Home Health Patient Care
Resume:
C O N TACT
ad3h54@r.postjobfree.com/ ad3h54@r.postjobfree.com
TEXAS/ NEW MEXICO
phone
address
P R O F E S S I O N A L S UMMARY
Seasoned Nurse Leader with a proven track record of enhancing patient care at Ayuda Home Health, Hospice of El Paso, Home Sweet Home, Kindred Hospital and Anvoi Hospice of New Mexico. Expert in clinical quality standards and interdisciplinary team leadership, with a talent for policy development and patient advocacy. Excelled in achieving accreditation renewal through rigorous quality improvement plans and staff mentoring. Proven track record in team development, nursing education and
program development. Created and implemented new
nursing structures and team dynamics that have proven successful in multiple areas of healthcare. Successful development, implementation and execution of pediatric hospice and palliative care program compliant with ACA regulations and Medicaid standards. Extensive knowledge in critical care, hospice, and home health - including Medicare and Medicaid regulations. JCAHO and ACHC
knowledgeable. EMR experience with multiple platforms including: CERNER, KINNSER, DEVERO, POINTCLICKCARE, PROTOUCH, HCHB, AND MEDITECH.
E D U C ATION
Expected graduation June 2024
Master of Science in Nursing/Masters Business Administration Purdue University, INDIANOPOLIS, IN
August 2016
Bachelor of Science in Nursing
Texas Tech University
December 2014
Associates of Science in Nursing in NURSING
El Paso Community College School of Nursing, EL PASO, TEXAS
EXPERIENCE
May 2022 - Present
Staff Nurse/Back up Director of Nursing Ayuda
Home Health
September 2023 - November 2023
Lead Clinical Resource/ Branch Manager
Anvoi Hospice of New Mexico
Oversee and provide primary care, including all
clinical care, palliative care, and symptom control and identify other physical, psychological, social, and spiritual needs for assigned patients
•
• Regularly assess the patient for nursing needs
Implement the Plan of Care Provisions to meet their needs, initiate appropriate intervention and
support for the patient and family upon admission
and re-evaluate the patient's nursing needs to
provide appropriate, comprehensive, and
responsive care plan interventions
•
Work closely with other members of the
interdisciplinary team to ensure all patient and
family care needs are being met
•
Work in collaboration with the Patient Care
Manager and the Interdisciplinary Team in the
planning, implementation and evaluation of
medical and nursing care
•
Perform weekly visits with hospice patients and
their families to maintain patient comfort and
quality of life
•
On occasion will meet with families to discuss
hospice and initiate services
•
Collaborate with hospice medical director to ensure patients medication regimen and plan of care is
appropriate.
•
Organizes nursing and clinical departments
according to administrative and nursing service
guidelines; ensures compliance with legal,
organizational, and medical staff standards
•
Has authority and responsibility for establishing, directing, and implementing the Standards of
Nursing Practice and the clinical operations and
•
A L E J A N D R O JOEL L O P E Z
NURSING CONSULTANT/ CLINICAL RESOURCE/ ADMINISTRATION July 2023 - August 2023
Director of Nursing- Interim/Contract
Home Sweet Home INC (Home Health)
financial matters related to all nursing and clinical care areas and functions
Develops education plans to ensure staff practice
was in line with policies and procedures and recent evidence-based care
•
Collaborates with all physicians in the facility to ensure plan of care, medication regimen and
orders were being communicated effectively
•
Creating, executing, and managing clinical
programs for specific illnesses or situations
•
Examining clinical information from patient records to make sure that treatment plans are being
adhered to
•
Giving direction to a group of medical professionals that deliver direct patient care, such as nurses,
therapists, social workers, etc
•
Overseeing the creation and use of guidelines for
the highest standards of medical care
•
Assessing the success of treatment strategies and
making any required modifications to enhance
patient outcomes
•
Developing treatment procedures following best
practices in collaboration with doctors and other
healthcare experts
•
Building relationships within the community and
with referral sources to best serve the patient
population and working closely with them to
facilitate patient admission into appropriate
services
•
Developing policy and procedures to ensure
continuity of care and organizational education of all new staff to promote organizations standards
•
Marketing new branch and working with potential
referral sources to build relationships
•
Developing and implementing contracts within the
community to ensure services needed will be
available and provided for patients
•
Visit facilities and physicians to develop rapport and referral sources within the community
•
Attended and participated in community events to
promote the new hospice and educate the
community on hospice and services being offered
•
Initiated admissions and began building census
within contractual agreement and prepared for
hiring of new staff to meet patient needs.
