Tricia Bethel

• Receiving admissions and/or transfers to the unit
• Initial and ongoing systematic patient assessment
• Timely and accurate documentation using appropriate systems
• Interpreting assessment/diagnostic data including labs and telemetry
• Ensuring medical orders are transcribed and processed accurately
• Competence in Rapid Response and code events
• Promoting continuous quality improvement
• Instructing and counseling patients/families.
• Managed quality care for patients with heart failure, end-stage renal disease, and coronary artery disease.
• Contributed substantially to successful department JCAHO accreditation by consistently operating to the highest standards of care.
• Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
• Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention, and morale.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Delivered a high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Facilitated therapeutic communication, conflict resolution, and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Quickly responded to situations impacting the safety and security of the unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Communicated with healthcare team members to plan, implement, and enhance treatment strategies.
• Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
• Managed patients recovering from medical or surgical procedures.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Implemented care plans for patient treatment after assessing physician medical regimens.

• Handle client intake calls from inquiry, assessments, development of care plans and continued to follow up with clients and caregivers to ensure care plans are adhered to
• Enforce agency policies ensuring all services are performed properly efficiently and effectively, under established quality standards, company policies and procedures, and applicable state and federal regulations
• Respond to client questions, and concerns, and intervene as needed to resolve problems, ensuring client service needs and requirements are met
• Develop relationships with caregivers on the supervisory level to establish and uphold a high level of professional teamwork to ensure our clients receive the highest level of care possible
• Act as a liaison between the agency and affiliated facilities we serve
• Visit assigned clients in the home setting to complete an assessment of participants' welfare, identify what the necessary tasks are to support the client, and determine what delegated tasks are appropriate and in compliance with applicable laws and regulations
• Develop actions and outcomes for assistance with personal hygiene, personal care, toileting, meal preparation, maintaining a clean and infection-free environment, assistance with daily clothing changes, and assistance with transfer and ambulation
• Provide quality Provider Oversight by ensuring that any delegated nursing tasks to Providers of Care are performed under applicable regulations
• Communicate with the interdisciplinary team any changes in the participant's status, identify the need for referrals to additional resources, and any discrepancies in services.
• Monitored office workflow and administrative processes to keep operations running smoothly.
• Optimized operational processes using analytics tools to address client-specific metrics.
• Monitored and coordinated workflows to optimize resources.
• Trained and guided team members to maintain high productivity and performance metrics.
• Tracked employee attendance and punctuality, addressing repeat problems quickly to prevent long-term habits.
• Recruited, hired, and trained initial personnel, working to establish key internal functions and outline the scope of positions for the new organization.
• Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service.
• Updated and resolved incidents and managed accessorial charges objectively while maximizing profit.
• Interacted well with customers to build connections and nurture relationships.
• Assisted in recruiting, hiring, and training of team members.
• Scheduled employees for shifts, taking into account customer traffic and employee strengths.
• Cultivated and strengthened lasting client relationships using strong issue resolution and dynamic communication skills.
• Implemented business strategies, increasing revenue, and effectively targeting new markets.
• Comforted and counseled patients and families throughout the care process.
• Collaborated with an interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.

• Used aseptic techniques to provide sterilized wound care and dressing applications.
• Comforted and counseled patients and families throughout care process.
• Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
• Documented accurate and complete patient information to address patient problems and expected outcomes.
• Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
• Cared for wounds, provided treatments, and assisted with procedures.
• Performed routine evaluations of each patient's status, needs, and preferences.
• Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
• Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
• Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
• Obtained patient vital signs and input/output measurements from inpatients.
• Delivered updates in patient status to charge nurse, recording changes in medical records.
• Accurately recorded interactions in medical charts, documenting accidents and interventions applied.
• Administered controlled narcotics, inserted IVs, and performed catheterizations.
• Adhered to treatment plan instructions when administering medications and treatments to patients.

