Sheila Frazier
Summary
Registered Nurse with 16 years' experience who demonstrates integration of bio-psychological concepts, cognitive skills, and technically competent practice in providing care to patients with basic or complex needs. Responsible and accountable for the provision of direct patient care and for the delivery of quality nursing care to a culturally diverse patient population. Possess knowledge and skills to effectively apply all aspects of the nursing process within a collaborative, interdisciplinary practice setting. Substantiate knowledge and skills necessary to provide care appropriate to age related needs of patients served in the assigned area of practice. The knowledge includes understanding changes associated with aging and principles of growth and development relevant to the adult and geriatric population. Possess the ability to communicate and interact appropriately and courteously with all internal and external customers. Maintain confidentiality of electronic, written, and/or verbal patient/employee information. Demonstrate working practices that include adherence to infection control standards and the safe use and operation of equipment. Assesses, plans, implements and evaluates care based on age-specific components. Liaison between patient, doctors and other healthcare providers to insure treatment plan is satisfactory for all involved. Provides care in a safe and cost-effective manner.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Registered Nurse: Neurology Head Nurse
Womack Army Medical Center GS-11 (40 Hours/week)
06.2024 - Current
- Provides assessment, planning, implementation, coordination, evaluation and monitoring of patients for health options and services.
- Coordinate discussions with a variety of stakeholders, evaluating quality, cost effectiveness and appropriateness of care as it relates to management of care plans/case.
- Conduct detailed examinations, order test and /or meds for co-sign, assist with organizing and managing outside MTF referrals, MTF to MTF referrals, referrals within the organization.
- Organize and manage care of patients undergoing botox injections as well as preparing medication for provider to administer injections in accordance with medication management policy.
- Administer Botox injections, B12 and Battlefield Acupuncture (BFA).
- Serve as Head Nurse supervising the work of subordinate staff; and provide subject matter expertise, training, mentorship, and guidance as needed.
- Provides oversight and input to nursing practice matters.
- Recognize problems with healthcare access recommends alternatives to over come these difficulties in both military and civilian sectors.
- Attends multidisciplinary meetings.
- Deliver advanced practice clinical nursing, administrative and organizational skills in managing the continuity of care for the beneficiary populations.
- Coordinate medical services, educating patients about community resources and/or referring patients to community resources.
- Day to day management of nursing staff for clinic operations. Guide delivery of care for patients in clinic, providing direct care, delegating nursing assignments and supervising team comprised of LPNs, EEG technicians, and MSA to ensure the clinic operates to the highest standards of care
- Participates in nursing meetings, assist with interviews for the department, manage patient scheduling/templates for providers, enforce standards of care/policy and procedures.
- Advise leadership on clinic issues, changes of work flow, nursing implications.
- Follow all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Sustain quality standards by performing routine chart audits, clinic tracers, pyxis inventory and omnicell inspection.
- Quickly respond to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Collaborate with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Establish and continuously optimize unit schedules and individual work assignments.
- Resolve complaints from staff, physicians, and patients by leveraging clinical judgment and unit management expertise.
- Primary Key Custodian and Primary Property Custodian.
- Employee of Month January 2025.
Registered Nurse: Hematology/Oncology
Womack Army Medical Center GS-11 (40 Hours/week)
06.2015 - 06.2024
- As an outpatient clinical oncology nurse; administers state-of-the-art cancer therapy per evidence based clinical research protocols to include chemotherapy regimens, biological response modifiers, hematopoietic growth factors and monoclonal antibody therapy by all routes, to include IV push through a variety of venous access devices, documents medication effectiveness.
- Order, prepare, and administer medications, controlled substances, and IVs.
- Organized and managed care of patients undergoing various therapies and procedures.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.
- Perform one-on-one and group teaching sessions with patients, family members, and guardians regarding the patient’s prescribed health care plan.
- Audited charts and reviewed clinical documents to verify accuracy.
- Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
Registered Nurse: Neurology Clinic Detail
Womack Army Medical Center GS-11 (40 Hours/week)
09.2023 - 01.2024
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Updated patient charts with data such as medication reconciliation to keep records current and support accurate treatments.
