Summary
Overview
Work History
Education
Skills
Certification
Professionalorganizationsandawards
References
Timeline
Generic

Rachel Gosnell

Jonesborough,TN

Summary

Nursing Position Compassionate Registered Nurse with experience offering comprehensive patient care. Works well with diverse patient populations and fosters trusting relationships to improve outcomes. Efficiently coordinate with healthcare professionals to advance patient care.

Overview

18
18
years of professional experience
1
1
Certification

Work History

After-hours Triage RN

Amedisys Hospice
07.2024 - Current
  • Triage duties
  • Addressing reported symptoms
  • Communicating with on-call staff
  • Accessing Homecare Homebase patient charts
  • Scheduling visits
  • Processing start of care and orders
  • Addressing after-hours referrals
  • Accessing CareXM

Nursing Director

Core Services of Northeast Tennessee
01.2022 - Current
  • Oversight of all medical/clinical for the needs of people supported within agency.
  • Ensure agency Medication Safety Policy/State guidelines for Medication Administration are followed.
  • Supervises medication administration policies and processes; initiates prompt action when variances, omissions or other problems are discovered.
  • Oversees discharge planning from hospitalizations and skilled nursing facility stays.
  • Collaboration with medical appropriate disciplines to ensure individuals supported receive appropriate benefits and coverage through Medicare and Medicaid.
  • Oversight of durable medical equipment needs for individuals supported by agency.
  • Trending of data that includes medication variances, infection, and falls.
  • Agency instructor for DDA medication administration course.
  • Reviews results of laboratory tests and other diagnostic procedures to ensure appropriate follow up is completed in timely manner.
  • Assures that each person supported receives medical examinations according to TennCare Rules.
  • Recognizes signs and symptoms of urgent and emergent medical problems and takes appropriate action.
  • Completion of complex physician’s orders, including injections and wound care.

Staff Registered Nurse Cardiovascular ICU

Johnson City Medical Center
05.2021 - 12.2021
  • Bedside care for patients considered unstable or in critical condition, including the following: care for patients on ventilator support; recovery of patients who have undergone coronary artery bypass surgery; management and removal (when appropriate) of arterial lines; chest tube management and removal (when appropriate); care of myocardial infarction patients after receiving percutaneous coronary intervention; frequent assessment of venous/arterial insertion/access sites for hematoma or active bleed; management of patients who require titratable continuous infusions including sedatives, analgesics, antiarrhythmics, diuretics, anticoagulants, vasopressors, etc.; frequent complex assessments to monitor for acute changes in condition; participation in code occurrences following cardiac arrest; patient admissions; end-of-life care; management of patients receiving continuous renal replacement therapy; management of patients with inserted intra-abdominal balloon pump; foley care including insertion and removal; interpretation and proper reporting of telemetry monitoring and EKG results.
  • Utilization of Epic charting system.

Registered Nurse Supervisor

Center on Aging and Health
11.2020 - 05.2021
  • Patient admissions to skilled nursing facility, care for patients receiving long term care while residing at facility.
  • Supervision of clinical staff, including LPN’s, CNA’s, RA’s.
  • Application of nursing interventions: medication administration, wound care, colostomy care, management of enteral feeding tubes, lab draws, administration of IV medications/fluid, daily full assessments.
  • Utilization of clinical judgement for patient transports to acute care inpatient facilities due to severe symptoms or concerning change in condition.

