Toni Michelle Butcher
Mullican Care Center
Van Alstyne,Texas
1
Certification
16
years of professional experience
Licensed Vocational Nurse with 16+ years of progressive experience in long-term care and skilled nursing, including more than four years as an Assistant Director of Nursing. Proven leader in clinical operations, survey readiness, regulatory compliance, interdisciplinary collaboration, and staff development.
Work History
Assistant Director of Nursing
4 Years 4 Months- Direct daily clinical operations in partnership with the Director of Nursing, ensuring safe, efficient resident care and regulatory compliance.
- Lead Quality Assurance and Performance Improvement initiatives through trend analysis, corrective action planning, and ongoing performance monitoring.
- Partner with Regional Clinical leadership to conduct mock surveys, identify regulatory deficiencies, educate staff, and strengthen survey readiness across multiple facilities.
- Oversee Infection Prevention and Antibiotic Stewardship programs through surveillance, culture review, vaccine administration, and education.
- Coordinate psychiatric services with behavioral health providers, implementing physician recommendations, obtaining consents, and updating care plans.
- Review consultant pharmacist and Registered Dietitian recommendations, coordinate provider follow-up, and implement resident-centered interventions.
- Monitor laboratory results, psychotropic medication utilization,gradual dose reductions, Quality Measures, and resident weight trends to support timely clinical interventions.
- Assist in coordinating admissions, discharges, staffing, interviewing, hiring, onboarding, competency validation, and staff development.
- Collaborate with physicians, pharmacy, dietary, therapy, social services, hospice, residents, and families to optimize clinical outcomes.
LVN Charge Nurse
3 Years 6 Months- Oversaw patient conditions, administered medicine, performed interventions and took detailed records.
- Promoted continuity of care by maintaining comprehensive medical records and updating physicians on significant changes in patients' conditions.
- Facilitated smooth transitions between shifts through efficient handoff reports that highlighted critical information for incoming nurses.
LVN Charge Nurse
1 Year 3 Months- Administered medications and treatments while monitoring patients for adverse reactions.
- Managed patient caseloads effectively by prioritizing needs, delegating tasks appropriately, and collaborating with healthcare professionals.
Certified Nursing Assistant
3 Years 3 Months- Assisted in daily living activities, ensuring patient comfort and safety.
- Monitored vital signs and reported changes to nursing staff for timely interventions.
- Prevented pressure ulcers development through frequent turning, repositioning of patients, and diligent skin assessments.
Certified Nursing Assistant
2 Years 5 Months- Completed activities of daily living for patients unable to self-care, and assisted those with limited mobility in completing tasks.
- Facilitated personal hygiene management, feeding and ambulation.
- Provided emotional and psychological support to patients and their families, fostering positive healthcare experience.
Education
Licensed Vocational Nurse
Skills
Leadership and clinical oversight
QAPI and Quality Measures
Wound Care
Psychotropics and GDRs
Infection Prevention
Antibiotic Stewardship
Laboratory and Pharmacy monitoring
Care Plans and Resident Advocacy
Certification
- IV certified
- Basic Life Support (BLS/CPR)
Timeline
Assistant Director of Nursing
Mullican Care Center
04.2022 - CurrentRead More
LVN Charge Nurse
Whitesboro Health & Rehabilitation
10.2018 - 04.2022Read More
LVN Charge Nurse
Countryside Health & Rehabilitation
07.2017 - 10.2018Read More
Certified Nursing Assistant
Whitesboro Health & Rehabilitation
03.2013 - 06.2016Read More
Certified Nursing Assistant
Hilltop Haven Senior Living Center
10.2010 - 03.2013Read More
Grayson College
Licensed Vocational Nurse
Read More