RACHEL MCFARLAND
Advisacare Home Care
Lansing
11
years of professional experience
Dynamic and dedicated Long-Term Care Registered Nurse and Nurse Manager with over a decade of experience in post-acute and long-term care settings. Expertise in managing complex pediatric and geriatric populations, effectively coordinating interdisciplinary care, and providing compassionate support to residents and families throughout rehabilitation and extended stays. Proven track record of upholding safety standards, ensuring quality of care, and maintaining regulatory compliance in high-pressure skilled nursing environments. Committed to fostering a collaborative atmosphere that enhances patient outcomes and promotes holistic well-being.
Work History
Registered Nurse, Home Health Care
7 Months- Administered medication and treatments per physician orders, ensuring patient safety and adherence to care plans.
- Conducted comprehensive assessments, evaluating physical and emotional health of patients in home environments.
- Collaborated with interdisciplinary teams to develop and implement individualized care strategies for optimal patient outcomes.
- Monitored vital signs and documented changes in condition, promptly reporting concerns to healthcare providers.
- Educated patients on self-care strategies, such as medication management, nutrition, and lifestyle changes, empowering them to take control of their health.
Registered Nurse
3 Years 7 Months- Provided direct bedside care in multiple long-term care and rehabilitation facilities, including medically complex pediatric and geriatric patients.
- Managed high patient loads, conducting assessments, administering medications and treatments, and monitoring for changes in condition to ensure optimal patient care.
- Adapt nursing care to age and development, using child- and family-centered approaches when caring for pediatric residents.
- Served as charge nurse, guiding CNAs and team members to effectively address residents’ needs and enhance care delivery.
- Communicated with families, providers, and facility staff to facilitate continuity of care and ensure safe discharges for residents.
- Maintain accurate, timely documentation in various EMR systems in accordance with facility and regulatory requirements.
- Administered patient care plans, ensuring adherence to protocols and best practices.
- Monitored vital signs and documented changes in patients' conditions for timely interventions.
Contract Registered Nurse – Corrections
3 Months- Delivered nursing care to incarcerated patients, ensuring adherence to security protocols and promoting patient well-being.
- Conducted intake and ongoing assessments, including vital signs and triage of sick call requests, while monitoring for withdrawal, decompensation, or medical emergencies.
- Administered medications, including controlled substances, following strict security and documentation procedures.
- Facilitated care coordination among providers, mental health staff, custody officers, and ancillary departments, enhancing safety and continuity of care.
- Responded to urgent and emergent situations, utilizing de-escalation skills and sound clinical judgment.
Registered Nurse
1 Month- Implemented infection control protocols, significantly reducing hospital-acquired infections within the unit.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
Registered Nurse
3 Years 1 Month- Provided home care for medically fragile pediatric patients, including medication administration, respiratory treatments, seizure management and caregiver teaching.
- Delivered home care for medically fragile pediatric patients, administering medications, respiratory treatments, and seizure management while teaching caregivers essential care techniques.
- Conducted comprehensive in-home nursing assessments for pediatric and geriatric clients, monitoring for changes in condition and communicating with providers and families promptly.
- Collaborated with interdisciplinary teams to develop and implement individualized care plans.
- Instructed patients and caregivers on disease processes, medications, and safety protocols, contributing to decreased rehospitalization rates.
- Fostered trusting relationships with patients and families throughout long-term care episodes, enhancing patient comfort and compliance.
Care Manager
8 Months- Coordinated person-centered care plans with internal and external providers for medically fragile clients, ensuring comprehensive support.
- Coordinated person-centered care plans involving internal and external providers for medically fragile clients.
- Provided leadership and clinical expertise within care management teams, enhancing team effectiveness.
- Collaborated with multidisciplinary teams to enhance patient safety, health outcomes, and continuity of care.
Registered Nurse
4 Months- Monitored patients, documented and communicated changes in condition, including medication and treatment responses, to ensure timely interventions.
- Measured and recorded vital signs including blood pressure, pulse, temperature, and respiration to assess patient health status.
- Developed individualized care plans and coordinated medication schedules and treatments to enhance symptom management and improve quality of life.
Registered Nurse
1 Year 1 Month- Delivered nursing care in post-acute and long-term care settings, enhancing patient recovery and comfort.
- Administered medications and treatments and maintained accurate documentation.
- Worked collaboratively with facility staff to support continuity of care and safe staffing levels.
- Collaborated with facility staff to ensure continuity of care and optimal staffing levels, promoting patient safety.
Registered Nurse
1 Year 5 Months- Administered medications, tube feedings and IV therapies, monitoring for side effects and changes in status.
- Delivered direct bedside care to residents in a busy skilled nursing/rehab facility, managing multiple residents with complex medical needs.
- Oversaw assessments, care plans and daily nursing interventions for short-term rehab and long-stay residents, ensuring safe, person-centered care.
- Guided CNAs in resident care by modeling safe transfers, fall precautions, and respectful interactions.
- Led nursing staff in a skilled nursing/long-term care facility, ensuring adherence to clinical standards and fostering a collaborative environment.
- Collaborated with physicians, therapy, social work and dietary to support functional goals, discharge planning and resident satisfaction.
- Documented assessments, treatments and responses in accordance with facility policy and regulatory guidelines.
- Coordinated with physicians, therapy, social work, and dietary to enhance functional goals, discharge planning, and resident satisfaction.
Certified Nurse’s Aide
2 Years 9 Months- Assisted residents with ADLs including bathing, grooming, feeding, toileting, and mobility to enhance comfort and preserve dignity.
- Monitored and reported changes in residents' conditions and behaviors to nursing staff, ensuring timely interventions.
- Supported a safe environment by following fall-prevention, infection control and facility policies.
- Established strong rapport with residents and families through compassionate care, fostering trust and enhancing overall satisfaction.
Education
Associate Degree in Nursing - Nursing
High School Diploma
Associate of General Studies
Skills
Home Health Care
Care planning
Medication administration
Wound care
Long-Term Care & Skilled Nursing
Falls prevention
Dementia management
Skin Integrity
Wounds & Pressure Injury Prevention
Infection control
Time management
Autonomous nursing
Crisis intervention
Basic Life Support (BLS)
IV administration
Patient care
Patient evaluations
TARGET ROLE
Registered Nurse – Long-Term Care / Skilled Nursing
Timeline
Registered Nurse, Home Health Care
Advisacare Home Care
12.2025 - 07.2026Read More
Contract Registered Nurse – Corrections
PIE Management – Duane Waters Hospital (Corrections)
05.2025 - 08.2025Read More
Registered Nurse
MediLodge of Lansing
02.2025 - 03.2025Read More
Registered Nurse
Amira Medical Staffing
10.2022 - 05.2026Read More
Registered Nurse
Advisacare Home Health
05.2021 - 06.2024Read More
Care Manager
AdvisaCare
09.2020 - 05.2021Read More
Registered Nurse
Suncare Home Health
09.2020 - 01.2021Read More
Registered Nurse
QCI Health Care Staffing
07.2019 - 08.2020Read More
Registered Nurse
Medilodge of East Lansing
05.2018 - 10.2019Read More
Certified Nurse’s Aide
Hazel Findlay Country Manor
08.2015 - 05.2018Read More
Lansing Community College
Associate of General Studies
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Lansing Community College
Associate Degree in Nursing from Nursing
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Dewitt High School
High School Diploma
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