Dedicated pediatric nurse with expertise in patient assessment and care coordination. Proven ability to lead clinical teams and collaborate effectively with multidisciplinary providers to enhance patient outcomes. Committed to fostering a positive care environment for medically fragile children.
Overview
30
30
years of professional experience
Work History
Clinic RN
Dell Children's Medical Group Round Rock Primary Care
Round Rock
04.2021 - Current
Led charge nurse responsibilities for outpatient medical home serving medically fragile children and general pediatric population ages 0-19.
Conducted initial health history on new patients, triaged cases, assessed conditions, and promptly implemented emergency measures or contacted physician as needed.
Leads team huddle, with providers and support services along with Hospitals' inpatient team planning patient care and their individual needs for each appointment using a multidisciplinary approach with other providers.
Performs independent, comprehensive telephone and clinic triaging, facilitating continuity of care through a multidisciplinary approach.
Serves as the Synagis coordinator for children needing RSV prophylaxes.
Coordinated specialist referrals and follow-ups for diverse patient cases to ensure continuity of care.
Managed DME supplies and home health nursing needs.
Facilitated Texas Vaccine For Children program to ensure timely vaccination of eligible children.
Administers Medications, IM, SQ, Oral following standard operating procedures.
Clinic Manager/ RN Manager G0610-11
Family Practice Clinic
04.2017 - Current
Leads and manages the daily functions of the Family practice clinic that staff 9 providers, 4 nurses and 4 administrative clerks.
Sole Pediatric RN for clinic of clinic triaging pediatric complaints.
Provides pediatric Immunizations, medication administrations, education being the only nurse within clinic with pediatric experience.
Managed nurse-run newborn clinic, ensuring timely follow-up care within 72 hours of hospital discharge, while providing new parent education and conducting state newborn screening labs.
Conducted telephone triage for patients aged 0-65 presenting acute symptoms.
Led a team of clinical nurses to triage presenting patient complaints and health care concerns.
Ensured proper medication administration for diverse age group of patients.
Evaluated work by conducting spot checks during progress and upon completion.
Coordinated work schedules and prioritized tasks to fulfill assignment deadlines.
Modified work schedules based on workload changes and personnel availability.
Ensures an adequate level of staffing by informing Department Head (DH) of vacancies or changes in workload.
Informally recommends to DH the full scope of personnel actions, i.e., details, accessions, position reviews and performance awards.
Received telephonic health care complaints and queries, evaluated cases, recommended care advice, and triaged patients to appropriate care levels according to standard triage protocols.
Planned, evaluated, and implemented new initiatives to enhance clinic operations and patient care.
Participates in the Performance Improvement activities for Medical Homeport and Specialty clinics to include protocol review, peer review and satisfaction survey directed at attaining high quality health care.
Patuxent River Naval Health Clinic
Patuxent River Naval Health Clinic
Clinic RN
Dell Children's Comprehensive Care Clinic
Austin
07.2020 - 04.2021
Charged with overseeing outpatient care for medically fragile children with complex health needs, ensuring continuity and quality of care.
Administered medications to complex pediatric patients using G tube, NG tube, and Central Venous catheter ports in accordance with established protocols.
Functioned as sole RN at Complex Covid testing clinic and acute sick clinic, managing patient assessments and care delivery in high-pressure environments.
Takes the initial health history on new patients in the clinic, triages patients, observes and assesses patient’s condition, recognizes and identifies serious situations and immediately takes appropriate action e.g. Preplanned emergency measures and/ or calls the physician.
Administered intravenous transfusions and instilled medications into IV solutions, intramuscular, hypodermic, and oral medications according to hospital and clinic protocols.
Facilitated team huddles with providers and support services to collaboratively plan and tailor patient care strategies for each appointment using a multidisciplinary approach.
Performs independent, comprehensive telephone and clinic triaging, facilitating continuity of care through a multidisciplinary approach.
Lead Team Nurse G0610-11
Tripler Army Medical Center
Honolulu
09.2013 - 07.2016
Coordinate care, access and utilization of medical assets that are needed for all beneficiaries who are enrolled in Tricare Prime at TAMC Pediatric Clinic.
