Raylene Banuelos
Registered Nurse
Montclair,CA
Summary
Driven and dedicated New grad-RN with 10 years of direct patient care experience as an LVN offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
10
10
years of professional experience
2
2
Languages
3
3
years of post-secondary education
Work History
Registry Registered Nurse
Clipboard Health
05.2024 - Current
- Traveled to local Skilled Nursing facilities working as an RN providing direct patient care, medication administration, complex wound care, and all other skills under the RN scope of practice
- Oversaw delivery of care for patients, delegating nursing assignments and supervising team comprised of RNs, LVNs, and CNAs.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Monitored patient reactions after administering medications and IV therapies.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Recorded details regarding therapies to keep patient charts updated.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches
Registry LVN
Clipboard Health
01.2023 - 04.2024
- Traveled to local facilities working as an LVN providing direct patient care, medication administration, complex wound care, and all other skills under the LVN scope of practice.
- Utilized background in the Skilled Nursing facilities and applied critical thinking skills in the practice of long term care nursing
- Delivered updates in patient status to charge nurse, recording changes in medical records.
- Administered controlled narcotics, inserted IVs, and performed catheterizations.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
- Collaborated with interdisciplinary healthcare teams to develop comprehensive care plans tailored to patients'' needs.
- Performed IV therapy treatments safely and accurately, administering fluids and medications as ordered by physicians.
- Demonstrated strong clinical judgment by assessing symptoms quickly and prioritizing appropriate interventions accordingly.
Quality Assurance Performance Improvement Manager
Tranquil Oaks Hospice
2 2022 - 11.2023
- Ensuring the collection of accurate and reliable data
- Participating in cross-organization activities to assess and improve overall organizational quality and performance
- Assisting in the implantation of corrective actions as appropriate
- Evaluating the effectiveness of planned and implemented actions
- Encouraging staff participation in improvement activities by mentoring, advancing education by acting as a resource to all staff
- Aggregating, trending and analyzing Data using appropriate statistical technique
- Reporting significant findings to appropriate managers, staff, and governing bodies on a quarterly basis.
- Developed comprehensive performance improvement plans for consistent growth and success.
- Leveraged advanced analytics tools for deeper insight into company-wide trends, enabling better-informed strategic planning efforts.
- Implemented data-driven decision-making processes, resulting in more informed business choices.
- Conducted thorough root cause analyses for recurring issues, devising corrective actions to mitigate future occurrences effectively.
- Led change management efforts to ensure seamless adoption of new processes and systems by staff members.
- Monitored key performance indicators and built processes to support partner performance and growth.
Patient Care Service Manager
Charter Hospice Of The San Gabriel Valley
07.2019 - 02.2022
- Ensured compliance with industry regulations by staying current on relevant updates and adjusting company policies accordingly.
- Identified and communicated customer needs to supply chain capacity and quality teams.
- Increased repeat business by fostering strong client relationships through personalized service and frequent follow-ups to ensure satisfaction.
- Developed and maintained positive relationships with customers to build rapport and trust.
- Hired, trained and supervised team of service staff members to meet business goals.
- Improved staffing during busy periods by creating employee schedules and monitoring call-outs.
- Direct and coordinate infection control program
- Monitor and manage Covid-19 census
- Triage patient calls on weekends
- Assist with nursing coverage as needed
- Complete CMS assessments according to Medicare guidelines
- Ensure nursing documentation is completed in a timely manner
- Maintain accurate and detailed reports and records
- Observe and evaluate the existing practices and policies and make recommendations for changes when necessary
- Assign and direct nursing staff responsibilities
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Facilitate Interdisciplinary meetings
- Review medical records requests and appeal records
- Coordinate physician visits.
Quality Assurance Nurse
Charter Hospice Of The San Gabriel Valley
04.2019 - 07.2019
- Collaborate with physicians and treatment teams to develop patient-care guidelines and serve on quality-improvement teams
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Provided skilled, timely and level-headed response to terminally-ill patients.
- Evaluated nursing competencies through regular assessments, identifying areas for professional growth and development opportunities.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
- Advocated for a culture of transparency surrounding quality assurance findings, fostering accountability among all levels of staff members within the organization.
- Established regular performance review meetings with nursing staff members, providing constructive feedback on areas requiring improvement while recognizing and celebrating achievements in quality assurance efforts.
- Reduced patient safety incidents by providing comprehensive training on best practices in infection control and prevention.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity
- Audit Nursing and Physician documentation
- Assist with the coordination of quality improvement/quality assurance/patient safety activities to maintain and improve patient care services
- Conduct home visits to evaluate nursing, complete medication reconciliation, and ensure quality of care is maintained.
Infection Preventionist
Route 66 Post Acute
01.2019 - 04.2019
- Recognizing and isolating outbreaks of infectious diseases in the facility
- Reduced infection rates by implementing evidence-based practices and guidelines in the healthcare facility.
- Reviewed relevant literature to stay current on emerging trends and advances in the field of infection prevention, incorporating findings into daily practice when appropriate.
- Served as a liaison between departments to facilitate communication regarding best practices in infection prevention and control.
- Developed effective training programs to help staff understand and implement critical protections.
- Collaborated with environmental services staff to ensure proper cleaning, disinfection, and sterilization of patient care areas and equipment.
