Tricia (Trish) Hayden

• Ordered and interpreted diagnostic tests to develop and implement treatment plans.
• Performed patient physicals and compared and contrasted results with established medical records to provide proper diagnosis and facilitate appropriate treatment.
• Worked in women's health services providing counseling on reproductive issues and assisting with family planning needs.
• Examined wounds and treated lacerations with bandaging, suturing and topical medications.
• Educated patients on treatment options, medical needs and non-medical options for treatments and therapy.
• Provided preventive care such as well-child checks, adult physicals and gynecological examinations.
• Coordinated referrals for specialty services and additional care.
• Coordinated with physicians, specialists and other medical staff to develop treatment plans for chronic conditions.
• Assessed and treated STDs in both males and females.
• Evaluated new patients by taking vital signs, reviewing lab results and taking visual assessment of patients.
• Discussed proposed surgical procedures, risk and potential complications with supervising physician and patient to obtain proper patient informed consent.
• Assessed, evaluated and cared for neonate and pediatric patients.
• Evaluated patient histories, complaints and current symptoms.
• Discussed care plans with patients and explained test results and proper use of medications.
• Explained medications and side effects to patients, family members and caregivers, and thoroughly reviewed physician-ordered tests.
• Recorded patient medical history, applicable test results and vitals into medical records.
• Completed 700 hours of clinical work in Primary Care, women's health, and pediatrics.
• Educated patients about reproductive health issues and dispensed contraceptives.
• Applied and removed casts, sutured soft tissue injuries, and changed dressings.
• Used Epic and Athena EHR systems to create detailed patient reports on patient's condition status and treatments received.
• Prescribed appropriate pharmacologic and non-pharmacologic treatment modalities to support health and comfort of patients.
• Educated and guided patients on disease prevention and healthy lifestyle habits through education and identifying resources.

Management of clinical operations for 20 dialysis facilities

• Responsibilities include quality assurance, root cause analysis and process management, assisting to drive positive patient outcomes to meet company goals, adverse occurrence investigations, survey readiness by completing internal audits that followed CMS and state regulations, managing state surveys, collaboration with interdisciplinary teams in monthly quality meetings to drive quality improvement
• Educating physicians on Medical Director role and responsibilities.
• Provided hemodialysis theory and skills training for new patient care technicians and RNs.
• RN and Clinical Coordinator continuing education in Nephrology, participated in many continuous quality improvement projects, reinforcing policy and procedures
• Prioritized and distributed assignments and workload based on individual staff strengths and experience.
• Fostered improvement in staff development, personnel training and standards of patient care.
• Managed care from admission to discharge.
• Provided direct patient care, stabilized patients and determined next course of action.
• Administered medications via oral, IV and intramuscular injections and monitored responses.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
• Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
• Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
• Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
• Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.
• Led successful team comprised of RNs, LPNs and ancillary staff.
• Minimized hospital stays with recovery-centered approaches, reducing average in-patient stay length.

• Completed initial visits to patient's home to explain Hospice services.
• Completed admission process for initiation of hospice services, completed in-depth and comprehensive physical assessments and provided comprehensive nursing skills, treatments, and wound care
• Completed medication titration based on protocols, and symptom management for very complex disease processes
• Contributed to the patient's plan of care, providing education on caregiving, nursing skills, treatments, and medications to patients, families and caregivers
• Responsible for using my nursing skills to problem solve complex situations or changes in patient's conditions
• Made appropriate referrals to other members of the interdisciplinary team
• Effectively communicated changes in medications, caregiving, patient's conditions, family dynamics, and any other relevant information to the patient's physician and other members of the interdisciplinary team
• Completed post-mortem home visits, post- mortem care, and support to families, followed discharge process for discharging patients from Hospice service
• Clearly communicated to the interdisciplinary team contributing to the continuity of care for the patients
• Accurately completed clinical documentation on all care provided and communications with the physicians
• Managed needs of chronically ill and acute patients with well-coordinated treatment strategies.
• Personalized bedside care and interactions based on cultural backgrounds of different patients.
• Administered medications to treat patients' symptoms and address underlying disease progression.
• Counseled patients and families on treatments, care options and discharge instructions.
• Documented work in Epic EHR and updated patients' charts with orders and observations.
• Completed diagnostic tests and patient assessments to evaluate treatment progress.
• Delivered top-notch care exceeding department, hospital and Joint Commission standards.
• Assisted patients initially and weekly to maintain current understanding of conditions and presentations.
• Educated families and patients regarding conditions, symptoms and care plans.
• Evaluated patient histories, complaints and current symptoms.
• Met with patients to gather vitals, evaluate symptoms and assess conditions, ordered diagnostic tests and interpreted laboratory results.
• Managed patients' pain relief and sedation by providing pharmacologic and non-pharmacologic interventions, monitoring patients' responses and changing care plans accordingly.
• Worked on regular basis with patients suffering from conditions such as traumatic brain injuries, burns and cardiac events.
• Addressed issues with multiple organ systems in patients with critical illnesses.

• Responsible for educating students in hemodialysis theory and skills training in an accredited Hemodialysis technician program.
• Implemented new educational techniques to boost student comprehension while reducing learning time.
• Provided immediate and constructive feedback to students individually and as group.
• Implemented instructional presentations to communicate coursework goals.
• Provide clinical instruction to Hemodialysis Technician students in clinical settings on Nephrology and Hemodialysis topics.
• Evaluated students' competencies through written assignments and examinations.
• Delivered individualized instruction on observation, assessment, decision-making and patient health teaching.
• Supervised students when administering medications to maintain patient safety.
• Updated instructional materials, ordered equipment and supplies and utilized various learning modalities to enhance instruction.
• Provided nursing skill demonstrations for medication administration, dressing changes, and clinical logs.
• Distributed course syllabus and communicated course standards and learning objectives to students.
• Provided educational lectures and facilitated discussions on weekly basis.
• Incorporated instructional aids and motivational strategies to eradicate learning gaps.

• Financial Management: Assist in budget formation, effectively managing productivity to meet budget, inventory management including purchasing product selection, and supply usage as well as cost analysis reports to ensure cost effectiveness; Payroll including approving all timecards and ensuring accuracy of hours worked; Billing including accurate and timely charges for patient billing
• Patient Care Management: Meeting with the Facility Medical Director monthly to review facility clinical outcomes, water culture results, staffing, and other facility issues, develop facility action plans and ensure resolution of issues
• Overseeing nursing and technical services for patient treatment and ensure appropriate adjustments in treatment plans are developed and implemented to meet compliance with state and federal governing agencies
• Maintain communication and continuity of planned care when a patient is transferred to other Davita facilities
• Create, implement, and administer policies and procedures, and resources to ensure safe and appropriate treatment of patient's
• Organized and initiated community education classes through the EMPOWER education program
• Teammate Management Plan, organize, and supervise the nursing and technical and biomedical teammates to ensure high quality patient care according to company policy
• Determined staffing plans that promote the most effective use of teammates and safety of patients
• Manage all teammate employment areas such as hiring, promoting, job performance evaluations, professional development teammate satisfaction surveys, and disciplinary actions
• Risk Management : Ensuring compliance with DaVita policies and procedures in accordance with State and Federal regulations for patient care and services HIPPA,
• Worked closely with CMS, OSHA, or other governing agencies
• Facility Management Ensuring equipment and supplies are maintained to provide quality care and to ensure safety of patient's and teammates
• Identify and plan prompt corrective action for any issues with building safety or equipment and systems
• Acute Program: I was in charge of managing an acute dialysis program at Willamette Valley Medical Center to which I was in charge of Hospital relations, budget management, staffing, and quality assurance.
• Maintained physical condition of facilities, applying available resources and personnel to achieve safe, clean and functional environment.
• Set and enforced departmental budgets, goals and deadlines.

• Completed initial visits to patient's home to explain Hospice services.
• Completed admission process for initiation of hospice services, completed in-depth and comprehensive physical assessments and provided comprehensive nursing skills, treatments, and wound care
• Completed medication titration based on protocols, and symptom management for very complex disease processes
• Contributed to the patient's plan of care, providing education on caregiving, nursing skills, treatments, and medications to patients, families and caregivers
• Responsible for using my nursing skills to problem solve complex situations or changes in patient's conditions
• Made appropriate referrals to other members of the interdisciplinary team
• Effectively communicated changes in medications, caregiving, patient's conditions, family dynamics, and any other relevant information to the patient's physician and other members of the interdisciplinary team
• Completed post-mortem home visits, post- mortem care, and support to families, followed discharge process for discharging patients from Hospice service
• Clearly communicated to the interdisciplinary team contributing to the continuity of care for the patients
• Accurately completed clinical documentation on all care provided and communications with the physicians
• Managed needs of chronically ill and acute patients with well-coordinated treatment strategies.
• Personalized bedside care and interactions based on cultural backgrounds of different patients.
• Protected critically ill patients from unnecessary risks by limiting visitors, using proper PPE and using strong infection control procedures.
• Administered medications to treat patients' symptoms and address underlying disease progression.
• Counseled patients and families on treatments, care options and discharge instructions.
• Documented work in Epic EHR and updated patients' charts with orders and observations.
• Completed diagnostic tests and patient assessments to evaluate treatment progress.
• Delivered top-notch care exceeding department, hospital and Joint Commission standards.
• Assisted patients initially and weekly to maintain current understanding of conditions and presentations.
• Performed emergency medical procedures such as basic cardiac life support (BLS), advanced cardiac life support (ACLS) and other condition-stabilizing interventions.
• Educated families and patients regarding conditions, symptoms and care plans.
• Evaluated patient histories, complaints and current symptoms.
• Met with patients to gather vitals, evaluate symptoms and assess conditions, ordered diagnostic tests and interpreted laboratory results.
• Managed patients' pain relief and sedation by providing pharmacologic and non-pharmacologic interventions, monitoring patients' responses and changing care plans accordingly.
• Worked on regular basis with patients suffering from conditions such as traumatic brain injuries, burns and cardiac events.
• Addressed issues with multiple organ systems in patients with critical illnesses.
• Advocated for and strived to protect health, safety and rights of patient.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Implemented care plans for patient treatment after assessing physician medical regimens.
• Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
• Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.

