Shaherah Gaines
Fort Wayne,IN
Summary
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.
Overview
14
14
years of professional experience
Work History
Registered Nurse
Rosewood Staffing
12.2020 - Current
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
MDS Coordinator
Ascension Living Sacred Heart Village
03.2022 - Current
- Responsible for ensuring maximum reimbursement, utilizing RUGS IV and PDPM.
- Responsible for assessment and development of written care plans for every resident as triggered by CAAs on MDS Assessment.
- Ensures that there is reimbursement from all sources and review of documentation for thoroughness and accuracy.
- Initiates, updates and reports regular status of patient to respective insurance personnel.
- Adheres to established center, departmental and corporate policies, quality improvement program, objectives along with safety environment.
- Communicates and collaborates with nurses, physicians, coworkers, CNAs, Interdisciplinary Team regarding condition of patient.
- Maintains and develops on-going MDS schedule for every resident.
- Reviews and monitors scoring of Resource Utilization Groups (RUGs) to correspond with OBRA/PPS scheduling.
- Timely completion and transmission of all MDS assessments.
- Monitors facility's Five Star Report, focusing on Quality Measures scoring by using CASPER Report.
MDS Coordinator
Elevate Senior Living
01.2021 - 10.2021
- Responsible for ensuring maximum reimbursement, utilizing RUGS IV and PDPM.
- Responsible for the assessment and development of written care plans for every resident as triggered by the CAAs on the MDS Assessment.
- Ensures that there is reimbursement from all sources and review of documentation for thoroughness and accuracy.
- Initiates, updates and reports regular status of the patient to the respective insurance personnel.
- Adheres to established center, departmental and corporate policies, quality improvement program, objectives along with safety environment.
- Communicates and collaborates with nurses, physicians, coworkers, CNAs, Interdisciplinary Team regarding the condition of the patient.
- Maintains and develops on-going MDS schedule for every resident.
- Reviews and monitors the scoring of Resource Utilization Groups (RUGs) to correspond with OBRA/PPS scheduling.
- Timely completion and transmission of all MDS assessments.
- Monitors the Restorative Nursing Program and provides supervision to MDS Assistant and restorative nursing aides.
- Monitors facility's Five Star Report, focusing on Quality Measures scoring by using CASPER Report.
MDS Coordinator
Peabody Retirement Community
09.2019 - 03.2021
- Responsible for ensuring maximum reimbursement and implementing new PDPM payment system.
- Responsible for the assessment and development of written care plans for every resident as triggered by the CAAs on the MDS Assessment.
- Ensures that there is reimbursement from all sources and review of documentation for thoroughness and accuracy.
- Initiates, updates and reports regular status of the patient to the respective insurance personnel.
- Adheres to established center, departmental and corporate policies, quality improvement program, objectives along with safety environment.
- Communicates and collaborates with nurses, physicians, coworkers, CNAs, Interdisciplinary Team regarding the condition of the patient.
- Maintains and develops on-going MDS schedule for every resident.
- Reviews and monitors the scoring of Resource Utilization Groups (RUGs) to correspond with OBRA/PPS scheduling.
- Timely completion and transmission of all MDS assessments.
- Monitors the Restorative Nursing Program and provides supervision to MDS Assistant and restorative nursing aides.
- Monitors facility's Five Star Report, focusing on Quality Measures scoring by using CASPER Report.
MDS Coordinator
Auburn Village Health And Rehabilitation Center
09.2018 - 09.2019
- Responsible for the assessment and development of written care plans for every resident as triggered by the CAAs on the MDS Assessment.
- Ensures that there is reimbursement from all sources and review of documentation for thoroughness and accuracy.
- Initiates, updates and reports regular status of the patient to the respective insurance personnel.
- Adheres to established center, departmental and corporate policies, quality improvement program, objectives along with safety environment.
- Communicates and collaborates with nurses, physicians, coworkers, CNAs, Interdisciplinary Team regarding the condition of the patient.
- Maintains and develops on-going MDS schedule for every resident.
- Reviews and monitors the scoring of Resource Utilization Groups (RUGs) to correspond with OBRA/PPS scheduling.
- Timely completion and transmission of all MDS assessments.
- Monitors the Restorative Nursing Program and provides supervision to MDS Assistant and restorative nursing aides.
- Responsible for completion of Level of Care for patients through ASCEND. Maintains accurate admission and discharge of patients through PathTracker.
- Monitors facility's Five Star Report, focusing on Quality Measures scoring by using CASPER Report.