Directly supervises all associates of the nursing department

• Is responsible for this department's overall direction, coordination, and evaluation
• Carries out supervisory responsibilities under the organization's policies and applicable laws
• Responsibilities include interviewing, hiring, and training associates; planning, assigning, and directing work; appraising performance; rewarding and disciplining associates; addressing complaints and resolving problems
• May be responsible for the community in the absence of the Executive Director
• Essential Duties completely familiar with the state regulations governing Assisted Living, ensuring compliance in the department by regularly reviewing the regulations checklist
• Performs timely and accurate resident assessments utilizing assessment tools and communicates changes to the Executive Director for billing purposes
• Consistently monitor infection control practices
• Manages labor hours so that all labor dollars are within the operating budget as tied to census and acuity
• Utilizes staffing models to guide scheduling, daily/weekly Kronos reports to monitor labor use and overtime, and bi-weekly labor reports to review hours used
• Manages expenses within given budget parameters utilizing spend-down sheets
• Provides medication management oversight to ensure all Mars are correct and that the residents receive medications promptly and accurately
• Works with consultant pharmacists as needed to ensure the community is in compliance
• Performs a Level of Care (LOC) assessment before resident move-in day, 30 days after move-in, every 6 months, upon return from alternate setting, and change of condition and entered into Caretaker
• All charting is performed in a timely and under state regulations
• Oversee that call lights are answered within 3-7 minutes or state guidelines, whichever is less
• Provides timely and honest communication with families to promote good relationships and keep them informed about resident's condition and community events
• Oversee the Care Connect program in conjunction with the Community Relations Director to ensure each new resident makes happy, healthy transitions to the community
• Ensure that incident reports are completed on the shift during which the incident occurred and entered into the caretaker
• Minimizes Worker's Compensation claims by providing in-services in high-risk areas and proactively working with Risk Management to reduce dollar costs when claims do occur
• Directs associates in need of health care to the most appropriate level of care, listed on our Worker's Compensation list of approved doctors and hospitals
• Maintains outreach and education efforts throughout the community to promote the marketing effort
• Complete and submit a weekly report to ED, RD'S, and RDO by noon every Thursday
• Provides marketing support within the community by participating in tours and discussions with potential residents and their families
• Provide assessments for potential residents to determine their eligibility for Assisted Living
• Creates positive associate relations through staff appreciation programs, recognition of excellent performance, and retention through regular feedback systems and promotional incentive programs
• Ensure that any episodic event is documented in the resident's chart per Elmcroft documentation policy and practice
• Hires and trains personnel under Power Hiring techniques
• Provides appropriate performance feedback throughout the year
• Disciplines and terminates associates based on Elmcroft Human Resource guidelines
• Arranges for required and appropriate orientation, education, training, and in-services for staff per licensing requirements, state guidelines, and the needs of the community
• Document all training as required
• Provides appropriate guidance for associates by planning work schedules, assigning work duties while on shift, and directing the work daily
• Offer a care conference a minimum of every 6 months or with any change in condition with a resident, family member, other staff, RSD, and ED at a designated day and time
• Provide on-call back up to the community when not on duty
• Participates in the Manager on Duty Program
• Is fully knowledgeable of the fire evacuation and disaster policy of the community and participates as assigned in fire and disaster drills
• Provides backup support driving the community vehicle to transport residents on trips outside Elmcroft for shopping, entertainment, education, and/or to obtain medical or dental services, as assigned
• Demonstrates an understanding of compliance and ethics program policies and procedures
• Ensure all discharged residents are reviewed and closed by the 5th working day after discharge from the community
• Completes all mandatory compliance, HIPAA, and state and federal regulatory training as required
• Maintains an appropriate degree of confidentiality
• Performs other duties as assigned and which relate to the success of Elmcroft and the Care, Comfort, and Happiness of our residents.
• Supervised day-to-day operations and activities of caregivers, intervening to issue service improvement guidance.
• Established familiarity and rapport with residents to effectively gain service feedback and understand residents' needs and preferences.
• Collaborated with the residential team to maximize effective and efficient operations.
• Assisted residents with transitioning into new living environments and maintained strong relationships with residents.
• Solved grievances and complaints by collaborating with residents.
• Provided crisis management and intervention during emergencies.
• Provided swift and knowledgeable emergency support in line with campus crisis protocols.

• Assess and monitor signs and symptoms indicating patient's physiological changes, conduct physical assessments, and administer safe and accurate medication dosages
• Complete and monitor wound care (basic cleaning and bandaging of wounded areas) supervising CNAs
• Monitoring fluids.
• Assembled and used equipment such as catheters, tracheotomy tubes, or oxygen suppliers to effectively manage patient care.
• Delivered direct quality care to patients by evaluating medical conditions and managing and assessing treatments.
• Documented vitals and medical histories in patient charts when assessing patients and communicated patient information to physicians and other nurses for care continuity.
• Administered medications and injections to patients.
• Analyzed patient assessments and laboratory data to bring any issues to the attention of physicians.
• Delivered emotional support to patients and families during challenging times.
• Worked with a multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
• Responded to patient requests with appropriate clinical and personal assistance.
• Monitored patient health conditions to report changes to assigned physicians.
• Reviewed patient history to verify conditions and current medications.

• Provide therapeutic and quality care for 50+ patients on a daily basis, ensure patient safety, pass medication safely and effectively while monitoring pts for effects of medications, trach care, colostomy care, J-Tube feeds/Peg tube feeds, flushes, care of J-P drains, hemo-vac/ wound vacs, patient assessments, documentation of the changes that occur in their condition, obtain vital signs and document appropriately, preparing and administering injections including SQ, IM and ID injections, resident TX's, applying dressings and bandages, monitoring I&O of catheters, changing foley catheters as needed, straight catheterization of pt when necessary while maintain a sterile field to protect pt from microbes, bladder scanning of pts, reporting changes to supervisor and or MD, providing dignity and end of life care to terminally ill pts in a respectful and emphatic manner, care of dementia pt's, perform EKG's, provide patient hygiene, complete daily lab slips, calibrate accu check machines, narcotic count, ordering medications restock medication cart, chart checks, supervision of 3-5 CNA's.
• Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
• Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
• Gathered lab specimens, ordered testing, and interpreted results to diagnose patients.
• Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
• Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
• Obtained patient vital signs and input/output measurements from inpatients.
• Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
• Delivered updates in patient status to charge nurse, recording changes in medical records.
• Used aseptic techniques to provide sterilized wound care and dressing applications.
• Comforted and counseled patients and families throughout care process.
• Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
• Cared for wounds, provided treatments, and assisted with procedures.
• Performed routine evaluations of each patient's status, needs, and preferences.
• Adhered to treatment plan instructions when administering medications and treatments to patients.
• Accurately recorded interactions in medical charts, documenting accidents and interventions applied.
• Administered controlled narcotics, inserted IVs, and performed catheterizations.

• Medication administration, assess students and chart results, vital signs, first aid, wound care, straight cath student, diabetic care, provide emotional support to students, yearly health screenings, ensuring that all students are UTD on immunizations, transcribe MD order
• Performed routine evaluations of each patient's status, needs, and preferences.
• Accurately recorded interactions in medical charts, documenting accidents and interventions applied.
• Documented accurate and complete patient information to address patient problems and expected outcomes.

• Provide therapeutic and quality care for 50+ patients on a daily basis, ensure patient safety, pass medication safely and effectively while monitoring pts for effects of medications, trach care, colostomy care, J-Tube feeds/Peg tube feeds, flushes, care of J-P drains, hemo-vac/ wound vacs, patient assessments, documentation of the changes that occur in their condition, obtain vital signs and document appropriately, preparing and administering injections including SQ, IM and ID injections, resident TX's, applying dressings and bandages, monitoring I&O of catheters, changing foley catheters as needed, straight catheterization of pt when necessary while maintain a sterile field to protect pt from microbes, bladder scanning of pts, reporting changes to supervisor and or MD, providing dignity and end of life care to terminally ill pts in a respectful and emphatic manner, care of dementia pt's, perform EKG's, provide patient hygiene, complete daily lab slips, calibrate accu check machines, narcotic count, ordering medications restock medication cart, chart checks, supervision of 3-5 CNA's.
• Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
• Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
• Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
• Obtained patient vital signs and input/output measurements from inpatients.
• Delivered updates in patient status to charge nurse, recording changes in medical records.
• Used aseptic techniques to provide sterilized wound care and dressing applications.
• Comforted and counseled patients and families throughout care process.
• Documented accurate and complete patient information to address patient problems and expected outcomes.
• Administered controlled narcotics, inserted IVs, and performed catheterizations.
• Accurately recorded interactions in medical charts, documenting accidents and interventions applied.