Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tammy Gamble

Lancaster,SC

Summary

Compassionate Registered Nurse Case Manager with background in Hospice Care. Demonstrated experience coordinating patient care, working closely within interdisciplinary teams, and implementing treatment plans tailored to individual patient needs. Strengths include strong interpersonal skills, ability to adapt to changing environments, and commitment to maintaining patient dignity while providing top-quality end-of-life care. Notable impact includes improved quality of life for patients through personalized case management and enhanced team communication protocols.

Overview

8
8
years of professional experience

Work History

Registered Nurse Case Manager, Hospice

Agape Care Group
Lancaster, SC
01.2021 - 03.2022
  • Educated families on end-of-life issues such as pain management and grief counseling.
  • Maintained accurate documentation of patient assessments, treatments, medications, discharge plans and other pertinent information.
  • Counseled family members on coping skills when dealing with terminal illness.
  • Provided emotional support during difficult times for both patients and their families.
  • Performed physical examinations; administered medications; monitored vital signs; collected specimens for laboratory testing.
  • Developed and implemented strategies to meet the goals of the patient's plan of care.
  • Provided nursing care to hospice patients in accordance with the individualized plan of care.
  • Collaborated with physicians regarding changes in medication regimens or symptom management protocols.
  • Conducted home visits to evaluate the effectiveness of a patient's current plan of care.
  • Evaluated patient responses to interventions and modified plans accordingly.
  • Served as a liaison between healthcare providers, insurance companies, legal representatives and government agencies involved in a patient's case.
  • Coordinated services with community resources including medical equipment suppliers and home health agencies.
  • Coordinated communication between healthcare providers, family members and other support personnel.
  • Assessed and evaluated patient's physical, psychological, social, spiritual, cultural and environmental needs.
  • Participated in interdisciplinary team meetings to develop comprehensive plans of care for each patient.
  • Instructed patients on self-care techniques related to their diagnosis.
  • Created discharge plans that included follow up appointments after leaving hospice care.
  • Assisted with end-of-life decisions by providing guidance on advance directives such as living wills or do not resuscitate orders.
  • Monitored patients' progress towards their treatment objectives and provided feedback to physicians.
  • Listened to patients and loved ones, offering emotional support, and kindness to help with end-of-life transition.
  • Created and applied tailored care plans that would meet each patient's individualized needs.
  • Planned hospice care for elderly and disabled patients.
  • Guided patients' loved ones and caregivers in pain management, wound care and medication dosing.
  • Delivered respectful, compassionate care to each patient and family member.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
  • Communicated with patients with compassion while keeping medical information private.
  • Explained policies, procedures and services to patients.
  • Maintained records management system to process personnel information and produce reports.
  • Maintained awareness of government regulations, health insurance changes and financing options.
  • Managed changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care.

Weekend Nursing Supervisor

White Oak Manor
Lancaster, SC
05.2018 - 01.2021
  • Coordinated communication among shifts regarding patient status updates and treatments.
  • Assessed staffing needs, adjusted shift assignments, and scheduled overtime as needed.
  • Addressed issues promptly and appropriately escalated matters as needed.
  • Conducted rounds and monitored patients' progress over the weekend.
  • Resolved conflicts between staff members in a professional manner.
  • Resolved conflicts between staff members or resolved complaints from patients or families.
  • Reviewed incident reports submitted by nursing staff during weekends and implemented corrective actions as required.
  • Conducted regular audits of medical records to ensure accuracy and completeness.
  • Prepared regular reports summarizing activities related to weekend nursing services.
  • Collaborated with other departments to ensure that weekend staffing needs are met.
  • Assisted with training new staff members or providing refresher courses for existing employees.
  • Initiated corrective action when necessary to ensure appropriate care is provided to all patients.
  • Ensured compliance with all applicable laws, regulations, policies and procedures related to patient care.
  • Participated in planning meetings and offered feedback on ways to improve processes.
  • Ensured that all equipment was properly maintained according to safety standards.
  • Maintained accurate records of patient care and documented any changes in condition.
  • Provided guidance to nurses in the absence of a physician.
  • Responsible for overseeing nursing staff on weekends and ensuring they provide quality patient care.
  • Participated in interdisciplinary team meetings with physicians, social workers, and pharmacists as needed.
  • Monitored performance of nursing staff during weekends and provided coaching and mentoring when needed.
  • Developed strategies for improving efficiency of operations while maintaining a high level of patient satisfaction.
  • Completed initial and comprehensive evaluations to determine initial care requirements.
  • Monitored patients' conditions, documented findings and recommended care adjustments.
  • Offered patients and families compassionate emotional support during healthcare challenges.
  • Responded to on-call emergencies with triage support and direct patient care.
  • Implemented preventive, treatment and rehabilitative nursing procedures based on individual needs.
  • Prepared and initialized plans of care based on skilled nursing assessments and diagnostic abilities.
  • Communicated with patients with compassion while keeping medical information private.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
  • Explained policies, procedures and services to patients.
  • Planned and implemented programs for health care or medical facilities supporting personnel administration and training.
  • Maintained records management system to process personnel information and produce reports.
  • Directed, supervised and evaluated medical, clerical or maintenance personnel.
  • Kept informed of advances in medicine and computerized diagnostic and treatment equipment.
  • Managed changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care.
  • Updated procedures necessary for compounding, mixing, packaging, and labeling medications.
  • Assessed need for additional staff, equipment and services based on historical data and seasonal trends.
  • Coordinated work activities and scheduling of medical, nursing and physical plant staff.
  • Monitored inpatient bed use, facilities and staff to provide optimal use of resources.
  • Maintained communication and transparency with governing boards, department heads and medical staff.

