Manager Nurse

Sandra K. Serrano, RN, BSN, CPHQ, CLNC

Serrano & Kraemer Medico-Legal Solutions, LLC

**** ***** **** ** *** 129-509

Eagan, MN 55122-2476

Phone: 952-***-****

Cell: 763-***-****

*********@*****.***

SUMMARY OF QUALIFICATIONS

Thirty-four years nursing experience providing a broad basis for uniquely evaluating medical care based

on clinical expertise and standards of care.

Continuous improvement, clinical system redesign, & facility accreditation/ regulatory review expertise,

providing exceptional case review skills.

Twenty-six years in a variety of Intensive Care settings, including SICU, MICU, CICU, PACU, and the

ED, providing a high level of case assessment.

Ten+ years experience with the largest computerized medical record system in the country, leading to

proficiency in assessment of electronic records.

Served in the Nurse Manager role, which provides insight to reviewing patient care cases from a facility

management and regulatory viewpoint.

PROFESSIONAL EXPERIENCE

2005 2011 Minneapolis Veterans Administration Health Care System, Minneapolis, MN

Continuous Improvement Consultant

Facility External Peer Review Program Liaison for the National VA Performance Measure

Program

- Ensures facility compliance with National VA Performance Measures, Joint Commission

ORYX Measures, and Medicare/Medicaid HEDIS Measures.

Facility mortality assessment, including case review of all facility deaths against standards of

care, and quarterly mortality data analysis to ensure adherence to VHA Mortality Directive and

standards outlined by the Office of the Inspector General

Expert individual clinical case reviewer, recommending peer review for cases not meeting

expected standards of care.

National System Redesign Coach for VA Cancer Collaboratives

- Designated Coaches' Coach for the National System Redesign 2011 Cancer Collaborative.

Team Lead for annual Missing Patient root cause analysis (RCA) to improve oversight of

patients at risk for wandering.

1998 2005 Minneapolis Veterans Administration Health Care System, Minneapolis, MN

Interventional Cardiology Clinical Research Coordinator

Overseeing Interventional Cardiology Device Trial Protocols and Cardiology Drug Trial

Protocols.

Screening of potential patient participants utilizing research protocol criteria, and overseeing

patient care to ensure patient safety while on research protocols.

Preparation and submission of research protocols to the IRB for review and approval.

1996 2005 Minneapolis Veterans Administration Health Care System, Minneapolis, MN

Cardiac Catheterization Laboratory, Staff Nurse

Scrub Nurse- direct assist to Interventional Cardiologist during interventional cardiology

procedures.

Circulating Nurse- responsible for monitoring patient stability, and administering necessary

intravenous medications (pressors, anticoagulants, sedatives, narcotics.)

1994 1996 Minneapolis Veterans Administration Health Care System, Minneapolis, MN

Intensive Care Unit Float, Staff Nurse

Areas of Expertise included:

- Surgical ICU, Medical ICU, Cardiac ICU, Cardiac Catheterization Lab, Telemetry, PACU,

Dialysis, and ICU Bed Control.

1993 1994 Minneapolis Veterans Administration Health Care System, Minneapolis, MN

Hemodynamic Monitoring Team, Nurse Manager

Managed multidisciplinary team responsible for insertion and maintaining invasive monitoring

lines in the Intensive Care Units and the Operating Rooms (arterial lines and pulmonary artery

catheters).

Educated new staff on proper insertion techniques and ensured field sterility.

1985 1993 Minneapolis Veterans Administration Health Care System, Minneapolis, MN

Emergency Department/ Urgent Care, Staff Nurse

Stabilization of critically ill patients presenting to the Emergency Department, including

cardiac, neurological, vascular, orthopedic, acute medical, and mental health.

1979 1985 Minneapolis Veterans Administration Health Care System, Minneapolis, MN

Surgical Intensive Care Unit, Staff Nurse, Assistant Nurse Manager

Direct care of critically ill post-surgical patients including:

- open heart surgery (CABG, AVR, MVR)

- neurosurgery

- vascular surgery

Maintenance and monitoring of ventilators, IABPs, ICPs, and invasive monitoring lines.

1977 1979 Minneapolis Veterans Administration Health Care System, Minneapolis, MN

Orthopedics, Staff Nurse

Direct care of post-surgical orthopedic patients, including total hip and total knee arthroplasties,

and fracture care.

EDUCATION

Bachelor of Science, Nursing, St. Olaf College, Northfield, MN

CERTIFICATIONS

Certified Legal Nurse ConsultantCM (CLNC ) Vickie Milazzo Institute, a division of Medical-Legal

Consulting Institute, Inc.

Certified Professional in Healthcare Quality (CPHQ) National Association for Healthcare Quality

(NAHQ)

LEAN Green Belt Certification Purdue University

LEAN Yellow Belt Certification Purdue University

Basic Cardiac Life Support (BCLS) Certification American Heart Association

Advanced Cardiac Life Support (ACLS) Certification American Heart Association

Certified Clinical Research Coordinator (CCRC) Association of Clinical Research Professionals

PRESENTATIONS

Serrano, Sandra K. Minneapolis VA Medical Center ENT Cancer Care System Redesign. VHA

Improvement Forum, 2011.

Serrano, Sandra K. "Making Time for System Redesign." National VA Cancer Care Collaborative,

2011.

Serrano, Sandra K. "Development of the Cancer Care Coordinator Role." National VA System Redesign

Conference, 2009.

Serrano, Sandra K. "System Redesign of the Minneapolis VA Rapid Response System (Poster

Presentation)." National VA System Redesign Conference, 2009.

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