• ICU/Medical Surgical Unit, Organizing and providing quality care for 4-6 patient workloads including: Vital signs, I and o, bathing, feeding, ambulating, and medication administration
• Monitoring, reporting, and managing changes in patient conditions
• Efficiently following through on all physician orders
• Updating care plans as necessary
• Consistent in following all hospital policies and procedures
• Efficiently working on telemetry step-down unit
• Communicating with physicians and other members of the IDT team.
• 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.
• Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Verified patients had information necessary for ongoing care, providing guidance on diagnoses, management of medications and prevention methods.
• Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
• Minimized hospital stays with recovery-centered approaches, reducing average in-patient stay length.
• Monitored patients' conditions and reported changes in physical presentation, appearance and behavior to discuss treatment with physicians.
• Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
• Directed patient care by initiating and following through with plan of care, continuing care and discharge instructions.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Gathered patient health data through interviews and observation, documenting data in electronic records.
• Promoted patient independence by teaching self-care skills.
• Identified learning needs of patients and families and responded with advocacy and health education.
• Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures and nursing best practices.
• Coordinated with physicians to perform bedside procedures such as intravenous injections, vascular line insertions and bronchoscopies.

• Staff scheduling.
• Provided Hemodialysis education to hospital staff, worked closely with the hospital clinical educator to provide hospital wide in-services.
• Organized monthly CQI meetings with the hospital's Quality Management Team, assisting in writing and implementing new hospital specific policies, accurately completing monthly CQI audits.
• Precepting new teammates, interviewing potential teammates,
• Accurately completing monthly inventories, ordering supplies
• Collecting monthly water cultures with prompt follow- up.
• Hemodialysis machine troubleshooting and upkeep.
• Provided dialysis and education to newly diagnosed and established dialysis dialysis patient's.
• Effectively communicating pertinent information to fellow teammates to ensure continuity of patient care, and correct and efficient operations of the acute dialysis program
• Maintained physical condition of facilities, applying available resources and personnel to achieve safe, clean and functional environment.

• Responsible for the complete clinical and technical oversight of a 13-chair unit including:
• Effectively communicated and directed patient care with Patient Care Technicians.
• Organized and attended patient care conferences with physicians.
• Completed and tracked patient care plans.
• Ensured the completion of monthly quality improvement projects.
• Efficiently followed up on patient access performances.
• Efficiently followed through on all orders, evaluated reported, and managed all patient emergencies.
• Accurately and effectively completed anemia management.
• Accurately assessed complex dialysis patient's conditions, initiated and discontinued dialysis treatments, completed patient education.
• Oriented and precepted new teammates
• Accurately completed staffing plans and trending reports.
• Completed monthly network reports, accurately completed payroll, accurately completed all new patient admitting paperwork, completed monthly Administrator audits, completed monthly safety audits, arranged and conducted staff meetings
• Accurately reconciled and closed monthly billing
• Ensured medication inventory and medical supply inventory accuracy
• Interviewed and hired potential teammates, completed teammate performance evaluations, and worked closely with all members of the multidisciplinary team
• Initiated and managed the Peritoneal Dialysis program
• Assessed, reported, and managed complex peritoneal dialysis patients
• Completed community education classes through the Key education program

• Responsible for the complete clinical and technical oversight of a 12-chair unit including
• Effectively communicated and directed patient care with Patient Care Technicians, organized and attended patient care conferences with physicians, completed and tracked patient care plans, ensured the completion of monthly quality improvement projects, efficiently followed up on patient access performances as the access manager, efficiently followed through on all orders.
• Evaluated, reported, and managed all patient emergencies, accurately.
• Effectively completed anemia management.
• Accurately assessed complex dialysis patient's conditions.
• Initiated and discontinued dialysis treatments.
• Completed patient education, and worked closely with all members of the multidisciplinary team.

• Responsible for the complete clinical and technical oversight of a 29 chair unit including
• Effectively communicated and directed patient care with Patient Care Technicians.
• Organized and attended patient care conferences with physicians, completed short and long-term care plans.
• Efficiently followed through on all orders.
• Evaluated, reported, and managed patient emergencies.
• Accurately assessed complex dialysis patient's conditions, initiated and discontinued prescribed dialysis treatments.
• Providing patient education, and worked well with all members of the multidisciplinary team.