Medical Care

CELESTE DEDAL DURIMAN, R.N, B.S.N

**** *. ******* ****. ***# 2142 Las Vegas, NV 89139

702-***-**** *******@*****.***

CAREER OBJECTIVES:

Goal oriented, versatile, prudent, value time. Highly developed organizational skills with accountability for positive outcomes, easily

adapt to change of environment and working schedules, interdisciplinary care team contribution, plan of care development, detailed

assessment and patient’s advocacy, critical thinker, maintained high productivity level with patient care, maintained confidentiality.

Continually strives to expand knowledge and responsibilities.

Aimed to engage in a health care delivery system where I have the opportunity to practice my profession and use my nursing skills to the

best of my abilities. My extensive administrative training, clinical skills and practical experiences will be a definite asset to an institution.

EDUCATION:

Unciano Paramedical College -Bachelor of Science in Nursing

Manila, Philippines -June 1987 to October 1991

Perpetual Help College of Medicine -Bachelor of Science in Physical Therapy

Manila, Philippines -June 1984 to June 1987 (undergraduate)

University of San Agustin -Bachelor of Science in Commerce

Iloilo, Philippines -June 1980 to October 1984 (undergraduate)

LICENSURE:

Nevada Board of Nursing RN -# 64539

Philippine Licensure R.N -# 0218322

CERTIFICATIONS:

CGFNS Certification (Commission on Graduates for Foreign School Nursing) -# 2618570

IELTS Certification (International English Language Testing System) -#KK645017

Continuing Education: New Nurses Law, Oncology Nursing, Internal Nutrition, Cardiac Auscultation, Airway Management, Nurses

Roles and Responsibilities- University of the Philippines- (2005)

Advancement Program in Clinical Nursing- Philippine General Hospital Nursing Services

University of the Philippines - February 3, 2003 - July 25, 2003 (960 hours intensive training course)

Phil. College of Emergency (Medicine Acute Care Inc.-72 contact hours) - (2003)

I.V Therapy Course (18 contact hours) Phil. General Hospital -- I.V Therapy Nurse (2003)

I.V Therapy Training Program (18 contact hours) Philippine Heart Center, Manila, Philippines (2001)

I.V Therapy Course (18 contact hours) Medical City Hospital, Manila, Philippines- I.V. Therapy Nurse (2000)

ACLS/BLS (Adults/pediatric) - Medical City Hospital- Manila, Philippines (2001)

IVIG Administration and Assessment- CORAM/WALGREENS- Las Vegas, Nevada

PROFESSIONAL ORGANIZATIONS:

Philippine Nurses Association – Philippines/Nevada -Active member

Emergency Nurses Association -Life time active member

Medical Mission / Outreaching Program – Nevada

PROFESSIONAL EXPERIENCE:

Director of Professional Services (08/2012- 07/2014)

Case Manager (03/2010-08/2012)

Perspective Home Health, Inc.

Las Vegas, Nevada

03/2010 – July 13, 2014

Responsible for the administration of the day-to-day operations of the home care facility:

• Coordinated with assigned projects to support long term goals, referred patient’s eligibility, maintained administrative

practices, agency philosophy, goals, and policies, retained qualified staff, acted as a liaison, staff, assisted with staff

recruitment.

Implemented and supervised all patient care activities to ensure:

• Planned, supervised services rendered, delivered safe, economical, adhered to standards of care, reviewed/ revised

policy.

Provides orientation for personnel:

• Ensured only qualified personnel are being hired, compliance to requirements, educated company policy and overall

responsibilities, provided appropriate supplies, documents, information, supervised direct reports on an on-going basis.

Participates in the QA/QI plans and processes:

• Complied, ensured timely follow up with external vendors, clinical edits, outcome support, and coding edits, meet

appropriate goals, overseeing/tracking daily reports, performed staff conferences, mandatory in services, monthly staff

meeting.

Additional Duties:

• Affiliated with various health care providers: Medicare, Medicaid, Senior Dimension/Family Healthcare Services,

Health Care Partners and Insurance Network, private HMOs/PPOs providers, with their corresponding Pharmacy/

DME.

• Infusion Companies: Walgreens, Coram, Critical Care Infusion Services, THC, NU Factor, Crescent Health Care,

Preferred Home Care Pharmacy, Care-Centrix Company

• Monitoring over 450 patients in Clark County and Pahrump.

• Coordinating with 131 care staffs/disciplines.

