Home Health Registered Nurse

Kimberly A. Parker, DNP, RN

***** ****** *****, **********, ** 35453

Telephone: 205-***-****

Email: **********@***.*** or ********.*******@**.***

PROFILE

I am committed to caring for our nation's heroes through effective

leadership and program development/management.

KEY STRENGTHS AND ATTRIBUTES

Evidence-based Practice Performance Evaluation Strategic Planning

Project Management Systems Redesign Data Compilation &

Analysis

Risk Management Policy/Program Budgetary control

Development

Staff Development Change management Resource Utilization

Regulatory Compliance Performance Improvement Chairing committees

Labor Relations Care/Case Management Customer Service

Staffing Methodology Sterile Processing Infection Control

Workplace safety Nursing Operations Marketing

EDUCATION

DNP University of Alabama 2013

MSN University of South Alabama 2008

Nursing Administration

BSN University of Alabama 1993

licenses and certifications

. Certified Nurse Technician 1981

. Registered Nurse 1993

. BCLS 1993 to present

. Nurse Care Management Certification 1995

. CPR 1998

. Back Trainer 1998

. Certified Public Health Manager 1998

. Case/Care Management 2011

. Coaching & Mentoring Certification 2012

. Project Management 2012

PROFESSIONAL EXPERIENCE - SIGNIFICANT ACHIEVEMENTS

Tuscaloosa VA Medical Center, 3701 Loop Rd. E., Tuscaloosa, AL 35404

Nurse Manager - Residential December 2013 to

present

. Working closely with AFGE and the Nursing Staff to resolve key time

issues and a hostile work environment satisfactorily for the nursing

staff and upper management that had been ongoing for several months.

The area of concern was resolved effectively within 6 weeks of

becoming Nurse Manager of MHRRTP.

. Providing oversight and supervision of 28 FTE and 96 beds for MHRRTP

Program.

> Staffing Methodology

> Data Analysis and Compilation

> Performance Improvement

> Labor Relations

> Infection Control i.e unit cleanliness, influenza,

fish tanks, wound care

> Strategic Planning i.e snow/ice storm February 2013

> Resource Utilization i.e decreasing overtime by

utilizing FTE to cover off tours effectively by

anticipating call in's

> Policy/Program Development i.e Revising medication and

documentation policy/procedure, contraband search, drug

testing, homelessness, PTSD, staff safety

. Acting Associate Chief Nurse of Mental Health Service Line

February 26 & 28, 2014.

Nurse Manager - Recovery December 2008 to October 2013

. Acting Associate Chief Nurse for MH Service Line.

> August 26-30, 2013

> Sept 2-6, 2013

> Sept 9-20, 2013

. Volunteered to cover as Nurse on Duty (NOD) for call-ins and

vacancies.

> 2013 - 18 tours

> 2012 - 6 tour

> 2011 - 17 tours

> 2010 - 1 tour

. Direct supervision of 35 FTE on a 44 bed inpatient psychosocial

rehabilitation unit.

. Reduced the Nursing Hours Per Patient Day (NHPPD) from 4.5 to 3.4 in

2012

. Led the inpatient nursing staff to achieve recognition by the Joint

Commission as a "Top Performer on Key Quality Measures for FY 2012"

in the Hospital-Based Inpatient Psych Set.

. Decreased Sick Leave usage by 50% during 2013

. Led her team to increase documentation compliance from 79% in 4th

quarter 2012 to 100% in 4th quarter 2013.

. Converted a 30 bed inpatient gero-psych unit (3 South) into a

psychosocial rehabilitation unit in three years while undergoing

construction and cultural transformation of the unit.

. Became the Acting Nurse Manager for 3 East in addition to being the

Nurse Manager for 3 South in May 2010 when the Nurse Manager resigned

(managed 2 separate units from May 2010 to May 2012). Directly

supervised 55 FTE while continuing to do payroll, performance

improvement, performance evaluations, staff development, budgetary

control, schedules, treatment planning, etc... Two units for 2 years

until the units were combined into a 44 bed unit after construction

completed.

