Shana Kightlinger

Southwest Veterans Center, Registered Nurse Supervisor 9/23-3/24

· Oversees the delivery of care to ensure it meets state/federal regulations and facility policies.

· Leads staff during emergencies and conducts rounds to monitor resident safety, particularly for those critically ill

· Monitoring medication passes and treatment schedules to ensure protocols are strictly followed and errors are avoided

· Directs nursing and auxiliary staff, assists with staffing assignments and filling vacancies, provides coaching, guidance, completing performance evaluations, and progressive discipline when necessary

· Onboarding new hires, conducting in-service training, and mentoring less experienced staff to foster professional growth

· Participating in clinical audits, record reviews, and facility QA programs to improve resident outcomes

· Assisted in creating, developing, and implementing an educational program to train an entire facility on updated safety polices and procedures

· Assures continuity of care through shift hand-off reports, manages medication administration, and coordinates with other departments ie dietary, ST, PT, OT

· Resolves conflicts, addresses complaints from residents/families, and communicates with physicians regarding changes in resident condition

• Conduct intake physical exams, screenings for communicable diseases, and daily sick calls to assess inmate health concerns
• Assists with the coordination of inmate care with Dental, Behavioral Health and other health care providers
• Safely dispense medications, manage "Keep on Person" (KOP) meds, and monitor compliance and side effects
• Respond to medical emergencies (e.g., suicide attempts, overdoses, cardiac arrest, hypoglycemic emergencies, seizures, fights) within the facility, providing first aid and stabilizing patients before transport
• Manage conditions such as diabetes, hypertension, COPD, and infectious diseases such as HIV, Hep C, and provide wound care
• Collaborate with correctional officers to ensure safe treatment delivery, manage inventory of medical tools/needles, and uphold HIPAA regulations
• Crisis intervention and management during psychiatric decline including assessing for and managing POC placement and substance withdrawal
• Teach inmates about hygiene, self-care for chronic illnesses, and preventive health measures, which is vital for a population that may have lacked consistent healthcare
• Meticulously maintain medical records, incident reports, and legal documentation separate from general institutional records
• Monitors tool count logs, key control, and accountability of sharps as mandated by policy and requirements in a correctional facility
• Care for complex medical cases involving ventilators, TPN, maintenance of LVAD, abdominal drains, Zoll Life Vest management

LTC Facilities

• Complete comprehensive head to toe assessments, obtain and monitor VS, manage chronic conditions
• Administer medications and treatments including wound care, IV's, and drains
• Monitor for side effects and effectiveness of medications and treatments
• Complex care management involving ventilators, tracheostomy, gastronomy tubes, oxygen equipment, catheters, and drains
• Supervise LPNs and CNAs while delegating and providing education and guidance to unit needs
• Act as a first responder to acute changes in patient conditions in emergency situations
• Accurately chart clinical findings, interventions, and treatment plans in Electronic Health Record (EHR) systems like PCC

Senior Life Greensburg

• Conducted in-depth health assessments for high-risk seniors, focusing on physical, mental, and social needs to determine appropriate levels of care
• Developed and implemented personalized, cost-effective care plans in collaboration with physicians, social workers, and families to manage complex chronic conditions
• Managed a dedicated patient panel to prevent hospital readmissions, advocating for seniors' preferences within the healthcare system
• Connected clients with community resources, including transportation, financial assistance, and durable medical equipment to support aging in place
• Facilitated smooth transitions between acute care settings, skilled nursing facilities, and home, ensuring medication reconciliation and follow-up
• Provided disease management education to patients and families, enhancing self-care techniques and medication adherence
• Manage the daily clinic and complete medication/IV/immunization administration, wound care, lab draws, EKGs, bladder scans, ect