•
Directs and coordinates functions and activities of nursing department and assigned clinical operation
•
October 2022 - June 2023
Director of Nursing
departments
Consults with and advises Administrator on the
general operation of the home health
•
Develops nursing and clinical department's goals,
objectives, standards of performance, policies, and procedures
•
Organizes nursing and clinical departments
according to administrative and nursing service
guidelines; ensures compliance with legal,
organizational, and medical staff standards
•
Has authority and responsibility for establishing, directing, and implementing the Standards of
Nursing Practice and the clinical operations and
financial matters related to all nursing and clinical care areas and functions
•
Ensure all staff are compliant with policies and
procedures by auditing charts and documentation
and doing daily rounds to identify areas of
improvement
•
Develops education plans to ensure staff practice
was in line with policies and procedures and recent evidence-based care
•
Collaborates with all physicians to ensure plan of care, medication regimen and orders were being
communicated effectively
•
Keep track of census and staffing ratios to ensure
the field is properly staffed and meet budget goals
•
Conduct interviews and monitor training of new
clinical employees
•
• Perform supervisory visits as needed
This home health was due to obtain their
accreditation renewal
•
I stepped in at a critical time and assisted over the first month to prepare for survey
•
I assisted in reviewing charts, correcting orders, reviewing documentation, and training all nurses
•
I also developed performance improvement plans
and implemented necessary changes to ensure
compliance with all regulations
•
I trained and conducted mock visits with nurses in preparation for a survey
•
The survey was successful and accreditation
renewal was achieved
•
Our contract ended with the passing of the survey
and although I was offered the full time Director of Nursing position- I had already taken interest in the clinical position with Anvoi hospice and chose to
move forward with them.
•
Hospice of El Paso
Directs and coordinates functions and activities of nursing department and assigned clinical operation departments
•
Consults with and advises Administrator on the
general operation of the hospice and inpatient unit
•
Develops nursing and clinical department's goals,
objectives, standards of performance, policies, and procedures
•
Organizes nursing and clinical departments
according to administrative and nursing service
guidelines; ensures compliance with legal,
organizational, and medical staff standards
•
Has authority and responsibility for establishing, directing, and implementing the Standards of
Nursing Practice and the clinical operations and
financial matters related to all nursing and clinical care areas and functions
•
Ensure all staff are compliant with policies and
procedures by auditing charts and documentation
and doing daily rounds to identify areas of
improvement
•
Develops education plans to ensure staff practice
was in line with policies and procedures and recent evidence-based care
•
Collaborates with all physicians in the facility to ensure plan of care, medication regimen and
orders were being communicated effectively
•
Keep track of census and staffing ratios to ensure
field and inpatient unit are both properly staffed
and meet budget goals
•
Conduct interviews and monitor training of new
clinical employees
•
• Perform supervisory visits as needed
• Performed hands on training with staff- in home
Met with families/referral sources in order to
address concerns/issues
•
• I developed a new staffing model
• RN/LVN team for hospice home patients
• My team of nurses would take up to 24 patients
The LVN/RN would work together to split the visits and ensure RN visit every 14 days as required by
regulations
•
The team would identify plan of care
changes/changes in condition and work together to
ensure appropriate visits and updates to plan of
care
•
This allowed for better services to our patients as they had two nurses they could count on
•
It alleviated stress when time off/sick days came
around as one of the nurses was available
•
• It greatly improved continuity of care
One of my teams was assigned to all nursing
facilities to ensure that their needs were properly met, and they received the level of support they
expected
•
My nurses each lived on one side of town and
would maneuver visits together
•
They would even take it upon themselves to do
visits together with special cases and ensure the
family was well educated and comfortable with
both team members
•
I was at a team of 3 RN/LVNs and was prepared to
increase it to 6
•
This also improved our budget as nursing costs
went down and it allowed my RN case managers
freedom to complete all IDT notes and be able to
assist with admissions if needed
•
The Butterfly Program: I developed a new program
for the organization named the Butterfly Program
•
It was the pediatric hospice service line that focuses on palliative care with all the hospice benefits for the pediatric community
•
The program focuses on a palliative approach with
supportive guidance and personalized plan of care
for each individual child
•
The program focused on managing the patient's
illness in the home and working closely with the
physician to manage the patient to prevent hospital readmissions
•
As the patient's condition changes, we educated
and guided the parents
•
We discussed options and disease progression
along with prognosis to assist them in making
choices about quality of life
•
With the program's support and guidance parents
come to terms with the disease and prognosis,
hospital visits are decreased and ultimately cease, and we were successful in assisting parents in
making end of life decisions and focusing on the
quality of the child's life
•
I was the creator and the lead case manager for the Butterfly Program and fostered a relationship with
the staff and physicians at our local children's
hospital
•
My plans and ambitions were to grow the program
in El Paso and work both with El Paso Children's
Hospital and Providence Children's Hospital to
ensure access to all pediatrics in needed
•
December 2021 - December 2022
PACU/ICU/NICU FLOAT RN
Las Palmas Medical Center
August 2022 - October 2022
Interim Director of Nursing
Mountainview Health and Rehab
I was also in conversations with a physician in Las Cruces who was seeking a hospice program to meet
the needs of Las Cruces and it's surrounding areas.
