STRYPHANIDE FIRMIN
Attleboro,MA
Summary
Ambitious Board Certified Registered Nurse specializing in telemetry, medical-surgical and behavioral health care. Expert in all aspects of patient care with success in working with multidisciplinary teams to create care plans focused on helping patients recover from medical or surgical procedures and manage complex mental disorders. Accomplished in leading unit-based groups to improve delivery of care and patient satisfaction.
Overview
7
7
years of professional experience
Work History
Care Manager PRN
Wellsense
Charlestown, MA
10.2021 - Current
- Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services for patients.
- Assessed clients and developed plans to meet their needs.
- Educated clients and families on community resources, treatment options, and health care services to better manage conditions.
- Responded to emergency situations and provided support to promote client safety and well-being.
- Evaluated clients' progress and adjusted service plans to address areas of concern.
- Developed and implemented individualized care plans and coordinated necessary services to avail quality care for clients.
- Defined testing protocols, quality assurance initiatives, and clinic policies and procedures.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Manage 100 panels of high-risk, medically complex members.
- Completed timely initial and ongoing face-to-face comprehensive assessments with Member to evaluate Member's medical, behavioral health, functional status, and socioeconomic needs.
- Administered MDS-HC assessments and other required assessment tools.
- Facilitated meetings with PCT and served as clinical subject matter expert and advocate for Member.
- Developed and communicated Individual Plan of Care (IPC) with Members and other PCT members to address identified needs and ensure its implementation.
- Utilized data to ensure that clinical interventions result in improved clinical outcomes and appropriate utilization of services.
- Became knowledgeable in full contractual requirements of Care Management agreement with EOHHS and CMS (D-SNP Agreements)
- Provided culturally competent care coordination in keeping with Members' racial, ethnic, linguistic, and sexual orientation
- Documented clinical assessments and coordination of care in medical management information system that meets regulatory and accreditation standards
Behavioral Health RN
PAM Health
Stoughton, MA
10.2022 - Current
- Performed 18 patient assessments to monitor expected medication responses and alter treatment plans.
- Explained useful coping methods to relieve depression and anxiety.
- Responded to numerous volatile situations,to restore safety and security of patients and staff.
- Coordinated with medical and paramedical professionals to provide appropriate input and effectively formulate and implement patient treatment plans.
- Administered medication and treatments to patients to observe and record responses.
- Educated patients and families about mental health, diagnoses,treatment options.
- Monitored vital signs, nutritional intake, and symptoms of complications to report deviations to supervisor.
Psychiatric Registered Nurse/Medical Surgical Registered Nurse
California Department Of Health
Fresno, CA
02.2022 - 04.2022
- Assessed patient status during procedures to communicate abnormalities to physicians.
- Recorded and measured patients' weight, temperature, respiration and blood pressure.
- Managed patients' pain by implementing pharmacological and non-pharmacological pain management interventions.
- Managed care from admission to discharge.
- Provided direct patient care, stabilized patients and determined next course of action.
- Monitored patient reactions to drugs and carefully documented findings.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
MED/Surgical Nurse/Tele PRN
Sturdy Memorial Hospital
Attleboro, MA
10.2020 - Current
- MED/SURGICAL NURSE 10/2020 to CURRENT
Sturdy Memorial Hospital | Attleboro, MA - Monitor patient vital signs to perform thorough condition assessments.
- Start intravenous fluids, administered medications nursing assessment, wound, care/management, drain care/management and various nursing function.
- Manage caseload of 4-6 patients simultaneously by providing bedside care, treatments.
- Utilize CERNER electronic medical records to document data related to patient care such as medications, interventions and patient responses.
- Monitor hemodynamic variances to identify signs of life-threatening complications
- Analyze diagnostic tests to identify and assess patient conditions.
- Analyze and observed patients to discover and interpret vitals and telemetry equipment results.
- Provide effective communication with Providers, Nursing Staff and other Health Care support staff to assure patient receive outstanding quality care.
- Provide health education to patients and families regarding discharge instructions and plans of care.
Psychiatric RN PRN
BRIDGEWATER STATE HOSPITAL
Bridgewater, MA
06.2018 - 01.2023
- Provide intervention based on knowledge of psychiatric and medical nursing procedures, as well as plan of care Problem solving with hospital staff to address challenging patient related issues.
- Review of clinical documentation and data to assist in strategic planning, goal setting, and development of improved processes/practices.
- Safely and accurately administer medication to patients Transcribe and carry out treatment orders accurately
- Employ principles of communication, interviewing techniques. Problem solving and crisis intervention when performing psycho therapeutic interventions.
School Nurse
LABBB, CPR & First Aid Certification
Belmont, MA
10.2017 - 10.2018
- • Administered and supervised administration of prescription medication to students.
- Developed and maintained contacts with medical persons or facilities who might provide direct service or consultation Emergency management.
- Implemented nursing process to develop individualized health care plans for students with special health concerns.
- Provided and documented nursing assessment, diagnosis, and treatment Assess patients on caseload.
- Maintained and operated school clinic including supervision of clinic staff.
- Taught specific medical procedures for evaluation and maintenance of medically involved student in classroom
Home Health RN
PSA HEALTH CARE, Bi-lingual
Brockton, MA
09.2017 - 09.2018
- • Coordinated with RN supervisor to assure client driven plan of care strives to meet positive outcomes through on going evaluation using evidences based practice
- Expressed verbal and written communication in clear, positive and cooperative manner Implements plan of care and instructs patient/caregiver on signs/symptoms of complications and home management related to patient's disease process
- Managed/coordinated all aspects of service delivery as defined by physician orders Participates in health promotion and disease prevention activities.
- Performed nursing assessments and develops, implements and evaluates plans of care in conjunction with physician, patient and caregivers per agency policy and procedure
- Performed patient admission assessment, recertification, subsequent visits, and discharge visits Plans and implements patient health teaching and health counseling regarding disease process, self-care techniques and prevention and involves patient's significant others in accomplishing health goals while promoting patient / family independence.
- Notified physicians of all changes in patients' conditions.
- Developed care plans, covering goals based on nursing diagnosis and incorporating therapeutic, preventive and rehabilitative nursing actions
Education
Bachelor of Science - Nursing
Curry College
Milton, MA05.2024
Associate of Science - Nursing
ROXBURY COMMUNITY COLLEGE ABSN
Roxbury, MA05.2015
Bachelor of Arts - French Studies And History
University Of Rhode Island
Kingston, RI12.2000
Skills
- Patient and family advocacy
- Strong clinical judgment
- Critical Care
- Telemetry
- Medical Records Management (CERNER)(EPIC)(WELLSKY)(JIVA)
- Intravenous Therapy
- Wound and drainage tube care and management
- Proficient with IV line management and care
Timeline
Behavioral Health RN
PAM Health
10.2022 - Current
Psychiatric Registered Nurse/Medical Surgical Registered Nurse
California Department Of Health
02.2022 - 04.2022
Care Manager PRN
Wellsense
10.2021 - Current
MED/Surgical Nurse/Tele PRN
Sturdy Memorial Hospital
10.2020 - Current
Psychiatric RN PRN
BRIDGEWATER STATE HOSPITAL
06.2018 - 01.2023
School Nurse
LABBB, CPR & First Aid Certification
10.2017 - 10.2018
Home Health RN
PSA HEALTH CARE, Bi-lingual
09.2017 - 09.2018
Bachelor of Science - Nursing
Curry College
Associate of Science - Nursing
ROXBURY COMMUNITY COLLEGE ABSN
Bachelor of Arts - French Studies And History
University Of Rhode Island
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