Samuel Melles
San Antonio,TX
Summary
Patient-oriented Nurse with 19 years of diverse experience in direct patient care, staff supervision and department operations. Skilled at multitasking and prioritizing patient needs and daily assignments. Offering expertise with ICU and ER specialty. Flexible Adult ER Travel Nurse serves in hospitals across country to assess, intervene and stabilize variety of trauma and illnesses with decisive action. Strong knowledge of general and specific health issues and medical conditions requiring urgent treatment and care. Conducts effective triage to make quick and accurate assessments about incoming patients' physical and mental health conditions.
Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
19
19
years of professional experience
Work History
ER Traveling Registered Nurse
Aya Healthcare
01.2022 - 06.2023
- Performed IV insertion, intubation, medicine administration, blood drawing and other medical procedures to facilitate treatment plan.
- Communicated with members of healthcare team to support early intervention.
- Filled gaps in staffing needs for hospitals and facilities across country to relieve shortage of registered nurses in ER.
- Managed care of adult and pediatric patients experiencing life-threatening problems, requiring complex assessment, high-intensity therapies and interventions.
- Educated family members and caregivers on patient care instructions.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Managed patients recovering from medical or surgical procedures.
- 'Managed over 50 patient per night shift.
ICU Travel Nurse
Ethos Medical Staffing
05.2021 - 01.2022
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Observed patients' vital signs and administered physician-prescribed medications and treatments.
- Followed HCA ethical values and principles and adhered to HIPAA medical record regulations to promote patients' privacy.
- Recorded patients' medical status and treatment details in electronic charts to accurately document medical care.
- Participated in departmental quality improvement initiatives to achieve higher standard of patient care.
- Administered medications and treatments as ordered by physician.
- Guided patients, caregivers, and family members on plans of treatment and helpful resources available locally to support care.
- Assessed ventilator equipment for safety and functionality and requested repair or replacement of non-conforming machines.
- Delivered age-appropriate medical care for adult, adolescent, and geriatric ICU patients.
ICU Travel Nurse
Quantum World Technology
01.2020 - 04.2021
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Observed patients' vital signs and administered physician-prescribed medications and treatments.
- Followed HCA ethical values and principles and adhered to HIPAA medical record regulations to promote patients' privacy.
- Recorded patients' medical status and treatment details in electronic charts to accurately document medical care.
- Developed and implemented patient care plans based on physicians' instructions and generally accepted nursing practices.
Emergency Room Charge Nurse /Manager Director
Nix Health System
11.2015 - 12.2019
- Coordinated clinical activities within a specific unit for an assigned shift in the Emergency Room
- Delegated Patient care assignments based on nursing needs for each patient, the medical regimen and the qualifications and experience of nursing staff members
- Monitored nursing unit and patient status to identify problems and needs
- Counseled staff personnel and resolved problems with the Director
- Identified and confronted issues that affect the quality of patient care
- Communicated these concerns through incident reports and through the chain of command in the Emergency Room
- Communicated Department expectations and maintained patient privacy and dignity
- Implemented age specific safety and infection control measures into patient care
- Administered medications and helped in other direct patient care activities.
- Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
- Answered codes quickly and orchestrated efficient, skilled medical care.
- Onboarded new employees with training and new hire documentation.
- Managed and motivated employees to be productive and engaged in work.
- Monitored and analyzed business performance to identify areas of improvement and make necessary adjustments.
- Improved marketing to attract new customers and promote business.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Controlled costs to keep business operating within budget and increase profits.
STATUS CENTER ADMISSION NURSE
Methodist HealthCare
11.2011 - 11.2015
- Reviewed daily operations to ensure that all patients are placed in the appropriate status
- Aligned objectives and bridged communications between medical staff, nursing staff, and other clinical staff regarding patient status
- Facilitated positive outcomes by utilizing exceptional communication skills during patient interactions, teaching activities, and liaising with physicians
- Optimized operations by implementing processes and procedures that increase efficiency and productivity while providing outstanding patient care
- Utilized InterQual and Milliman software to review services from admission through discharge
- Assigned codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient encounters
- Evaluated provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures
- Used technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-9-CM diagnoses and procedures
- Designated present on admission (POA) value for inpatient diagnoses
- Extracted required information from source documentation, enter information into encoder and abstracting system
- Assessed and identified non-payment conditions (HAC), report through established procedures when necessary
- Verified documentation for patients upon discharge, correct any errors
- Assessed patient status and collect relevant data; performed rhythm interpretation and administered appropriate medications
- Consulted and coordinated with health care team members to assess, plan, implement, and evaluate patient care plans in a dynamic environment.