Treatment Nurse

White Oak Manor
Lancaster, SC
10.2014 - 05.2018
  • Provided emotional support to patients and their families during difficult times.
  • Educated patients on proper self-care techniques for long-term health maintenance.
  • Maintained accurate medical records according to HIPAA regulations.
  • Conducted research activities related to new treatments or therapies.
  • Counseled patients on various health topics including nutrition, lifestyle changes, stress management, disease prevention.
  • Coordinated with physicians regarding treatments and modifications to existing treatments or medications.
  • Administered prescribed medications in accordance with established protocols.
  • Participated in continuing education programs to stay current on best practices in nursing care.
  • Performed physical exams, laboratory tests, diagnostic imaging studies, and other procedures as needed.
  • Evaluated the effectiveness of treatments provided and adjusted accordingly.
  • Monitored and documented patient progress throughout the course of treatment.
  • Reviewed medication histories for potential interactions or contraindications.
  • Assisted in the development of departmental policies and procedures pertaining to nursing care.
  • Collaborated with multidisciplinary teams to ensure optimal patient outcomes.
  • Assessed and evaluated patient needs to develop individualized treatment plans.
  • Participated in interdisciplinary team meetings to discuss patient progress towards goals.
  • Provided patient care and monitored vital signs.
  • Identified perceptions of patient and family related to problems and functionality or treatment expectations.
  • Followed rehabilitation and treatment care plans to accelerate patient recovery, minimize pain, and optimize patient outcomes.
  • Monitored patient's respiration activity, blood pressure and blood glucose levels in response to medical administration.
  • Looked for physical, emotional, and symptomatic changes in patient condition and obtained necessary care for medical concerns.
  • Collected and documented vital signs to track current patient conditions.
  • Answered patient and family questions to educate on optimal treatment procedures.
  • Prevented drug interactions and contributed to correct diagnosis by recording patient health information, monitoring vitals and updating patient files.
  • Collected biological specimens and packaged for laboratory transport to complete diagnostic tests.
  • Coordinated with doctors and registered nurses to develop care plans for patients.
  • Sterilized medical equipment and supplies with germicides, sterilizers and autoclaves.
  • Administered prescribed medications or started intravenous fluids, noting times and amounts on patient charts.
  • Used sterile techniques to prepare patients for procedures.
  • Applied interventions to progress patients toward wellness and address maintenance of wellness.
  • Promoted culture of safety for patients and employees through proper identification, reporting documentation and prevention.
  • Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
  • Observed strict safety measures, including checking medication dosages before administration to patients.
  • Coordinated with healthcare team to establish, enact and evaluate patient care plans.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Stocked clinical workstations and procedure rooms with necessary supplies.
  • Prepared medical equipment and tools to aid physician during examination and treatment of patients.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
  • Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
  • Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
  • Referred patients to specialized health resources or community agencies to furnish additional assistance.
  • Conducted specified laboratory tests to help detect conditions and determine diagnosis.
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.

