ROLI NESIAMA
Katy,TX
Summary
- 19 years plus total Nursing experience.
- 19 years plus of Quality Assurance.
- 19 years wound care nursing experience.
- Responsible for maintaining clinical compliance with standards of care and Agency compliance with all state, Federal, and Medicare rules and regulations.
- Coordination of diverse Nursing programs and functions.
- Ability to work competently without constant instructions from others.
- Ability to complete tasks accurately every time.
- Ability to maintain composure and accuracy even in stressful situations.
- Excellent Communications and interpersonal skills.
- Good verbal and written communication skills.
- Ability to perform each essential duty satisfactorily.
Expert quality assurance professional offers 19 years of experience in reviewing and helping optimize detailed technical specifications. Brings collaborative style and has well-developed communication skills combined with attention to detail, unparalleled software abilities, and background in writing top-notch test cases.
Overview
22
22
years of professional experience
Work History
LVN- Fields Staff
Star Home Health Services
Houston, TX
11.2022 - Current
- Updated clinical records according to policies and procedures.
- Notified physicians and other personnel of changes in patients' conditions.
- Educated patients and family members about disease facts, medications and home care instructions.
- Consulted with patients regarding medical options and disease prevention strategies to encourage optimal health.
- Provided attentive healthcare to sick, disabled and injured patients.
- Administered medications and therapies in accordance with physicians orders.
- Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
- Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
- Worked as part of healthcare team to assess patient needs, plan and modify care and implement interventions.
- Took temperatures or blood pressures, dressed wounds and provided other basic patient care or treatments.
- Documented patient medical histories, current symptoms and vitals.
- Measured and recorded patient height, weight and other vital signs.
- Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
- Observed strict confidentiality and safeguarded all patient-related information.
- Guaranteed exceptional care quality by correctly administering medication, inserting and caring for catheters, dressing and changing wounds and assisting with personal hygiene.
- Communicated with patients with compassion while keeping medical information private.
- Worked with social workers, physical therapists and speech therapists to assess patient needs, plan and adjust plans of care and actualize nursing interventions to promote and restore patient health.
- Collected blood, urine or sputum from patients to perform routine laboratory tests.
- Communicated effectively with patients and loved ones to explain diagnoses, treatment options and procedures.
- Answered patients' calls to determine how to assist.
- Provided behavioral and emotional support and closely supervised patients suffering from dementia and Alzheimer's.
- Monitored infection control procedures to verify facility-wide health and safety.
- Educated clients, patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
- Assembled and used catheters, tracheotomy tubes or oxygen suppliers.
- Evaluated nursing intervention outcomes by conferring with other healthcare team members.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
LVN Field Nurse
Faith Medical Services
Houston, TX
07.2020 - Current
- Notified physicians and other personnel of changes in patients' conditions.
- Educated patients and family members about disease facts, medications and home care instructions.
- Consulted with patients regarding medical options and disease prevention strategies to encourage optimal health.
- Provided attentive healthcare to sick, disabled and injured patients.
- Updated clinical records according to policies and procedures.
- Collected and documented vital signs to track current patient conditions.
- Monitored patient's respiration activity, blood pressure and blood glucose levels in response to medical administration.
- Communicated concerns regarding clients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.
- Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
- Answered patient and family questions to educate on optimal treatment procedures.
- Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
- Cared for patients' acute and chronic wounds by changing dressings and applying medicated compounds.
- Responded to patient alarms and needs-assessment requests to identify course of treatment.
- Observed strict confidentiality and safeguarded all patient-related information.
- Worked with registered nurses to deliver comprehensive, high-quality care to Chronic & Acute patients.
- Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
- Monitored infection control procedures to verify facility-wide health and safety.
- Collected biological samples for routine laboratory testing to assist diagnostic processes.
- Examined and addressed lacerations, contusions and physical symptoms to assess and prioritize need for further attention.
- Triaged patients by phone and provided general assistance for basic and advanced needs.
Nurse Care Manager
Wellcare/ Comprehensive Healthcare Services
Katy, TX
09.2018 - 10.2023
- Facilitated ongoing assessment of patient and family needs and oversaw implementation of interdisciplinary team plan of care.
- Investigated and reported issues relating to patient care and conditions which might hinder patient well-being.
- Communicated with patients with compassion while keeping medical information private.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Solicited medical history information from patients to provide best and most effective medical advice.
