Yeranuhi M. Mansourian, RN

Affinity Hospice & Palliative Care

Case Manager, Clinical RN

Assessed, planned, implemented and evaluated individualized nursing care plans for each patient. Created detailed documentation of patient health history including lab results, treatments and medications prescribed. Analyzed test results and communicated findings to physicians in order to develop effective treatment plans. Provided safe and therapeutic care, respecting cultural and religious practices. Implemented interventions based on evidence-based practice guidelines while working collaboratively with interdisciplinary teams. Utilized critical thinking skills when assessing new information or changes in a patient's condition. Managed caseloads involving multiple chronic illnesses across various settings such as hospitals, long-term care facilities or private homes. Able to perform nursing skills and procedures with minimal supervision or training required. Conducted home visits to evaluate the effectiveness of a patient's current plan of care, focusing on symptom management and the dying process. Assessed and evaluated patient's physical, psychological, social, spiritual, cultural and environmental needs. Utilized effective interpersonal, writing and active listening skills to build and cultivate positive relationships with patients, caregivers and physicians. Coordinated discharge planning with multidisciplinary teams ensuring safe transition and receiving highest level of care.

Assessed, monitored, and documented patient conditions on a daily basis. Administered medications as prescribed by physicians. Educated patients and families about disease processes, treatments, and self-care techniques. Advised physician on changes in patient's condition or response to treatment. Managed complex cases of critically ill patients, ensuring optimal treatment plans were executed effectively. Explained course of care and medication side effects to patients and caregivers in easy-to- understand terms. Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems. Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care. Managed care from admission to discharge. Educated family members and caregivers on patient care instructions. Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale. Devised individualized care plans tailored to each patient's unique situation, optimizing clinical outcomes. Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation. Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management. Served as a liaison between physicians and patients families to facilitate clear communication regarding treatment options and progress updates. Administered medications via oral, IV, and intramuscular injections and monitored responses. Advocated for patients by supporting and respecting basic rights, values and beliefs.

Provided direct patient care and monitoring of vital signs, oxygen saturation levels, and cardiac rhythms. Assessed patients for potential complications due to medications or interventions. Responded quickly to changes in a patient's condition and reported them to the physician immediately. Maintained accurate documentation of assessments, treatments, medications administered and any changes in the patient's condition. Performed 12-lead electrocardiograms on patients and interpreted results. Educated patients and families about the diagnosis, treatment plan, medications, lifestyle modifications and follow-up care. Interpreted cardiology test results such as echocardiograms, stress tests or Holter monitors. Utilized electronic health record systems to document patient information accurately. Counseled patients and family members on topics such as diet, exercise regimens, risk factors or disease management. Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions. Modified patient treatment plans as indicated by patients' responses and conditions. Assisted physicians with diagnostic procedures such as stress tests, holter monitoring, and echocardiograms. Monitored and analyzed cardiac rhythms on EKG monitors for inpatients. Identified potential issues with the patient's ECG tracing before they become critical situations. Analyzed trends in patient's vitals over time in order to detect any abnormalities early on. Performed appropriate nursing assessments related to cardiovascular system function. Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.

Ensured that patient care standards were met by providing training and guidance to healthcare professionals. Developed policies and procedures for the clinic to ensure quality service delivery. Ensured compliance with regulatory requirements related to health insurance plans, HIPAA regulations. Performed regular audits of patient charts to ensure accuracy of information recorded in medical records system. Oversaw recruitment of new personnel for the clinic, conducting interviews and making hiring decisions. Maintained effective communication with patients regarding their treatments, medications, follow-up visits. Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations. Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.

Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner. Interviewed and engaged patients to obtain medical history, chief complaints and vital signs .Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment. Organized charts, documents and supplies to maintain team productivity. Documented notes during patient visits. Responded to patient callbacks and phone-in prescription refill requests. Educated patients about medications, procedures and physician's instructions. Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes. Conducted insurance verification and pre-certification and pre-authorization functions.

Administered medications under physician's supervision. Developed relationships with healthcare providers to sustain strong referral pipeline.

• Completion of clinical hours with a diverse patient population in a major city environment securing a skill set including rigorous patient assessments, time management, medication administration, IV/pump insertion and coordination, respiratory care, interpreting lab diagnostics, wound care, health promotion, therapeutic communication and building rapport, pain management, mental health management, infection control, educating patients within the community, discharge education, as well as pre and post-op care/education. Independently educated patients and families on disease processes such as congestive heart failure, pressure ulcers, and syncope; procedures such as angioplasty; and aspects of therapeutic regimens, including medication and pain management techniques.