Jessica Melstrand, RN, BSN

N*** W***** Reynolds Street

Jackson, Wisconsin 53037

Home phone: 262-***-****

Cell phone: 262-***-****

Email Address: ac23yu@r.postjobfree.com

Career Summary:

RN/BSN nursing professional with 20+years’ experience in quality-focused nursing care seeking challenging position in nursing administration or clinical operations

Work Experience:

Preceptor Healthcare Home Health and Hospice, Germantown, WI

November 2013- present

Interim Administrator/ Quality Improvement Manager/ Hospice Director of Nursing

Currently serving as Interim Administrator, overseeing company-wide homecare and hospice clinical operations. Recently served as lead coordinator for comprehensive CHAP accreditation for both Home Health and Hospice. Coordinated and implemented conversion of electronic medical records software programs. Added benchmarking software to assist agency’s VBP/ ACO portfolios. Achieved 4.5 stars for Home Health Compare and currently, Hospice Compare scores are well above national average for all quality factors. Initial position as QI Manager assigned to develop and implemented agency’s first QAPI program for both Home Health and Hospice. Worked with Compliance officer to ensure regulatory compliance was maintained. Successfully challenged medical reviews. Surveyed for industry condition of participation changes and implemented policy change and process improvement. Actively revised Emergency Preparedness programs for both lines of business.

Allay Home Care and Hospice - RN Case Manager/QAPI Nurse

Mequon, Wisconsin

March 2010 – October 2013

Performed hospice case management to patients in homes, skilled nursing facilities and assisted living settings. Responsible for End-of-Life medical management and emotional support for patient and family. Coordinated referrals to community resources as needed. Performed supervisory visits of ancillary staff. Initiated legal process for admittance to hospice program. Participated in interdisciplinary team meetings. Educated facility staff in hospice plan of care and appropriate medical interventions. Promoted to QAPI Nurse. Trained with various quality and compliance consultants in charge of developing a QAPI program agency-wide.

Jackson Crossings – Nurse Manager

Jackson, Wisconsin

March 2008 –March 2010

Provided comprehensive case management for 64 bed assisted living facility. Worked with memory care unit residents and their special needs. Supervised ancillary staff on daily management of cares and standards of practice. Provided ongoing health assessments for residents. Trained staff on first aid, dietary practices, and medication administration. Worked closely with families regarding insurance issues and provisions.

St. Joseph’s Community Hospital – Hospice

West Bend, Wisconsin

July 2008 – March 2010

Provided comprehensive supportive care to eight bed residential facility. Delegation of job duties to ancillary staff and volunteers, applicable to the patients' nursing care plan. Titration of a variety of intravenous narcotics, and selection of other medications effective for pain control. Educated families and patients on End-of-Life experiences. Trained in EPIC computer systems.

St. Joseph’s Community Hospital – In House Float Nurse

West Bend, Wisconsin

October 2002 – July 2008

Trained as in-house pool nurse to service ICU, Medical/Surgical, ED, and Outpatient Continuation of critical care skills. Organized patient load on M/S floors from pediatrics to geriatrics. Limited experience with postpartal care. Assisted in administration of Persantine stress tests, Remicade, and IVIG infusions. Skilled in care of PICC lines and various wound care procedures. Limited chemotherapy administration. Continued educating inpatients and outpatients regarding health care and promotion. Supervised and oriented new RNs.

West Bend Surgery Center – Perioperative Setting and GI Lab

West Bend, Wisconsin

April 1999 – October 2002

Provided perioperative care to pre and post-op patients. Continued practice of IV conscious sedation during operative cases. Skilled in multiple endoscopy procedures. Performed discharge teaching and planning for adult and pediatric clients. Involved in review and revision of policies and procedures.

St. Joseph’s Community Hospital – GI Lab

West Bend, Wisconsin

December 1998 – April 1999

Skilled in assisting with detailed endoscopy procedures. Performed IV conscious sedation. Trained in Steris sterilizing equipment.

Children’s Hospital of Wisconsin – Pediatric Intensive Care Unit

Milwaukee, Wisconsin

June 1998– October 1998

Provided patient care to critically ill and unstable pediatric patients. Skilled in management of ventilator-dependent children and various complicated IV medicated regimens, including care of post-op open heart patients with multiple invasive monitoring equipment. Provided family education/consultations and multi-disciplinary plans of care.

Froedtert Memorial Lutheran Hospital – Post Anesthesia Care Unit

Milwaukee, Wisconsin

October 1996 – December 1998

Provided post-anesthesia care to various surgical patients including those with epidurals, spinals, generals, and intrathecal narcotics. Skilled in airway management Assisted with extubation and re-intubation and management of ventilatory equipment. Experienced in obtaining ABGs and assisting in placement and interpretation of PA catheters, arterial lines, and CVPs. Obtained and evaluated laboratory values. Initiated and titrated cardiac drips and specific anesthetic medications. Skilled in the monitoring of conscious sedation. Limited operating room experience, including assisting surgeon with procedures, performing as scrub nurse and circulating nurse. Performed charge duties on day and p.m. shifts. Supervised and orientated new employees. Active member of Practice and QA councils.

Columbia Hospital - Intermediate Care Unit

Milwaukee, Wisconsin

February, 1996 to October 1996

Provided patient care within a 21 bed unit of critically ill and unstable patients with various medical and surgical interventions. Skilled in telemetry and ventilatorequipment. Experienced in administration of various cardiac medications and performance of cardioversions. Enhanced critical care skills with rotations to Intensive and Cardiac Care Units. Assisted patients and families in handling emotional issues associated with critical care. Collaborated withinterdisciplinary teams and developed nursing plans of care.

Education:

University of Wisconsin - Milwaukee

Bachelor of Science - Nursing, December, 1995

Cumulative GPA - 3.5/ 4.0; Major GPA - 3.8/4.0

Honors:

Schmidley Scholarship Recipient 1990

Dean’s List 1990-1995

University Scholars Honors Society 1990-1995

National Student Nursing Association

Licensure:

February, 1996 obtained Registered Nurse License

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