Teresa Billings

• Assesses collaborates and documents patient/care partner’s basic learning needs to provide initial and ongoing peritoneal dialysis education to patients and family.
• Performs ongoing systematic collection and analysis of dialysis data for assigned patients and documents in patient medical record makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed.
• Directs and provides in collaboration with patient home care partner direct and ancillary patient care staff all aspects of provision of safe and effective delivery of dialysis therapies to assigned patients.
• Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness.
• Initiates or assists with emergency response measures.
• Identifies expected outcomes documents and updates nursing assessment and plan of care for assigned patients through collaboration with Interdisciplinary Team.
• Ensures patient awareness related to transplant and treatment modality options.
• Assists in identification evaluation selection and education of Home Dialysis candidates and Home Partners.
• Performs assessment and identifies barriers of Home Dialysis candidate’s home environment and partner/ family readiness and ability to perform dialysis treatments in home.
• Trains home peritoneal dialysis patients and / or Home Partners on safe effective operation and maintenance of all Home Dialysis equipment and treatment supplies through formal standardized Home Dialysis Training Program.
• Participates in education and quality improvement projects at facility and area level as directed by Supervisor.
• Educates patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Administers medications via oral, IV and intramuscular injections and monitored responses.
• Administers medications and treatment to patients and monitors responses while working with healthcare teams to adjust care plans.
• Collects blood, tissue and other laboratory specimens and prepared for lab testing.
• Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
• Updates patient charts with data such as medications to keep records current and support accurate treatments.
• Schedules, organizes and manages ongoing care of patients.
• Confers with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Participates in decision-making and quality improvement activities that enhance patient care outcomes and facility operations.
• Manages quality care for patients with end-stage renal disease and other chronic conditions.
• Audits charts and reviews clinical documents to verify accuracy.

1989-1990 Memorial Medical Center,

General Medical/Surgical Staff Nurse

• Managed care from admission to discharge.
• Organized and managed care of patients undergoing various therapies and procedures.
• Administered medications via oral, IV and intramuscular injections and monitored responses.

1990-1992 Memorial Medical Center,

Intermediate Cardiac Care Staff Nurse

• Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.

1992- 1993 Memorial Medical Center,

Acute Dialysis Nurse

• Provided hemodialysis treatments to hospitalized patients.

1993-1994 Memorial Medical Center,

Visiting Nurses Association/Home Health Nurse

• Managed large caseload of home patients with wide range of health issues.
• Provided education on discharge plan objectives, safe medication use and disease/wound management.
• Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.

1994-1996 Memorial Medical Center,

Chronic Hemodialysis Nurse

• Administered hemodialysis treatment and medications to ESRD patients.