Telemetry Registered Nurse

Springs Memorial Hospital
Lancaster, SC
11.2013 - 10.2014
  • Identified potential complications or adverse reactions related to treatment plans.
  • Maintained current knowledge of healthcare trends, standards of care, treatments, drugs and therapies used in the field of Telemetry nursing.
  • Interpreted cardiogram strips accurately and reported abnormal findings immediately.
  • Conducted assessments on newly admitted patients.
  • Ensured that all necessary documentation was completed accurately and timely.
  • Administered medications as prescribed by physicians, following established protocols and guidelines.
  • Supervised activities of licensed practical nurses and certified nursing assistants.
  • Provided education to family members regarding post discharge homecare needs.
  • Participated in quality improvement initiatives within the unit.
  • Educated patients on their condition and medications while providing emotional support.
  • Collaborated with multidisciplinary teams to ensure best possible outcomes for the patient.
  • Utilized evidence-based practice to improve clinical outcomes.
  • Provided care to patients in a variety of settings, including critical care units, medical-surgical units, and emergency departments.
  • Initiated appropriate action during code blue situations.
  • Performed venipuncture for lab draws when needed.
  • Administered intravenous fluids, medications and other therapies as ordered by physician.
  • Assessed and monitored patient conditions using telemetry equipment.
  • Managed intravenous therapy including IV starts, changes, discontinuation per physician orders.
  • Performed ECG monitoring and interpretation of cardiac rhythms.
  • Responded quickly to any changes in patient's condition or vital signs.
  • Evaluated effectiveness of interventions through patient response assessment.
  • Developed individualized plan of care for each patient based on assessment data obtained from various sources such as labs, diagnostic tests and other health professionals' reports.
  • Monitored medications and reviewed lab results.
  • Educated patients on health conditions and promoted better nutrition and holistic stress relief methods.
  • Utilized telemetry to monitor patients cardiac status.
  • Administered medications in proper dosages as detailed by physicians on patient charts.
  • Collaborated with doctors to plan post-treatment home care and prevent return hospitalization.
  • Recorded patients' medical history, vital statistics, and test results in electronic medical records.
  • Handled telemetry monitoring of patients cardiac rhythms.
  • Listed all important information regarding patient health changes, medication side effects and treatments for physician review.
  • Maintained optimal ventilator settings and operations to meet patient care needs.
  • Observed strict safety measures, including checking medication dosages before administration to patients.
  • Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
  • Monitored vital signs for critically ill patients using advanced technologies and equipment.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
  • Coordinated with healthcare team to establish, enact and evaluate patient care plans.
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
  • Collaborated with health groups to plan or implement programs designed to improve overall health of communities.
  • Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
  • Referred patients to specialized health resources or community agencies to furnish additional assistance.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Stocked clinical workstations and procedure rooms with necessary supplies.
  • Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
  • Conducted specified laboratory tests to help detect conditions and determine diagnosis.
  • Prepared medical equipment and tools to aid physician during examination and treatment of patients.
  • Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.

Education

Associate of Science - Nursing

Breckenridge School of Nursing / ITT Technical
Huntington, WV
06-2013

Skills

  • Compassionate communication
  • Quality Improvement
  • Grief counseling
  • Care Coordination
  • Family Support
  • Interdisciplinary Collaboration
  • Clinical Documentation
  • Evidence-based care
  • Compassionate Care
  • Patient Care Plans
  • Pain Control
  • Emergency Response
  • Family Education
  • Interpersonal and written communication
  • EMR Updating
  • Palliative Care
  • Physician communication
  • Patient Needs Assessment
  • Emotional Support
  • Care Planning
  • IV and venipuncture
  • Hospice Care
  • Patient Evaluation
  • Medication Administration
  • Admissions Support

Timeline

Registered Nurse Case Manager, Hospice

Agape Care Group
01.2021 - 03.2022

Weekend Nursing Supervisor

White Oak Manor
05.2018 - 01.2021

Treatment Nurse

White Oak Manor
10.2014 - 05.2018

Telemetry Registered Nurse

Springs Memorial Hospital
11.2013 - 10.2014

Associate of Science - Nursing

Breckenridge School of Nursing / ITT Technical

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Tammy Gamble