•
The RN PACU Staff nurse provides direct nursing
care in accordance with established policies and
procedure of Las Palmas Medical Center
•
In collaboration with the patient, the patient's
family and other members of the hearth care team,
the clinical RN assesses, plans,implements,
evaluates and coordinates treatment plans to meet
the needs of the surgical schedule, surgeons,
anesthesia providers, patients and staff needs
•
The PACU RN collaborates with other members of
the hearth care delivery team including physicians to deliver quality health care; provides professional nursing care to patients utilizing the nursing
process; practices, develops and endorses
customer service skills in relationships with all
internal and external customers; participates and
cooperates in the unit based Quality Improvement
processes; supports, maintains and provides an
environment which is supportive of quality patient care through effective use of resources and
personnel; serves as the patient and family
advocate with respect to the patient's right to
privacy by protecting confidential information;
plans and implements patient care and teaching
based on a total assessment and the age of the
patient; evaluates and documents patient response; monitors and recognizes changes in physiological
and psychological status, takes appropriate action based on assessment of the patient
•
Assess and monitor patients as they recover from
various surgical procedures
•
Communicate with physicians and anesthesia with
any pain concerns or developments throughout
recovery.
•
Accountable for nursing compliance, excellence,
and delivery of resident care services in adherence with The Company, local, state and federal
regulations
•
Manage nursing staff through appropriate hiring,
training, evaluation, assignment and delegation of
•
January 2022 - July 2022
Director of Nursing and Clinical Services
Kindred Hospital
duties, within budget and resident census
guidelines
• Augment floor staffing if needed
Approve and validate all department payroll prior
to submitting
•
Review and ensure proper resident charting and
procedure documentation
•
Develop and implement resident care plans in
coordination with physician, medical director,
nursing staff, and outside consultants (i.e.,
therapists)
•
Ensure appropriate equipment, supplies, and
resources are available to staff on a timely basis
•
Train and develop nursing staff to achieve positive resident outcome
•
• This was an interim position
• I was ultimately offered the full-time position
• However, I received 3 offers at that time
I ultimately chose to move forward with the offer
from Hospice of El Paso.
•
Directs and coordinates functions and activities of nursing department and assigned clinical operation departments
•
Consults with and advises Administrator on the
general operation of the hospital
•
Develops nursing and clinical department's goals,
objectives, standards of performance, policies and procedures
•
Organizes nursing and clinical departments
according to administrative and nursing service
guidelines; ensures compliance with legal,
organizational, and medical staff standards
•
Has authority and responsibility for establishing, directing, and implementing the Standards of
Nursing Practice and the clinical operations and
financial matters related to all nursing and clinical care areas and functions
•
Ensure all staff are compliant with policies and
procedures by auditing charts and documentation
and doing daily rounds to identify areas of
improvement
•
Develops education plans to ensure staff practice
was in line with policies and procedures and recent evidence-based care
•
Developed classes on specific areas that were
identified to be areas needing improvement
•
Created PowerPoint presentation and created life
size models to demonstrate proper techniques for
patient care skills
•
Developed a new system that was hands on and
interactive for staff to accomplish their yearly
competencies as required by JCHAO
•
Staff met with me one on one or in a group to
perform skills and get live tips to improve our
performance as a team
•
Performed daily rounds on patient rooms and unit
to ensure hospital was JCHAO ready and remained
in compliance
•
Planned and ran meetings with staff and nursing
supervisors to ensure effective communication as
team on all shifts
•
Collaborated will all physicians in the facility to ensure plan of care, medication regimen and
orders were being communicated effectively
•
Keep track of census and staffing ratios to ensure
units were properly staffed and met budget goals
•
Collaborated with staffing coordinator to approve
monthly schedule
•
Participated in all code blues to ensure team
effectiveness and provide post code meetings to
discuss areas of improvement
•
Performed interviews for potential hires and
participated in onboarding of new staff
•
Chose preceptors for new staff and monitor their
progress through training to determine readiness
•
• Part of Quality Improvement Team
Took charge of monitoring Q2h repositioning and
oral care
•
Educated staff on expectations and developed a
monitoring tool
•
Performed daily rounds to ensure staff completed
assignments
•
Quarterly numbers showed improvement over the
3 months and family complaints decreased
•
No pressure ulcers developed on our patients and
current pressure wounds showed vast
improvement
•
I developed and executed multiple education
classes for staff- my PowerPoints are available for review
•
I was also in the process of developing a Critical Care Class for corporate that I was going to teach over 8 weeks
•
I was signing up all staff members to be critical care trained.
