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Care Nursing

Location:
Lakeland, FL
Salary:
30/hour
Posted:
December 31, 2016

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Resume:

JEWEL ENRIQUEZ-WILSON, MSN, RN

**** ********* ***** ********, ** 33813 973-***-**** acx2tb@r.postjobfree.com

Objective

Dedicated and experienced Registered Nurse in search of leadership position that will expand my attained education, skills, and knowledge and utilize it to reinforce an organization’s operations.

Professional Summary

Highly skilled career professional with clinical experience in acute care, subacute care, long-term care, assisted living care, and primary care environments.

Established in STD, AIDS, Psych, Chronic Disease, Hemophiliacs, OB and Pediatrics, Cardiovascular Disease, and Alzheimer’s/Dementia patient support including assessment, counseling, education regarding medications and treatment, lab work, documentation with care plan for diagnosis, and administration of treatment procedures.

Computer skilled to include mastery in word and excel with knowledge of pivot and graph; managing heavy daily patient volume including telephone triage, appointment scheduling, and patient referral. Proficient in all documentation/record maintenance/paperwork to ensure accuracy and patient confidentiality.

Ability to work independently and plans and arranges own work

Ability to effectively present information and respond to questions from families, members, and providers quickly and efficiently

Ability to problem solve efficiently and proficient in critical thinking skills

Tenacious, organized, and industrious worker

BLS and ACLS certified through the Advanced Medical Certification

Competent to bring in the focus on the use of informatics and technology to improve patient care by utilization of meaningful use and EMR

Efficient with patient-centered care, timely and equitable by interweaving evidence and technology seamlessly into practice, education and research fostering a learning healthcare system, and an excellent resource for the team as the nurse leader

Enjoy learning what motivates individuals, coaching individuals, and helping to perform at their highest level.

Competent to make an impact to staff and the commitment to excellence and understanding of quantum leadership.

Integrate nursing science, theories, and concepts with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of practice

Utilize analytic methods to critically appraise existing literature and other evidence to determine and implement the best evidence for practice

Design, implement, and evaluate quality improvement methodologies to promote safe, timely, effective, efficient, and equitable nursing and health care services

Employ effective communication and collaborative skills in the development and implementation of evidence-based nursing practice

Critically analyze policy/laws/ethics to develop, evaluate, and advocate for, change that shapes financing, regulation, and delivery of nursing and health care services.

Professional Skills

Self-motivated and able to work under pressure

Proficient in navigating through multiple computer applications

Strong oral and written communications

Able to maintain the highest level of confidentiality and professionalism

Able to work congenially with a wide variety of individuals

Able to thrive in a team environment

Able to meet deadlines and performance metrics

Ability to effectively manage multiple shifting priorities

Able to understand oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationship

Able to lead by example to cultivate a climate of motivation, positive energy and meaning in work

Ability to assess, select, recognize, develop, and empower diverse talent

Ability to meet established expectations and takes responsibility for achieving results and encourages others to do the same

Ability to ensure compliance with regulatory requirements

Work Experience

Adjunct Professor-Lab and Clinical 09/23/2016-Present

Rasmussen College of Nursing, Tampa, FL

Creates, distributes, and reviews the course syllabus.

Utilizes a variety of instructional strategies in order to engage students, including cooperative and experiential learning.

Meets with academic department chair to develop courseware and curriculum.

Presents prepared materials and supervises organized activities.

Evaluates student performance promptly and accurately based on departmental rubrics.

Coordinates with the college bookstore in order to ensure class material availability.

Maintains records of student attendance, involvement, and progress.

Teaches assigned class material in accordance with learning objectives that are developed by the department.

Communicates with students outside of class to provide supplementary instruction, when necessary.

Participates in faculty meetings involving departmental updates.

Serves on faculty panels.

Surveys students in order to obtain information about their wants and needs in certain courses

Facilitates and creates the structure of examinations provided to the students. From generating of the questions to the distribution of the examinations until the grading of the examination.

Monitors student behaviors and provide necessary action to resolve any issues.

Daily checking of attendance as well as dealing with disciplinary problems which might be triggered by behavioral issues.

Provides contribution of the overall operation of the faculty to include guidance of students and providing assistance in any college sponsored events.

Researching of materials to improve quality of teaching methods which guarantees constant evolution and to avoid stagnation of existing materials.

-In the Clinical Instructor role, in collaboration with nursing and other healthcare professionals of the clinical facility, assists and instructs the student with:

Collecting data pertinent to the healthcare consumer’s health or the situation.

Analyzing the assessment data to determine the diagnoses or issues.

