Reynaldo G Loleng, Jr.

• Participated in the initial treatment plan development for all of patient's Primary Care Health Home Enrollees. Assisted in developing treatment plan healthcare goals for individuals with co-occurring chronic disease. Assisted in coordinating activities related to external referral for assigned Health Home Enrollees. Conducted medication reconciliation at patient encounter to insure patient safety and treatment compliance. Conducted assessment and screenings as indicated by enrollee age, gender, and health history. Conducted in-home visits as needed to improve patient self-management and treatment plan adherence. Developed wellness and prevention initiatives. Facilitated health education groups Consulted with Community Support Staff about identified health conditions. Assisted in contacting medical providers and hospitals for admission/discharge. Utilized CareSTL Health's Health Information Technologies (HIT) tools and reports for treatment to guide care coordination and clinical judgement required by Meaningful Use Initiative. Monitored and reported performance measures and outcomes

Assessed, planned, implemented, monitored, documented, and evaluated the resident's/patient's continuum of care in collaboration with their primary care providers and other health care teams. Daily documented managed care/medicaid/medicare requirements in electronic health records. Delegated, prioritized, and organized assistant nurses work and responsibilities. Problem solved and critically thought on solving daily nursing care issues arising in the workplace to effectively and efficiently meet patient's/resident's need. Helped implemented resident's/patient's management of chronic condition to meet good clinical outcomes and resident's/patient's satisfaction. Managed infection control and critical incidents and made procedural changes and improvements. Trained new nurse in proper techniques, care standards, operational and safety protocols. Implemented medication and IV administration, catheter insertion, and airway management. Maintained quality care and comfort for patients with heart failure, pulmonary hypertension, and other conditions. Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions. Led successful team comprised of RNs, LPNs, and ancillary staff.

• Serve in United States Army Reserves as Nurse/Captain Officer since 2007. Honorably discharged from United States Army Service. Traveled several military operated locations around United States. Participated different trainings on patient care in combat support hospitals settings for active duty deployments around world and within United States. Served Critical Care Nurse in Army for 14 years. Displayed exemplary personal and professional appearance, attracting local populace to inquire about military experience and opportunities. Participated in community events representing U.S. military and recruited interested parties. Administered medications via oral, IV, and intramuscular injections and monitored responses. Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation. Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options. Managed care from admission to discharge. Organized and managed care of patients undergoing various therapies and procedures. Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches. Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.

• Acute Hemodialysis Nurse
• DVA- Davita Hospital Services May 2016-July 2017
• Practiced on the following hospitals: St. John's Hospital, Vibra Hospital, and St. Mary's Hospital in Springfield & Decatur, Illinois; Christian Northeast Hospital, St. Louis, Missouri
• Chronic Haemodialysis Nurse
• NxStage, Des Peres Rd., Des Peres, MO Feb 2018-June 2018
• Provided care and support for patients suffering from acute and chronic renal failure. One year plus experience in hemodialysis setting assisting before, during and after dialysis procedure. Experienced with Fresenius and Braun dialysis machine. Experienced to worked autonomously or along with other staff on assessing, troubleshooting and making sound decisions for patients hemodialysis treatment. Recorded details regarding therapies to keep patient charts updated. Evaluated patient histories, complaints, and current symptoms. Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care. Sustained quality standards by performing routine medication audits and upholding internal and industry best practices. Worked with healthcare team to develop new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability. Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities. Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms. Led teams in driving successful patient outcomes by prioritizing standard of care and best practices. Communicated with healthcare team members to plan, implement and enhance treatment strategies.

• Veterans Home, North County, MO: Sept-Dec 2017
• Aperion Care, Jacksonville, IL: Feb 2015-May 2016
• Arthur Homes, Arthur, IL: May 2012-Dec 2014
• Manor Care, Decatur, IL: Jun 2010-Mar 2012
• Imboden Creek, Decatur, IL, Nov 2009-April 2010
• Sangamon & Capital Care, Springfield, IL Aug 2008-Sept 2009
• Assumed staff, charged and supervisory roles. Worked and supervised Licensed Practical Nurses (LPN) and Certified Nurse Assistants (CNA). Managed, planned, implemented ordered interventions from physicians, evaluated results of care, and made necessary reports or recommendations as needed to physicians. Reported any problems on labs results, tests and procedures done to ordering physicians. Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans. Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care. Collected blood, tissue, and other laboratory specimens and prepared for lab testing. Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols. Maintained quality care and comfort for patients with heart failure, pulmonary hypertension, and other conditions.

• Places of Practice in Acute Care Nursing
• Memorial Medical Center: ER Dept. Jul-Dec 2013
• Decatur Memorial Hospital: OR Dept. May-Nov 2010
• St. Mary's Hospital: MED-SURG Dept. Jun-Oct 2009
• St. John's Hospital: ORTHO Dept. Jan-Jul 2007
• Worked full-time to part-time on hospitals while working in nursing homes. St. John's Hospital: cared for patients status post orthopedic surgical procedure. St. Mary's Hospital: cared for patients in Medical-Surgical floor including step down care patients from ICU and IMC that needed extended progression care to discharge. Decatur Memorial Hospital: circulated movements in Operating Room for safe care and infection control. Memorial Medical Center: cared for patients admitted in t emergency room with life-threatening emergency needs. In all of these hospital experiences following were part of job essential functions and responsibilities: Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans. Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management. Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks. Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans. Collected blood, tissue, and other laboratory specimens and prepared for lab testing. Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.