Sheila Adams

• Administered medications and monitored patient vital signs for optimal care delivery.
• Collaborated with healthcare teams to develop and implement individualized care plans.
• Educated patients and families on health management and post-discharge instructions.
• Assisted in the coordination of patient admissions, transfers, and discharges efficiently.
• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Documented patient progress and responses to treatment in electronic health records accurately.

• Oversee assigned unit: coordination, operation and direction of nursing staff and patient care
• Complete daily assignments
• Schedule appointments, provide education: preparing and giving staff in-services
• Promote and help maintain a safe working environment - for staff, patients and family
• Communicate with family members: personal and medical concerns
• Review 24 hour resident change in condition
• Attend and participate in scheduled meetings as indicted: PPS and clinical review
• Collaborate with interdisciplinary team and other departments- Ensuring patient needs are met
• Ensure staff compliance of established and written policies per facility and Federal Regulations
• Investigate and report to ADON/DON any and all resident abuse allegations
• Performed other related job duties required

• Schedule to different facilities
• Medication Pass - administer and monitor scheduled and PRN medications
• Wound care- dressing changes and documentation
• ADL care
• Receiving and documenting MD orders
• Documentation
• Management of the CNAs
• Skin assessments
• Scheduled MD and transportation appointments
• Communicated with family members
• Obtain lab specimen and cultures
• Insert peripheral IV
• Administered and monitor IV ABT
• Monitor Picc lines and Midlines
• Foley catheter care
• Manage and treatment of diabetic patients
• Manage and treatment of renal patients
• Assess AV shunts and vascular catheters
• Manage and treatment of Cardiac and Ortho patients
• Order lab results and XRays
• Patient assessment - pain monitoring and management
• Patient admission and discharges
• Patient and family education
• Manage and treatment of trac and G - tube patients

• Oversee assigned unit: coordination, operation and direction of nursing staff and patient care
• Complete daily assignments
• Schedule appointments, provide education: preparing and giving staff in-services
• Promote and help maintain a safe working environment - for staff, patients and family
• Communicate with family members: personal and medical concerns
• Review 24 hour resident change in condition
• Attend and participate in scheduled meetings as indicted: PPS and clinical review
• Collaborate with interdisciplinary team and other departments- Ensuring patient needs are met
• Ensure staff compliance of established and written policies per facility and Federal Regulations
• Investigate and report to ADON/DON any and all resident abuse allegations
• Performed other related job duties required

• Ordered supplies necessary for wound care treatments as needed.
• Worked with healthcare teams to assess patients, manage wounds and monitor healing.
• Assisted with development of policies and procedures related to wound care management practices.
• Provided support to family members by answering questions or addressing their concerns about the healing process of their loved one's wounds.
• Collaborated with physicians and other health professionals regarding complex cases or difficult wounds requiring additional attention or specialized treatments.
• Performed weekly rounds with MD to assess patient's wound status and provide education to nursing staff.
• Coordinated interdisciplinary team meetings to discuss patient's individualized treatment plan.
• Oversaw ordering processes for specialty dressings through outside vendors.
• Maintained accurate documentation of patient's wound assessment, treatments, medications and other interventions in the medical record system.
• Evaluated vendor contracts for cost effectiveness when purchasing products related to wound management.
• Developed and implemented wound care protocols to ensure patient safety and quality of care.
• Reviewed lab results, imaging reports and other diagnostic tests related to patient's condition.
• Provided consultative services to staff members on wound management techniques.
• Monitored inventory levels of all supplies used for wound care treatments.
• Alerted physician of diagnostic study results and changes in patient condition.
• Ordered laboratory tests as needed for diagnosis of underlying conditions that may affect wound healing processes.
• Classified wounds using staging system based on visual evaluation of affected tissue.

