Years of Service
Tiffany Tomko
Canyon Lake,TX
Summary
Talented nursing professional considered knowledgeable leader and dedicated problem solver. Brings 24 years of valuable expertise to elevate company objectives. Attentive to detail with experience in coordinating leadership projects, programs and improvements to ensure best patient outcomes.
Overview
24
24
Work History
Joint Program Manager
CHRISTUS Santa Rosa Hospital
08.2022 - Current
- Manage administrative and daily program operations, comply with Joint Commission standards and regulations.
- Identify program obstacles and communicate possible impacts to multidisciplinary team.
- Coach core Center of Excellence team on performance measures to exceed challenging goals.
- Develop processes within the program to ensure best patient outcomes based on evidence-based practice.
- Communicate and reinforce clinical practice guidelines to leadership.
- Chart abstraction and audits to report compliance of metrics back to Joint Commission and multidisciplinary team.
Nursing Director
South Texas Radiology Imaging Centers
03.2020 - 08.2022
- Assessed Competency of clinical staff to promote quality, continuity, and safety.
- Oversee explanation of personnel policies and job descriptions as part of the nursing employee orientation process.
- Administered executive supervision, exercising independent judgement to select proper course of action in policies and procedures.
- Managed and scheduled staff of 20 nurses, fostering environmental support to both staff and patients.
- Reduced overtime of nursing staff, increasing productivity, and generating positive reflection on management.
- Collaborate with multidisciplinary staff to improve overall patient care and response times.
- Lead and motivated employees through supervision, training, and coaching on duties and daily operational activities.
- Resolved conflicts between physicians, nurses, and administrative staff to maintain optimal workflows.
- Facilitated peer-to-peer conflict resolution.
- Fill in with patient care when needed to help relieve stress on the team as a hands-on director.
Nursing Supervisor
South Texas Radiology Imaging Centers
03.2010 - 03.2020
- Discussed patient care and treatment with care team members to optimize intervention plans and care delivery.
- Explained treatment procedures, medications, discharge instructions, and physician instructions to patients and family.
- Reviewed physician orders and participated in medication management to optimize patient safety.
- Administration of intravenous moderate sedation, intramuscular, and oral medications to patients as prescribed and monitoring responses for adverse reactions.
- Monitored and recorded patient conditions, vital signs, recovery process and medication side effects during and after procedure.
- Mentored new nurses on practices and procedures to drive patient outcome goals. Patient goals are aimed at increasing satisfaction and improving outcomes through compassionate, precise, and high-quality nursing care.
- Delegated tasks and provided leadership for 20 nurses and support personnel.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Provided direct nursing care to patients when personnel was short-staffed.
Radiology Nurse
Advanced Medical Imaging Center
03.2002 - 03.2010
- Evaluated patient histories, complaints, and current symptoms.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Educated patients and families on treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Provided patient care using the nursing process as a guide for actions and formulating an appropriate plan that addresses: educational needs, discharge planning, and patient/family preferences.
- Provide exceptional care of patients during pre, intra, and recovery phase of outpatient interventional radiology procedures such as: venous access port insertion/removal, biopsies, pain management, and dialysis access management.
- Administered intravenous moderate sedation and monitoring during radiology procedures per physician's orders and protocol and monitoring post-sedation patients.
- Interact and communicate effectively with all members of the healthcare team.
- Helped patients and families feel comfortable during challenging and stressful situations, promote recovery and reduce compliance issues.
Mobile Acute Dialysis Nurse
Fresenius Medical Dialysis
07.2000 - 02.2002
- Supervised hemodialysis treatments for patients in the hospital setting.
- Dedicated each nursing shift to providing quality care to every renal patient, developing and implementing appropriate, individualized treatment plans.
- Learned through hands-on experience about proper renal functions, various types of renal diseases and dialytic treatment.
- Provided education to patients and families regarding dialysis therapy, side effects, lifestyle changes to help increase compliance.
- Participated in discussions with physicians to inform of significant patient health changes. Gained the trust of nephrologists, patients, coworkers, and hospital staff.
- Noted each patient's condition prior to treatment and adjusted dialytic therapy accordingly.
- Developed excellent time management skills during ever-changing needs of patients.
- On-site charge nurse at multiple bed, in-hospital acute dialysis unit.
Chronic Dialysis Nurse
Fresenius Medical Care Dialysis
07.1999 - 07.2000
- Supervised hemodialysis treatments for adults in outpatient dialysis clinic setting.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Responded to emergency situations with expertise and level-headed approaches to provide optimal care, support, and life-saving interventions.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Monitored patients status during hemodialysis treatments and reported variances and adverse reactions to the care team.
RN Staff Nurse
San Jacinto Methodist Hospital
01.1999 - 07.1999
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
- Developed care plans complete with effective nursing measures to improve patient's physical and mental health.
- Developed time management skills to promote optimum patient care, efficient charting, and delegating specific tasks at hand.
- Staff nurse floating between medical overflow, observation, and rehabilitation.
- Arranged placement of new patient admissions and transfers according to clinical standards and guidelines.
- Developed and adapted individualized treatment plans according to patient recovery goals.
Education
Associate Degree of Nursing -
Tarrant County College District
Fort Worth, TX12.1998
Pre-Nursing Courses -
Texas A&M University - Corpus Christi
Corpus Christi, TX09.1994
Skills
- Documentation Proficiency
- Business Management Principles
- Performance Tracking and Evaluations
- Problem Solving
Timeline
Joint Program Manager
CHRISTUS Santa Rosa Hospital
08.2022 - Current
Nursing Director
South Texas Radiology Imaging Centers
03.2020 - 08.2022
Nursing Supervisor
South Texas Radiology Imaging Centers
03.2010 - 03.2020
Radiology Nurse
Advanced Medical Imaging Center
03.2002 - 03.2010
Mobile Acute Dialysis Nurse
Fresenius Medical Dialysis
07.2000 - 02.2002
Chronic Dialysis Nurse
Fresenius Medical Care Dialysis
07.1999 - 07.2000
RN Staff Nurse
San Jacinto Methodist Hospital
01.1999 - 07.1999
Associate Degree of Nursing -
Tarrant County College District
Pre-Nursing Courses -
Texas A&M University - Corpus Christi
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