Tiffany James

• Travel to patients' homes at regular intervals to assess and deliver best practices nursing care
• Incorporated therapeutic, rehabilitative and nursing goals into detailed, individualized care plans based on diagnoses
• Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions
• Provided direct patient care, stabilized patients and determined next course of action
• Monitored patient reactions after administering medications and IV therapies
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, management and lifestyle options
• Provided skilled, timely and level-headed emergency response to critically-ill patients
• Organized and managed care of patients undergoing various therapies and procedures, including Physical, Occupational, Speech and Chemotherapy
• Audited charts daily and reviewed all clinical documents to verify accuracy and completeness, progress towards core measurable targets and completion of appropriate patient health education
• Trained, guided, supported and supervised home health aide care providers
• Oasis, knowledge of TJC, HIPPA, Osha, CMM, Title 22, CDPH
• Administrator was aware of desire to apply for this position during interview

• Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to for patient and his family
• Provided direct patient care, stabilized patient and determined next course of action
• Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions
• Educated patient, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options
• Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems
• Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care
• Administered medications and treatment for patient and monitored responses while working with healthcare teams to adjust care plans
• Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care
• Monitored patient reactions after administering medications and IV therapies
• Communicated with healthcare team members to plan, implement and enhance patient treatment
• Full disclosure: This patient was my father

• Responded to dispatched emergency assignments quickly and safely
• Interpreted histories, laboratory results, radiology reports and all other physician and nursing documentation to transport patient safely
• Performed physical examinations to identify potential underlying critical issues, medical and trauma
• Administered blood products, antibiotics, paralytics infusions, and ordered medications
• Transported patients on ventilators, C-PAP, as well as intubating patients if needed
• Monitored patients for changes, and reviewed and revised plans accordingly
• Demonstrated high standards of performance, including teamwork, communication and compassion
• Strictly protected the confidentiality of all information related to patient care activities and EMS operations

Same as the duties listed with Care Ambulance including:

• Inspected transport ambulance, stocked and ordered medical supplies and equipment during down time
• Promoted team effort when working with dispatch center, external public safety agencies and health care providers
• Delivered outstanding patient care in ambulances designated for critical care transport
• Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start ime

• Provided primary care , assessment, and evaluations to a variety of critically and chronically ill patient's across the life continuum upon arrival through prioritizing care
• Evaluated patient care needs, provided treatments, evaluated care and maintained patient flow
• Documented medical care through electronic charting system (EPIC)
• Code STEMI & Code Stroke certified
• MICN radio contact with field Paramedics in treating patient's under the guidelines of San Diego County protocols
• Aided Base Hospital in the collection of data for research and studies on SD. County EMS trials
• Precepted and mentored new MICN staff
• Worked with healthcare stakeholders such as physicians, ancillary staff, administrators and customers to fulfill all state and federal requirements
• Developed team communications and information for Base Hospital meetings
• Worked with the Base Hospital Assistant to resolve pre-hospital problems, improve operations and provide exceptional customer service
• Managed several pre-hospital quality assurance research studies , such as STEMI, Sroke Codes, new medication administration , and other internal audits and customer surveys
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
• Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern
• Communicated openly and collaboratively with all healthcare staff to create teamwork and organize successful patient care

• Worked specifically for UCSD Emergency Department as a Registered Nurse and MICN

• Assessed situation severity of emergent medical incidents and provided for verbal orders and care accordingly
• Demonstrated strong commitment to quality care through continuous training and development
• Developed and maintained rapport with coworkers and local hospital staff to facilitate efficient patient care
• Verbally ordered tests and medications to pre-hospital personnel to stabilize patients in the field or in transit
• Evaluated patient vital signs and status to determine most appropriate hospital department for patient care, ie, ER, OR, Trauma, Cardiac Cath Lab, MRI & Radiology
• Communicated with pre-hospital personnel to gather incident and medical history information
• Collaborated with law enforcement on criminal cases by quickly reporting injuries and collecting needed evidence
• Maintained highest levels of pre-hospital personnel by maintaining open communication and promoting teamwork
• Updated patient charts using San Diego Co. pre-hospital reports with data such as medications, treatments, evaluations and patient disposition to keep records current and support accurate treatments

• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability
• Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options
• Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation
• Managed nurses and nursing activities in 40 bed ER by providing comprehensive nursing guidance and maintaining outstanding patient satisfaction and care standards
• Addressed disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability
• Provided skilled, timely and level-headed emergency response to critically-ill patients
• Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety
• Oversaw work of nursing student technicians and externs to educate on proper procedures and how to prioritize care tasks