Identifying expected outcomes for a plan individualized to the healthcare consumer or the situation.

Developing a plan that prescribes strategies and alternatives to attain expected outcomes. Implementing the identified plan, coordinates care delivery, and employs strategies to promote health and a safe environment for both students and patients

Evaluating progress toward attainment of outcomes.

Practicing ethically.

Attaining knowledge and competence that reflects current nursing practice.

Integrating evidence and research findings into practice.

Contributing to quality nursing practice.

Communicating effectively in a variety of formats in all areas of practice.

Demonstrating leadership in the professional practice setting and the profession.

Collaborating with healthcare consumer, family, and others in the conduct of nursing practice. Evaluating nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations.

Utilizing appropriate resources to plan and provide nursing services that are safe, effective, and financially responsible.

Practicing in an environmentally safe and healthy manner.

Participating in curriculum implementation and evaluation

Modeling the mission, vision, values, and goals of Rasmussen School of Nursing

RN Field Case Manager (Per Diem) 09/22/2016-Present

Interim Healthcare, Lakeland, FL

Initial and ongoing supervisory visit comprehensive assessments of home health patients to identify the physical, psychosocial, and environmental needs as evidenced by documentation (OASIS at appropriate time points), clinical record, case conference, team report, and evaluations.

Knows the philosophies, purposes, policies and standards of the Home Health Team and their Nursing Service Department, and provides for their explanation and implementation to the Home Health Aide, and is also the case manager in all cases involving nursing and therapy care.

Formulates a nursing care plan with the goals indicated and the means of implementing the correct procedures to attain these goals.

Records all clinical and progress notes and enters them into the patient’s permanent record files, and is responsible for the clinical record for each patient receiving nursing care.

Weekly reviews the utilization and progress of the patient with the supervisor and attending physician as necessary.

Has knowledge of patient’s condition at all times and informs the physician and/or the Nursing Supervisor immediately of any change in the patient’s condition that warrants attention. Also observes, evaluates and reports to the physician the patient’s reaction to drugs or treatments, or if there are deviations from the plan of care.

Interprets to the patient and family the expectations of the diagnosis and the nature of the treatment consistent with the action and wishes of the physician.

Observes and evaluates potential danger of disabling conditions and indicates preventive and corrective measures.

Is responsible for the execution of the physician’s orders and keeps the physician informed of all pertinent information concerning the patient’s condition and response to treatment. Gives skills of care to patients.

Extends paramedical services in carrying out the rehabilitative aspects of nursing care.

Obtains laboratory specimens when indicated per MD’s orders.

Meets weekly with Nursing Supervisor for the purpose of discussing nursing care, policies and future planning, and keeps the Supervisor informed of all pertinent information concerning patients and the Home Health Aides.

Assists the Nursing Supervisor in surveying, analyzing and determining staff requirements for assigned patients.

Coordinates treatment with Paramedical personnel.

Makes supervisory visits to all assigned Home Health Aides no less than once every two weeks.

Helps the family accept responsibility for providing care. Teaches and supervises family members regarding care of the patient.

Assumes the responsibility for orientation of new personnel and participates in in-service training programs. Schedules daily itinerary primarily based on the priority of care needed, length of time visits will require, proximity to other patients to be visited and other related factors.

A weekly itinerary is to be projected for regularly scheduled visits, allowing time for new admissions, emergency cases and Home Health Aide introduction.

Responsible for the certification and re-certification of the Plan of Care.

Assigns selected portions of patient care to licensed practical nurses and home health aides, but always retains the full responsibility for the care given and for making supervisory visits to the patient’s home.

Performs other related duties as assigned by the Director of Nursing.

Unit Manager 05/02/2016-09/02/2016

Palm Garden of Winter Haven, Winter Haven FL

Supervises and directs nursing/health care personnel and the long term care unit.

Observes staff and visits residents/ patients to ensure that proper nursing care is provided.

Assumes 24-hour responsibility and accountability for resident’s/patient’s care on the unit.

Oversees the assessments of the Resident/Patient admission process.

Oversees the Residents/Patients discharge process

Performs routine rounds on all units including resident care areas, dining areas, recreational areas, and resident rooms and staff areas.

Monitors Residents/Patients progress and identifies any changes in status, acting on those changes to promote Resident/Patient comfort and safety.

Provide direct care for assigned Residents/Patients and participates with developing a care plan as needed

Makes daily rounds on unit to ensure resident care needs and environmental standards are met, this includes monitoring of dining room during meal times.

Participates in the implementation of new policies and procedures based on identified needs.

Oversees resident care to promote the highest level of physical, mental and psychosocial functioning possible.

