Talmesha Hamilton
Vallejo,CA
Summary
Diligent Advice Nurse with extensive background in patient care and nursing. Skilled in managing complex medical conditions and supporting patient recovery. Demonstrated expertise in critical thinking and effective communication.
Overview
13
13
years of professional experience
Work History
Registered Nurse, Pediatrics and Family Medicine Clinics (On-Call)
Kaiser Permanente
01.2023 - Current
- Delivers comprehensive nursing care to pediatric and family medicine patients, including administration of oral and injectable medications.
- Conducts thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Performs wound care, monitored patient conditions, and prepares patients for provider evaluations.
- Collects and documents vital signs and clinical data to support accurate diagnosis and treatment planning.
- Maintains thorough documentation of patient responses and progress in alignment with clinical standards and regulatory guidelines.
- Utilizes critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Schedules follow-up appointments and ensures timely implementation and evaluation of nursing interventions.
Registered Nurse, Nurse Advice Line
San Francisco Department of Public Health
02.2016 - Current
- Lead daily operations of a high-volume Nurse Advice Line, providing telehealth support to a diverse patient population across all age groups and specialties.
- Supervise and supports a team of 15 nurses, including shift scheduling, workload management, and real-time clinical oversight to ensure seamless coverage.
- Serves as the primary point of escalation for clinical decision-making, offering guidance and mentorship to nursing staff on complex cases.
- Conducts remote assessments via telephone, utilizing established clinical protocols to evaluate symptoms and develop safe, goal-directed care plans.
- Delivers telephonic triage services, including evidence-based recommendations for self-care, follow-up, or urgent medical evaluation, collaborating with physicians as needed.
- Champions quality assurance and continuity of care through consistent documentation, protocol adherence, and cross-departmental coordination, including with specialty clinics and hospice care teams.
- Collaborates with specialty clinics and hospice services to ensure coordinated care across all patient populations.
Registered Nurse, Nurse Advice Line
Kaiser Permanente
11.2019 - 01.2023
- Provided virtual nursing care through a high-volume Nurse Advice Line, addressing calls from patients seeking medical advice or general health information.
- Conducted symptom-based assessments using standardized clinical protocols within the EPIC electronic health record (EHR) system.
- Developed individualized, goal-oriented care plans and delivered evidence-based recommendations, including self-care instructions, appointment scheduling, or physician escalation.
- Supported a diverse patient population across the lifespan—from newborns to geriatric patients—including those affiliated with specialty clinics and hospice services.
- Ensured quality telehealth services through accurate documentation, clinical judgment, and timely communication with interdisciplinary care teams.
Registered Nurse, Medical-Surgical Unit
Kaiser Permanente
04.2016 - 11.2017
- Provided comprehensive nursing care to a 5:1 patient ratio on a fast-paced medical-surgical unit, with a focus on post-operative patients including total joint replacements (hip and knee).
- Managed pre- and post-operative care, including pain management, wound care, mobility assistance, and patient education to promote optimal recovery and prevent complications.
- Assessed patient conditions, monitored vitals, and updated care plans using EPIC electronic health record (EHR) system in accordance with clinical protocols.
- Administered medications, performed interventions, and collaborated with physicians, physical therapists, and case managers to support discharge planning and continuity of care.
- Delivered safe, high-quality care across a broad patient population, including medical, surgical, and hospice cases.
- Certified in Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS); maintained readiness to respond to emergent situations and rapid patient deterioration.
- Ensured adherence to evidence-based practices and hospital policies to support positive patient outcomes and high patient satisfaction scores.
Registered Nurse, Acute Surgical Unit
Mercy General Hospital
08.2015 - 04.2016
- Provided total patient care on the Total Joint/Medical-Surgical Unit.
- Performed assessments, administered medications, provided intravenous therapy, wound care, monitored various drainage devices.
- Collaborated with physicians and other healthcare team professionals to help achieve optimum patient care.
- Read and monitored telemetry for patient rhythm and heart rate changes.
- Educated patients and families regarding pre and post-surgical care.
Registered Nurse
Windsor Vallejo Nursing & Rehabilitation Center
04.2015 - 10.2015
- Conducted patient admissions and assessments in 160-bed facility.