- Maintained quality care for patients with numerous neurological disorders.
- Evaluate healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Guided delivery of care for patients in Neurology clinic, providing direct care, delegating nursing assignments and supervising team comprised of LPNs, EEG technicians, and MSA to ensure the clinic operates to the highest standards of care.
- Organize and manage care of patients undergoing botox injections as well as preparing medication for provider to administer injections in accordance with medication management policy.
- Coordinate with pharmacy Botox medication pick up for daily orders in MHS Genesis. Maintain Botox excel spreadsheet tracker on each patient receiving Botox injections. Update log that tracks usage of lidocaine/bupivacaine.
- Initiate daily huddles with clinic staff.
- Serve as Charge Nurse supervising the work of subordinate staff; and provide subject matter expertise, training, mentorship, and guidance as needed.
Registered Nurse: Hematology/Oncology/Pulmonary/Med-surg;Tele
New Hanover Regional Medical Center(40 Hours/week)
06.2009 - 06.2015
- As an inpatient oncology nurse; Deliver attentive and skilled nursing care to critically ill patients with a wide variety of oncological health conditions as well as other conditions
- Utilize the nursing process daily to plan, implement, and document nursing interventions to a culturally and physically diverse patient population using complex assessment skills
- Provide proficient care to multiple oncological/med-surg patients and their treatments.
- Provided didactic and clinical instructions to orient new nurses and potential student nurses to achieve training outcomes.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Organized and managed care of patients undergoing various therapies and procedures.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Maintained quality care and comfort for patients with heart failure, pulmonary hypertension, and other conditions.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
Phlebotomy Technician/Medical Assistant
Hanover Medical Specialist Oncology (40 Hours/week
07.2003 - 08.2007
- Draw blood including obtaining urine specimens, blood cultures, bleeding times and glucose finger sticks
- Check patients in with full vital signs
- Assist with bone marrow biopsies and intrathecal chemotherapy
- Read and interpret chemotherapy orders
- Clean and stock phlebotomy area and exam rooms daily. Check crash cart weekly for expired supplies and restock cart
- Train new employees for the medical assistant unit.
Education
Associate Degree in Nursing -
Southeastern Community College
01.2009
Certified Nursing Assistant II - undefined
Southeastern Community College
01.2007
Transfer Courses - undefined
Cape Fear Community College
01.2007
Phlebotomy Technician, Honor Graduate -
Bladen Community College
01.2003
Certified Nursing Assistant I - undefined
Cape Fear Community College
01.2002
High School Diploma - undefined
East Columbus High School
01.1995
Skills
- PRIMARY ASSESSMENTS: Perform independent, comprehensive telephone and clinical triaging and facilitate care coordination through a multidisciplinary approach Assess patients based on information provided by patient, vital signs, and physical assessment to determine acuity of patient status Recognizes and reports abnormal tests results, changes in symptoms and the need for follow-up Utilize nursing process and documents according to current guidelines Assist providers with exams and procedures as needed
- LEADERSHIP: Manage clinic flow of patients in the clinic and handling particularly difficult patient care concerns and problems as they arise Assess, plan, implements and evaluates the delivery of education to new staff coming into the Oncology clinic Participates in and attends professional conferences and boards relative to oncology Evaluates current practice in light of research findings to develop evidence-based procedures/protocols Maintains nursing daily schedules as needed for infusion area Highly specialized knowledge of professional nursing principles, procedures and techniques in caring for patients requiring infusion therapy, diagnostic testing or have a vascular access need
- INTENSIVE CARE: Assesses and interprets complex continuous health conditions, monitors lab values, and responds appropriately to critical results Develops meaning goals to assist the critically ill patient and family in attaining the optimum level of physiological, sociological, and psychological balance within the limitation imposed by the illness Demonstrates superior knowledge and the ability to apply principles of evidence- based practice
