Hospitalist/ Nurse Practitioner - Private practice/Nursing Home - NY
(2023-12)
- Perform comprehensive assessments and examinations of patients
- Develop and implement treatment plans for patients with acute and chronic illnesses
- Provide primary care services, including diagnosis, treatment, and management of common medical conditions
- Collaborate with interdisciplinary healthcare team members to ensure coordinated and comprehensive patient care
- Utilize evidence-based practice guidelines in the delivery of patient care
- Conduct utilization management activities to ensure appropriate utilization of healthcare resources
- Provide education and counseling to patients and their families regarding health promotion, disease prevention, and self-management strategies
- Participate in discharge planning and coordination of care for patients transitioning from hospital to home or other healthcare settings
Director of Nursing - Mattison Crossing at Manalapan avenue - 93 Manalapan Ave, Freehold, NJ
(2022-05 - 2023-11)
- Develop and implement methods for coordination of nursing services with other resident services to ensure the continuity of the residents total regimen of care
- Participate in facility surveys / inspections made by authorized government agencies
- Assist the Quality Assessment and Assurance Committee in developing and implementing appropriate plans of action to correct identified deficiencies
- Assist the Discharge/ Transfer Planning Coordinator in developing, implementing and periodically updating the written procedures for the Discharge Planning program
- Determine the staffing needs of the nursing service department necessary to meet the total nursing needs of the residents
- Ensure attending physicians record and sign progress notes, physicians orders, etc on a timely basis and in accordance with current regulations
- Schedule daily rounds to observe residents and to determine if nursing needs are being met in accordance with the residents request
- Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled
- Initial, ongoing RN patient assessments
- Prepare and plan the nursing department's budget and submit to the Administrator for review and approval
- Maintain a written record of resident's complaints and or grievances that indicate action was taken to resolve the complaint and the current status of the complaint
- In charge of hiring, training new employees
- Wound care treatment
Emergency Room RN/ Medsurg RN - Old Bridge Hospital
(2019 - 2022)
- Provide considerate respectful care focused upon the patient's individual needs to ensure patient satisfaction
- Affirm the patient's right to make decisions regarding medical care, including the decision to discontinue treatment, to the extent permitted by law
- Demonstrate the ability to obtain information and interpret information in terms of the needs of the age of the patients cared for
- Demonstrate knowledge of growth, development and/or adult health throughout the life span as appropriate to the job performed
- Successfully complete life-span education as appropriate
- Obtains a complete nursing history and baseline assessment that is systematic, consistent and continuous
- Document results of patient assessment, nursing diagnosis, care plan nursing interventions and evaluation and patient progress in medical record according to hospital/nursing policy and the Nursing Standards of Care/Practice for the specific patient type
- Appropriately analyze patient information /assessment to determine nursing diagnosis and needs for appropriate nursing care, medical intervention or services of other clinical professionals
- Identify patient problems and formulates nursing diagnosis according to physical, psychological, spiritual/cultural and educational needs in conjunction with a multi-disciplinary approach
- Consistently include patient and family in the development of an individualized plan of care
- Administer medication as needed following CSHS policies and manufacturer's instructions
- Take immediate and appropriate actions in the event of a medication variance occurrence
- Recognize changes in patient condition and/or emergencies situations and take immediate and appropriate actions
- Participate in unit conferences to discuss quality issues and quality improvement strategies
- Delegate components of care to non-professional caregivers as appropriate. Follows up on any delegated components of care and assignments given
- Make decisions that demonstrate knowledge of nursing practice; utilizes sound nursing judgment in clinical and patient care management situations
- Demonstrate critical thinking skills in the care of patients and in the coordination of care to assure the best patient outcomes
- Follow CSHS Pain Assessment policy. containment through efficient use of equipment, supplies and other pertinent resources
- Recognize adverse reaction to medications and take immediate and appropriate action
- Evaluate the patient's needs for discharge and accesses appropriate resources for the patient and/or family
- Consistently provide written and verbal education to patients and/or families
- Can successfully function as a preceptor/mentor to students and new staff members
- Consistently promotes teamwork within the unit and between departments
- Consistently adhere to hospital policy regarding the insertion, maintenance and removal of foley catheters
- Able to verbalize and demonstrate proper rationale and techniques surrounding all aspects of indwelling urinary catheter care as per policy
- Fulfills the requirements for competencies and completion of annual mandatories surrounding indwelling urinary catheters
Med surg (pediatric float, Post -Partum RN - New York - Presbyterian Hospital - Brooklyn, New York
(2018-04 - 2019-04)
- Assess the patient's physiologic health status
- Conduct patient interview, explain policies and procedures to patient/significant others, review patient's chart and answer questions correctly and courteously
- Assess gastrointestinal, cardiovascular, respiratory, renal and neurological health status
- Determine mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate
- Assess level of pain and pain management
- Communicate/document patient's physiologic health status and plan of care
- Assess patient's psychosocial health status
- Elicit perception of medical/nursing care and the expectation of care
- Determine coping mechanism, knowledge level, and ability to comprehend
- Identify cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction
- Communicate and documents psychological status and care plan; support group, counseling services, social services
- Identify patient outcome
- Develop criteria for measurement of patient outcomes
- Identify actual/potential patient problems
- Identify patient's need for teaching based on psychosocial and developmental assessment
- Develop patient outcome statement (s) and establish individualized patent goals
- Implement the plan of care
- Maintain constant vigilance over patients care to ensure that safety precautions/needs are followed. (Side rails up, call lights and bedside stand within reach, etc.)
- Exercise professional skills related to the plan of care
- Reassess patients as needed and appropriately revises plan of care
- Correctly administer prescribed treatments
- Correctly use equipment necessary for patient care
- Provide emotional support to patient and significant other
- Apply scientific principles in performing procedures; carry them out safely, timely and efficiently
- Make accurate observations of patient's conditions during treatments/procedures. Report and record same as appropriate
- Keep accurate documentation of patient's treatment, activity and condition, as well as patient's responses to medical and nursing interventions
- Use appropriate methods of documentation according to departmental policy
- Act rapidly and effectively during any emergency situation, managing self, patients and other employees
- Provide a calm, quiet, restful atmosphere. Communicate effectively with the patient's family or caretakers
- Participate in planning for discharge and coordinates referrals, as appropriate
- Provide discharge instructions to patient and significant other
- Collaborate with other care team members in planning and carrying out treatment regimen; provide direction to other members of the care team
- Collaborate with the appropriate physician on patient's plan of care
- Accurately interpret and implement treatment regimen as prescribed by the Physician
- Assist the Physician during treatments and/or diagnostic procedures
