Registered Nurse Respiratory Therapist

Charlotte Smith

*** ***** ****

Mount Pleasant, Texas 75455

903-***-**** (home)

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

QUALIFICATIONS

Registered Nurse w/Bachelor of Science in Nursing and Certified Respiratory Therapist

offering management and non-management experience in hospitals/clinics/home

health/hospice, corrections settings working with physicians on various levels. These

levels include but are not limited to Occupational Health, Emergency Department,

Intensive Care,Medical/Surgical and Behavioral units. 6 years as Travel RN/RT.

WORK HISTORY

Allegiance Specialty Hospital – Interim Director of Inpatient Services

7/01/2013 to 07/24/2013

Allegiance Specialty Hospital, Kilgore, Texas

Interim Director of Inpatient Services

Responsible for Acute Care and Behavioral Health Units at private hospital.

Duties included daily reports to Chief Nursing Officer, planning, staffing, organizing,

delegating services in an efficient and cost effective manner, providing leadership and

supervision for all staff; monitor and evaluate overall care of patients, assist in screening

process for potential patient admissions; adhere to policies and mission of hospital.

Millenia Medical Staffing - Travel Registered Nurse

(Multiple assignments with MMS from 10/2008 to 03/2013)

02/11/2013 to 03/15/2013

Harley-Davidson, Kansas City, Missouri

Take Care Clinic Occupational Health Registered Nurse/Certified Respiratory Therapist

Triage employees regarding occupational/personal injuries. Provide first aid, urgent and

emergent care for 1000 Harley-Davidson employees, BLS/ACLS protocol followed.

Perform drug testing per Harley-Davidson policy. Function as Lead Clinical RN as

needed. OHM/EHR used.

10/22/2012 to 01/20/2013

Tuba City Regional Health Care, Tuba City, Arizona (Navajo Reservation)

Same Day Clinic/Dinnebito Clinic Registered Nurse

Duties include triage/screen patients that meet criteria to be seen in non-urgent care

clinic.

Assist as Lead Clinical Nurse as needed. Administer adult/pediatric IM, SC and ID

immunizations such as Tdap, MMR, Pneumovax, Influenza, Hep A/B, HPV and

place/read PPD. Administer IM/SC injectionables. Provide wound care, remove

sutures/staples, insert/discharge foley catheters. Assist physicians in procedures as

needed. Functioned as Lead Clinical Registered Nurse for Dinnebito clinic every other

Tuesday in extremely remote area. Provide IM, SC and ID pediatric/adult

immunizations. Perform venipuncture

for lab as needed. Responsible for opening/closing Same Day & Dinnebito clinics as

needed.

01/23/2012 to 02/19/2012

Toyota Manufacturing Plant, Blue Springs, Mississippi

Take Care Clinic Occupational Health Registered Nurse/Certified Respiratory Therapist

Triage and provide first aid, personal, urgent and emergency care for 2000 Toyota

employees; BLS/ACLS protocol followed; perform pre-employment screening including

hair, urine drug testing, spirometry, vision, hearing and grip testing to all potential

employees; Citrix EHR/EMR used.

08/15/2011 to 10/07/2011

Lowe’s Distribution Center, Statesville, North Carolina

Take Care Health Clinic Charge Occupational Health Registered Nurse

Care included first aid, minor emergencies, health risk assessments including drawing

blood for labwork, administering vaccines, adhering to OSHA rules and regulations, case

management and educating employees regarding health concerns.

09/03/2010 to 10/22/2010

Cedar Hill Unit, Federal Bureau of Prisons, Big Spring, Texas

Registered Nurse caring for 1,200 low security inmates which included administering

Direct Observation Therapy(DOT), IM injections, venipunctures/labwork, EKGs, sick

calls, chronic care such as cardiac, pulmonary and diabetic inmates. Triaged and treated

inmates with life threatening illnesses then transported to local medical facility.

Performed intakes on new inmates. Population included adult chronically and mentallyill.