- MEDICATION ADMINISTRATION: Clinical duties consist of accessing ports, maintaining central line dressings, starting and maintaining peripheral IV sites, peripheral/central line blood draws, prepare and administer oral, subcutaneous and intramuscular injections and intravenous medications, triage of patients for provider appointments, telephone triage consultant and administration and maintenance of numerous evidence based practice chemotherapy medications and chemotherapy regimens, documentation of medication effectiveness, calculations of drug dosages according to BSA, administration of fibrinolytic agents to restore central lines, interprets lab values and identifies situations in which health care provider should be notified, administer emergency treatment when necessary, assess for symptoms of toxicity or side effects, act as a resource for other clinics and inpatients units, assist with specialized procedures, facilitates decisions and care of terminally ill patients to promote dignity through the death and dying process
- KNOWLEDGE OF MEDICAL PROTOCOLS/EQUIPMENT: Attend department staff meetings and clinic staff meetings that help coordinate patient care by updating care plans, organizing outside facility care with treatment plans and options as well as community resources, conduct case management discussions with a variety of stakeholders, and evaluating appropriateness, quality, or cost effectiveness of care Attend continuing-education seminars as well as in services provided by pharmaceutical companies within the clinic, stay up to date with Relias education and maintain CAF folder, update IDP as required and renew ACLS, BCLS and RN license as required by State of North Carolina and NCBON, work with planning committees for special events, received time off awards every year since hired, received good catch award as a whole clinic in December 2015, received bragging button for preparation, set up and attendance to Retiree Appreciation Day October 2017-present, performance appraisals and goals each year have been met
- DOCUMENTATION: March 2022 super user for MHS Genesis software update to medical center This software changes consist of numerous classes throughout the prior year of 2021 consistent and constant meetings weekly and follow ups with clinics after going live to trouble shooting errors, putting in work tickets via website and phone Super-user for new IV Braun pumps that rolled out in Feb 2023 to the entire hospital Held detail position in RMO for 30 days that started in August 2022-Sept 2022 managing referrals for the hospital
- COMMUNICATION/ COLLABORATION: Collaborate with health care providers to care for patients while using and implementing the nursing process coordinate and deliver health care to oncology patients their families/significant others as well as education, discharge planning As necessary, refers patients and or family members to health professionals in other fields, ie, social work, dietary, chaplains, psychiatry, therapy, American Cancer Society, Home Health Care Agencies, and Hospice Explores methods and processes to reduce resource consumption ensuring that the patient receives quality care at the most appropriate level Coordinate patient referrals to support services provided through the internal and external community, or the Tricare network
Certification
- ONS/ONCC Chemotherapy Immunotherapy Certificate, #475721, expires 2027
- ACLS, expires 2025
- BLS, expires 2026
- Nursing License RN, #232112, 2009
- American Heart Association Member, 2012
- BFA (Battlefield Acupuncture) Certification, 2024
- Botox Professional Education & Injection Paradigm Training, 2024
Affiliations
- B-Braun medication administration pumps super user 2023 Department of Medicine Unit practice counsel-Treasurer 2023 MHS Genesis Super user 2021 Military Retiree Appreciation Day Facilitator 2017 EPIC Super user 2013
Accomplishments
- Clinical Skills - Monitored patients' respiration activity, blood pressure and blood glucose levels in response to medical administration.
Timeline
Registered Nurse: Neurology Head Nurse
Womack Army Medical Center GS-11 (40 Hours/week)
06.2024 - Current
Registered Nurse: Neurology Clinic Detail
Womack Army Medical Center GS-11 (40 Hours/week)
09.2023 - 01.2024
Registered Nurse: Hematology/Oncology
Womack Army Medical Center GS-11 (40 Hours/week)
06.2015 - 06.2024
Registered Nurse: Hematology/Oncology/Pulmonary/Med-surg;Tele
New Hanover Regional Medical Center(40 Hours/week)
06.2009 - 06.2015
Phlebotomy Technician/Medical Assistant
Hanover Medical Specialist Oncology (40 Hours/week
07.2003 - 08.2007
Certified Nursing Assistant II - undefined
Southeastern Community College
Transfer Courses - undefined
Cape Fear Community College
Certified Nursing Assistant I - undefined
Cape Fear Community College
High School Diploma - undefined
East Columbus High School
Associate Degree in Nursing -
Southeastern Community College
Phlebotomy Technician, Honor Graduate -
Bladen Community College
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