• Float Nurse
• Medication pass - administer and monitor scheduled and, medications
• ADL Care
• Receiving and documentation of MD orders
• Skilled documentation
• Skin assessments
• Management of the CNAs
• Communicated with family members
• Peripheral IV insertion
• Monitor Midlines/ Picc Lines
• Administer IV ABTs and IV fluids and monitor for adverse affects
• Wound care - assessment, dressing changes and documentation
• Notify MD of any clinical changes
• Management, treatment and monitoring Renal patients
• Assess and monitor AV Grafts and Vascular Catheters
• Patient admissions and discharges
• Management and care for patients with amputations and with prosthetic limbs
• Foley cathe care
• Order labs and X- Rays
• Obtain lab cultures and specimens, Wound care Nurse
• Skin assessments
• Assisting MD with weekly visits/ wound rounding
• Wound dressing changes
• Documenting new MD orders in patients chart and e- mar
• Comprehension assessment charting
• Wound assessments
• Wound - vac management - applying and monitoring
• Initiating treatment
• Pain management
• Order medication
• Stock supplies for floor carts
• Order and apply preventive pressure devices
• Cardiac Unit - Primary Nurse - 40 hours weekly - 2 years
• Administration and monitoring of cardiac medications
• Daily weights
• Manage care and monitoring for status post op Cardiac Patients - Cabg, MI and Fem - pop
• O2 administration, By Pap and Nebulizer machines
• Apply Ted Hose
• Collaborate with PT - OT- ST and MD
• Pain management - administration and monitoring of narcotics
• Pain assessments
• Monitor v/s
• Focus assessments and charting
• Admissions and discharges
• Management of chest tube and biliary tubes
• Client education on diet, disease and treatment
• Include all duties listed under the Clinical Nurse - float
• Ortho Unit - primary Nurse - 40 hours wkly - 1.5 years
• Medication administration
• Pain management - assessment and narcotic administration and monitoring
• Surgical incision assessment - staple removal
• Application, removal and monitoring of CPM
• Collaborate with PT - OT - ST and Orthopedic
• Prepare client for follow up appointments
• Order X -rays
• Focus assessment
• Skill charting
• Include all duties listed under the Clinical Nurse - float

• Wound Care - dressing changes, documentation and assessments
• ADL Care
• Receiving and documenting of MD orders
• Documentation
• Skin assessments
• Management of the CNAs
• Completing CNA daily assignments
• Scheduled MD and transportation appointments
• Communicated with family members
• Medication pass - administering, monitoring scheduled and PRN medications
• Collaborating with facility interdisciplinary members
• Manage and treatment of renal patients
• Manage and treatment diabetic patients
• Management and treatment of Ortho and Cardiac patients
• IV and ABT therapy
• Peripheral IV insertion
• Monitoring IV, Picc lines and Midlines
• Assess and monitor AV shunts and Vascular catheters
• Patient assessment - pain monitoring and management
• Patient admission and discharges
• Foley catheter care
• Order lab and x - rays
• Obtain lab specimen and cultures

• Scheduled to different facilities and clients homes and Hospice Clinical Setting:
• Medication Pass - administer and monitor scheduled and PRN medications
• Wound care- dressing changes and documentation
• ADL care
• Receiving and documenting MD orders
• Documentation
• Management of the CNAs
• Skin assessments
• Scheduled MD and transportation appointments
• Communicated with family members
• Obtain lab specimen and cultures
• Insert peripheral IV
• Administered and monitor IV ABT
• Monitor Picc lines and Midlines
• Foley catheter care
• Manage and treatment of diabetic patients
• Manage and treatment of renal patients
• Assess AV shunts and vascular catheters
• Manage and treatment of Cardiac and Ortho patients
• Order lab results and XRays
• Patient assessment - pain monitoring and management
• Patient admission and discharges
• Patient and family education
• Manage and treatment of trac and G - tube patients Hospice setting:
• 1:1care
• Medications administration
• Light house duties
• Preparing small meals/ client feedings
• Documentation
• Provide comfort measures
• Provide patient and family education
• Pain assessment and management
• Provide family support