07/21/2010 to 09/01/2010

Polunsky Unit, Texas Dept of Corrections, Livingston, Texas

Charge RN caring for 2,900 maximum security inmates covering all medical, psychiatric,

chronically ill and up to emergency room admissions. Inpatient Unit/17 bed prison

hospital. Population included maximum security psychiatric inmates. Upon admission,

intake/assessments were completed. Treatment plan initiation included de-escalation

techniques such as seclusion, restraint and segregation. Crisis management in place for

inmates suffering from extensive self mutilation. Medically provided IV meds via

mediport and PICC, wound care, tracheostomy care, CPAP/BiPAP respiratory care to

chronically and terminally ill patients.

06/03/2010 to 07/09/2010

Corrections Charge RN, Kinney County Detention Center, Brackettville, Texas

Federal detention center responsible for 300 detainees care while in custody of

U.S.Marshals. Provided physical and mental intakes/assessments upon arrival to facility.

Formed plan of care using team approach which included crisis management and de-

escalation techniques such as segregation. Care included but was not limited to nursing

and respiratory diagnoses, treatment on premises for medical and psychiatric, transferring

detainees with acute care needs such as fractures, lacerations, cranial contusions and

acute abdomens. Daily contact with U.S. Marshals regarding inmate status.

06/2009 to 07/2009

Corrections RN, Joe Corley Federal Detention Center, Conroe, Texas

Prepared Federal detainees for clearance via intake process which included assessing

for self harm. Performed head-to-toe assessments on all detainees received to federal

facility. Triaged and provided medical care including IVs, following ACLS protocol to

detainees with urgent and emergent care needs prior to transport to acute care facility.

10/2008 to 02/2009

Medical/Surgical RN/RT, University of Texas Hospital, Tyler, Texas

Cared for high risk corrections patients in an acute care setting. Duties included

performing assessments, venipunctures, initiating IVs, administering/monitoring

medications including all blood products to oncological and chronically ill, assessing

pain, observing and caring for chest tubes, tracheostomy tubes, aerosol/nebulizer

treatments, in-inline suctions, Jackson Pratt drains, mediports, PICCs, Central Lines,

foley catheters and various surgical wounds. Wound vacuums managed for wound care.

Patient population included critically, chronically, mentally and terminally ill patients.

United States Steel – Plant RN

04/02/2012 to 09/30/2012

United States Steel, Lone Star, Texas

Clinic Manager/Occupational Health Registered Nurse/Certified Respiratory Therapist

Responsibilities included developing, implementing and administering

policies/procedures consistent with company’s health services policies; assigned work

responsibilities/schedules, monitored work performance, evaluated staff performance;

performed pre-employment screening/testing, random/post accident testing and respirator

fit testing; coordinated with Physician Assistant regarding employee care; monitored for

workplace hazards, knowledge of OSHA, FMLA, Worker’s Compensation and HIPAA

while maintaining legal and regulatory compliance. Population-1600 employees

American Medical Staffing - Registered Nurse and Respiratory Therapist

Multiple assignments from 12/2009 to 08/2011

05/2011 to 08/01/2011 (PRN basis)

RN and Respiratory Therapist in Select Specialty LTAC, Longview, Texas

Care for adult patients with wide variety of diagnoses requiring ventilator, BiPap, CPAP,

oxygen therapy, nebulizer treatments, arterial blood gases, venipuncture for labs, wound

care, wound vacuums, medicinal therapy via PICCs, IVs and PO routes. Directed

nursing plan of care and revised as needed.

12/2009 to 02/27/2010

H1N1 Clinic RN providing teaching and administering the H1N1 vaccine to pediatric

through geriatric population. Service provided at Texas Dept of Health and WIC offices.

