Shantelle Coke

• Examined wounds and treated lacerations with bandaging, suturing and topical medications.
• Prescribed medications as needed for patients in conjunction with other treatments according to specific personal medical conditions.
• Ordered and interpreted diagnostic tests to develop and implement treatment plans.
• Worked in direct collaboration with other physicians and referred patients accordingly to best support health care needs.
• Performed patient physicals and compared and contrasted results with established medical records to provide proper diagnosis and facilitate appropriate treatment.
• Coordinated with physicians, specialists and other medical staff to develop treatment plans for chronic conditions, including diabetes and heart disease.
• Prepared and maintained correspondence, reports and claims in compliance with federal regulations and followed best practices in patient and family support.
• Discussed proposed surgical procedures, risk and potential complications with supervising physician and patient to obtain proper patient informed consent.
• Coordinated referrals for specialty services and additional care.
• Used E Clinical,Fusion, Epic) to create detailed patient reports on patient's condition status and treatments received.
• Provided preventive care such as well-child checks, adult physicals and gynecological examinations.
• Educated and guided patients on disease prevention and healthy lifestyle habits through chronic care coordination.
• Educated patients on treatment options, medical needs and non-medical options for treatments and therapy.
• Worked in women's health services, including providing contraception, counseling on reproductive issues and assisting with family planning needs.
• Evaluated new patients by taking vital signs, reviewing lab results and taking visual assessment of patients.
• Assessed and treated STDs in both males and females.
• Prescribed appropriate pharmacologic and non-pharmacologic treatment modalities to support health and comfort of patients.
• Teamed with physicians to provide comprehensive patient care, referrals and high-risk management strategies.

• Equipped patients with tools and knowledge needed for speedy and sustained recovery for COPD, Acute Respiratory Distress, and Ventilator recovery/ dependent COVD-19, Diabetes Mellitus Type 2, and Complex Wound Management, HIV, H/D patients.
• Informed patients and families of effective treatment with Respiratory and heart failure/disorders (requiring ventilator weaning or treatment for emphysema, pneumonia or COPD. In addition work with patients with severe infections (sepsis management), infectious diseases. Wounds such as pressure ulcers or burns. Post-surgery recovery complications such as orthopedic complications or nutritional deficiencies. Bladder and bowel impairments. Neurological or post trauma conditions.
• Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence. To include diagnosis of Mechanical Ventilator Dependence, Chronic Lung Disease, Neuromuscular Disorders, Pneumonia, Post- Surgical Complications, Spinal Cord Injuries, Stroke, Brain Injuries, Bacterial, Viral and Fungal Infections, Sepsis, Surgical Wound Infections, Infected Pressure Ulcers, Skin Infections, Bone Infections, Heart Infections, HIV Related infections, Tuberculosis. Severe and Complicated Skin Ulcers, Vascular Ulcers, Arterial Ulcers, Non- Healing Surgical Wounds, Wound Infections, Bone Infections, Amputations, Burns, and Severe Skin Infections.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability.
• Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.

• Completed diagnostic tests and patient assessments to evaluate treatment progress.
• Operated critical care equipment to keep patients stable and promote recovery.
• Administered medications to treat patients' symptoms and address underlying disease progression.
• Protected critically ill patients from unnecessary risks by limiting visitors, using proper PPE and using strong infection control procedures.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
• Cared for patients in med surg telemetry 60 -bed unit, supporting fellow nurses in delivering outstanding treatment to patients.

Primary Care Nursing Model: Provide acute care, med-surg, step-down, and patient care ADL care for 5 patients for critical shortage night shift .

• Identified patient care requirements by establishing personal rapport with patients and families.
• Monitored patients' conditions and reported changes in physical ability, appearance and behavior to discuss treatment with physicians.
• Delivered medications via oral, IV and intramuscular injections, and critical drips , and monitoring responses to address new concerns.

• Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
• Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals.
• Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
• Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.
• Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
• Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
• Ensured patients had information necessary for ongoing care, providing guidance on diagnoses, management of medications and prevention methods.
• Educated patients and answered questions about health condition, prognosis and treatment.
• Orchestrated quality-driven, cost-effective care for as many as [Number] patients each day in high-volume [Type] setting.
• Observed and reported patient condition, progress and medication side effects to accurately document updates.

I currently work as a skilled subacute, Registered Nurse in contracted agency skilled nursing facilities and ALF's for agency between Tampa, FL, Orlando, FL, and Leesburg, FL. Skill set include trach management, ventilator management, IV start, Feeding Tubes, Telemetry interpretation.

• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety
• Educated patients and loved ones about different treatment options and outside care approaches, reducing burden on hospital resources
• Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients
• Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed
• Developed care plans based on nursing diagnosis and incorporated therapeutic, preventive and rehabilitative nursing methods
• Reduced care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration
• Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations
• Updated patient charts using Point of Care, with data such as medications to keep records current and support accurate treatments
• Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care
• Administered medications and treatments as prescribed by physicians
• Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern
• Followed all instructions for medication administration and treatment plans as prescribed by physicians
• Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status
• Responded promptly and professionally to patient questions and concerns
• Assessed and examined patients and documented history of current and previous conditions, diseases and injuries along with medications currently being taken

Perform chart check on admissions and ongoing for falls, pain and education notes.

Serve as the attending RN on the unit to grow the nursing team.

Serve as the primary nursing point of contact with providers regarding the care of a case load of approximately 16 residents

Facilitate interdisciplinary Team Meetings

Serves as the primary liaison to the patients and families communicate their concerns to the interdisciplinary team and provider.

Participate in daily rounds with providers and member of the interdisciplinary team share findings with team members

Follow up consults

Critical Thinking skills

Collaborate with interdisciplinary team to facilitate admissions and discharge

Gain expertise in the VA's rating system, and Survey process and Quality Measures

Track SAIL reports on an ongoing basis and develop and contribute to processes to improve underperforming SAIL quality outcomes.

Work as an informal coach between patients and staff issues

Assess the needs of the patients, modify care, implement interventions and update plans of care.

Monitor and ensure compliance with isolation precautions/infection control/standards of nursing care

Formulates a plan of care and identifies appropriate interventions for complex residents.

Round with the physicians, within rounding assure PICC lines are dated/changed, IV lines are dated.

Update PICC/Central Lines, Foley Catheters, Dialysis Cath, Device sheets daily

Follow-up on Consults

Serve as a clinical role model in managing complex residents.

Consults with physicians or other healthcare providers regarding patients' care needs.

Identifies clinical problems, initiates solutions, and evaluates outcomes.

Communicates to staff concerning changes that occur with patient care needs as discussed in interdisciplinary meetings and physician rounds and place needs/change on individualized care plan.

Collaborate with interdisciplinary team to facilitate admissions and discharges.

Foster teamwork among staff

Communicates Support other healthcare providers as a resource person.

Coach unit staff in clinical skills and problem solving, facilities staff competency.

Registered Nurse working on a ventilator respiratory unit with acute patients. The Progressive Ventilator Stepdown Unit PVSU an 8 bed unit that is telemetry capable and provides care to adults with complex multi systems problems and have difficulties weaning off the ventilator or have respiratory issues that require increased nursing and respiratory support, and split with Medical Surgical unit with 6 patients on the other side. I currently work either side PVSU or Med/Surg.

• Supervise Nurse Care Partners
• Encouraged creative thinking, problem solving, and empowerment as part of the facility management group to improve morale and teamwork
• Administered medications and assisted in diagnostic testing for weaning off ventilator
• Provided patient diagnoses under strict time constraints
• Administered job knowledge assessments and competency testing for certification-level training
• Counseled and educated patients about respiratory ventilator disease process
• Ensured safety and well-being of patients

Conduct nursing assessments in fast timely manner to decrease re hospitalization upon admission to facility.

Conduct ongoing nursing assessment as dictated by the patient's condition and in accordance with facility's protocols.

Document patient assessments, findings,, and psycho social responses to nursing interventions.

Report patient condition to nursing supervisor, Advance Practice Nurse Practitioner, Medical Doctors, Physical Therapist, Occupational Therapist, MDS, Case Managers, and 911 as needed.

Skills Set include: IV insertions, PEG tube management, Wound Care, and care coordination of various patients to include and not limited to

Short term Fast Track Recovery Rehabilitation, Geriatric Frail Medical Complex, and Dementia patients.

Supervise Licensed Practical Nurses, and Certified Nursing Assistants.

Provide care and triage of 23 patients during late evening heavy admission shift 3-11pm.

• Provided all daily living tasks to enhance quality of life for elderly patients
• Ensured efficacy of treatments through monitoring of treatment regimens
• Assisted patients with daily functions
• Self-directed with astute judgment skills. High level of personal accountability
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability
• Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence
• Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans
• Equipped patients with tools and knowledge needed for speedy and sustained recovery
• Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes
• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity

Required to have sharp and quick assessment skills and high pressured fast paced sub acute setting.