• Clinical Setting:
• Medication Pass - administer and monitor scheduled and PRN medications
• Wound care- dressing changes and documentation
• ADL care
• Receiving and documenting MD orders
• Documentation
• Management of the CNAs
• Skin assessments
• Scheduled MD and transportation appointments
• Communicated with family members
• Obtain lab specimen and cultures
• Insert peripheral IV
• Administered and monitor IV ABT
• Monitor Picc lines and Midlines
• Foley catheter care
• Manage and treatment of diabetic patients
• Manage and treatment of renal patients
• Assess AV shunts and vascular catheters
• Manage and treatment of Cardiac and Ortho patients
• Manage and treatment of trac and G tube patients
• Order lab results and XRays
• Patient assessment - pain monitoring and management
• Patient admission and discharges
• Patient and family education
• Manage and treatment of trac and G - tube patients

• Management of DSPs
• Assist with transportation to scheduled MD appointments
• Transport clients to off sight for active treatment
• Aide in active treatment
• Medication Pass - administer and monitor scheduled and PRN medications
• Wound care- dressing changes and documentation
• ADL care
• Receiving and documenting MD orders
• Documentation
• Management of the CNAs
• Skin assessments
• Scheduled MD and transportation appointments
• Communicated with family members
• Obtain lab specimen and cultures
• Insert peripheral IV
• Administered and monitor IV ABT
• Monitor Picc lines and Midlines
• Foley catheter care
• Manage and treatment of diabetic patients
• Manage and treatment of renal patients
• Assess AV shunts and vascular catheters
• Manage and treatment of Cardiac and Ortho patients
• Manage and treatment of trac and G tube patients
• Order lab results and XRays
• Patient assessment - pain monitoring and management
• Patient admission and discharges
• Patient and family education
• Manage and treatment of trac and G - tube patients

• Clinical Setting:
• Medication Pass - administer and monitor scheduled and PRN medications
• Wound care- dressing changes and documentation
• ADL care
• Receiving and documenting MD orders
• Documentation
• Management of the CNAs
• Skin assessments
• Scheduled MD and transportation appointments
• Communicated with family members
• Obtain lab specimen and cultures
• Insert peripheral IV
• Administered and monitor IV ABT
• Monitor Picc lines and Midlines
• Foley catheter care
• Manage and treatment of diabetic patients
• Manage and treatment of renal patients
• Assess AV shunts and vascular catheters
• Manage and treatment of Cardiac and Ortho patients
• Manage and treatment of trac and G tube patients
• Order lab results and XRays
• Patient assessment - pain monitoring and management
• Patient admission and discharges
• Patient and family education
• Hospice setting:
• 1:1care
• Medications administration -administering and monitoring medications
• Light house duties
• Preparing small meals/ client feedings
• Documentation
• Provide comfort measures
• Provide patient and family education
• Pain assessment and management
• Provide family support

• Scheduled to different facilities and clients homes: Clinical Setting:
• Medication Pass - administer and monitor scheduled and PRN medications
• Wound care- dressing changes and documentation
• ADL care
• Receiving and documenting MD orders
• Documentation
• Management of the CNAs
• Skin assessments
• Scheduled MD and transportation appointments
• Communicated with family members
• Obtain lab specimen and cultures
• Insert peripheral IV
• Administered and monitor IV ABT
• Monitor Picc lines and Midlines
• Foley catheter care
• Manage and treatment of diabetic patients
• Manage and treatment of renal patients
• Assess AV shunts and vascular catheters
• Manage and treatment of Cardiac and Ortho patients
• Manage and treatment of trac and G tube patients
• Order lab results and XRays
• Patient assessment - pain monitoring and management
• Patient admission and discharges
• Patient and family education
• Hospice setting:
• 1:1care
• Medications administration -administering and monitoring medications
• Light house duties
• Preparing small meals/ client feedings
• Documentation
• Provide comfort measures
• Provide patient and family education
• Pain assessment and management
• Provide family support