Correctional Healthcare Companies, Inc. - Registered Nurse

03/2009 to 04/2011 (PRN basis)

Corrections RN, Smith County Jails (Central and Low Risk), Tyler, Texas

Performed medical intakes and established treatment plan for those exhibiting signs and

symptoms of instability. Performed PPD to determine clearance for communicable

disease. Performed sick calls per facility protocol and transfer as necessary. Monitored

population for potential life threatening signs of chronic and mental illness. Provided

daily, urgent and emergency care to 450 inmates with chronic and acute health problems.

Performed venipunctures for labwork, administered IM/SC injections, respiratory therapy

and EKGs per orders. Environment was high risk and fast paced.

Texas Select Staffing - Travel Registered Nurse/Certified Respiratory Therapist

03/15/2010 to 04/27/2010

Comanche Peak Nuclear Power Plant, Glen Rose, Texas.

Occupational Health Registered Nurse responsible for assessments, medical care,

teaching and directing plan of care for employees with subacute needs during plant

outage. Adhered to OSHA regulations. 2,000 employees.

Paragon Medical Staffing - Travel Registerd Nurse

Multiple assignments from 09/2007 to 10/2008

07/2008 to 10/2008

Triage RN for Fort Defiance Indian Hospital, Arizona.

Received and triaged patients and assisted with care as needed which included IV

initiation, IM/SC injections, venipunctures for lab, EKG and F/C initiation or discharge

as needed. Patient education performed as needed.

Population included teens to adults chronically, mentally and terminally ill.

09/2007 to 12/2007

Research RN contracted to Johns Hopkins University for the Medi-524 (NuMax)

Respiratory Syncytial Virus (RSV) Research Project for the prevention of RSV disease

among the Native American Infants in the Southwestern United States. Duties included

enrolling and dosing patients to study Medi-524, gather data to determine how well

Medi-524 works to prevent RSV, prevent wheezing and asthma in children up to age 5

years.

Aedon Staffing - Travel Registerd Nurse

06/2008 to 7/2008

Charge RN of Behavioral Unit in Skilled Nurse Facility. Locked, long term care unit

consisting of psychiatric population. Duties included treatment plan, medication, de-

escalation and time outs used as management tools as well as supervising staff.

Population was young adults to geriatrics.

Paris Regional Medical Center and Dubuis Health - Certified Respiratory Therapist

04/2008 to 06/2008 (PRN/concurrent employment)

CRT in acute care setting. Responsibilities included treating, evaluating, monitoring and

managing cardiopulmonary patients via mechanical ventilation, CPAP, BiPAP, HHN,

Oxygen therapy, ABGs, EKGs and PFTs. Ventilator experience included Drager, PB

7200, Servo and Sechrist. Patient population included neonates to geriatrics.

Oncology patient - Registed Nurse/Certified Respiratory Therapist

10/30/2006-07/16/2007

Registered Nurse/Certified Respiratory Therapist, Oncology patient

RN/CRT performed private duty care for patient suffering from originally

diagnosed Pineocytoma. Duties included post-operative Pineocytoma biopsy care and

ultimately Craniotomy care. Further duties included interpreting laboratory results and

medical diagnoses such as Pineocytoma transitioning to Pineoblastoma, planning and

adhering to full craniospinal radiation including use of Ethyol during treatment, planning

and adhering to chemotherapy which included Vincristine and ultimately use of Neulasta

due to neutropenia . Provided 24 hour/day monitoring and care of patient in an effort to

achieve objective to return patient to optimal level of wellness and ultimately job.

Girling Health Care - Registered Nurse/Certified Respiratory Therapist

02/22/2006-08/31/2006

Registered Nurse/Certified Respiratory Therapist, Girling Health Care

RN/CRT (Longview/Tyler area) that provided skilled nurse services to adult patients

meeting criteria for admission to home health. These services included but were not

limited to skilled assessments, observation, teaching, planning and implementation of

nursing plan of care individualized for each patient. Further services provided are:

venipuncture for labwork, wound care, mediport care, SC and IM injections, intravenous

needs, arterial blood gases, ventilator and tracheostomy care, gastrostomy care, general

ostomy care, urinary catheter insertion including urethral and suprapubic. OASIS in use.

