Quality Management review of Complex Case reviews of Critical inmates under Correctional Medical Care
Monitor Database tools and update patient care with clinical facilitators and medical management
Participate in Complex clinical care rounds, Medical Huddles, Provide an update on Pre Renal transplant reviews
Clinical coordination with individual care teams
Provide key communications with all allied clinical teams
Assist Addiction Medicine teams, monitoring patients on Sublocade and Methadone treatments
Ensure the patients are scheduled with Addiction Medicine care teams, Order needful labs and keep all the additional screenings up to date
Participate in reviewing patients eligible for palliative care, either compassionate release or medical parole
Review patient charts eligible for Hospice or transition of care for dementia to Memory care unit, conduct Montreal cognitive assessment tests.
Supervising Registered Nurse III
CCHCS-CSP-Lancaster State Prison
06.2019 - 12.2021
Supervise 16 direct report SRN II, 250 line staff nurse, about 10 clerical staff and other assigned staff duties and ensures that the performance of their duties is consistent with policies and procedures, court mandates, State and Federal regulations, scope of licensure, and acceptable nursing standards of practice
Provided coverage for Chief Nurse Executive (CNE-A) intermittently 1/2020-8/2020
OOC CNE (A) 9/2020-9/2021
Direct the overall nursing services operations for institutional clinics
Supervise nursing staff in the performance of their duties
Ensure sufficient qualified nursing staff are on duty to provide adequate patient care
Ensure current nursing practices are in compliance with policies and procedures
Monitor and evaluate Nursing staff providing health care to developmentally disabled inmates
Practice effective communication methods per ADA requirements, ensure to practice DPP accommodations for inmates with disabilities
Sign language interpreter services are promptly provided
Delegate and participate in recruiting qualified nursing staff, interview, evaluate and select candidates to fill identified jobs
Review the performance evaluations conducted by lower-level supervisory staff
Administer on-going infection control practice
Collaborate with Chief Medical Executive, Chief Nurse Executive and other upper-level management on Intuitional programs functions Monitor, track and prioritize expenditures related to nursing services budget Work with vendors and procurement staff to secure medical supplies are readily available for distribution to clinics and worksite for employees Conduct training and development of nursing staff in regards to current trends of Mental Health care and developmental disabilities
Coordinate with Tele-staff team and also monitor nursing services overtime
Coordinate with Management solutions and manage nurse contracts/registries in hiring Registered Nurse and License Vocational Nurse to fill vacant position based on institutional needs
Serve on various committees (i.e
Quality Improvement, Infection Control, Pharmacy and Therapeutic, Utilization Management), to exchange information concerning health care
Participate in Mental Health subcommittee, PC2602 sessions, monitor Psych tech round audits, review Nursing/MH 7362 appointments for DPP patients
Supervise nursing operations within the institution, resolve personnel issues, maintain confidentiality, and provide training and direction as indicated
Communicate standards for the delivery of nursing services and monitor the provision of nursing care by regularly conducting rounds, reviewing documentation of patient care activities, reviewing nursing services audits, and monitor ongoing quality improvement efforts
Oversee the Post Assignment Schedule (PAS) and Master Assignment Roster (MAR) to ensure conformance to budgeted position authority
Monitor, and prioritize expenditures relating to nursing services and ensure operational costs are within the budget
Participate in strategic and succession planning, recruitment, hiring interviews, training, and development of training plans
Promote staff retention and employee satisfaction by evaluating turn-over rates and conducting exit interviews
I ensure to monitor the qualifications and current licensure status of staff on an ongoing basis
Monitor nursing principles and techniques, disease process and treatment modalities; principles of pharmacology and medication administration; principles and procedures of infection prevention and control; principles of effective verbal, written, and group communications; legal aspects of patient care; laws Monitor medications
Treatment, lab work, documentation with care plan of peri-operative, intra operative, postoperative care, and surgical treatment procedures
Proficient in utilizing Microsoft windows office outlook, for presenting, writing reports, record maintenance, to ensure accuracy and patient confidentiality are maintained
Facilitate the primary care model, maintain daily huddles, population management for subcommittee, R &R inmate patients and parolees
Also initiate chronic care program, maintain population management to monitor chronic care population and participate in audits and public health care Organize, direct, and supervise the work of nurses and other health care staff