- Coordinated delivery of exceptional patient care by evaluating workflows and facilitating positive changes.
- Optimized case and clinical management and recommended plans to improve safety and health programs.
- Identified risk management concerns and reported scenarios to appropriate management.+9
LVN Field Staff
UAC Healthcare Services, Inc
Houston, TX
06.2016 - 11.2022
- Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care.
- Recorded patients' medical history, vital statistics and test results in electronic medical records.
- Developed care plans complete with effective nursing measures to improve patients' mental and physical health.
- Evaluated patients to develop and update treatment plans while anticipating day-to-day needs.
- Conducted patient assessments and diagnostic tests to provide physician with important patient health information.
- Promoted healthy lifestyle choices to reduce re-emergence of painful or dangerous symptoms.
- Adapted individualized treatment plans according to patient recovery goals.
LVN Field Staff
A & G Home Health Service
Houston, TX
06.2020 - 03.2021
- Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care.
- Recorded patients' medical history, vital statistics and test results in electronic medical records.
- Conducted patient assessments and diagnostic tests to provide physician with important patient health information.
- Promoted healthy lifestyle choices to reduce re-emergence of painful or dangerous symptoms.
- Adapted individualized treatment plans according to patient recovery goals.
- Answered patient questions and provided in-home materials for further information.
- Facilitated transition to home care by providing patients with continued care, information and, implementing discharge instructions.
- Evaluated patients to develop and update treatment plans while anticipating week-to-week needs.
- Communicated effectively with physicians and provided support after surgical procedures.
- Followed care plans complete with effective nursing measures to improve patients' mental and physical health.
LVN Field Nurse
Caring Angels Healthcare Agency
Stafford, TX
07.2010 - 12.2018
- Provide expert Nursing care for patients.
- Provide Direct Nursing care.
- Administer Medications; oral, IM, IV, Transdermal, Subcutaneous, Sublingual, e.t.c.
- Obtain Vital Signs.
- Report Significant Change in Conditions of Patients' to Physicians.
- Provide total patient care including tube feedings, range of motion, I&O, catherizations.
- Perform wound care using universal/ Aseptic technique.
- Demonstrate active listening Skills and assess Patient's comfort needs at their comfort level.
- Ensure safety of all Patients.
LVN/ Wound Care Nurse
Westchase Health and Rehabilitation Center
Houston, TX
02.2018 - 08.2018
- Provided expert wound care treatments
- Created, edited, and updated wound care reports and documentation used by the entire Facility as well as Corporation.
- Cared for patients' acute and chronic wounds by changing dressings and applying medicated compounds.
- Provided expert Nursing care for patients.
- Provided Direct Nursing care.
- Administer Medications; oral, IM, IV, Transdermal, Subcutaneous, Sublingual, etc.
- Obtained Vital Signs.
- Reported and charted Significant Change in Conditions of Patients' to Physicians.
- Worked with Registered nurses to deliver comprehensive, high-quality care to High -risk patients.
- Provide total patient care including tube feedings, range of motion, I&O, catheterizations.
- Perform wound care using universal/ Aseptic technique.
- Demonstrated active listening Skills and assessed Patient's comfort needs at their comfort level.
- Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
- Assessed and assisted patients with diverse range and comorbid chronic diagnoses, including chronic obstructive pulmonary disease (COPD), asthma, congestive heart failure (CHF), cerebrovascular accidents (CVA), diabetes, and sepsis.
- Ensured safety of all Patients.
Quality Assurance (QA) Nurse / LVN Field Staff
Altru Home Health
Houston, Tx
05.2008 - 12.2011
- Maintained Medical Charts at unit desk and communicated Patients' updates to Physician's.
- Upheld Strict Healthcare, Nursing, and hospital Standards; maintained Universal Precautions.
- Performed wound care, Obtained Vital Signs, Administered Medications.
- Infection Control.
- Ensured safety of all Patients.
- Contributed to business growth by confirming customer satisfaction with service and quality.
- Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care.
- Recorded patients' medical history, vital statistics and test results in electronic medical records.
- Monitored patient vitals post-surgery, managed medical equipment and administered medications and IVs.
- Answered patient questions and provided take-home materials for further information.
- Monitored and educated Patients and Family members on proper care procedures and prioritization strategies.