Outreach Health Services, Administrator/RN

08/22/2005-02/02/2006

Administrator/RN, Outreach Health Services

Provided professional supervision and direction to all supporting staff in the provision of

direct health care services and implementation of agency policy and regulatory

requirements. OASIS in use.

Jordan Health Services - Registered Nurse, Quality Assurance Coordinator

01/2005-08/2005

Modified QA department (Mt.Vernon location) for Community Based Alternatives,

Primary and Family Care; received and monitored all documentation to insure regulatory

and compliance standards were met; generated region reports for administrator and

director of nurses at end of month, quarterly, semi-annually as well as annually;

in-serviced nurses and other staff as needed regarding issues pertinent to quality

assurance.

Cypress Basin Hospice - Registered Nurse/Respiratory Therapist

08/2003-11/2004 (PRN only)

Provided palliative care for terminally ill patients under guidance and philosophy of not-

for-profit organization. Ventilator/tracheostomy management performed as well.

Titus Regional Medical Center - Certified Respiratory Therapist

07/15/2002-09/30/2002

Provided respiratory care to critically and chronically ill patients in ICU, ER, PACU,

L&D, NICU, Post Partum and Medical/Surgical Units.

AstraZeneca Pharmaceuticals - Cardiovascular Pharmaceutical Sales Specialist

08/2000-02/2002

Consistently performed as #1 sales representative above 13 CV representatives in Dallas

District selling Atacand, Atacand HCT, Toprol XL, Zestril and Zestoretic. Exceeded

expectations for customer objectives. Exceeded expectations for bonus payout.

Innovex (Contract) - Pharmaceutical Sales Specialist

12/24/1999-08/2000

Contracted to Roche Labs to launch Xenical, sell Tamiflu, Rocephin and Demadex.

Exceeded expectations for bonus payout.

Texas Helping Hands – Registered Nurse

02/1997-06/2002 (PRN only)

Registered Nurse that provided skilled care to homebound patients. Care included

admissions, discharges, teaching, implementing and assessing of nursing care plan in

place. Duties also included venipunctures, catheter insertions, wound care and

intravenous fluid administered on PRN basis. Patient populations included chronically

and mentally ill.

Titus Regional Medical Center – Registered Nurse

05/1996-12/1999 (PRN only)

RN in Surgical Services Department performing pre-operative care which included

initiating IV per orders and post-operative patient care which included assuring patients

met criteria prior to discharge. Procedures/Surgeries included Cardiac Catheterization,

Ortho, Vascular as well as GI Endoscopies. Also floated to PACU, M/S and Post

Partum when needed. Population included pediatrics to geriatrics.

Jordan Health Services – Registered Nurse

10/1993-02/1995

Skilled Care RN caring for home health patients. Provided all aspects of home health

pertinent to individual patients which included admissions, teaching, planning,

interventions and discharge when goals were met. Served as preceptor to new

employees as needed.

Titus Regional Medical Center – Certified Respiratory Therapist

01/1987-01/1993

Certified Respiratory Therapist responsible for all aspects of neonatal, pediatric and adult

respiratory care. This included but not limited to attending all Code Blues, mechanical

ventilation, arterial blood gas sampling, bronchodilator therapy as well as oxygen therapy

in the NICU, ICU, ER, PACUand Medical/Surgical Units. 165 acute care bed capacity.

EDUCATION

Bachelor of Science in Nursing, University of Texas

Associate of Arts in Respiratory Therapy, Western Wyoming College (Dean’s List)

RN license for State of Texas(compact states), Montana and Wyoming

CRT license for States of Texas, Montana and Wyoming

ACLS and BLS Certified (American Heart Association)

PROFESSIONAL ASSOCIATIONS

Texas Nurses Association member

Texas Society for Respiratory Care member

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