Actively participates in the Quality Improvement process, submission of required reports.

Participates in the clinical admission process

Makes frequent rounds to ensure nursing personnel are performing their work assignments in accordance with acceptable nursing standards.

Reviews the nursing report upon reporting in and ending shift duty hours.

Ensures assigned work area (i.e. nurse station, med. Cart, medication room, etc.), resident/patient care rooms and treatment areas are maintained in a clean and sanitary manner. Monitors supplies and orders as needed.

Attends regularly conducted staff meetings as scheduled by them Director of Nursing and participates regularly in continuing education in-service programs.

Participates in Standards of Care meeting.

Participates in resolving resident grievances.

Participates in the Interdisciplinary Plan of Care (“IPOC”) process as assigned.

Handles on-call responsibilities as required.

Oversees the daily work assignments of employees.

Reassigns employees from one area to another area as facility needs dictate

Receives and handles employee complaints.

Participates in all-hands dining, when required.

Supervises RNs, LPNs and CNAs.

In the absence of management, resumes the supervisory role for all facility staff.

Interviews applicants that will be assigned to area of responsibility, as requested.

Coordinates patient care requirements by scheduling work assignments, setting priorities, and directing the work of LPNs and CNAs; following up on work results.

Evaluates and verifies employee performance through the review of completed daily task and through the Annual Performance Reviews

Enforces facility policies with authority to issue Disciplinary Action Reports as needed.

Responsible for approving and releasing LPNs and CNAs upon their request to take lunch and request for early departure.

Assist with finding replacements for absences and vacancies for upcoming shift(s) to apply FTE/Variances for covering census

Approve timecards for LPNs and CNAs who failed to clock in using the automatic timecard system.

Authorizes overtime and documents on payroll correction forms.

Assist with investigations into employee and resident concerns regarding LPNs and CNAs; with documentation of investigation and resolution on the facility Concern Resolution Forms.

Authority to suspend individuals from work for rule violations.

Identifies training needs and ensures that training is obtained

Practicum Requirement for Masters of Science Program 2/29/2016-4/25/2016

8 Weeks Practicum at a chosen site (Rasmussen College)

Executive Practicum: Leadership, Healthcare Administration

Opportunity to apply newly developed skills and relate theoretical content, as presented in core and

specialty courses, to real practice situations

Emphasizes the application of leadership and management theories and concepts in the role of nurse executive

Demonstrate the competencies essential to a nurse leader

Collaboration with a nurse-leader mentor

Evidence-based leadership and management strategies developed and implemented in the selected organizational environment

Construct processes for leading and promoting quality improvement and safety in advanced nursing practice and healthcare delivery

Use contemporary communication modalities effectively in advanced nursing roles

Evaluate the design, implementation and outcomes of strategies developed to meet healthcare needs

Develop a plan for lifelong personal and professional growth that integrates professional values regarding scholarship, service and global engagement

Apply legal, ethical and human-caring principles to situations in advanced nursing practice

Design patient-centered care models and delivery systems using the best available scientific evidence

Compose a plan for systematic inquiry and dissemination of findings to support advanced nursing practice, patient-care innovation, and the nursing profession

Collaborate interprofessional in research, education, practice, health policy and leadership to improve population health outcomes

Manage human, fiscal and physical resources to achieve and support individual and organizational goals.

Apply principles of informatics to manage data and information in order to support effective decision making

Synthesize knowledge from evidence-based literature as a foundation for the executive role

Demonstrate the leadership skills of a nurse executive in an organizational setting

Integrate effective communication techniques and relationship management in the role of the nurse leader

Utilize critical inquiry and judgment in organizational decision making

Exemplify professional values and scholarship that support leadership and professional development

Demonstrate the incorporation of elements of human caring and legal and ethical principles into the role of the nurse executive

Advocate for healthcare policy to meet the needs of a diverse society in a changing healthcare environment

Delineate effective resource management and fiscal responsibilities of the nurse executive

Director of Education and Training 9/8/2015-2/26/2016

Life Care Centers of Winter Haven, Winter Haven FL

Throughput issues solving: designing optimal flow of patients in the Subacute unit/Rehab Unit

Implementing various best practices related to nursing operations: purposeful rounding and

multidisciplinary rounding.

Implementing evidenced-based practice council and shared leadership council.

Oversight in addressing key changes related to Joint Commission surveys such as improving patient

satisfaction scores, interdisciplinary rounding and communication for optimal coordination of patient care; and communication during hands-offs.

Review and evaluate the quality of in-service educational programs in accordance with established

policies and procedures.

Make written and/or oral reports/recommendations to the committee concerning in-service training

programs.

Oversight of Worker’s Compensation, claims, and risk management with planning corrective action plan

and root cause analysis.

Knowledge of fiscal budgeting and business planning and collaborate with administration on census and

staffing.

Work with the facility’s consultants, as necessary, and implement recommended changes as required

implementation in standardizing policy and procedure methods.

Direct and schedule refresher training, as necessary, for assigned staff and professional personnel.

Participate in the planning, conducting, and scheduling of orientation programs that include Code of

Conduct training and orient newly hired personnel to their position, the facility’s policies and

procedures, resident’s rights, and responsibilities, etc.

Implement recommendations from the Performance Improvement Committee as they relate to the

educational needs of the facility.

Responsible for creating and enacting training programs for employees working in organization, that align with company goals.

Finds creative and interesting techniques to teach the information, helping workers to gain a solid understanding of the material.

Adapts teaching strategy according to audience, knowing the best ways to reach specific groups of people.

Knowledgeable of the teaching materials and teaches intimately, allowing to effectively respond to employee questions.

Conduct new hire training and develops and teaches a program to introduce new workers to the company’s policies and procedures and helps new staff get acquainted with the organization.

Responsible for creating and maintain a training budget and be required to search for conferences and external training events that would benefit individual or small groups of employees and recommend these programs to Executive Director and Director of Nursing.

Assist the training and development manager vendor selection, choosing materials with content that best fits the company mission.

Overnight travel as the need to attend various seminars and training sessions to learn new information to bring back to the company and teach to employees.

Oversight of employee infection control.

Interim MDS Coordinator in approving and closing RUG (Resource Utilization Groups) reimbursement in the absence of MDS Director.

Supervisor, Medical Case Management and Behavioral Health 07/2014-8/2015

Health Integrated, Tampa FL

In depth knowledge of NCQA (National Committee of Quality Assurance) and URAC (Utilization Review Accreditation Commission).

Utilizing clinical experience and skills in a collaborative process to facilitate appropriate healthcare services and benefits for members with knowledge of InterQual or Milliman care guidelines

Supervising both the Behavioral Health Case Management Team and Medical Case Management Team: 30 FTE (RNs, LPNs and LCSWs).

Provides management direction to the Care Coordinators in Case Management department for the target population of Hemophiliacs, OB and Pediatrics, and Gerontology clients.

Identifies appropriate staffing levels, assignments and deployments for the department and monitor performance criteria for staff members.

Reviews operations of the Case Management department to ensure high level of quality is consistent with organization standards along with quarterly audits and chart checks.

Reviews department performance in relation to established goals and implements changes to effect continual improvement in services provided.

Interprets policies, operational procedures and objectives to ensure compliance with regulatory and legal requirements.

Shares responsibility for collecting, analyzing, evaluating and presenting reports and deliverable data to CHPW clients.

Assists the Senior Manager in development of a comprehensive safety/quality and performance improvement program inclusive of the analysis and trending of data related to initiatives undertaken.

Participates on assigned weekly meeting, promotes effective communication between departments and entities, acting as a liaison to facilitate information sharing, collaborative problem solving and adequate provision of support services, fosters and maintains collaborative relationships with CHPW clients related to quality and performance initiatives as well as day to day operations issues that may arise.

Directly responsible for staff actions including, but not limited to, hiring, performance appraisals, vacation schedules, and maintaining timesheet records and time reports.

Collaborate with administration, management and educational resources to develop mechanisms for staff development and to make appropriate changes as needed to keep department current with new regulations, policies and trends in the Case Management field.

Maintain skills in case management and care coordination to allow for coverage of a caseload as needed and/or to cover staffing shortages in the department.

Program Management with assisting in creating systems program and automated reporting submissions

Assist with building metrics and reports on the shared site and within Jiva System.

Main contact for CPHW clinical questions and urgent issues.

Main clinician to pull charts, tab and review clinical documentation.

Facilitate weekly plan meetings and addresses questions and concerns.

Responsible to follow up and bring information as requested by the health plan.

Organizer and lead for the High Risk member meeting that includes all clinical disciplines.

Night House Supervisor Skilled Nursing Facility/Long Term Care 5/2014-7/2014

Palm Terrace of Lakeland, Lakeland FL

Responsible for the delivery of quality nursing care for all the units, long term care, Alzheimer’s, Psychiatry, and Skilled Nursing/Rehab Unit

Authority to adjust staffing as necessary for the day, night and weekend shifts.

Oversee all facility activities including, but not limited to admissions, discharges, crisis intervention, seclusion/restraint, involuntary admission process, relieving for rest or meal breaks.