- Utilized surveillance software tools effectively for ongoing monitoring of infection rates and trends within the organization.
- Assisted in the management of infectious disease emergencies by providing guidance on isolation precautions, containment measures, and appropriate response actions.
- Creating strategies and action-plans for the prevention of outbreaks
- Help ensure that proper infection control protocols are being followed from hand washing to wearing masks when necessary
- Managing Antibiotic stewardship program
- Prepare reports and statistical data for the infection control committee, medical staff, facility's administration and other committees as needed
- Provide training and education to staff on prevention techniques, proper usage of antibiotics and proper documentation.
MDS Coordinator
Mesa Glen Care Center
04.2018 - 01.2019
- Coordinating Care-Plan meetings with family, residents, and staff
- Coordinate care between nursing and rehab staff to ensure proper management to meet resident needs and to ensure that individualized goals and plans of care are developed
- Coordinate assessments of patients and ensure the timely completion adhering to Medicare, Insurance, and OBRA requirements
- Communicate with physicians, CNAs, Nurses, families, IDT, and residents regarding residents' clinical conditions
- Ensure physician certifications are completed appropriately and in a timely manner
- Maintain MDS schedule, ensure that it is accessible to members of the interdisciplinary team, and provide clear, updated information on completion deadlines
- Participate in PPS management system to maximize outcomes for Medicare A residents
- Share responsibility for backing up nursing staff on a 24-hour per day, 7 day per week basis.
- Assessed electronic medical record for required documentation to support MDS coding.
- Reduced errors in data collection by streamlining the MDS process and improving communication among interdisciplinary teams.
- Provided guidance to nursing staff on accurate completion of Section GG assessments, enhancing overall documentation quality and supporting appropriate Medicare/Medicaid reimbursement rates.
Case Manager
Mesa Glen Care Center
06.2017 - 04.2018
- Responsible for evaluating and screening potential admissions to the facility when appropriate
- Knowledgeable of criteria for Medicare, Medicaid, HMO and private insurance coverage
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
- Initiate ongoing communication with the resident and resident’s family to assess discharge needs
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Facilitated successful transitions between levels of care by developing detailed discharge plans and coordinating resources.
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Knowledgeable of resident’s financial status, diagnosis and discharge needs
- Responsible for home care needs being met by the time of discharge, with a goal of arrangements completed 24 hours prior to discharge when date of discharge is known
- Cooperate with insurance companies, based on information received
- Ensures that a quality of care is maintained.
LVN Charge Nurse
Mesa Glen Care Center
07.2015 - 06.2017
- Provide nursing care in accordance with hospital policy
- Cultivated strong working relationships with physicians by maintaining open communication, providing timely updates on patients'' status, and actively participating in care coordination efforts.
- Delivered direct quality care to patients by evaluating medical conditions and managing and assessing treatments.
- Assist patients with gown changes, linen changes, hygiene and grooming in accordance with the established care plan
- Provided patient education on health care issues and prescribed medications.
- Assembled and used equipment such as catheters, tracheotomy tubes, or oxygen suppliers to effectively manage patient care.
- Reviewed patient history to verify conditions and current medications.
- Evaluated patient histories, complaints, and current symptoms.
- Promoted patient independence by teaching self-care skills and explaining conditions and medications.
- Fostered a positive work environment through mentorship, offering constructive feedback, and recognizing the achievements of fellow nurses.
- Measure and recorded patient’s fluid intake and output
- Assist physicians and registered nurses with a variety of procedures as directed
- Carrying out physicians’ orders, assist inpatient education
- Assist in scheduling and preparing patients for departmental transfers and ensure the availability of necessary lab and x-ray results
- Administer medication in a timely manner
- Delegate work assignments to nursing assistant's.
Education
Associate Degree in Nursing - Registered Nurse
American Career College
Ontario, CA 09.2022 - 05.2024
Licensed Vocational Nurse -
Northwest College
Pomona, CA Feb.2013 - Nov.2014
Skills
Intravenous and Blood withdraw certification
Ventilator and tracheostomy certification
Infection Preventionist certification
MDS/RAI Certification
Nursing Management
Wound Dressing & Care
Multitasking Abilities
Certified in CPR/AED
Patient Assessments
Care Planning
Critical Thinking
Case Management
Home care
References
AVAILABLE UPON REQUEST
Timeline
Registry Registered Nurse
Clipboard Health
05.2024 - Current
Registry LVN
Clipboard Health
01.2023 - 04.2024
Associate Degree in Nursing - Registered Nurse
American Career College
09.2022 - 05.2024
Patient Care Service Manager
Charter Hospice Of The San Gabriel Valley
07.2019 - 02.2022
Quality Assurance Nurse
Charter Hospice Of The San Gabriel Valley
04.2019 - 07.2019
Infection Preventionist
Route 66 Post Acute
01.2019 - 04.2019
MDS Coordinator
Mesa Glen Care Center
04.2018 - 01.2019
Case Manager
Mesa Glen Care Center
06.2017 - 04.2018
LVN Charge Nurse
Mesa Glen Care Center
07.2015 - 06.2017
Licensed Vocational Nurse -
Northwest College
Feb.2013 - Nov.2014
Quality Assurance Performance Improvement Manager
Tranquil Oaks Hospice
2 2022 - 11.2023