Selina Smallwood

· Home health nurse serving patients in a community setting including 5 surrounding counties

· Case manager for caseload of approximately 30-50 at any given time

· In home teaching and skills including but not limited to foley/suprapubic cath care/insertion/management, IV medications and PICC line management, ostomy care, wound care, drain care, and education for patient for better management of diseases such as CHF, DM, CAD, COPD, dementia, cancer, infections and many more

· Worked continuously during Covid and continued to support and educate patients in the community during a very unpredictable time

· Working with a care team of MDs, nurses, PTs, OTs, social workers, and insurance companies to provide medical care in a home setting

· On call on weekends and triaging patients via phone calls to determine best course of action when offices are closed

· Prevention teaching and education to prevent re-hospitalizations

· Administered medications accurately and safely, reducing medication errors and adverse reactions

· Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options

· Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans

· Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols

· Provided emotional support to patients during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing

· Devised individualized care plans tailored to each patient''s unique situation, optimizing clinical outcomes

· Utilized advanced clinical skills such as wound care management or IV therapy administration, leading to faster recovery times for patients treated under my supervision

· Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management

· Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs

· Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes

Administered medications via oral, IV, and intramuscular injections and monitored responses

• Worked with the government Medicaid program to provide in-home services to clients with multiple health issues that qualified them for nursing home care.
• Assessment RN who went out for the initial assessment to see if clients qualified for the program.
• Assessed clients in all stages of life, but primarily pediatric and geriatric clients.
• Completed head-to-toe assessments of the client and their physical and mental abilities.
• Recorded medications.
• Coordinated with clients' families or support systems to develop a plan of care for the clients in the home.
• Collaborated with service providers to ensure aides, home-delivered meals, or emergency response systems were in place in the home.
• Triaged clients based on needs and abilities.
• Worked closely with doctors and doctors' offices to get level-of-care papers signed, and the client approved the program.
• Follow up with doctors and clients regarding falls, nutrition, medications, hospital/emergency room visits, and depression screening.
• Implemented plans and actions to ensure the client was in a safe, clean environment in the home.
• Documented all client information in the state computer system (AIMS) to be submitted to the state Medicaid governing body for approval into the program.
• Performed yearly reassessments of clients already in the program to make sure the client was still eligible for the program.
• Traveled throughout ten surrounding counties to assess clients
• Provided education regarding community-based resources, and also helped develop disaster plans in the home with the client and support system in case of emergencies, such as inclement weather, power outages, and heat alerts.
• I attended numerous state trainings and meetings for further training and statewide information regarding in-home care.
• Discussed and helped develop a discharge plan with the client and family if needs became too great for the program.

• Pre- and post-op for cath and femoral patients.
• ACLS and BLS.
• Recovers patients receiving conscious sedation following heart caths, PCIs, and femoral cases.
• Provided leadership in the development of online scheduling for all cath lab patients.
• Experienced in femoral sheath pulls and holding manual pressure to groins to reduce bleeding from arterial sites.
• Works with doctors' offices, nursing homes, and other hospitals regarding scheduling procedure times and ensuring the patient has all needs met prior to arrival for the procedure.
• Medication administration on a consistent basis
• Able to administer blood products
• Continuous monitoring of patients following procedures and reporting any abnormal labs or activities to the doctor
• Education for patients regarding discharge information and follow-up care

• Registered nurse on the medical-surgical unit.
• ACLS and BLS
• Care for a wide range of patients, but mostly dialysis, cancer, and altered mental status patients.
• Chemo certified
• Medication administration on a consistent basis.
• Able to administer blood products
• Reported abnormal lab values or activity to the doctor.
• Education upon discharge regarding follow-up care

• Registered nurse in the Emergency Room.
• ACLS and BLS
• Care for emergency patients of a wide variety, including children and the elderly.
• Participated in and ran codes, and coded STEMIs.
• Received EMS patients and provided bedside triage.
• Worked with other floors and other hospitals to transfer patients.
• Worked with 1,013 patients and arranged transport and placement for other facilities.