Teshian Hughes

Licensed Practical Nurse with 5+ years of clinical experience across hospice, home health, skilled nursing, long-term care, rehabilitation, pediatrics, and orthopedic specialty care. Strong background in medical-record review, clinical documentation, patient intake, clinical assessment, regulatory compliance, and interdisciplinary communication. Experienced in synthesizing diagnoses, objective clinical findings, functional status, treatment needs, and supporting documentation to identify gaps, inconsistencies, and areas requiring follow-up.

Brings strong clinical reasoning, attention to detail, confidentiality, and documentation skills to medical review and healthcare quality operations.

Licensed Practical Nurse - Hospice Care

(2026-01)

• Review patient clinical records and current documentation to identify evidence of clinical decline, changing care needs, and information relevant to hospice eligibility and continued care.
• Synthesize diagnoses, functional status, weight trends, DME needs, recent provider documentation, orders, and clinical findings when evaluating whether the record adequately supports hospice services.
• Identify documentation gaps and obtain recent clinical information needed to support accurate, compliant records and interdisciplinary review.
• Document objective assessment findings, changes in condition, symptom patterns, care needs, and communication with providers and the interdisciplinary hospice team.
• Coordinate with facility staff, caregivers, providers, and hospice team members to obtain timely information and resolve documentation or care-coordination needs.
• Apply clinical judgment to recognize changes in functional status, symptom burden, bowel/bladder status, medication needs, and other findings requiring escalation or follow-up.

Licensed Practical Nurse (PRN) - Home Care Services of South Dakota

(2026-06)

• Independently complete skilled home health visits and comprehensive nursing assessments.
• Assess medication adherence, administer injections, provide patient education, and document care in WellSky Personal Care.
• Communicate with patients and providers regarding changes in condition and coordinate visits and follow-up care.

Licensed Practical Nurse - Specialty Care Pediatrics

(2025-12 - 2026-04)

Provided one-on-one pediatric nursing care emphasizing assessment, medication administration, family education, accurate documentation, and coordination of care.

Licensed Practical Nurse / Charge Nurse - The Villas at Sunny Acres

(2022-11 - 2025-05)

Provided skilled nursing care for post-acute and long-term care residents and served as overnight Charge Nurse with clinical oversight for approximately 60 residents.

• Performed admissions, medication reconciliation, provider communication, interdisciplinary care coordination, and clinical documentation.
• Trained new staff, supervised CNAs, and supported compliance with regulatory standards.

Licensed Practical Nurse / Team Leader - Sandstone Senior Living

(2022-01 - 2022-10)

Managed daily nursing operations, resident assessments, medication administration, injections, wound care, documentation, and care planning.

Licensed Practical Nurse - Spearfish Canyon Healthcare

(2021-06 - 2021-12)

Provided skilled nursing care within a long-term care and rehabilitation setting while coordinating with providers and interdisciplinary team members.

Licensed Practical Nurse - Monument Health Orthopedic & Specialty Hospital

(2021-01 - 2021-06)

• Conducted patient intake assessments, vital signs, venipuncture, and Epic documentation.
• Managed medication refill requests, patient messaging, scheduling support, and patient education.
• Assisted orthopedic, sports medicine, and podiatry providers with injections, splinting, casting, and brace application.

Licensed Practical Nursing Diploma - Licensed Practical Nursing - Western Dakota Technical Institute (2020-01)

High School Diploma - Stevens High School (2019-01)