Goals:

• Developed, implemented, evaluated plan of care, criteria for meeting short/long term goals

• Increased patient compliance, decreased medication errors/complications, reinforced patient education, communication

techniques, decreasing hospitalization and morbidity rates.

• Achieved correct wound classification, regular care coordination, proper documentation, reporting to physicians,

pharmacies/DMEs.

• Increased scheduling efficiencies, increased patient/family’s satisfaction, reliability, maintained skilled and qualified

disciplines, kept tracked of pt’s status, increased statistics in maintaining high quality standard of care.

• Served as a liaison between physicians, patients/family/PCG, pharmacist, case managers/care coordinators,

PT/OT/Social workers, and other health care in team involved to ensure continuity of care.

Patient Care Coordinator/Supervisor

Nevada Adult Day Healthcare Center

Las Vegas, Nevada

08/2011 - 08/2012

Established platform for chronic disease mgmt, provided clients an interactive, safe and secure environment, supervised

daily care to provide quality of life of both caregiver and care recipient.

Coordinated between several departments, Nurses/LPNs, Marketing and Activity Directors & assistants, PCAs, kitchen

personnel in planning patient’s care, decision making, policy information, eligibility status and ensured facility’s compliance

with state policies, procedures and regulations.

Conducted initial assess/eval. to every client, formulated individual care plans, recorded progress, coordination with

PCP/health care team, carrying on doctor’s orders, compliance with prescribed meds/diet, educated patient/family, PCP

appointments, regular communication, proper documentation, reporting to PCP, UC/ER/EMS protocol.

Provided supervision, monitored health status, assisted ADLs/IADLs, provided structure, stimulating, therapeutic activities,

personal assistance, meals, social services, transportation, support group, rehab., therapy, regular staff meetings.

Goals:

• To maintain, rehabilitate, promote independence, coordinating medical, social, nutritional, and family support services

in reaching maximum level of functioning.

To increase public awareness of the physical and cognitive realities of aging, disability, and the community

based options available through Adult Day Care

Case Manager

Reliance Health Care, LLC

Las Vegas, Nevada

03/2010 – 11/2012

Provided patients with a full range of personalized care for chronic diseases.

Responsible for assessment, planning, implementation, evaluation in formulating individualized plan of care, monitored future

visits, reported significant S/S, compliance to prescribed meds/diet, reaction to treatments, A.E/S.E, allergies, pain mgmt.,

wound care, peripheral/central lines, I.V infusions, TPN, Foley/Supra Pubic care, Ileostomy, Nephrostomy, draining system,

PEG and other related care, reinforcements teachings, EPS/UC/ER/EMS protocol.

Adhered to proper documentation, communication, care coordination, consent, confidentiality, dress codes, attendance, infection

control, completion/submission of paper work/documents in a timely manner.

Acted as a Social worker, advocate patient welfare, liaison between patients/families, health care providers, hospitals, hospices,

nursing homes, other home health agencies and health insurance companies.

Participated in in-services, case conferences, staff meetings, seminars, surveys and studies, continuing education, conserved

agency property, supplies, and equipment. Complying with State and Federal policies.

Goals:

• Conducted comprehensive, preventive, rehabilitative patient’s care, maintained constant coordination, communication,

provided continuity of care, decreasing co-morbidities/readmission to a hospital setting, standing orders and protocols

compliance.

• Facilitated health & disease patient education, group office visits, independence, disease/behavior modification

interventions, participated in data collection, health outcomes reporting, clinical audits, and programmatic evaluation

related to the Patient-Centered Medical Home and Medical Neighborhood initiatives.

Patient Care Coordinator

Patient Care Home Health Inc.

Las Vegas, Nevada

04/2009 – 03/2010

Worked with new admissions, assessed patient’s conditions and needs, develop personalized care plans, evaluated plans of care,

tracked follow up visits, compliance to standard of care and practices of the nursing profession.

Responsible for supervision of disciplines: Nurses, LVN, CHHA, PT, PTA, OT, ST, RD, Social Workers, Pharmacies, DMEs.

Coordinated with the Director of nursing, physicians, case managers, care coordinators, patients/families, hospitals and other

facilities to deliver accurate care in a timely and cost effective manner.

Supported patient self-mgmt. of disease, behavior modification, medication mgmt., standing orders / protocols,

Managed high risk patient care, multiple co-morbidities, compliance with legal requirements, screened patients, assisted/

supported staff in daily activities.

Promoted clear communication, evaluated clinical care, utilized resources, clinical tools, forms, navigator, collected data,

reported audits, evaluated Patient-Centered Medical Home and Medical Neighborhood initiatives.

Goals:

• Persuasion, Verbal Communication, Health Promotion and Maintenance, Patient Services, Building Relationships,

Resolving Conflict, Coordination, Listening, Scheduling, Teamwork, Legal Compliance

Medical Secretary

Northwest Medical Group

Las Vegas, Nevada

11/2006 - 04/2009

ADMINISTRATIVE:

• Screening incoming telephone calls, recording and transmitting messages, arranged referrals,

updating and filing patient medical records, coding and filling out insurance forms, billing patients and third-party

payers, controlling accounts receivables, transcribing dictation, preparing medical reports, patient histories, operative

notes, manuscripts, and correspondence, maintaining office files and patient records, using computer application.

CLINICAL:

• Assisted physician for every procedure, prepared patient for examination, explained procedures

to patients, took vital signs, collected laboratory specimens, performed basic laboratory tests, prepared/admin/

reconciliation of prescribed meds/special diets, lab. Orders, electrocardiograms, Pulmonary Function test, referral for

x-rays/CT scans, ordering med. supplies, injections/infusion, Pap-smear prep., removing sutures and changing

dressings, and other procedures, authorizing prescription refills as directed, arranging for hospital admissions,

laboratory services, referrals to home health agency, and other institutions, adhering to professional standards,

hospital policies, procedures, federal, state, and Joint Commission on health care standards..

GOALS:

• Provided patients and families with top quality comprehensive, customer friendly healthcare, with easy

access to services in our community. Emphasized prevention to help them stay healthy and to diagnose and treat

every patient ill or well. Provided personalized, complete health care, answered concerns in a tactful and friendly

manner.

ER Nurse

University of the Philippines - Philippine General Hospital

Manila, Philippines

1/2004-12/2005

Worked in critical care emergency facilities under the supervision of physicians and other healthcare professionals with

emergency medical technicians in helping people under possibly life-threatening trauma in a calm manner.

Provided triage based on physical and psychosocial elements, prioritized/categorized patient’s medical needs. Managed basic

life support needs, stabilized the patients, treat the problem until the attending physician is available based upon nursing

standards and protocol.

Responsible for the assessing, planning, implementing and evaluating patient’s medical condition upon admission and

formulating patient care plans. Under the supervision of MD, Identified problems, documented medical history, checked

allergies, current meds, obtained initial V.S, moved patients, obtained blood samples, cleaned and bandaging wounds, admin.

meds, I.V infusion, EKG monitoring, basic bedside care, lab requests/results, assisted emergency /therapeutic procedures,

maintained supplies/equipment, scheduled referrals, conducted DC planning.

Assisted in the treatments for trauma, acute chest pain, respiratory failure, disseminated intravascular coagulopathy, drug

overdose, internal bleeding, unconscious patients and other emergency cases.

Goals:

• To provide total care, monitor overall health status, planned long-term care needs, regular coordination with health

care teams, awareness to suspected abuse to appropriate agencies, Initiated patient education, planned/recorded

concisely, accurately and completely, in a timely manner, Floated among various clinical services, compliance with

Facility/State/Federal rules and regulations

Staff Nurse

University of the Philippines - Philippine General Hospital

Manila, Philippines

1/2000 – 1/2004

Provided nursing support to the institution assigned to a medical/surgical area; 1:25 ratio.

Under general direction, transcribed, initiated MD order, performed head-to toe assessment, accurately obtained documented

pt’s. history, admin. prescribed medications, obtained consent forms ; reviewed/reconciled meds., coordinated with pharmacies,

ensured efficient, coordinated clinic flow, planned clinic activities.

Delivered direct patient care; assessed/eval. patients physical, psychosocial, emotional needs, provided teachings; triages

patients, informed physician of patient status; responded to phone messages, ordered supplies, stocks maintained, maintained

patients room, infection control protocol, referrals for acute/chronically ill patients.

Assisted physicians during patient examinations, treatments, proper documentation, care coordination, performed clinical tasks

according to standard of care, compliance to policies and procedures, participated in organized continuing education programs,

staff meetings, seminars and other professional activities.

Goals:

• Developed, implemented, evaluated plans of care, short/long term goals, criteria for meeting goals.

• Increased patient compliance, decreased meds. errors/complications, reinforced teachings, communication techniques,

increase understanding of the diagnoses/complications, medication regimen and general health status.

• Served as a liaison between physicians, patients/PCG, pharmacist, case managers/care coordinators, PT/OT/Social workers,

and other health care team involved to ensure continuity of patients care.

References are available upon request.

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