. Worked with CREW, AFGE, NNU, nursing staff, and upper management to

diffuse a hostile work environment satisfactorily on 3 East that was

ongoing when I acquired 3 East.

. Chaired a systems redesign project called "Bed Collaboration" to

assist in getting Veterans who had been inpatient on the gero-psych

unit for 20 years or more. This collaboration assisted in Veterans

having unsupervised privilege time off the unit and discharging all

but 13 of the original 59 Veterans out into the community. The bed

days of care was decreased from 286 days in December 2008 to 76 days

in September 2010 to 46 days in September 2011 in which the team

received a director's commendation. The average length of stay at

present is 35 to 45 days. Overtime costs were decreased by 86%, Falls

were decreased 89%, assaults were decreased by 53%, and Veteran

satisfaction rates increased from 65% to 89%.

. Collaborated with the Quad, social services, nursing staff, and

physicians to assess Veterans to be placed administratively on GEC.

Was successful in placing five Veterans.

. The Recovery unit had the highest rate of 99% for all inpatient units

for Cultural Transformation.

. Developed the new Mental Health Recovery Brochure, the Mental Health

Handbook, developed and initiated a psychosocial educational program

and policy in the recovery and prevention of mental health (Veterans

are attending 4-5 hours of group therapy meeting CARF accreditation

guidelines), revised the assignment sheets, Environment of Care (EOC)

rounds, medical record chart reviews and pain template and compiled

the nursing documentation list for inpatient mental health units to

be meet Joint Commission and CARF standards. Collaborated with

HealtheVET coordinator to educate and sign up our Veterans while they

are still inpatient and promoting and encouraging telehealth and

telemental health to our discharged Veterans and their families.

Encouraged the inpatient Veterans to join the MOVE program due to

their weight gain while on the inpatient unit.

. Developed a work group consisting of a QM representative, the ACN MH,

and the nursing staff in which all nursing documentation templates

was reviewed with The Joint Commission standards, VA

policy/procedures, and Commission on Accreditation of Rehabilitation

Facilities standards. Revisions were made to reduce unnecessary

duplication of data in templates and to include information to ensure

risk management and documentation of Veteran-centered care.

. Accomplished the above while attending the University of Alabama

Doctorate of Nursing Practice program and VALUE 2012 Leadership

Program.

DCH Regional Hospital, 809 University Blvd. E., Tuscaloosa, AL 35401

Staff Registered Nurse

(Dialysis- Med/Surg Unit) March 2006 to June

2007

> Performed assessments

> Dispensed medications

> Performed wound care and treatments

> Performed education of disease process and medications to

patients and/or their families

> Charting, inventory/supplies

> Data compilation and analysis (tester for bedside medication

scanners)

> Performance improvement (Nursing Care at the Bedside)

> Infection control (Lead for MRSA/VRE spread prevention campaign)

> Supervised subordinate nursing staff and clerks as charge nurse

> Performed emergency life-saving techniques such as

cardiopulmonary resuscitation

> Venipuncture and IV's

> Education patients and their families

> Preceptor to 4 UA nursing students

Float Pool Registered Nurse June 2007 to

December 2008

. Was assigned to work weekend nights on the following units as needed:

cardio, dialysis, medical/surgical, pediatrics, renal, post-

surgical, intensive care, cancer, and emergency department.

Performed triage, assessments, wound treatments, education of the

patient and family, dispensed medications, IV's and venipuncture.

. Precepted with a Nurse Manager 40 hours during the week (680 hours)

to complete the clinical portion of MSN.

