Yanderi Duran

• Assessed physical, social and psychological needs and living conditions of patient through professional knowledge and skills of observation, interviewing and physical examination
• Effectively managed all aspects of psycho-pharmacological treatment of ACT clients, in collaboration with, and under direction of, ACT MD
• Implemented use of Telehealth program that increased patient access to specialty care related to lost workload due to COVID 19 pandemic. Patients were able to remain engaged in treatment and reduced hospitalizations.
• Conducted health and psychosocial assessments of patients and developed treatment recommendations
• Performed patient assessments to monitor expected response to medications and altering treatment plans.
• Responded to numerous volatile situations and violent outbreaks to restore safety and security of patients and staff in he community including but not limited to (residential programs, shelters, community outreach, government offices, private residence and ACT office).
• Explained useful coping methods to relieve depression and anxiety.
• Conducted therapy for mentally ill patients in group and individual settings to assist patients in achieving normalcy.
• Oversaw care of suicidal patients and acted swiftly to reduce risk of harm to themselves or others.
• Monitored primary care needs for patients to coordinate access to appropriate providers.
• Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-adherence problems.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Evaluated patient histories, complaints and current symptoms.
• Recorded details regarding therapies to keep patient charts updated.
• Administered different therapies and medications in line with physician orders and treatment plan.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Provided following services to patients: patient advocate, wellness self management, harm reduction treatment, monitoring of mental status, emotional support, brief psychotherapy, family based interventions and crisis interventions
• Participated in interdisciplinary team meetings, case conferences and clinical supervision
• Advocated for and provides health education to ACT clients, families and significant others
• Facilitated and coordinated access to community services and made referrals as needed.
• Provided in-service education to mental health staff, SW interns, consumers, and families on wide variety of topics including but not limited to: diabetes, metabolic syndrome, adherence, recovery strategies, engagement, communication, team building, access to services, safety/risk management
• Facilitated monthly health and wellness groups, Assessed physical, social and psychological needs and living conditions of patient through professional knowledge and skills of observation, interviewing and physical examination

• Operated as ACT Team with high fidelity to New York State Office of Mental Health ACT Regulations
• Ensured all clinical documentation is completed in thorough and timely manner
• Remained in compliance with licensing and practice standards set forth by Office of Mental Health (OMH) and Department of Health and Mental Hygiene (DOHMH)
• Provided clinical oversight to team, including person centered treatment planning, evidenced based practices, use of service dollars, high risk clinical rounds, and incident management
• Achieved expected outcomes (e.g Reduced use of hospital services) for ACT clients through medication, health, substance use, employment, family, wellness and peer supports.)
• Provided training, clinical supervision, evaluation and professional development opportunities to all staff)
• Maintained fiscal viability of the program through Medicaid billing & budgeting of Program funds.
• Oversaw personnel focused on nursing management, substance abuse, family therapy, employment specialty, and housing specialty,.
• Improved success of program by making proactive adjustments to operations.
• Addressed and resolved technical, financial and operational concerns by working with team members and directors.
• Led Team in driving successful patient outcomes by prioritizing standard of care and best practices.

• Provided general nursing care to patients in accordance to nursing standards
• Assessed and triage both adult and pediatric patients appropriately based on their acuity.
• Conducted telephone triage to patient, family and significant others using nursing judgment according to protocol.
• Executed nursing interventions by collaborating with inter professional team to incorporate standards of care, practice and patient outcomes.
• Administered prescribed medications and treatments in accordance with nursing standards
• Initiated IV therapy as ordered, monitored patient
• Administered intravenous medications to adults, geriatric and pediatric patients
• Assessed patients for side effects during IV therapy and take necessary steps to maintain patient safety
• Performed venipuncture to obtain blood sample for laboratory testing
• Followed infection control and safety procedures in carrying out phlebotomy function
• Handled Venipuncture, electrocardiogram, urine analysis, blood testing, centrifuging, and autoclaving
• Observed, reported and documented patient’s condition and reaction to drugs and treatment to providers
• Documented all phone consultation notes in patient’s chart
• Educated patient/family about diagnostic procedures, medications, nutritional maintenance of health and wellness
• Documented all necessary procedures, supplies used in encounter ticket for billing/coding purposes
• Acted as patient advocate
• Acted as as coordinator of health care team in order to maintain proper linkages to provide necessary care on continuing basis
• Maintained examination rooms for necessary supplies and equipments
• Prepared supplies and equipment using sterile technique
• Assisted providers during examinations, treatment and procedures.
• Managed patients with multiple chronic health conditions, acute episodes of care and behavioral health challenges while promoting and supporting prevention and wellness.

• Provided general nursing care to patients in accordance to nursing standards
• Assessed and triage both adult and pediatric patients appropriately based on their acuity.
• Conducted telephone triage to patient, family and significant others using nursing judgment according to protocol.
• Able to respond in emergency situations and appropriately render care to patient based on their acuity level
• Administered prescribed medications and treatments in accordance with nursing standards
• Initiated IV therapy as ordered, monitored patient
• Administered intravenous medications to adults, geriatric and pediatric patients
• Monitored patient reactions after administering medications and IV therapies.
• Performed venipuncture to obtain blood sample for laboratory testing
• Followed infection control and safety procedures in carrying out phlebotomy function
• Handled Venipuncture, electrocardiogram, urine analysis, blood testing, centrifuging, and autoclaving
• Documented all necessary treatments given in patient's chart
• Observed, recorded and reported patient’s condition and reaction to drugs and treatment to providers
• Documented all phone consultation notes in patient’s chart
• Educated patient/family about diagnostic procedures, medications, nutritional maintenance of health and wellness
• Acted as as coordinator of health care team in order to maintain proper linkages to provide necessary care on continuing basis
• Maintained examination rooms for necessary supplies and equipments
• Prepared supplies and equipment using sterile technique
• Assisted providers during examinations, treatment and procedures.
• Managed patients with multiple chronic health conditions, acute episodes of care and behavioral health challenges while promoting and supporting prevention and wellness.

● Assessed physical, functional, psychosocial status of the patient utilizing interview observations and physical exam techniques.
● Effectively managed all aspects of pharmacological treatment of the clients, in collaboration with, and under the direction of the provider.
● Conducted health and psychosocial assessments of patients and develops treatment recommendations.
● Administered medications as ordered by treating provider.
● Accurately followed established infection control and safety policies and procedures.
● Evaluated patient’s response to care and informs physician, nurse manager and other appropriate members of the health care team of changes in patients condition and needs.
● Participated in interdisciplinary team meetings, case conferences and clinical supervision.
● Advocated for and provides health education to clients, families and significant others to improve lifestyle choices reducing chance of symptom reduction.
● Implemented treatment plans, revising and updating as necessary.
● Ensured that patient and family demonstrated knowledge and ability regarding their rights and responsibilities, diagnosis, health care status, treatment, medication regimen, advanced directives, and adaptive behaviors gained as result of interventions.

• Created and implemented electronic forms to keep tract of medications and sign off on administered medications to patients to be used by staff to improve accuracy in medication administration.
• Carried caseload, provided comprehensive nursing service, attended doctor appointments with patients, provided referrals for health care, job training and other services.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
• Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities.