Registered Nurse Home Health

Michele A. Earhart

RN, BSN, MSN

**** **** **** ***** *****: 703-***-****

Springfield, VA 22151

e mail: ************@*****.***

Professional

Experience

• Registered Nurse with 16 years of clinical experience to include Emergency Room,

medicine/oncology, pediatrics, ICU, telemetry and hospice.

• Case/Quality Management experience, care coordination and discharge planning

• Excellent triage and assessment skills, providing detailed and thorough patient

education within scope of practice

• Current RN licensure in Virginia (compact) and DC

• Current ACLS, BLS, and PALS

• Supervisory experience, mentoring junior staff, support staff, scheduling daily duties,

new hire orientation

Education

Masters in Nursing Education George Mason University

•

• Bachelors of Science in Nursing –Georgia Baptist College of Nursing

Career Highlights:

Gentiva Hospice

Vienna, VA

May 2013 – January 2014

Registered Nurse – Quality Manager/Case Manager

• Responsible for auditing patient charts for compliance

• Reviewed staff documentation for completeness and compliance

• Facilitated continuing education of home health aides

• Conducted new hire orientation

• Managed case load of 11 14 patients making twice weekly visits

• Maintained current care plans for patient case load

• Coordinated patient care with other disciplines to include aide, SW, Chaplin, and physicians

• Supervised home health aide visits

• Managed medications ( including narcotic titration via PCA) for patients

• Managed DME for patients

• Educated patients and their families on disease process, dying process, symptom management, and

hospice philosophy

• Admitted patients to hospice after determining their eligibility for services

• Dementia Care Certified

• Pronounced death and coordinated with funeral home

• Interim patient care manager

Sentara Northern Virginia Medical Center

Woodbridge, VA

September 2012 – May 2013

Registered Nurse – Care Coordination Department/Medicine Oncology Floor

• Discharge planning to include

o SNF placement, acute rehab placement, home health arrangements, and hospice

o Pharmaceutical company patient assistance program arrangements

o Out patient infusion coordination

• Collaborate with other internal disciplines to include providers, PT/OT, wound care, pharmacy and

staff nursing

• Utilization review using for compliance with insurance guidelines

o MIDAS

EPIC

o

Milliman

o

EHR

o

Interqual

o

Sentara Northern Virginia Medical Center

Woodbridge, VA

December 2010 – September 2012

Registered Nurse – Emergency Department newborn to geriatric patients

• Initiation and maintenance

• IV IV medication administration (push, gravity, pump)

• Managed medications of conscious sedation during intubation and orthopedic emergencies

• Access central lines

• Guide colleagues in central line use

• Perform detailed comprehensive assessments

• Maintain sterile fields and techniques with procedures

• Maintain positive therapeutic rapport with patients and families

• Maintain current CPR, PALS, and ACLS certifications

• Communicate with physicians

• EMR experience (EPIC)

Balsamo, Arnoldson, Rees and Garner

Burke, VA

June 2010 – December 2010

Registered Nurse Private Pediatric Office

• Organized schedule for clinical staff of 6

• Processed referral requests

• Coordinated care with specialty practices and insurance companies as well as home care companies

as needed

• Provided direct patient care for well child and sick child visits

• Performed other duties previously mentioned under Advanced Pediatrics

• Communicated with parents/guardians regarding patient needs

Advanced Pediatrics

Vienna, VA

May 2009 – May 2010

• Registered Nurse Private Pediatric Office

• Performed assessment of pediatric patients for annual exams and sick child visits

• Administered vaccinations in accordance with the CDC guidelines and school requirements

• Obtained skin scraping samples for culture

• Assessed lead level, Hemoglobin values, strep/flu/mono results using an in house CLIA lab

• Conducted EKG and spirometry testing as requested

• Performed wound and suture care

• Instructed parents in the administration medications at home to include nebulizer and Epi pen

• Communicated with parents and patients in a manner that was respectful and provided accurate

information

• Recruited families for research studies with various focus within the practice

• Calibrated testing equipment daily

• Documented services provided for complete billing thus increasing practice revenue

Richard R. Rosenthal, MD, LTD

Fairfax, VA

March 2008 – May 2009

Registered Nurse Private Allergy Office

• Implemented and used electronic medical records (Centricity)and first ever electronic patient

scheduling programs

• Educated patient (and families for pediatric patients) about allergy immunotherapy (AIT) and the

treatment schedule, asthma and peak flow measurement

• Administered AIT for inhaled allergens and stinging insects, flu and pneumonia vaccines as directed

by clinical standards

• Obtained venous blood samples as needed

• Performed pulmonary function tests (PFT) for asthmatic patients

• Discussed laboratory results with patients

• Educated staff in the areas of allergy immunotherapy, peak flow meters, pulmonary function testing,

and allergy/asthma medications, HIPPA, OSHA

• Maintained updated standard office practice manual, OSHA and HIPPA certifications for staff

• Managed schedules for 12 staff members, 4 physicians on a monthly basis

• Compiled various practice financial reports

• Facilitated referral to additional specialists as needed

• Provided duplicate medical records as requested by patients, other doctors, insurance companies,

and legal offices within the HIPPA guidelines

• Managed patient prescription refill requests and prior authorization needs of insurance companies