St. Vincent's Hospital, 810 St. Vincent's Drive, Birmingham, AL 35205

Staff Registered Nurse (Post-surgical/ICU) June 2004 to March

2006

> Performed assessments

> Dispensed medications

> Performed wound care and treatments

> Performed education of disease process and medications to

patients and/or their families

> Charting

> Inventory/supplies (order and stock)

> Data compilation and analysis (nosocomial infection

rates/trends, decubitus rates, employee injury and needle stick

rates, medication errors, staffing trends, patient outcomes,

employee/patient satisfaction scores)

> Performance improvement (charting and data compilation)

> Infection control (lead for prevention of wound contamination

for breast reconstruction/tummy tuck procedures)

> Supervised subordinate nursing staff and clerks as charge nurse

> Performed emergency life-saving techniques such as

cardiopulmonary resuscitation

> Venipuncture and IV's

> Surgical wounds and drains

> Acting Nurse Manager when assigned

State of Alabama Department of Public Health Area III

2350 Hargrove Rd. E. Tuscaloosa AL 35401 January 1994 to February

2004

Area Home Health Director October 2002 to

February 2004

. Provided direct/indirect supervision of 250+ FTE and oversight for

the Area III Home Health and Medicaid Waiver Programs located in

Bibb, Fayette, Greene, Lamar, Pickens, and Tuscaloosa Counties.

> Home Health Nursing (RN's, Aide's, and Clerks)

> Medicaid Waiver (Home Personal Care Attendants, Homemakers, and

Clerks)

> Physical, Occupational, and Speech Therapy (Billing and Contract

Negotiation)

> Wound Therapy (Contract Negotiation)

> Home Health Supplies Closet/Inventory/Contract Negotiation

> Infection Control (OSHA, Needle Stick Prevention, Nosocomial

Infection Prevention, Annual Employee Education/In-services)

> Back Training and Employee Work Safety

> Social Services (Area on Aging, Meals on Wheels, Safety Planning

in the Home)

> Contract Visiting Staff and Contract Negotiation

> Billing (Perspective Payment, OASIS, ICD-9 Coding, Chart Audits)

> Payroll (Permanent and Contract Employees)

> Laboratory (Regulatory Compliance, Contract Negotiation,

Billing, Infection Control)

> Marketing (New Patients and New Employees)

> Private Insurance Billing

> Indigent Services

> VA Billing and Contract Negotiation

> Mediation (Progressive Discipline/EEO/Law Suits, terminations)

> Compliance and Regulatory compliance (Joint Commission,

Medicare, Medicaid)

> Complaints (Employee, Patient)

> Data Compilation and Analysis

> Staffing Methods/Trends and Encounters

. Directly responsible to the State Medical Director for all fiscal and

programmatic responsibilities to include meeting with State Medical

Director Monthly.

. Directly responsible for pulling the home health program out of a 5

million dollar deficit within one year and developing new processes

and oversight to prevent a future deficit by reducing staff and

overtime, reviewing all charts and billing to ensure proper ICD

coding for adequate payment, reviewing supplies needed and obtaining

contracts to reduce expenditure, reviewed policy and procedure to

ensure compliance so that Medicare and Medicaid guidelines were met

to prevent audits and monies being taken away due to not following

proper procedure, revising all driving routes to patient homes to

ensure that mileage was reduced between patients to reduce costs,

utilization of contract nurses and aides to reduce FTE benefits to

save money, reviewed each patients chart to convert a Medicaid

patient to a Medicare patient for billable care and ensure proper

coding for maximum reimbursement of visits. After one year, the 5

million dollar deficit was reduced and the program viable again.

. Initiated a new computer system for charting and billable visits for

earlier reimbursement of funds (OASIS).

. Initiated Bio monitoring (the monitoring of patients in the home via

camera equipment)

. Created a new process of case management of patients up to 50 per RN.

This RN would call and assess patients over the phone for proper

follow-up should the patient have had recent hospital treatment which

would have made that patient eligible for billable visits which made

money for the agency.

. Partnered with Area on Aging for prospective patients in the

community. The agency would provide personal hygiene care to

patients receiving Medicaid benefits so that they could be converted

to Medicare billable visits if eligible in the future.

. Revised and updated all Home Health Policy and Nursing Procedure

manuals.

. Developed and initiated an encounter form/program to capture workload

of nursing, social services, and physical therapy visits for accurate

reimbursement for the agency to remain viable.

. Initiated a new data monitoring program (Home Health Compare) to

monitor outcomes and trends to ensure agency was competitive with

other Home Health Agencies (public and private).