Focus on strategic view to identify professional development of staff based on institutional needs
Supervision of assigned yard clinic line staff, Nurse Education Department and other assigned ancillary staff
Maintain/verify current credentials of all nursing staff and update professional files to maintain quality and accuracy
Proficient in analyzing situations accurately and take effective action
Maintain effective working relationships with health care professionals and other disciplines in promoting diversity, equal opportunity employment and maintain a work environment free of discrimination and harassment
Contribute to organizational goals, direction and mission statement of the Institution Ensure proper allocation of financial resources, and monitor department budgets and spending Evaluate and implement special projects Assist nurse management with leadership and decision-making Assess the organization's nursing practices to promote better safety and patient-care delivery Analyze areas of planning and operational efficiency, and make recommendations for improvement Represent the organization at professional and community related events Knowledge of Health care Department Operations Manual
(HCDOM) Critical thinking and problem solving abilities Strong communication, interpersonal, and organization skills
Supervising Registered Nurse II
CCHCS-ASP-Avenal State Prison
05.2013 - 06.2019
Provide coverage for Chief Nurse Executive (CNE) & Supervising Registered Nurse III (SRN III) during their absence Provide administrative services and leadership for critical issued including patient safety and health care quality Supervised 29 direct nursing staff, and oversee day to day clinic functions Monitor appropriate implementation of Policies and Procedures, standards and Nursing protocols for clinical encounters, and institutional dashboard data
Provide education/training to clinical staff on new Healthcare delivery systems to maintain quality care
Liaison between Physicians, Mental Health Psychologists, Psychiatrists and Custody staff
Participated actively with the Quality Improvement Management support unit team
Utilized Informatics tools for chronic medical conditions, population management for patient clinical decisions and medication management
Handled nursing and administrative duties, conduct staff evaluations, completed disciplinary actions as needed
Review and complete staff complaint, appeal responses & inquiries
Complete second level appeal supervisory reviews, and on the job training, Participate in Primary Care Subcommittee, Health Record Subcommittee, Appeals Work Group and Infection Control Work Group
Gather/ Obtain information, Conduct Audits of Medial/Mental Health for Medication management, Access to care, and continuity of care
Evaluate and study results, provide information to management and make recommendations.
Appeals RN
CCHCS-ASP-Avenal State Prison
10.2007 - 05.2013
Assigned to the Medical Appeals Department as Legal Nurse Advocate
Screen appeals, interview inmates and provide responses at the 1st and 2nd appeal level
Participated in teleconference calls, assist 3rd level appeals, and assist management in staff complaint inquiries, medical record review and provide detailed report to Office of Internal Affairs
Assess, diagnose, plan, implement, and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
Worked in Yard Clinics providing primary care and chronic care management such as case management, joint appointments
Worked with mental health clinicians, Participated in Inter Disciplinary Treatment team (IDTT) for Mental Health encounters
Participated in Public Health and Infection Control programs Worked in Receiving and Release (R&R) management of new arrivals and transfers and paroles.
Operating Room Nurse
Hanford Community Hospital
10.2005 - 10.2007
Monitor operating room function and compliance with mandatory procedural, and infection control during surgical procedures
Charge/Coordinator for Surgical room on the PM shift Supervised Scrub Techs (2), Janitors (2) Circulate for Operating Room cases, Assist anesthesiologist, and provide moderate sedation for local/monitored anesthesia cases
Monitor the cases and coordinate for Operating Room cases based on emergent situations, also assist in endoscopy procedures
Monitor/supervise endoscopy technicians during procedures and endoscopy lab duties
Surgical OR nurse - perform as scrub nurse and circulatory nurse duties
Supervise and coordinate sterile supplies unit
Post-operative anesthesia recovery unit (PACU) - perform duties as PACU RN assist in recovery of post-surgical patients, liaise with Intensive care unit for higher level of care
Coordinate with Emergency Room RNs for emergent procedures
Mentor nursing student during clinical rotations in.....
Assign to infection control nurse role when required to provide support to department.
Supervising Registered Nurse II at California Correctional Health Care Services, CCHCSSupervising Registered Nurse II at California Correctional Health Care Services, CCHCS
Certified Clinical Medical Assistant at California Correctional Health Care Services, CCHCSCertified Clinical Medical Assistant at California Correctional Health Care Services, CCHCS