RN Case Manager/Patient Care Manager

Caris Healthcare
01.2019 - 11.2020
  • Patient admissions: assessment and evaluation of patient’s terminal illness and poor prognosis, medication and durable medical equipment education and management, safety evaluation and education, management and education of medication, evaluation of primary caregiver’s capability and understanding of hospice plan of care
  • Coordination of patient needs with interdisciplinary team
  • Management and education of wound care, enteral feedings, medication administration, lab draws
  • Participation in on-call rotation
  • Direct supervision of RN case managers and Hospice Health Aides, offering direction, consultation, and guidance
  • Management of RN and HHA scheduling
  • Management of COVID protocol per CDC Guidelines
  • Conducting COVID testing for staff members
  • Education to contracted facilities regarding disease processes and fall prevention strategies
  • Planning of all team conferences and IDT meetings
  • Monthly in-service training with staff
  • Supervision of budget for medication and durable medical equipment
  • Responsible for interviewing and hiring process for nursing and CNA applicants

Registered Nurse

University of Tennessee Medical Center
07.2018 - 01.2019
  • Primary care and application of the nursing process to all assigned patients.
  • Experience with administration of IV medications, post-op care, wound care (including wound vac management), monitoring ETOH patients experiencing withdrawal symptoms, insertion and management of nasogastric tubes, management of enteral feeding tubes, administration of TPN, blood transfusions.
  • Providing patient education by explanation and demonstration of various items such as self-administration of medication, post-op care for surgical incisions, and assistive devices.

Direct Support Professional

Open Arms Care, Corporation
06.2017 - 07.2018
  • Supporting and enriching the lives of individuals with developmental and intellectual disabilities; assisting individuals with activities of daily living (self-hygiene, dressing, etc); carrying out therapeutic care plans and active treatment implemented from physical, occupational, behavioral, and speech/communication therapists; recording daily data; performing cooking and house-keeping duties; assisting individuals to plan recreational trips.

Developmental Technician

Greene Valley Developmental Center
01.2007 - 05.2017
  • Supporting individuals who suffer from developmental disabilities; assisting individuals with activities of daily living (self-hygiene, dressing, etc); carrying out therapeutic care plans and active treatment implemented from physical, occupational, behavioral, and speech/communication therapists; recording daily data; stepping in as shift charge when the supervisor was unavailable to carry out supervising duties: assigning employees to individuals and various duties; finalizing incident reports; ensuring coverage for upcoming shift; keeping track of cottage census.

Education

RN to BSN Program -

King University
Bristol, TN
12.2021

Associates of Applied Science in Nursing -

Walters State Community College
Greeneville, TN
05.2018

High School Diploma -

David Crockett High School
Jonesborough, TN
01.2005

Skills

Discharge Planning

Case Management

Chronic Disease Management

Team Coordination

Certification

  • 07/28/18, 04/30/25
  • 03/2023, BLS Provider Certification
  • 02/2022, Personal Outcome Measures Assessment Workshop completion
  • 10/2022, Completion of Person Centered Thinking
  • 07/31/23, SHIFT TECH FIRST ETIS v3 Certification
  • 05/2025, NADSP DSP III and Frontline Supervisor Certification

Professionalorganizationsandawards

  • Current, Developmental Disabilities Nurses Association, Member
  • 12/2021, Awarded BSN Degree with Distinction
  • 03/2021, Sigma Theta Tau International Honor Society of Nursing, Member
  • 05/2018, Awarded ASN Degree with Cum Laude
  • 08/2016, 2018, Student Nurses Association; Walters State Community College, Member
  • 2015, 2018, Phi Theta Kappa, Member

References

Provided upon request

Timeline

After-hours Triage RN

Amedisys Hospice
07.2024 - Current

Nursing Director

Core Services of Northeast Tennessee
01.2022 - Current

Staff Registered Nurse Cardiovascular ICU

Johnson City Medical Center
05.2021 - 12.2021

Registered Nurse Supervisor

Center on Aging and Health
11.2020 - 05.2021

RN Case Manager/Patient Care Manager

Caris Healthcare
01.2019 - 11.2020

Registered Nurse

University of Tennessee Medical Center
07.2018 - 01.2019

Direct Support Professional

Open Arms Care, Corporation
06.2017 - 07.2018

Developmental Technician

Greene Valley Developmental Center
01.2007 - 05.2017

Associates of Applied Science in Nursing -

Walters State Community College

High School Diploma -

David Crockett High School

RN to BSN Program -

King University

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