Quality Assurance (QA) Nurse/ LVN Field Staff
Olive Branch Health Care services, Inc.
Houston, TX
08.2007 - 07.2010
- Maintained Medical Charts at unit desk and communicated Patients' updates to Physician's.
- Upheld Strict Healthcare, Nursing, and hospital Standards; maintained Universal Precautions.
- Performed wound care, Obtained Vital Signs, Administered Medications.
- Infection Control.
- Ensured safety of all Patients.
LVN- Quality Assurance (QA) Nurse
Reliable Care Health Services
Houston, TX
08.2003 - 12.2006
- Maintained Medical Charts at unit desk and communicated Patients' updates to Physician's.
- Upheld Strict Healthcare, Nursing, and hospital Standards.
- Promoted the company in maintaining a work environment focused on quality, communication, collaboration, integration, and teamwork.
- Created, edited, and updated project manuals and technical documentation used by the entire QA team.
- Oversaw all process checks to ensure that they were done properly and at the correct frequency.
Kept abreast of regulatory requirements, to include accrediting bodies, federal, state and local requirements and Reliable Care Health Service’s policies. - Ensured safety of all Patients.
LVN/ Charge Nurse
The Village Health & Rehabilitation
Houston, TX
08.2002 - 08.2004
- Provided expert Nursing care for patients.
- Provided Direct Nursing care.
- Administered Medications; oral, IM, IV, Transdermal, Subcutaneous, Sublingual, etc.
- Oversaw medication administration, monitored distribution and documented responses.
- Obtained Vital Signs.
- Educated patients, caregivers, and families on diagnoses, treatment and disease prevention.
- Reported Significant Change in Conditions of Patients' to Physicians.
- Provided total patient care including tube feedings, range of motion, I&O, catheterizations.
- Performed wound care using universal/ Aseptic technique.
- Demonstrated active listening Skills and assessed Patient's comfort needs at their comfort level.
- Ensured safety of all Patients.
- Built and maintained strong working relationships between nursing department and other disciplines.
- Coordinated and performed patient admissions, transfers and discharges.
- Assessed and assisted patients with diverse range and comorbid chronic diagnoses, including chronic obstructive pulmonary disease (COPD), asthma, congestive heart failure (CHF), cerebrovascular accidents (CVA), diabetes, and sepsis.
Education
Nursing
San Jacinto college
2002
Skills
- Wound care
- Wound Vacs
- G-tubes/ G-Buttons
- IVs
- Ostomies
- Vents
- Glucometers
- Care plans
- Infection Control
- Trachs
- Computers and electronics
- Deductive reasoning
- Strategic planning and review
- Improvement recommendations
- Best practices and methodologies
- Documentation and materials
- Issue resolution
- Quality assurance controls
- Safety procedures
Affiliations
- Infection Control in Long term Health Care-2018
- Reporting Abuse, Neglect, and Exploitation-2018
- CivilRights Protection of Employees and employers Resposibilities-2018
- HIPPA/Respecting Patient Confidentiality and privacy-2018
- Complying with HIPPA reqirments-2018
- IV therapy-2017
- Training and Adminstration of a Home Health Agency-2008
- Survey Preparation Readiness of a Home Health Agency-2008
Timeline
LVN- Fields Staff
Star Home Health Services
11.2022 - Current
LVN Field Nurse
Faith Medical Services
07.2020 - Current
LVN Field Staff
A & G Home Health Service
06.2020 - 03.2021
Nurse Care Manager
Wellcare/ Comprehensive Healthcare Services
09.2018 - 10.2023
LVN/ Wound Care Nurse
Westchase Health and Rehabilitation Center
02.2018 - 08.2018
LVN Field Staff
UAC Healthcare Services, Inc
06.2016 - 11.2022
LVN Field Nurse
Caring Angels Healthcare Agency
07.2010 - 12.2018
Quality Assurance (QA) Nurse / LVN Field Staff
Altru Home Health
05.2008 - 12.2011
Quality Assurance (QA) Nurse/ LVN Field Staff
Olive Branch Health Care services, Inc.
08.2007 - 07.2010
LVN- Quality Assurance (QA) Nurse
Reliable Care Health Services
08.2003 - 12.2006
LVN/ Charge Nurse
The Village Health & Rehabilitation
08.2002 - 08.2004
Nursing
San Jacinto college
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