Netsmart/Mckesson software system
- Home Care Home Base software system
- Road Notes/Homeworks/Cerner
- EPIC- inpatient setting and field program
- ECW
- CHCS/AHLTA computer system
- Essentris computer system
- Conscious Sedation
Certification
- RN NEVADA LICENSE - 845520
- CASE MANAGEMENT (CCMC) - 4264403
- BASIC LIFE SUPPORT certified by American Heart Association
Timeline
RN Cardiology Navigator
VA Medical Center
09.2023 - Current
RN Case Manager, Inpatient
HCA Healthcare
11.2021 - 09.2023
RN Case Manager, Hospice
Nathan Adelson
10.2021 - 11.2021
RN Case Manager, Hospice
Evergreen Healthcare System
02.2021 - 09.2021
RN/Case Manager, Hospice
Providence
05.2018 - 08.2018
RN Patient Care Coordinator, Hospice
CHI Franciscan/CommonSpirit
03.2018 - 02.2021
RN/Case Manager, Hospice
MultiCare Hospital
08.2017 - 03.2018
RN Case Manager, Palliative Care
WellMed Medical Group
08.2016 - 07.2017
RN Patient Care Coordinator, Hospice
CHI Franciscan
05.2015 - 07.2016
Nurse Specialist, Gastroenterology Clinic
Madigan Army Medical Center
11.2014 - 05.2015
Nurse Specialist, Cardiopulmonary
Eglin Hospital
11.2012 - 11.2014
Clinic RN, Cardiology Clinic
Wilford Hall Ambulatory Surgical Center
11.2011 - 11.2012
Case Manager/Discharge Planner
Wilford Hall Medical Center
08.2011 - 11.2011
Nurse Specialist, Cardiology/Coumadin Clinic
Wilford Hall Medical Center
03.2010 - 08.2011
Discharge Planner, General Surgical Unit
Wilford Hall Medical Center
07.2007 - 03.2010
Clinical Nurse, Telemetry
Wilford Hall Medical Center
12.2006 - 07.2007
Clinical Nurse, Cardiac/Transplant Unit
Christus Santa Rosa
08.2006 - 11.2006
Clinic Nurse, Ambulatory Treatment Center
Kaiser Permanente Moanaloa
02.2006 - 06.2006
Clinic Nurse, Cardiology/Treadmill
Kaiser Permanente Moanaloa
06.2005 - 06.2006
Clinical Nurse, Telemetry
Kaiser Permanente Moanaloa
10.2002 - 06.2006
Bachelor of Science - Nursing
Hawaii Pacific University
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