ROYANNE DAVIS

• Manages, supervises, and mentors the Medical Compliance Team, ensuring adherence to facility policies, medical record requirements, and applicable state regulations.
• Supervised direct reports, including reviewing and approving employee timecards, monitoring attendance, and conducting 90-day and annual performance evaluations.
• Served as an escalation point for after-hours clinical and medical concerns requiring supervisory judgment beyond established protocols.
• Assigned and audited verbal shift-to-shift controlled medication counts conducted by incoming and outgoing staff, ensuring compliance with medication security and safe-storage protocols.
• Oversees shift-change transitions and direct staff review of client presentations, safety concerns, clinical needs, and programming participation.
• Provides ongoing training, competency assessment, auditing feedback, and retraining to Detox Technicians regarding vital-sign procedures, search procedures, Kipu medication logging, and detoxification observation schedules.
• Provides recommendations regarding hiring, disciplinary actions, employee performance, and staffing decisions for the Medical Compliance Team in coordination with Human Resources.
• Evaluates staffing levels and coverage needs across residential locations and adjust nursing and technician assignments as needed to maintain appropriate clinical coverage.
• Conducts and review routine medical compliance audits within the Kipu EMR to identify documentation deficiencies, monitor completion of required records, and enforce compliance with detoxification, admission, medication administration record (MAR), and discharge protocols.
• Reviews and signs Nurse Progress Notes and required nursing intake and discharge documentation for accuracy, completeness, and compliance. Author clinical documentation directly only for clients receiving personal care from the supervisor.
• Oversees discharge and step-down medical documentation, ensuring MAR generation is appropriately disabled, Centrally Stored Logs are completed and submitted, and authorized medications are released in accordance with provider orders.
• Maintains oversight of calibration schedules for vital-sign equipment, breathalyzers, and other medical monitoring devices to support compliance with The Joint Commission and applicable state standards.
• Assigned and witnessed biweekly medication destruction conducted by designated staff in accordance with Drug Buster procedures and maintain required compliance documentation and sign-off authority.
• Ensured requisition and tracking of urinalysis laboratory orders, including PDX Urine Custom Panel orders, and verify that incoming laboratory results are reviewed, documented, and appropriately followed up by nursing staff.
• Audited laboratory documentation for completion and ensure client refusals are appropriately documented in the medical record.
• Promoted consistent adherence to clinical policies, documentation standards, medication-management procedures, and regulatory requirements across all residential locations.

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• Dispensed prescribed medications methadone, buprenorphine, and buprenorphine/naloxone as part of MAT program
• Maintained dispensing equipment, managing medication inventory and reported patient treatment information to counselors, Medmark Fresno staff, and doctors
• Administered daily medication to patients in compliance with program policy
• Used automated dispensing system, calibrated methadone dispensing pump and maintained dispensing equipment
• Manually dosed patient's when SAMMs system would be down, pump not working properly or out of service
• Switched and transferred entire dispensing station to new dispensing area during multiple shifts due to system crash
• Produced and maintained appropriate records and reports as required by Company protocol, Federal and State Regulations
• Ensured compliance with security standards for the distribution and storage of controlled substances as set forth by DEA and State of California
• Received and stocked medication in accordance with DEA and State regulations
• Provided daily assessment of patients for dose tapering or dose increases with COWS assessments
• Helped train new nurse hires for dispensing nurse position
• Kept dispensing area clean and organized each shift and prior to oncoming PM shift
• Completed intakes on patients which included drug panel UA screen, TB test, blood lab test drawings, vital signs, Hep C and HIV questionnaire, and nursing assessment
• Traveled to clinics in need in Northern California and Southern California when short staffed to cover clinic’s needs as dispensing nurse

• Created a positive atmosphere in the work place each and every shift
• Strong time management and multitasking skills
• Cared for wounds, provided treatments, and assisted with procedures.
• Assisted with admissions, appointments, transfers, and discharges.
• Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
• Used aseptic techniques to provide sterilized wound care and dressing applications.
• Documented patient vitals, behaviors, and conditions to communicate concerns to supervising RN.
• Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
• Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
• Documented accurate and complete patient information to address patient problems and expected outcomes.
• Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
• Answered incoming phone calls from patients family members and MDs to provide basic assistance and triage medical concerns.
• Delivered updates in patient status to charge nurse, recording changes in medical records.
• Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.

•Performed routine tracheotomy care to each patient throughout shift