Renee Derstler

• Communicated regularly with family members regarding patient care needs and progress toward goals.
• Provided emotional support and counseling to patients dealing with chronic illness or end-of-life issues.
• Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.
• Monitored and evaluated effectiveness of treatment plans and interventions.
• Collaborated with physicians, nurses and other healthcare professionals to ensure optimal patient outcomes.
• Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
• Coordinated medical services between primary care providers, specialists, hospitals and outpatient clinics.
• Facilitated referrals to community resources for additional support services.
• Maintained accurate documentation of patient progress in the electronic health record.
• Conducted weekly interdisciplinary team meetings to review case management activities for assigned caseloads.
• Participated in quality improvement initiatives related to case management processes.
• Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.

• Assessed patient needs and developed individualized care plans.
• Provided comprehensive nursing care for patients in their homes.
• Monitored vital signs, administered medications, and provided wound care as needed.
• Educated patients and families about treatments, medications, and self-care management techniques.
• Collaborated with physicians to develop treatment plans that met the needs of each patient.
• Maintained accurate documentation of assessments, treatments, medications, and progress notes in accordance with agency policies.
• Performed case management functions such as referrals to community resources or other healthcare providers as needed.
• Participated in interdisciplinary team meetings regarding patient care planning and outcomes assessment.
• Coordinated communication between all members of the healthcare team including primary care providers, specialists, family members, caregivers.

• Counseled patients and caregivers, providing emotional, psychological and spiritual support.
• Developed and adapted individualized treatment plans according to patient recovery goals.
• Observed strict safety measures, including checking medication dosages before administration to patients.
• Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
• Addressed unit staff concerns, including staffing ratios, resource management, allocation of responsibilities and optimized workload management.
• Executed appropriate steps for patient treatment following careful review of physician medical regimen.
• Provided skilled direct nursing care to Mental Health patients in an Extended Acute Care Mental Health department.
• Reached out to patients to convey lab results and provide care instructions.
• Answered patient questions and provided take-home materials for further information.
• Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
• Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
• Treated patients using pharmacological and non-pharmacological treatment modalities to address various disorders, diseases and injuries.
• Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
• Trained and mentored new RNs on best practices, hospital policies and standards of care.
• Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
• Participated in continuing education programs and Mental Health workshops to enhance training and nursing knowledge.
• Filled in for Case Management when needed and completed all duties required for this role.

Primarily worked with Pediatric patients.

Followed care plans and documented accordingly

Acuity included: Nursing assessment and response to any abnormalities, Communication with Physicians and obtaining ordes if necessary, IV skills, enteral nutrition, medication administration, oxygen, tracheostomy care and ventilation skills, assistance with ADL's and transferring patient

Performing assigned duties including:

Receiving admission and/or transfers to the unit

Discharging patients

Initial and on-going systematic patient assessment

Administration of oral and Intravenous medications

Inserting new IV sites, blood draws for ordered labs

Initiation of critical drips and performing proper titration per orders.

Timely and accurate documentation

Interpreting assessment/diagnostic data including labs and telemetry

Ensuring medical orders are transcribed and processed accurately

Competence in Rapid Response and code events

Promoting continuous quality improvement

Teaching and counseling patient's and family's

Ongoing education requirements

• Informed patients and families of treatment options and at-home care strategies to reduce unnecessary burden on hospital resources.
• Administered oral, intramuscular and IV medications to patients and monitored responses.
• Determined and coordinated appropriate level of care to meet individual patient needs.
• Advocated for patients by identifying insurance coverage, communicating care preferences to practitioners and verifying interventions met patients' treatment goals.
• Developed appropriate care plans for at-risk individuals and high-risk families.
• Administered medications and treatment plans in accordance with physician orders.
• Incorporated appropriate nursing methods to create individualized care plans.
• Collaborated with physicians on patient medications, medical needs and performance.
• Collaborated in consults, patient care plans development, patient monitoring and evaluations.
• Conducted thorough physical evaluations to address changes in patient needs, conditions and medications.
• Assessed and reviewed patients for discharge and planning, including integrating services for patients requiring home care, home infusion, and durable medical equipment (DME).
• Participated in on-call rotations, delivering daily continuous quality care to patients.
• Developed patient care plans, including overall patient health assessments and evaluations.

• Treated patient's with strokes, seizures and neurological issues
• Cared for post op biaratric patient's 2 day per week
• Assessed ongoing telemetry monitoring and properly reacted to abnormalities
• Managed a caseload of 5-6 patient's per shift, providing skilled assessment, education, oral medication & IV therapy, wound care and trach care
• Transcribed and entered Physician orders, carried out orders appropriately while using proper Nursing judgment
• Contact Physician with any patient changes using SBAR method
• Evaluated patient care needs, prioritized treatment and maintained patient flow.
• Accurately documented all elements of nursing assessment
• Provided quality nursing care in accordance with patient care policies and procedures.
• Worked as part of a team to ensure proper care of body mechanics and safety of patient.
• Coordinated with physicians and licensed staff to develop proper care plans, admission and discharges for patients.