. Was recognized by the Area III Administrator for Leadership during

this time.

Tuscaloosa County Home Health Director (Bibb, Greene, Pickens,

Tuscaloosa) - February 2000 to October 2002

. The supervision of 150+ FTE and contract staff for Home Health and

Medicaid Waiver.

> Home Health Nursing (RN's and Aide's)

> Physical Therapy

> Occupational Therapy

> Wound Therapy

> Home Health Supplies

> Infection Control

> Social Services

> Contract Visiting Staff

> Medicaid Waiver (Homemaker's, Personal Care, Respite)

> Billing

> Perspective Payment

> OASIS

> Laboratory

> Venipuncture and IV therapy

> Marketing

> Private Insurance Billing

> Indigent Services

> Mediation

> Compliance and Regulatory (Joint Commission, Medicare,

Medicaid)

> Employee Wellness

. Tornado disaster of 2000

> Coordinated all planning

> Notification of employees in the field and patients in the

home, especially in rural areas, of impending bad weather

> Contingency supplies

> Last person to leave building/duty

Infection Control Coordinator/Life care Supervisor/CPR Instructor/Back

Trainer - January 1998 to February 2000

. Supervised 65+ FTE

. Hiring/terminating/progressive discipline of staff.

. Performance Appraisals.

. Continuing education to Aides (12 hours annually mandatory)

. Completed payroll biweekly.

. Completed monthly billing of visits.

. Made 50+ monthly home visits for supervision of personal care aides,

homemakers, and respite workers for Medicaid waiver patients.

. Made 50+ monthly home visits for supervision of personal care aides,

homemakers, and respite workers for VA patients.

. Provided oversight and instruction of CPR to Home Health and Life

Care staff.

. Provided education and oversight of Infection Control Program

> Compiled infection (nosocomial and wound), finger stick, TB,

STD, and MRSA/VRE data and reported to State Infection Control

Director monthly

> Inventoried/ordered Home Health supplies

> Monitored laboratory processes and inventoried/ordered supplies

> Provided education and oversight to the nursing staff and in

the community (churches, home visits)

> Monthly meetings and presentations for employees and

stakeholders in the community.

. Provided Back Training and Work Related Injury Prevention Training

> Annually and New Hires

> Upon each instance of injury

> Provided on-site in the home training with special needs of a

patient

> New equipment

Bibb County Health Department/Home Health Manager - October 1995 to

January 1998

. Developed a Home Health and Clinic program to include:

> Increased uniques from 35 to 150+ in Home Health

> Increased Home Health RN's from 1.5 to 8 and NA's from 3 to

15

> Increased uniques from 60 to 260+ in Clinic

> Increased Clinic RN's from 2 to 6 and NA's from 2 to 5

> Hypertension, Diabetes, STD, Family Planning, Flu, Vaccine,

WIC Clinics

> Physical Therapy Program

> Social Services Program

> Infection Control Program

> Sterile Processing

> Supplies (Home Health and Health Dept.)

> Contract staff

> Wound Therapy

> Employee Wellness

. Hurricane Opal 1995

> Coordinated all planning

> Notification of employees in the field and patients in the

home, especially in rural areas, of impending bad weather

> Contingency supplies

> Last person to leave building/duty

Greene County Home Health Visiting Nurse and

Medicaid Waiver Case Manager January 1994 to

October 1995

. Case Management of 80 Medicaid Waiver patients for the Department of

Human Resources with at least one monthly supervisory visit in the

home.

. Case management of 50 Home Health Patients in the home.

. Assessment, venipuncture, phone triage, supervision of the NA's,

treatments, catheter replacements, decubitus/wound care,

documentation.

