Rosemary Dever

Primary care provider delivering comprehensive health care to adults on medicare. Awarded OSH partnership for clinical excellence. Recognized as a Peer Mentor who represents "Oaky" values and care model excellence. Proven ability to mentor new NP's, scribes, and medical assistants to succeed in the OSH model of care. Encourage patient compliance, and self-management, by employing empowerment strategies; educate patients and families regarding topics of disease process, medications, safety, health maintenance, and normal processes of aging to facilitate informed decision-making . Collaborate with nursing staff, therapists, social workers, physicians, family members, palliative and hospice teams to develop and support patient centered action plans to preserve function, promote wellness. Initiate end of life discussions to assist the health care team, patients and families with advanced care planning, and transitions to palliative and/or hospice care.

Perform initial history and physical exams, verify admission orders, medication reconciliation, dementia/depression screenings to manage medical issues for adult and geriatric patients living in long ternm care and short term rehabilitation settings. Collaborate with nursing staff, therapists, social workers, MDS coordinators, physicians, family members, palliative and hospice teams to develop and support patient centered action plans to preserve function, promote wellness. Respond to acute changes in health and treat in place when appropriate. Initiate end of life discussions to assist the health care team, patients and families with advanced care planning, and transitions to palliative and/or hospice care.

Primary care provider delivering comprehensive, acute, and routine health care in short term rehabilitation and long term care settings . Work with members of health care team to coordinate goals of care for optimal patient outcomes.

Perform Health History and Psychological Screening Assessments for Marine, Army reserve personnel to certify eligibility for deployment.

Performed in home wellness exams for Medicare members of BCBS of RI.
Identified gaps in care, provided education regarding disease process and applied motivational interviewing techniques to develop action plans for optimum self-management of chronic illness. Collaborated with primary care providers and health care teams to reduce risk for exacerbation of illness and hospitalizations.

Perform all aspects of patient monitoring and assessment, medication administration, wound care, IV Therapy, orthopedic and general post operative care; maintain accurate and detailed documentation of each patient including admission and discharge. Collaborate with doctors on patient changes and medication needs. Focused on patient safety and improving outcomes for all patients. Worked with families on care plans, end of life plans and wellness promotion. Administered blood products and maintained infection control standards. Collaborated with health care teams including PT, OT, ST to drive positive patient outcomes. Advocate for patients to ensure safe discharge plans.

Provided individualized nursing care for a diverse population of older adults with long term and acute rehabilitation needs. Monitor residents for changes in baseline, implement treatments, deliver medication, supervise assistive personnel, collaborate with health care teams to ensure safe and effective care delivery and achievement of desired outcomes.

Evaluated and analyzed administrative and operations systems. Assisted in design, development and implementation of new systems, policies and procedures. Wrote training manuals and led training sessions on DOS, spreadsheets and word processing programs.