Responsible for checking HEDIS measures for our patients that have a history of asthma, hypertension, and obesity.
Followed up with patients to ensure they met clinical needs and maintained continuity of care.
Facilitated case management by coordinating with providers and families to secure outside referral services.
Reviewed daily appointment needs and immunization schedules while supervising and training LPN staff.
Telephone triaging patients who are in need of nursing advice within the scope of RN practice.
Clinical Nurse (Pediatric) GS 0610-09
Tripler Army Medical Center
Honolulu
10.2011 - 09.2013
Performs professional nursing duties in the care of pediatric patients some who have severe conditions requiring the action of complex nursing techniques.
Took initial health history on new patients, triaged patients, observed and assessed conditions, recognized serious situations, and implemented appropriate actions, including preplanned emergency measures and physician notifications.
Assessed and treated minor health problems such as colds, bruises, and cuts.
Begins intravenous transfusions, instills medications into IV solutions, give intramuscular, hypodermic and oral medications, and administers medications as per hospital and clinic protocol and following guidelines.
Performs as charge nurse / team lead nurse as the Access Nurse for Patient Centered Medical Home.
Leads team huddle, with providers and MSA’s planning patient care and their individual needs for each appointment using a multidisciplinary approach with other providers.
Performs independent, comprehensive telephone and clinic triaging, facilitating continuity of care through a multidisciplinary approach.
Establishes priorities for patients care and evaluates patient’s progress toward high- level wellness.
Provides patient education with the parents as part of the services offered.
Screens patient charts to assess the medical history and determine their health care needs and communicate needs during huddle with providers.
Assist health care providers with examinations and procedures, prepares patients for high risk, painful or stressful procedures with education and support.
Recognizes and reports abnormal test results, changes in symptoms and the need for follow ups.
As team lead access nurse follow up with no show appointments, ER follow ups by telephone triaging, and reporting all data on patients charts through AHLTA and with telephone consults for the patients PCM.
Monitors or ensures the monitoring of patients care pre, during and post procedure per established protocols and SOP’s.
Assesses post procedure patients prior to the release of the patient from clinic, and then ensures complete, thorough documentation for all procedures.
Assists in the orientation and training of subordinate nursing personnel and also orientation of the incoming medical students and interns new to clinic.
Counseled patients and parents on health subjects such as nutrition, dental care, safety regimens, and child development, while assessing individual needs within the context of family, home, culture, and community.
Instructs patient and parents in self-medication of prescribed pharmaceutical agents and reinforces provider’s instructions, encouraging patient and family in the maintenance of their health and self-care.
Takes swift action during emergency situations to ensure patient safety and care.
Assesses patient’s emotional, cognitive, social and motivational status relative to education and determines their educational needs and priorities.
As team lead nurse ensures that nursing staff competencies are initially evaluated and maintained and documented in accordance with hospital and clinic policies and protocols.
Developed nursing care plans tailored to individual patient needs, ensuring comprehensive and coordinated care.
Ensures team nurses maintain their current licenses and certification requirements.
Conducts chart reviews, identifies trends and reports the corrective actions.
Acts as a resource person to fellow staff, nursing school students and military personnel in training.
Participates in hospital and clinic meetings and performance improvement activities as assigned e.g. Clinic wide PCMH huddle, team huddle, and patient education facilitator’s monthly meetings in accordance with Joint Commission standards.
Coordinates patient referrals to support services through internal or external networks and communities by telephone consults with PCM and specialty providers.
Assists with the specialty clinic care e.g. Cardiology, endocrinology, Nephrology and Infectious disease clinic, by referring consults to them for approval and booking of appointments when needed.
Safely implement procedures and train staff in procedures such as urinary catheterization, gastric lavage, nebulization by intermediate positive pressure, Intravenous catheter insertion.
Ability to recognize adverse reactions and acts fast in emergency situations within scope of practice.
Works under general supervision and is relied on to perform the assigned duties independently on own initiative and judgment in caring for patients and their families.
As team lead nurse in the PCMH model and as senior nurse can resolve most conflicts by coordinating with others.
Has knowledge of AHLTA, CHCS, and T Systems and uses to document patient care within scope of practice.