• Scheduled to different facilities and clients homes: Clinical Setting:
• Medication Pass - administer and monitor scheduled and PRN medications
• Wound care- dressing changes and documentation
• ADL care
• Receiving and documenting MD orders
• Documentation
• Management of the CNAs
• Skin assessments
• Scheduled MD and transportation appointments
• Communicated with family members
• Obtain lab specimen and cultures
• Insert peripheral IV
• Administered and monitor IV ABT
• Monitor Picc lines and Midlines
• Foley catheter care
• Manage and treatment of diabetic patients
• Manage and treatment of renal patients
• Assess AV shunts and vascular catheters
• Manage and treatment of Cardiac and Ortho patients
• Manage and treatment of trac and G tube patients
• Order lab results and XRays
• Patient assessment - pain monitoring and management
• Patient admission and discharges
• Patient and family education
• Hospice setting:
• 1:1care
• Medications administration -administering and monitoring medications
• Light house duties
• Preparing small meals/ client feedings
• Documentation
• Provide comfort measures
• Provide patient and family education
• Pain assessment and management
• Provide family support

schedule at different facilities

• Medication pass - administer and monitor scheduled and, medications
• ADL Care
• Receiving and documentation of MD orders
• Skilled documentation
• Skin assessments
• Management of the CNAs
• Communicated with family members
• Peripheral IV insertion
• Monitor Midlines/ Picc Lines
• Administer IV ABTs and IV fluids and monitor for adverse affects
• Wound care - assessment, dressing changes and documentation, wound vac management
• Notify MD of any clinical changes
• Management, treatment and monitoring Renal patients
• Assess and monitor AV Grafts and Vascular Catheters
• Patient admissions and discharges
• Management and care for patients with amputations and with prosthetic limbs
• Foley cath care
• Order labs, X- Rays and medications
• Obtain lab cultures and specimens, Wound care Nurse
• Skin assessments
• Documenting new MD orders in patients chart and e- mar
• Bi Pap and Nebulizer machines
• Collaborate with PT - OT- ST and MD
• Pain management - administration and monitoring of narcotics
• Pain assessments
• Monitor v/s

• Manage mandatory immunizations needed for staff
• Provided orientation every two weeks for new employees
• Created new patient charts, including entering data into electronic health record system.
• Facilitated communication between departments concerning follow-up care or scheduling appointments for patients.
• Performed additional duties related to Medical Records Coordinator role as assigned by supervisor.
• Scanned incoming documentation.
• Purged outdated files.
• Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.
• Provided administrative support such as answering phones, scheduling appointments and maintaining office supplies inventory.
• Performed daily audits to ensure accuracy and completeness of medical records.
• Sent out reminders to providers regarding overdue documentation or incomplete charts.
• Responded to inquiries regarding status of requests for release of confidential information from patients' files.
• Reviewed patient charts for accuracy in accordance with HIPAA regulations.
• Arranged and managed medical record filing, retrieval and transfers per established guidelines.
• Received incoming faxes and scanned them into the appropriate patient's chart in the EHR system.
• Verified accuracy of coding on all documentation prior to filing in the chart.
• Monitored physician orders to ensure that all required forms were completed accurately and completely prior to filing in the chart.
• Compiled and sorted documents such as medical history reports, examination results, laboratory test results, diagnoses, treatment plans and insurance information.
• Assisted providers with retrieving archived medical records when needed.
• Retrieved and distributed medical records to physicians or other healthcare personnel as requested.
• Providing and filing in-services for continuing education

• Wound round with Wound MD weekly
• Schedule dressing changes
• Management of wound care and restorative care
• Care plans
• Order medications
• Stock supplies -for floor carts
• Weekly wound assessment and comprehensive documentation
• Order labs and X-Rays per MD order
• Manage wound vac - application and monitoring
• Pain assessment
• Skin assessments
• Order preventive pressure devices
• Obtain orders and transcribe to mar
• Notify family with follow up for wound treatment
• Restorative nurse
• Interview and hire needed staff
• Make daily assignment for staff and work schedule
• Provide, maintain and document staff work evaluations
• Care plans
• Collaborate with MDS, PT/ OT and floor staff
• Monitor patients progression
• Organize and schedule specialty and maintenance programs
• Assess for and order special eating equipment - fitted per client need
• Organize special dining and walking programs
• Assess for and order preventive devices for contractions.