SR. CASE MANAGER
North Central Baptist Hospital
02.2011 - 11.2011
- Ensured that all appropriate services were being utilized from admission through discharge using Interqual or Millman software
- Originated and presented 'denial letters' as appropriate
- Monitored and assessed patient care required throughout the continuum of care for diagnosis, procedures and DRG's
- Communicated with physicians at regular intervals throughout hospitalization, developed, and maintained effective working relationships
- Assisted physicians to maintain appropriate cost, case, and desired patient outcomes
- Facilitated appropriate patient testing within the established time frames and ensured that results were available promptly
- Completed expanded assessment of patients and family needs at the time of admission
- Oversaw staff, monitored patient care, coordinate work schedules, and delegated assignments
- Prioritized tasks for staff, directed nursing duties, and disciplined employees when necessary
- Facilitated policy and procedure change management through in-depth research and dissemination with peers, as well as presenting research findings to relevant committees.
REGISTERED NURSE
Premier Home Health Agency
12.2010 - 02.2011
- Headed all facets of process improvements, policy updates, filling out applications for tax identifications, and running daily operations
- Performed comprehensive and precise assessments of patient condition, functional abilities, homebound status, and environmental and social factors
- Provided appropriate referrals, such as therapy and social work, as needed
- Educated and instructed patients, families, and caregivers in all aspects of patient care
- Established and implemented nursing care plans and discharge plans in collaboration with the patient and the patient care team
- Outlined realistic and achievable patient treatment goals
- Updated physicians and other personnel regarding any changes to patient condition
- Oversaw and managed Home Health Aide Care Plans
- Mentored and trained colleagues through case conferences, in services, competency demonstrations and evaluations, and orientations
- Functioned in an on-call capacity.
CHARGE NURSE
Metropolitan Methodist Hospital
06.2004 - 12.2010
- Designed and executed plans for the direction and supervision of nursing services to ensure proper care and treatment of the patient
- Assessed job skills and work performance of nursing assistants with routine performance evaluations
- Redirected and disciplined nursing assistants for violations of work rules, policies, or generally poor performance, including the recommendation of suspensions and terminations
- Coordinated scheduling levels to ensure proper staffing, called in replacements as needed, transferred, and reassigned nursing staff
- Instructed and assisted during the orientation of new employees
- Interviewed and selected new employees, designated employees for promotions, administered performance evaluations, salary adjustments, and overall staff development
- Liaised between nursing staff and medical staff, serving as a mediator and coordinator for the needs of physicians
- Reviewed operations to identify clinical and professional areas that would benefit from additional training and education
- Directed nursing operations during assigned shifts, providing clear leadership to the hospital.
REGISTERED NURSE
Caprock Homes Health
06.2008 - 12.2009
- Conducted initial patient assessment and developed an individualized service plan for PAS clients
- Determined the necessary frequency of client supervisory visits
- Recruited, onboarded, and trained PAS Attendants
- Completed supervisory visits to assess performance, ensuring that the service plan was appropriate, and altering the plan as needed to serve the patient better
- Maintained responsibility for coverage of all PAS service breaks
- Observed, reported, and documented client status, maintaining correct and accurate agency documentation
- Promoted infection control and OSHA standards for all operations, tasks, and activities
- Remained updated to any changes in PAS licensure or program regulations
- Furthered the agency's objective by serving as a collaborative team member.
Education
Associate of Science - Nursing
Fayetteville Technical Community College
Fayetteville, NC05.2003
Skills
- English
- Eritrean
- Care Coordination
- Rapport Building
- Team Leadership
- Nursing Care Coordination
- Care Plan Management
- Interdisciplinary Collaboration
- Patient Management
- Medication Administration
- Medical Recordkeeping
- Infection Control
Languages
English
Eritrean
Medical Training
- Palliative Care
- Diabetes
- A.L.S. Alzheimer's
- Grief and Loss
- PALS
- Stroke and Rehabilitation
- Drugs
- Geriatric Care
- C.P.R
- ACLS
- Chronic Obstructive Pulmonary Disease
- Bipolar Disorder
- Cared for patients on IABP, CRRT, and ICP
Education And Credentials
Bachelor of Science (B.Sc.) in Nursing, West Texas A&M University, Canyon, TX, currently working on it,
Associate of Science (A.Sc.) in Nursing, Fayetteville College, Fayetteville, NC, 2004
Hobbies and Interests
- Reading
- Working out
- Movie
- Running
- Photography
- Social media marketing
Timeline
ER Traveling Registered Nurse
Aya Healthcare
01.2022 - 06.2023
ICU Travel Nurse
Ethos Medical Staffing
05.2021 - 01.2022
ICU Travel Nurse
Quantum World Technology
01.2020 - 04.2021
Emergency Room Charge Nurse /Manager Director
Nix Health System
11.2015 - 12.2019
STATUS CENTER ADMISSION NURSE
Methodist HealthCare
11.2011 - 11.2015
SR. CASE MANAGER
North Central Baptist Hospital
02.2011 - 11.2011
REGISTERED NURSE
Premier Home Health Agency
12.2010 - 02.2011
REGISTERED NURSE
Caprock Homes Health
06.2008 - 12.2009
CHARGE NURSE
Metropolitan Methodist Hospital
06.2004 - 12.2010
Associate of Science - Nursing
Fayetteville Technical Community College
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