Makes contact with the patients, their families, outside civilian hospitals , department of education, and other various health agencies concerning school physicals, immunization needs, school health needs and paperwork.
Plans and provides nursing care for all patients of Team Honu in the PCMH model, and knowing their work affects the physical and psycho-social wellbeing of the patient and their families.
Assists patient and their families to comply with medical treatment plans through telephone contact or through scheduled clinic visits.
Participates in patient Centered Medical Home ( PCMH) training sessions.
Implements Patient Centered Medical Home model duties.
In charge of nursing task assignments and rotations through different PCMH providers.
Assigns exam rooms to all providers per week including the rotating interns, medical students and residents.
Handles patient consultations to provide educational resources in outpatient settings.
Assists with clinic orientation and one on one patient, learning activities related to their acute or chronic illness.
Ability to plan, assign, and direct work of other nursing personnel, when needed.
Ability to communicate both verbally and in writing with the knowledge to communicate accurately and effectively to develop a rapport with each family on PCMH team.
Knowledge of computer technology to include Excel, power point, Word and other window based applications.
Communicate through Relay health email system between the patients, their families and their PCMH provider.
Gives lactation advice with mothers of newborn families within scope of practice.
STAFF REGISTERED NURSE
Federal Staffing Resources TAMC
Honolulu
10.2010 - 10.2011
Staff nurse in Pediatric Clinic, triaging patients, immunizations, and all acute nursing care.
Plan, coordinate and provide optimal patient care.
Implemented providers' orders for blood work, IV placements, and medication administration safely and effectively.
Participate in well and sick child visits and outpatient care such as the Oncology outpatient clinic.
Utilized critical thinking to make timely decisions and prioritize patient care within scope of practice.
Advocated for patients by educating families and addressing their questions within scope of practice.
Oversaw nursing staff activities during shifts to ensure quality patient care.
Served as temporary EFMP screener and case manager, supporting families at MTF through enrollment process.
STAFF REGISTERED NURSE
Ingenesis Arora Joint Venture TAMC
Honolulu
08.2006 - 10.2010
APHON certified administering chemotherapy and blood work for patients in an outpatient setting.
Implemented treatment plans ordered by provider in acute care setting, ensuring timely and effective patient care.
Assess and triage patients in an acute setting some with serious conditions.
Administer intramuscular, oral, intravenous medication per clinic protocol safely while having knowledge of adverse reactions while educating the patient and family.
Implements urinary catheterization, phlebotomy and all other ordered tasks for acute patients.
Provided nursing care to pediatric patients in a clinic setting.
Assesses and treats minor health problems and assists in certain serious patient situations within hospital protocol and within joint commission standards.
Closely observes pediatric patients undergoing acute treatments for any adverse reactsions and conditions and act appropriately per clinic protocol.
Supervised team of 4 LPNs and 4 Nurse Assistants, coordinating patient care and enhancing team collaboration.
NURSE ASSISTANT
St David’s nursing Home
St Peters
06.1996 - 02.2000
Took vital signs and implemented care plans for 22-bed dementia/Alzheimer long-term facility, ensuring personalized patient care.
Facilitated activities of daily living for patients, promoting independence and enhancing quality of life.
Assisted with wound dressing and fall prevention, monitoring patients under supervision of floor registered nurse to ensure safety and compliance with care protocols.
Closed the facility permanently to clients.
Education
Bachelor Degree of Nursing - Nursing
University of South Australia
Underdale, SA, Australia
Skills
Nursing care
Patient assessment
Medication administration
IV medication administration
Vaccine administration techniques
Emergency response
Care coordination
Discharge planning
Intake assessments
Case management
Electronic health records
Time management
Clinical judgment
Team collaboration
Effective communication
Attention to detail
Health education
IV medication administration
References
Cara Rallita, (808) 627-2771
Kimi Miyashiro, (808) 387-6919
Col. Mark Burnett MD, (808) 433-6245
CDR Kari Johndrow- Casey, (301) 342-2770
Dr Harlan Dorey (Chief Medical Officer), (360) 536-1275
Timeline
Clinic RN
Dell Children's Medical Group Round Rock Primary Care