Responsible for wound management, trach care, IV management, quick respiratory assessment skills for medical complex patient population

At times the only Registered Nurse on shift and responsible for assessment of 3 LPN's, and Certified Nursing Assistants.

Mixed population of Medical Complex, HIV, and progressive increasing mixed dementia population with medical dx's requiring increasing

level of supervision during 3-11 shift.

Provide administration of medication for 28 to 30 patients, and triage LPN's patients during code situations.

• Ordered supplies according to budget limitations and expected use levels
• Evaluated team performance and care quality
• Developed, improved and implemented policies to optimize costs, care and satisfaction of both employees and residents
• Scheduled all assignments and managed requests for time off
• Managed 4 employees caring for 4 residents
• Provide root extraction from home for varied complex dementia diagnosis
• Design specific individualized plan of care for nursing and dementia residents private pay facility and strong case management care coordination model implemented
• Families or friends of patients pay out of pocket for concierge care without losing their primary care health team. Required strong case management of each patient

Registered Nurse Case Manager completing OASIS admissions, recerts, discharges for Medicare and Managed Care patients providing excellent documentation, and assessment skills for patients in their home. Wound Vac's, Wound Management, IV's, and strong care coordination with healthcare team to decrease risk of rehospitalization. In addition worked as an occupational therapist and resign secondary to lack of pay.

• Verified data integrity and accuracy
• Entered details such as payments, account information and call logs into the computer system
• Medical Review of Pediatric Assessment s for the state of Florida
• Require use of Miliman Guidelines and Interqual to determine units of treatment and medical necessity
• Screen for potential fraud, and note trends of providers
• High level of ethics and integrity

• Maintained all confidential personnel files, license and CPR compliance records
• Participated in unit-based Quality Assurance Program
• Chronic patient care in post surgical med-surg unit, adeptly handling all aspects of treatment from medication to wound care to monitoring for 6 patients per shift on Post Surgical 6 East
• Demonstrated ability to lead and motivate outstanding healthcare teams
• Diagnosed and treated patients with chronic and acute health problems such as MI, arrhythmias, asthma, COPD and pneumonia

Travel Assignment: Contract Telemetry, ICU step down, and PCU assignment

• Instructed patients and family members on proper discharge care
• Fast paced assessment and admissions up to 10 patients
• Contracted RN required to meet certain amount of productivity
• Complete efficient and timely admits to unit
• Performed lab tests and communicated results
• Pharmacological and non-pharmacological management and treatment of various disorders and diseases

Travel Assignment: Telemetry Unit

• Followed infection control procedures
• Processed admissions to floor in a timely manner
• Manage and care for the highest acuity patients on varied parts of the unit

Travel Assignment: Telemetry Post Open Heart : Vascular Unit heavy IV drip medication unit

Responsible for the care of 3-4 patients requiring strong cardio vascular

assessment skills to report to Nurse Practitioner, and Medical Doctor

To note any deviations immediately

Heavy ACL skills

Travel Assignment: Cardiac Stepdown: Intensive Care Unit: Emergency Room and varied floors except NICU.

• Monitored patient reactions to drugs and carefully documented progress of individuals participating in clinical trials
• Developed patient care plans, including assessments, evaluations and nursing diagnoses
• Specialized providing strong assessment secondary to floated during shift depending on need of Registered Nurse staffing
• Develop rapport with staff and patients quickly per unit

• Communicated with the patient and his or her family regarding care, tests and medications so that they were well-informed
• Performed regular assessments on patients to evaluate their health conditions while they were in the ICU
• Followed all policies and procedures and hospital regulations to ensure compliance and patient safety
• Worked closely with other medical staff, including physicians to determine individualized plans of care for each patient in rounds
• Medical ICU, Progressive Care Step down, Surgical ICU, and CVICU
• Complete Critical Care Fellowship and obtain PCCN certification

Assessment Nurse

Complete timely Assessments per Medicare Guidelines

Assessment Registered Nurse responsible for assessing functional capabilities of residents for 120 bed facility and formulate

individual care plans.

Strong assessment skills and understanding of laws and ACHA

guidelines for skilled care facilities.

Completed Specialty Training in Critical Care Course

Contract for Education RN training .

• Managed care for post-operative patients through discharge
• Post Surgical, Trauma, and Heavy Telemetry Unit

responsible for your own telemetry monitoring and interpretation

Responsible for the care of 4 patients as a Registered Nurse alone, and

8 with Team Nursing LPN.