SHEA MILLER

- Obtain vital signs and complete assessments per company protocol for inmates

- Administer medications, injections, and vaccines per provider order

- Perform intake assessments on new inmates upon arrival at the institution

- Perform and document assessments following uses of force or altercations

- Respond to medical emergencies

- Travelled to patient's homes to obtain and record vital signs, perform wound care, collect lab specimens (blood, urine, wound cultures, etc)

- Acted as liaison between patients/families/physicians to ensure continuity of care

- Performed medication requisitions at each visit and updated chart accordingly

- Met with and updated interdisciplinary team when necessary

- Performed any wound care as ordered

- Maintained record of any resident incidents and reported to Corporate Clinical Director in monthly QA report

- Implemented any nursing interventions necessary in attempt to prevent further patient incidents

- Prepared monthly CNA schedule

- Educated residents and their families on any change in status and held care plan meetings

- Performed random audits on med carts to ensure accuracy of narcotic counts

- When necessary, followed corporate policy for employee disciplinary process

- Obtained vital signs

- Administered medications per physician's orders

- Communicated with resident's

PCP and/or family as needed regarding any change of status or appointment dates

- Collected ordered specimens for testing

- Assisted with patient ADLs as needed

• Utilized time management skills to prioritize tasks effectively, allowing for efficient completion of daily responsibilities.
• Maintained accurate documentation of all relevant clinical data, ensuring compliance with regulatory standards.
• Implemented infection control measures, ensuring a clean and safe environment for patients and staff.
• Obtained patient vital signs and input/output measurements from inpatients.
• Cared for wounds, provided treatments, and assisted with procedures.
• Documented accurate and complete patient information to address patient problems and expected outcomes.
• Enhanced patient satisfaction levels through effective communication and empathetic listening skills.
• Accurately recorded interactions in medical charts, documenting accidents and interventions applied.
• Addressed any concerns or questions posed by patients or family members promptly to maintain confidence in their care plan.
• Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
• Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
• Supported physicians during examinations and scans to assist with diagnostic procedures.
• Administered medications and injections to patients.

• Obtained patient vital signs at time of arrival,along with patient medical history/medication lists
• Ascertained purpose of visit and prepared patient for doctor to assess
• Prepared surgical room for necessary in-office surgical procedures, maintaining sterile field
• Assisted surgeon with procedures performed in-office
• Performed dressing changes when necessary
• Removed surgical staples/stitches when necessary
• Communicated with operating room staff to schedule procedures that required hospital facilities
• Obtained authorizations for procedures or medications ordered by doctor

• Obtained vital signs each morning and administered/held medications accordingly
• Closely monitored patients with chronic medical conditions for any change in status, and notified family members and physicians if needed
• Assessed need for, ordered, obtained and interpreted appropriate medications, lab work, etc.
• Closely monitored acute conditions .
• Demonstrated ability to lead and motivate outstanding nursing assistants.
• Carefully and accurately documented patient information into eMAR
• Participated in weekly utilization and review meeting to communicate patient progress/needs with interdisciplinary team
• Ensured HIPAA compliance.
• Helped develop and implement nursing care plans.
• Followed infection control procedures.
• Assisted patients with daily functions.
• Collected blood, tissue and other laboratory specimens and prepared them for lab testing.
• Strong leader for nursing personnel assigned to the unit.