Torrance State Hospital

• Complete thorough psychiatric and physical health assessments
• Administer medications including psychotropics and monitor side effects, effectiveness, and behavioral status
• Crisis management during psychiatric emergencies requiring de-escalation, behavioral managements, and administration of emergent medications
• Advocate for patient rights, safety, and privacy while adhering to laws and facility policy
• Lead daily group education sessions
• Complete comprehensive medical assessments
• Assess, document, and provide dressing changes to wounds
• Respond to medical emergencies and perform life saving measures

LTC facilities

• Complete comprehensive head to toe assessments, obtain and monitor VS, manage chronic conditions
• Administer medications and treatments including wound care, IV's, and drains
• Monitor for side effects and effectiveness of medications and treatments
• Complex care management involving ventilators, tracheostomy, gastronomy tubes, oxygen equipment, catheters, and drains
• Supervise LPNs and CNAs while delegating and providing education and guidance to unit needs
• Act as a first responder to acute changes in patient conditions in emergency situations
• Accurately chart clinical findings, interventions, and treatment plans in Electronic Health Record (EHR) systems like PCC

• Perform head-to-toe physical assessments, monitor vital signs, and track developmental milestones for infants, children, and teenagers through developmental screenings
• Administer pediatric vaccines, medications, and treatments safely, including drawing blood and performing routine tests (strep/flu), hemocue, pregnancy tests, hemoccult, and urinalysis
• Educate parents and patients on illness management, nutrition, medication dosages, and developmental safety
• Respond to pediatric emergencies, manage acute care needs, and provide telephone triage to assess symptom severity
• Schedule appointments, submit referrals, complete prior authorizations, and complete forms

• Conduct rapid, comprehensive physical assessments and take patient histories to prioritize care based on acuity
• Perform, assist with, and document procedures including venipuncture, IV catheter insertion, wound care/suturing/staples/glue assistance, casting (ortho glass)/splinting, ear flushing, and catheterization
• Administer medications and immunizations as ordered, including monitoring for reactions and effectiveness
• Collect laboratory samples (blood, urine, swabs) and perform rapid tests (e.g., flu, strep, pregnancy) and interpret results
• Accurately chart clinical findings, interventions, and treatment plans in Electronic Health Record (EHR) systems like Epic or Cerner
• Provide discharge instructions, education on treatment plans, and ensure follow-up care for patients
• Maintain a clean, sterile environment, adhere to OSHA guidelines, and manage medical equipment

• Completing comprehensive assessments and monitoring growth and development milestones
• Complex care management involving ventilators, tracheostomy, gastronomy tubes, oxygen equipment, and catheters
• Monitor for seizure activity and hypoglycemic events then administer rescue medications as needed
• Complete thorough and accurate charting via the EMAR/paper chart
• Coordinate care with physicians and therapists
• Provide education to families on caring for and maintaining health status while in the home setting
• Advocate for patient needs and safety
• Provide psychological support to the families of pediatric patients with chronic conditions

· Directed and evaluated the work of 20+ professional and non-professional nursing staff, ensuring 24/7 coverage and clinical continuity in a 300 medical bed facility

· Conduct regular performance assessments, provide mentorship, and initiate disciplinary actions or retraining when necessary.

· Conduct audits of patient records and medication documentation to ensure accuracy and compliance with healthcare standards

· Direct and lead nursing staff during medical or psychiatric emergencies, including coordinating with security forces.

· Serve as the primary link between the medical department, jail administration (Shift Commanders), and external healthcare provider

· Assist clinical staff during peak workloads or personnel shortages by providing direct patient care, assessing inmates, and administering medications

· Participate in creating and revising nursing policies to ensure they align with state and federal regulations

· Monitor medical supply inventory, procure equipment, and ensure a clean, safe clinical environment

· Coordinated training programs for nursing personnel, improving competency and performance.

· Coordinated education classes for the inmate population and assisted in creating local policy and form updates

· Collaborated with multidisciplinary teams to address complex patient needs effectively.

· Led initiatives to optimize resource allocation within the nursing department.

· Mentored junior nurses, fostering professional development and adherence to best practices.