. Social services (no social workers at the time)

Emergi-Care Clinic, 15th Street, Tuscaloosa, Al. 35401

1988-1990

Certified Nurse Technician

. Treatments

. Casts and splints

. Ordering and stocking of supplies

. Sterile processing

. Vital signs

. Triage

Doctors Hospital of Lakeworth, 10th Ave. N., Lakeworth, Fl. 33462 1981-

1983

Certified Nurse Technician/Assistant

. Assist patients with activities of daily living

. Provides bath and perineal care

. Enemas

. Tube feeding

. Vital signs

. Make beds

. Post-mortem care

. Transport/escort to tests

JFK Hospital, 5301 S. Congress Ave., Lakeworth, Fl. 33462 1979

- 1981

Candy Striper

. Visited with patients

. Assisted with feeding with patients

. Filled and distributed water pitchers

. Delivered flowers and mail

. Read to patients

RECOGNITIONS

. Selected as a nurse for the "Faces of Nursing" 2009 Calendar by the

selection committee for the Alabama Nurse Association.

. Special commendation/recognition from the TVAMC Director for Systems

Redesign Project "Bed Collaboration" that resulted in decreased average

patient bed days of care March 2009 to September 2010 from 286 days

to76 days.

. Received a VISN 7 Director's Commendation for service to the Veterans

during the tornado disaster April 2011.

. Received a commendation for volunteering to come into work on the

Recovery Unit during the snow storm of 2011 from the Director.

. VISN 7 VALUE Leadership Program and Leadership Award September 2012.

. TRECC award for dependability November 2011 & 2012.

. Received a $50.00 Customer Service Award December 2012 from the ADPCS

for providing Nurse on Duty (NOD) coverage multiple times during

staffing shortages.

. Received $25.00 Customer Service Award September 2011 for providing

excellent customer service to a Veteran and his family member.

. "Horizon Award for Excellence in Nursing" Community and Home Based

Services July 1998

. Volunteer Certificate of Appreciation for "Providing Outstanding

Community Service to the Tuscaloosa Metro Animal Shelter" August 2004

PROFESSIONAL SOCIETY MEMBERSHIPS

Sigma Theta Tau, Zeta Gamma, Nursing Honor Society 2004

Alabama State Nurse Association 2005 to present

PRESENTATIONS, ABSTRACTS, AND PUBLICATIONS

DNP Project and Presentation "Improving the Documentation on a Mental

Health Unit" July 2013.

VALUE 2012 "VISN 7 Telehealth Program "Let Us Connect You: Right Care-

Right Place- Right Time"

Abstract - 5th VHA Mental Health Conference August 2011 "Cultural

Transformation of a Mental Health Recovery Unit"

COMMITTEES

. Disruptive Behavior 2009 to present (Participant)

. Systems Redesign "Bed Collaboration" 2009 to 2011 (Lead)

. Systems Redesign "Flow Academy" 2011 to 2013 (Participant)

. Systems Redesign "Patient Escort" 2009 to 2010 (Participant)

. Report of Survey Board 2013

. Inpatient MH Safety Committee 2010 to present (Chair)

. Fall Aggregate Committee 2009 to 2011 (Participant)

. 2 RCA's 2012 & 2013 (Participant)

. Patient Advocate Interview Panel 2010 (Participant)

. Systems Redesign Committee 2009 to 2011

COMMUNITY SERVICE

. 2000 Tornado Disaster (clothing drives, benefits, help with clean-up)

. 2003 - 2005 T-Town Paws (assist in pet room Pets Supplies Plus)

. 2001 - 2003 Parisian Charity Days/Ticket Sales

. 2005 - 2011 Humane Society of West Alabama (Petpalooza, assist with

grooming/care of cats at shelter)

. 2011 Tornado Disaster (clothing drives, benefits, help with clean-up)

. 2011 - 2014 Back Yard Rods

> Furry Valentine 08/13/11

> Shawn White Jr. 07/28/12

> Alberta Church of God for Tornado Victims 05/26/12

> Brady Arnold Benefit for Eye Surgery (Trip to China)

> Chelsey Hunnicutt 12/7/13

> Woodland Hills Church 10/12/13

> David P. Wise Benefit 06/04/13

> Adopt A Family (Salvation Army) 12/13

> Kim's Cause For Breast Cancer 09/22/12

> Teen Pregnancy Prevention 09/08/12

> Christmas Benefit for Toys For Tots 08/18/12

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