REGINA OSTICK
Grayslake,IL
Summary
Highly motivated and experienced Registered Nurse seeking a Clinical Documentation Improvement position and looking for opportunity to further advance in CDI knowledge and professionalism.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Clinical Documentation Nurse Specialist
Advocate Condell Medical Center
01.2018 - Current
- Provide daily clinical evaluation of the medical record including physician and clinical documentation, lab results, diagnostic information and treatment plan
- Manages, assess, and review a patient’s medical records to ensure that all the information documented reflects the patient’s severity of illness, clinical treatment, and the accuracy of documentation
- Perform concurrent reviews of medical records, validate diagnosis codes, identify missing diagnosis, and query physicians and other healthcare providers for more specifics so documentation accurately reflects the patient’s severity of illness
- Improves the overall quality and completeness of clinical documentation by performing chart reviews using clinical documentation guidelines based on accepted standards, evidenced based practice, and current regulatory requirements.
- Develops educational strategies for physicians and other members of the healthcare team regarding identified documentation opportunities to help support clinical acuity and risk of mortality within the medical record and to understand the significance of appropriate documentation
- Demonstrate positive and effective interpersonal relations dealing with all members of the team (i.e. co-workers, physicians, leadership, etc.)
- Promotes patient safety by reporting of issues through established channels and participating as requested in safety initiatives.
- Research literature to identify new methods development and overall documentation enhancement
- Maintains knowledge of current standards of care via literature review and participation in educational offerings.
- Member of CDI Shared Governance-participated in process improvement projects and enhancement of CDI workflow.
- Presentations to hospital physician departments on key documentation improvement opportunities and how these relate to their work and portrayal of how sick their patients are
Registered Nurse, Orthopedic Unit
Advocate Lutheran General Hospital
05.1997 - 12.2017
- Collaborated with orthopedic surgeons to develop individualized patient care plans.
- Took an active role as Charge RN
- Mentored new nurses on best practices, elevating the quality of care provided in the unit over time.
- Implemented evidence-based practices to improve patient outcomes in orthopedic surgeries.
- Coordinated multidisciplinary team meetings to discuss complex cases and treatment options.
- Increased patient satisfaction scores by consistently delivering compassionate and empathetic care to patients and their families.
- Promoted a safe environment in the orthopedic unit by adhering to infection control protocols and maintaining appropriate supplies and equipment.
- Conducted thorough assessments of skin integrity on immobilized or bedridden patients to prevent pressure ulcers development.
- Enhanced interdisciplinary collaboration through regular communication with physicians, physical therapists, and other healthcare professionals.
- Continually updated professional knowledge by attending educational workshops, conferences, and obtaining relevant certifications in the field of orthopedic nursing.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Received multiple Spirit Awards for Excellence and Compassion
Education
Bachelor of Science - Nursing
North Park University
Chicago, IL05-1996
Skills
- Clinical expertise
- Case documentation
- Medical documentation
- Records review
- Staff education
- Reviewing literature
- Analyzing documentation
- Teamwork and collaboration
- Problem-solving
- EPIC EMR
- 3M Solventum CDI Software
- Precepting new associates on CDI role
Certification
- Registered Nurse, State of Illinois | May 1996 - Current
- Registered Nurse, State of Wisconsin | March - Pending
Timeline
Clinical Documentation Nurse Specialist
Advocate Condell Medical Center
01.2018 - Current
Registered Nurse, Orthopedic Unit
Advocate Lutheran General Hospital
05.1997 - 12.2017
Bachelor of Science - Nursing
North Park University