MDS Coordinator
St. Joseph Hospital
10.2017 - 09.2018
- Responsible for the assessment and development of written care plans for every resident as triggered by the CAAs on the MDS Assessment.
- Ensures that there is reimbursement from all sources and review of documentation for thoroughness and accuracy.
- Initiates, updates and reports regular status of the patient to the respective insurance personnel.
- Adheres to established center, departmental and corporate policies, quality improvement program, objectives along with safety environment.
- Communicates and collaborates with nurses, physicians, coworkers, CNAs, Interdisciplinary Team regarding the condition of the patient.
- Maintains and develops on-going MDS schedule for every resident.
- Reviews and monitors the scoring of Resource Utilization Groups (RUGs) to correspond with OBRA/PPS scheduling.
- Timely completion and transmission of all MDS assessments.
- Monitors the Restorative Nursing Program and provides supervision to MDS Assistant and restorative nursing aides.
- Responsible for completion of Level of Care for patients through ASCEND. Maintains accurate admission and discharge of patients through PathTracker.
- Monitors facility's Five Star Report, focusing on Quality Measures scoring by using CASPER Report.
MDS Coordinator
Lutheran Life Villages
10.2013 - 09.2017
- Responsible for the assessment and development of written care plans for every resident as triggered by the CAAs on the MDS Assessment.
- Ensures that there is reimbursement from all sources and review of documentation for thoroughness and accuracy.
- Initiates, updates and reports regular status of the patient to the respective insurance personnel.
- Adheres to established center, departmental and corporate policies, quality improvement program, objectives along with safety environment.
- Communicates and collaborates with nurses, physicians, coworkers, CNAs, Interdisciplinary Team regarding the condition of the patient.
- Maintains and develops on-going MDS schedule for every resident.
- Reviews and monitors the scoring of Resource Utilization Groups (RUGs) to correspond with OBRA/PPS scheduling.
- Timely completion and transmission of all MDS assessments.
- Monitors the Restorative Nursing Program and provides supervision to MDS Assistant and restorative nursing aides.
- Responsible for completion of Level of Care for patients through ASCEND. Maintains accurate admission and discharge of patients through PathTracker.
- Monitors facility's Five Star Report, focusing on Quality Measures scoring by using CASPER Report.
Director of Staff Development
Covington Manor Health and Rehabilition Center
07.2012 - 07.2013
- Provide general orientation, mandatory in-services, continuing education, and other training to meet all department and facility needs and regulatory requirements.
- Set up and maintain Preceptor Programs
- Plan, develop, and implement training. Determine and assesses facility educational needs.
- Communicate areas of concern weekly and PRN with Administrator/DON.
- Evaluate and monitor the training in the workplace.
- Support associate relations to ensure practices that maintain high morale and staff retention.
- Assist, coach, and redirect and document performance problems as needed.
- Assure that any performance documentation is equitable, uniform, and timely.
Health Services Nurse
Easter Seals ARC of NE IN
07.2010 - 10.2012
- Provides nursing care according to Physician's orders, in compliance with recognized nursing standards and State and Federal Regulations.
- Uses nursing process to make continuing assessments of individuals total health needs.
- Implements nursing interventions based on assessment dates.
- Documents timely, outcome based information.
- Develops and implements nursing plan of care.
- Gives direct nursing care commensurate with education, training, or experience.
- Facilitates teaching experiences for staff and individuals.
- Develops all needed reports, data, goals, and objectives related to IPP plan.
- Completes all ICF-MR paperwork as assigned.
Education
Associate of Science - Nursing
IPFW
Fort Wayne, IN05.2010
Skills
- Medication Administration
- Direct Patient Care
- Patient Assessments
- Documentation and Charting
- Strong Clinical Judgment
- Care Plan Development
Timeline
MDS Coordinator
Ascension Living Sacred Heart Village
03.2022 - Current
MDS Coordinator
Elevate Senior Living
01.2021 - 10.2021
Registered Nurse
Rosewood Staffing
12.2020 - Current
MDS Coordinator
Peabody Retirement Community
09.2019 - 03.2021
MDS Coordinator
Auburn Village Health And Rehabilitation Center
09.2018 - 09.2019
MDS Coordinator
St. Joseph Hospital
10.2017 - 09.2018
MDS Coordinator
Lutheran Life Villages
10.2013 - 09.2017
Director of Staff Development
Covington Manor Health and Rehabilition Center
07.2012 - 07.2013
Health Services Nurse
Easter Seals ARC of NE IN
07.2010 - 10.2012
Associate of Science - Nursing
IPFW
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