Susan Combs
COLUMBUS
Overview
20
20
years of professional experience
5
5
years of post-secondary education
Work History
Discharge Planner
The Christ Hospital
Cincinnati
06.2021 - Current
- Coordinated discharge plans for patients, ensuring timely transitions to post-acute care and enhancing continuity of care.
- Collaborated with interdisciplinary teams to assess patient needs, resulting in tailored discharge plans that improved patient outcomes.
- Educated patients and families on discharge processes and available resources, facilitating smoother transitions and increased satisfaction.
- Conducted comprehensive assessments to identify patient needs, ensuring appropriate follow-up and resource allocation post-discharge.
- Monitored compliance with discharge policies and protocols, contributing to improved safety and quality of patient care.
- Developed and maintained relationships with community resources, enhancing support options available for discharged patients.
- Mentored new staff on discharge planning practices, fostering a collaborative environment and promoting adherence to best practices.
- Assisted in the coordination of services needed after hospitalization such as home health care, durable medical equipment, transportation.
- Participated in multidisciplinary team meetings when determining appropriate levels of care prior to discharge.
- Conducted assessments to assess patient's level of functioning and identify appropriate resources upon discharge.
- Maintained timely communication with physicians regarding patient's progress during the course of treatment prior to discharge.
- Collaborated with other healthcare professionals to ensure successful transition from hospital to home setting.
- Created a safe environment for discharged patients by providing information about safety precautions at home and in the community.
- Facilitated referrals for follow up appointments with specialists or primary care providers post-discharge.
- Assisted families in understanding insurance coverage options so they can make informed decisions about necessary treatments post-hospitalization.
- Identified any potential barriers or risks that may impede successful outcomes post-discharge.
- Advised staff on best practices related to patient discharges while ensuring compliance with all relevant regulations governing healthcare facilities.
RN Navigator
OHC
Cincinnati
03.2011 - 02.2020
- Developed comprehensive care plans for patients, enhancing navigation through complex treatment pathways and improving patient outcomes.
- Collaborated with multidisciplinary teams to streamline communication, ensuring timely interventions and continuity of care for patients.
- Facilitated educational sessions for patients and families, resulting in increased understanding of treatment options and adherence to care plans.
- Conducted assessments and screenings to identify patient needs, effectively connecting them with appropriate resources and support services.
- Coordinated community outreach programs, significantly increasing awareness of available healthcare services and improving community engagement.
- Analyzed patient feedback to refine navigation processes, enhancing overall satisfaction and ensuring alignment with patient-centered care principles.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
- Collaborated with physicians, nurses, and other healthcare professionals to develop individualized treatment plans for each patient.
RN Bone Marrow Transplant
The Jewish Hospital
Cincinnati
02.2007 - 02.2020
- Administered complex chemotherapy regimens and monitored patient responses, ensuring adherence to safety protocols and treatment guidelines.
- Collaborated with multidisciplinary teams to develop and implement comprehensive care plans, enhancing patient outcomes in bone marrow transplant procedures.
- Trained and mentored nursing staff on best practices in patient care, fostering a culture of continuous improvement and professional development.
- Engaged with families to provide emotional support and education, facilitating a holistic approach to patient care during critical treatment phases.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Assessed, planned, implemented and evaluated nursing care for assigned patients.
- Maintained a safe environment for all patients by adhering to infection control policies and procedures.
- Monitored vital signs, administered injections, and provided assistance with medical procedures.
- Trained and mentored new RNs on best practices, hospital policies and standards of care.
- Documented patient progress notes accurately and efficiently in the electronic medical record system.
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Advocated for patients by supporting and respecting basic rights, values, and beliefs.
Oncology Nurse
University of Cincinnati
Cincinnati
02.2006 - 02.2007
- Delivered comprehensive patient education regarding oncology treatment plans, enhancing patient understanding and compliance with care protocols.
- Collaborated with interdisciplinary teams to develop tailored care strategies, improving overall patient outcomes and satisfaction scores.
- Managed chemotherapy administration and monitoring, ensuring adherence to safety standards and minimizing adverse reactions.
- Advocated for patient needs during care planning meetings, strengthening relationships with healthcare providers and enhancing patient advocacy efforts.
- Maintained accurate documentation of patient assessments, changes in condition, treatments administered and progress notes in electronic health records.
- Administered prescribed medications including chemotherapy agents and monitored side effects.
- Educated patients on their diagnosis and treatment plans, providing emotional support when needed.
- Reviewed laboratory results for abnormalities and reported them to physicians for further investigation.
- Assisted physicians in performing medical procedures such as biopsies, chemotherapy administration, and radiation treatments.
- Monitored vital signs of cancer patients during treatments, adjusting medications accordingly.
- Facilitated patient transitions from acute care settings back into the home environment.
Home Health Nurse
Tender Loving Care Home
Cincinnati
02.2006 - 02.2007
- Delivered comprehensive patient care by assessing needs, managing treatments, and monitoring progress, ensuring optimal health outcomes.
- Developed individualized care plans in collaboration with interdisciplinary teams, enhancing patient satisfaction and adherence to treatment protocols.
- Educated patients and families on health management, medication adherence, and preventive care strategies, fostering informed decision-making.
- Implemented safety protocols and infection control measures, contributing to a significant reduction in health risks and complications.
- Conducted regular health assessments and evaluations, facilitating early detection of potential issues and timely interventions.
- Maintained accurate and detailed patient records, ensuring compliance with healthcare regulations and enhancing continuity of care.
- Provided home health care services such as wound care, medication administration, and IV therapy.
- Educated patients and families about disease management, lifestyle changes, nutrition, and preventive healthcare measures.
- Developed personalized care plans for patients based on individual needs.
Education
Bachelor of Science - Nursing
University of Cincinnati
Cincinnati, OH 09.2007 - 02.2009
Associate of Science - Nursing Practice
Cincinnati State Technical And Community College
Cincinnati, OH 02.2002 - 06.2005
Skills
- Patient care coordination
- Discharge planning
- Interdisciplinary collaboration
- Resource allocation
- Patient education
- Compliance monitoring
- Community resource development
- Patient assessment
- Communication strategies
- Patient advocacy
- Patient navigation
- Multidisciplinary teamwork
- Health management education
- HIPAA compliance
- Patient support
- Ethical considerations
- Community resources
- Home care planning
- Healthcare systems navigation
- Medical record updating
- Family support
- Care coordination
- Educational materials and resources
- Discharge scheduling
- Problem-solving aptitude
- Team collaborating
- Documentation and recordkeeping
- Interpersonal communication
- Self motivation
- Multitasking
- Team collaboration
- Conducting assessments
- Community outreach
- Time management
- Training and teaching
- Active listening
- Organizational skills
References
References available upon request.
Timeline
Discharge Planner
The Christ Hospital
06.2021 - Current
RN Navigator
OHC
03.2011 - 02.2020
Bachelor of Science - Nursing
University of Cincinnati
09.2007 - 02.2009
RN Bone Marrow Transplant
The Jewish Hospital
02.2007 - 02.2020
Oncology Nurse
University of Cincinnati
02.2006 - 02.2007
Home Health Nurse
Tender Loving Care Home
02.2006 - 02.2007
Associate of Science - Nursing Practice
Cincinnati State Technical And Community College
02.2002 - 06.2005