Stay at home mother

September 2002 – March 2008

Lighthouse Healthcare, Inc

Newington, VA

May 2001 – September 2002

Registered Nurse – Medicare Home Care Company

• Provided hands on care to home bound Medicare and Medicaid patients

• Instructed patients and their families on disease processes, medication administration and

dosages

• Performed record review to ensure compliance with Medicare guidelines resulting in a zero

deficiency for the company

• Independently performed phlebotomy, administered injectable and IV medications, assessed vital

signs

• Documented all physical findings and any communication with physicians as directed by policy and

educational guidelines

• Performed records management

• Coordinated reimbursement requirements with insurance companies

• Ensured prior authorization for home care services was obtained

• Coordinated services among all disciplines involved in patient care medicine, nursing, occupational

and physical therapies

• Maintained current documentation requirements specific to home care

• Received referral information from doctor’s offices and hospitals

• Provided administrative support as needed

Medical College of Virginia Hospitals

Richmond, VA

April 1999 – April 2001

Registered Nurse Medical Respiratory Intensive Care Unit/ Infectious Disease Clinic/ Step down and

Telemetry Floor

• Assisted with the implementation of a 6 bed cardiac step down unit while working as the charge

nurse on a 20 bed medical unit

• Performed cardiac monitoring

• Taught the use of EKG equipment and EKG data interpretation to monitor technicians

• Administered IV medications to maintain vital signs within normal limits to include pressors, sedation,

IV insulin and various blood products

• Managed IV pump settings for IV medication administration

• Performed high tech skills to include access of A lines, monitor Swan Ganz catheters, manage

central lines

• Maintained ventilator support and sedation for patients

• Provided suctioning to tracheostomy and ventilated patients

• Used the nursing process to provide on going, comprehensive care to patients and communication to

their families and physicians

• Demonstrated individualized therapeutic communications with patients, families, physicians

• Case coordination among a multi disciplinary team (including pharmacy, medical doctors, clergy,

ethics, physical and occupational therapy needs

• Referenced appropriate resources to encourage positive patient and family outcomes

Home Health Clinical Services

Alexandria, VA

May 1998 – March 1999

Registered Nurse – Field and Clinical Intake /Authorization

• Completed intake referrals from a variety of referral sources

• Increased reimbursement rates through verification and coordination of insurance benefits

• Ensured physician order and authorization for home care service

• Maintained tracking system of authorized dates of service and obtained continued authorization as

directed by patient needs

• Established corporate Synagis tracking program which serviced 90+ patients

• Coordinated the Synagis program with insurance companies to ensure optimal reimbursement

• Organized peri natal loss program to support families

• Implemented and coordinated corporate Aetna US Healthcare Little Appleseed program for antenatal

and postpartum home health nursing visits

• Performed case management and coordination of multi discipline (nursing, medicine, pharmacy,

speech, occupational and physical therapies) healthcare for 10 12 adult and pediatric patients

• Performed IV administration of various medications, maintained central venous access, PICC, and

midline catheter patency, and place peripheral lines in a home care setting

• Coordinated infusion referrals with pharmacist

• Informed referring physician of patient progress with home care therapies

• Communicated in a clear concise manner that “painted a picture” for the physician by phone

• Advocated for the patient to obtain from the physician a pain management regimen that provided

pain control pain patients' homes.

• Field RN 9 98 to 11 98

• Intake RN 10 98 to 5 99

Medshares Home Care

Vienna, VA

July 1997 – April 1998

Registered Staff Nurse I

• Provided in home education to patients regarding new treatments and new diagnosis

• Assessed patient’s home safety

• Promoted patient independence with dressing changes, IV therapy, and medication management

• Included patient’s family in management of patient care as appropriate

• Assessed patients' general physical condition and report abnormal findings to physicians

• Performed wound care to include wound debridement and suture removal

• Obtained lab work via venapuncture or central line access per MD order

• Case management of 15– 25 patients to include coordination of care with MD, PT, OT, ST and Home

Health Aide

• Documented patient visits using Medicare guidelines and requirements

• Performed supervisory visits to evaluate home health aide performance

• Led multi disciplinary case conferences with medicine, nursing, occupational therapy, physical

therapy and home health aide on regular basis

South Fulton Hospital

Atlanta, GA

September 1996 – June 1997

Emergency Room Student Externship Senior Year

• Performed triage on patients entering the ER

• Interacted with the attending physician to ensure patients were seen in priority order

• Assessed patient need for suture, casting and prioritized patients accordingly

• Managed wound care to include cleaning and bandaging

• Performed eye and ear irrigations

• Assisted physician with special procedures (chest tube insertion, lumbar punctures, endotracheal

intubations, and others as ordered)

• Performed 12 lead EKG

• Administered pain management (IV, IM, and oral medications), IV an IM antibiotics for adult and

pediatric patients as ordered

• Administered tetanus vaccine as ordered

• Managed IV medications including conscious sedation administered by pump

• Placed and maintained patency of intravenous access for the administration of medications and

blood products

• Maintained sterile techniques for IV placement, maintenance of central venous access, suturing

assistance, and placement of urinary catheters.

• Assessed in code situations to include use of AED, CPR and administration of code medications

• Applied casts and splints

• Comforted patients and families during crisis and situations of uncertainty

• Maintain a calm environment for pediatric patients using developmental stages

• When indicated, worked with social work, clergy and other specialty physicians

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