Tracy Rothermel
Delaware Hospice
Felton
39
years of professional experience
Experienced case manager with a strong background in patient assessment, care coordination, and documentation. Known for guiding families, collaborating with interdisciplinary teams, and supporting comfort-focused care.
Work History
Case Manager
4 Years 11 Months- Completed comprehensive assessments to identify symptoms, support requirements, and appropriate level of care.
- Coordinated patient care plans with interdisciplinary team to align hospice services with changing needs.
- Documented visits, care updates, and clinical observations in electronic health records accurately.
- Educated families on hospice services, care expectations, and available community resources.
- Collaborated with nurses, social workers, and physicians to resolve care barriers promptly.
- Monitored patient status and escalated concerns to support timely interventions and comfort-focused care.
- Arranged referrals and service coordination to support continuity of care across settings.
- Ensured compliance with hospice documentation standards and care protocols during case management activities.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Improved client satisfaction by efficiently addressing concerns or grievances in a timely manner.
- Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
- Fostered open lines of communication with clients'' families and support networks, involving them in the case management process as appropriate.
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Improved client outcomes by developing and implementing comprehensive case plans tailored to individual needs.
- Increased client satisfaction through diligent follow-up and personalized support.
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
Emergency Room Nurse
11 Years 2 Months- Triaged emergency patients using acuity protocols and prioritized immediate interventions.
- Triaged emergency patients using acuity protocols and prioritized immediate interventions.
- Assessed critical symptoms and initiated emergency care for trauma, cardiac, and medical case.
- Coordinated treatment plans with physicians, technicians, and interdisciplinary care team.
- Stabilized patients during high-acuity events and prepared for transfer to appropriate units.
- Educated patients and families on discharge instructions, medications, and follow-up care.
- Mentored nursing staff on emergency workflows, safety practices, and documentation standards.
- Ensured compliance with infection control, privacy, and hospital emergency department protocols.
- Managed complex cases involving trauma or multiple organ system failures by providing compassionate care alongside advanced clinical interventions.
- Monitored vital signs, conducted physical assessments and evaluated laboratory results for strategic care planning.
- Provided emotional support to patients and families during times of crisis, helping them navigate difficult life events.
- Provided high-quality nursing care, including administering medications, wound management, and monitoring vital signs.
- Administered different therapies and medications in line with physician orders and treatment plans.
- Educated patients and their families on condition management, treatment plans, and post-discharge care instructions.
- Coached and mentored junior staff to uplift department capability.
- Streamlined processes for admitting patients from the emergency room into hospital units for further treatment or observation.
- Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
- Answered codes quickly and orchestrated efficient, skilled medical care.
- Kept optimal supply levels in treatment rooms, triage, and other areas to meet typical patient loads.
- Educated family members and caregivers on patient care instructions.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
- Enhanced patient care by efficiently triaging and prioritizing emergency cases.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Educated patients and answered questions about health condition, prognosis, and treatment.
- Improved patient satisfaction scores through empathetic listening skills and addressing concerns promptly.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
- Quickly responded to situations impacting safety and security at the unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Monitored patient reactions after administering medications and IV therapies.
- Evaluated patient histories, complaints, and current symptoms.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Critical Care Registered Nurse
23 Years- Managed ventilators, infusion pumps, and continuous cardiac monitoring for complex intensive care cases.
- Administered high-risk medications while maintaining strict medication safety and patient monitoring standards.
- Assessed critically ill patients, prioritizing interventions based on changing hemodynamic and respiratory status.
- Collaborated with interdisciplinary teams to coordinate timely treatment plans and escalation of care.
- Interpreted telemetry rhythms and responded quickly to arrhythmias, instability, and code situations.
- Educated families on critical care plans, procedures, and expected patient progress.
- Documented assessments, interventions, and outcomes accurately in electronic health record systems.
- Administered life-saving medications and therapies under strict protocols, guiding patients toward recovery from acute illnesses or injuries.
- Assessed and managed various patient treatments for numerous diagnoses from sepsis to acute respiratory distress.
- Monitored hemodynamic parameters and analyzed complex data sets, making appropriate adjustments to treatment plans based on patient response.
- Served as a preceptor for new nurses entering the critical care field, sharing knowledge and expertise to facilitate successful integration into the team.
- Demonstrated a high level of adaptability in adjusting to ever-changing patient acuity levels within the critical care unit, ensuring consistent delivery of safe and effective nursing care.
- Managed multiple priorities simultaneously while maintaining focus on providing exceptional patient-centered care within a fast-paced critical care environment.
- Utilized advanced assessment skills to quickly identify changes in patient condition requiring intervention or escalation of care.
- Provided compassionate end-of-life care for terminally ill patients and their families, ensuring dignity and comfort during difficult times.
- Oversaw various aspects of telemetry by administering pa catheters and arterials, vasoactive drugs, titration, thrombolytic therapy, dysrhythmia interpretation, and chest tubes.
- Improved patient outcomes by developing and implementing comprehensive care plans for critically ill patients.
- Led the rapid response team in emergency situations, showcasing strong clinical judgment and decision-making abilities under pressure.
- Trained and coached new employees on protocols and best practices to promote ideal patient outcomes.
- Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
- Performed invasive procedures such as central line insertions or arterial catheter placements with precision and confidence when necessary for optimal patient outcomes.
- Administered medications and treatments as ordered by physician.
- Evaluated patient histories, complaints, and current symptoms.
Education
Associate of Science - Nursing
Skills
Case management
Patient assessment
Care coordination
Documentation standards
Discharge planning
Case documentation
Reporting documentation
Time management
Organization and multitasking
Team collaboration
Resilience under pressure
Professional communication
Conflict resolution
Crisis intervention
Emotional awareness
Patient evaluations
Relationship building
Patient evaluations
Positive attitude
Empathy and compassion
Empathy and compassion
Timeline
Case Manager
Delaware Hospice
11.2021 - CurrentRead More
Emergency Room Nurse
Bayhealth Hospital
06.2010 - 08.2021Read More
Critical Care Registered Nurse
Bayhealth Hospital
06.1987 - 06.2010Read More
Delaware Technical Community College
Associate of Science from Nursing
Read More