- Provided compassionate, patient-centered care to individuals with terminal illnesses and those recovering from strokes, heart attacks, pneumonia, multiple fractures, and spinal cord injuries.
- Collaborated with physicians, therapists, and interdisciplinary care teams to develop and implement individualized care plans focused on comfort, recovery, and quality of life.
- Conducted regular physical and psychosocial assessments, monitored vital signs, and adjusted care interventions based on patient condition and response to treatment.
- Administered pain management medications, performed wound care, intravenous therapy, and ostomy care, ensuring adherence to best practices and patient safety standards.
- Offered emotional and spiritual support to patients and families, facilitating end-of-life discussions and promoting dignity and peace during the dying process.
- Maintained thorough documentation of patient progress, interventions, and family communication in the electronic health record.
- Assumed full case management responsibilities, including coordinating care services and notifying family members during critical changes or at the time of death.
- Supported rehabilitation efforts by promoting mobility, functional independence, and patient education to reduce hospital readmissions.
Licensed Vocational Nurse, Pediatrics and Family Medicine Clinics (On-Call)
Kaiser Permanente
09.2013 - 04.2014
- Provided direct patient care including medication administration.
- Performed wound care.
- Prepared patient for provider which included obtaining vital signs and collection of pertinent clinical data, scheduled patients for future appointments.
- Implemented, evaluated and documented all patient care interventions and responses using EMR (EPIC).
Licensed Vocational Nurse, Specialty Clinic (General Surgery, Breast Oncology, Urology, and Neurology)
Northbay Medical Center
10.2012 - 10.2013
- Provided comprehensive patient preparation, including vital signs assessment and clinical data collection, to support efficient provider workflows.
- Administered oral and injectable medications with attention to accuracy and patient safety.
- Scheduled surgeries, verified insurance coverage, and obtained authorizations for procedures, treatments, and medications to ensure seamless care coordination.
- Acted as a liaison between patients, providers, and insurance companies to clarify benefits and address inquiries, supporting patient advocacy and education.
- Managed the full claims cycle, including submission, denial management, and appeals, collaborating closely with providers to expedite resolution.
- Supported Urology, Breast Oncology, and Neurology teams during procedures, reinforcing cross-specialty collaboration.
- Maintained thorough and timely documentation of patient encounters, contributing to accurate clinical records and continuity of care.
Education
Bachelor Degree - Nursing
Grand Canyon University
01.2022
Associates Degree - Registered Nursing
Fresno City College
01.2014
Associates Degree - Science
Solano Community College
01.2008
Skills
- Nursing team leadership
- Telehealth nursing expert
- Independently driven
- Proficient in electronic medical records (EPIC, Cerner, ECW)Patient telemetry monitoring
- Hands-on patient support
- Thorough patient assessments
- Collaborative care planning
- Critical thinking for problem-solving
- Commitment to professional ethics
- Post-operative joint care
- Wound management
Timeline
Registered Nurse, Pediatrics and Family Medicine Clinics (On-Call)
Kaiser Permanente
01.2023 - Current
Registered Nurse, Nurse Advice Line
Kaiser Permanente
11.2019 - 01.2023
Registered Nurse, Medical-Surgical Unit
Kaiser Permanente
04.2016 - 11.2017
Registered Nurse, Nurse Advice Line
San Francisco Department of Public Health
02.2016 - Current
Registered Nurse, Acute Surgical Unit
Mercy General Hospital
08.2015 - 04.2016
Registered Nurse
Windsor Vallejo Nursing & Rehabilitation Center
04.2015 - 10.2015
Licensed Vocational Nurse, Pediatrics and Family Medicine Clinics (On-Call)
Kaiser Permanente
09.2013 - 04.2014
Licensed Vocational Nurse, Specialty Clinic (General Surgery, Breast Oncology, Urology, and Neurology)
Northbay Medical Center
10.2012 - 10.2013
Associates Degree - Registered Nursing
Fresno City College
Associates Degree - Science
Solano Community College
Bachelor Degree - Nursing
Grand Canyon University
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