Supervises nursing and educates when applicable to identify a patient’s needs, problems, capabilities and limitations which are supported by the recorded assessment data and reflect knowledge of the biophysical and psychosocial science

Conducts audits of patients’ medical records as needed and assigned

Supervises individualized goal-directed nursing care to patients through the use of the nursing process and initiates the plan of care on the assessment form within eight (8) hours of admission

Ensures the multi-disciplinary treatment team is planning care by providing input to the treatment team process by reviewing documentation each shift for compliance with Joint Commission, and CMS policies and other entities

Plans continuity of patient care with other members of the healthcare team.

Maintains open communication and promotes communication with other departments to meet daily patient care needs

Supervises plan of care and progress notes to reflect planning for discharge

Supervises and/or facilitates family education regarding needs identified in assessment

Uses psychotherapeutic interventions and supervises medication education to assist patients in regaining or improving their previous coping abilities and to prevent further disability

Supervises nursing/patient activities of daily living in a goal orientated way to foster adequate self-care and physical and mental well-being of patients

Provides structure and maintains a therapeutic and safe environment in collaboration with the patient and other healthcare providers

Supervises nursing/patient discharge from treatment by ensuring the necessary individualized counseling and instructions prior to discharge are provided and documented in a clear and concise manner in the medical record

Supervises nursing staff to document interventions in the Master Treatment Plan and under Progress Notes

Consistently demonstrates clinical competence in nursing procedures and patient care based on established theory and policies and procedures.

Maintains quality assurance standards for patient care

Demonstrates a complete knowledge and can instruct nursing staff on the current use of all forms required in the day-to-day operations of the units

Provides patient and family teaching, if needed and in group settings (nursing education groups, 1:1 with patient and their family)

Regularly reviews work in progress in order to ensure that all treatment, medications and diagnostic test ordered by the physician are expeditiously carried out and properly recorded

Follows up on patient care responsibilities and assignments left from previous shift and report any incomplete assignments to ensure continuity of procedures

Assists in the coordination of patient admissions, transfers and discharges to provide a smooth operations and efficient flow patterns on the units

Communicates effectively with physicians to update clinical status, request medications and inform regarding changes in patient condition

RN Case Manager (Temp/ Contract) 01/2014-05/2014

Wellcare Health Systems, Tampa, FL

Coordinates the care and services of selected member populations across the continuum of illness.

Assess the options for care including use of benefits and community resources to update the care plan.

Maintains accurate records/documentation of case management activities in the Easy Choice and

EMMA System using clinical guidelines.

Completes a comprehensive assessment on clients/members and develops a care plan utilizing clinical

expertise to evaluate the members need for alternative services.

Wellness Nurse Supervisor 12/20/12-11/2013

Emeritus at Oakbridge Assisted Living, Lakeland, FL

Conducted screening, diagnostic treatment and rehabilitative and support services as the senior nurse on

a primary health care team.

Oversight on physician orders and transcription of orders to MAR and TAR.

Active collaboration with medical director and one-on-one rounds with physician for patient assessments.

Supervised medical assistants (12 FTE), managed review process and ensured compliance with facility regulations.

Performed all tasks with a patient-centered focus while seeking opportunities for improvement of

process and treatments.

Actively participated in quality assurance program.

Supervised ancillary and support staff (20 FTE).

Skilled Nursing Floor Nurse/Acting Supervisor 04/2009-08/2011

Bristol Glen Health Care Unit, Newton, NJ

Conduct individualized patient assessment, prioritizing the data collection based on the adult or elderly patient’s immediate condition or needs within timeframe specified by client facility’s policies, procedures or protocols.

Conduct ongoing assessments as determined by the adult or elderly patient’s condition and/or the client facility’s policies, procedures or protocols and reprioritizes care accordingly.

Develop plan of care that is individualized for the adult or elderly patient reflecting collaboration with other members of the healthcare team.

Perform appropriate treatments as ordered by physician in an accurate and timely manner.

Perform therapeutic nursing interventions as established by individualized plan of care for the adult or elderly patient and his/her family.

Provide individualized patient/family education customized to the adult or elderly patient and his/her family.

Document patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution.

Initiate emergency resuscitative measures according to adult resuscitation protocols.

Maintain confidentiality in matters related to patient, family and client facility staff.

Administration of medications as ordered by physicians via mouth, IV, GT, eye drops, subcutaneous and intramuscular injections.

Report patient condition to appropriate personnel during each shift.

Perform managerial functions, such as taking responsibility for a unit’s staff, planning, and long-range goals.

Maintain



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