•
April 2020 - January 2022
ICU RN/Nursing Supervisor
Kindred Hospital
As an ICU Registered Nurse / ICU RN you will:
Deliver quality patient care by contributing to the nursing care plan from admission to discharge
•
Prepare assessment of patient's progress and keep
family informed
•
• Monitor pain management procedures
• Participate in the discharge planning process
• Ensure current and accurate patient documentation
• Supervise ancillary staff members
Provide care to critical ventilator and trach patients in long term setting
•
• Managed variety of IV titration medications
• Preceptor for new employees and nursing students Nursing Supervisor / RN duties: Oversee the
hospital staff to ensure quality care and compliance with policies and mandated regulations
•
Provide professional guidance for nursing
personnel, manage disciplinary issues, prepare
administrative reports, review staffing and
budgetary needs, and integrate Nursing Services
functions with other hospital departments
•
The Nursing Supervisor will also participate in
program development and training for nurse-
recruitment activities and assist with continuing
education programs
•
Trains, supervises and evaluates designated
nursing staff; assigns duties and coordinates
nursing services
•
Participates in developing nursing protocol and
procedures
•
Provides continuing education and staff
development opportunities for nursing staff
•
Assesses patient needs; participates in providing
nursing care; ensures services are carried out and documented appropriately
•
• Maintains patient health care records
Maintains supply inventory records; order supplies and equipment, as necessary
•
Promotes adherence to the Company's Code of
Business Conduct and the Corporate Compliance
Agreement by monitoring employee performance
and identifying and responding to compliance
issues
•
Managed unit staffing as appropriate to meet
needs
•
Provide support to staff on units and education in
all situations
•
July 2015 - January 2022
Inpatient Facility/Admissions RN
Hospice of El Paso
Planned patient transfers as required to promote
patient health outcomes
•
Collaborated with all physicians to ensure patient needs were being met and goals of care were
appropriate
•
Head responder to medical emergencies, lead in all code blues
•
Revitalized crash cart after physician complaint and restructured set up to improve efficiency of codes.
•
Provide skilled professional nursing care to
patient/family/caregivers
•
Oversee and provide primary care, including all
clinical care, palliative care, and symptom control and identify other physical, psychological, social and spiritual needs for assigned patients
•
• Regularly assess the patient for nursing needs
Implement the Plan of Care Provisions to meet their needs, initiate appropriate intervention and
support for the patient and family upon admission
and re-evaluate the patient's nursing needs to
provide appropriate, comprehensive and
responsive care plan interventions
•
Work closely with other members of the
interdisciplinary team to ensure all patient and
family care needs are being met
•
Work in collaboration with the Patient Care
Manager and the Interdisciplinary Team in the
planning, implementation and evaluation of
medical and nursing care
•
Admissions Nurse: Receive and respond to inquiries about hospice care
•
• Receive referrals for hospice care
• Screen information for appropriateness to program Obtain all necessary intake information and
physician's start-of-care order
•
Assist in obtaining needed equipment and supplies
to begin care
•
Maintain accurate tracking records and log of daily activities
•
Schedule pre-admission visits and evaluate every
potential patient for admission criteria
•
Coordinate discharge planning with family, social
workers, hospital staff and attending physician
•
Liaison with physician and discharge planner to
facilitate admission
•
March 2019 - August 2020
RN
Healthtrust/Del Sol Medical Center ICU/CCU
January 2018 - March 2019
ADMISSIONS/FIELD NURSE
TENDER CARE HOME HEALTH, El Paso, TX
Clarify all medications with pharmacy and attending physician during to admission
•
• Review medications with patient and family
Provide extensive teaching with patient/family on
symptom management and the disease process to
ease anxiety
•
• Perform after-hour admissions as needed
Visit various hospitals and nursing homes to assure that professionals are aware of the scope of
hospice services and have an understanding of
admission criteria
•
• Assume triage duties when assigned
Function independently, demonstrate personal
integrity, flexibility and the ability to work effectively with other personnel under varying circumstances
•
Provided support and guidance to family in the last stages of the patient's life
•
Provided emotional support and education through
the dying process
•
Educated the family and patient on hospice services and initiated services
•
Charge nurse of the in-patient unit on every shift, ensured CNA performed all duties as assigned
•
Developed staffing schedule for the inpatient unit
on a monthly basis
•
As an admissions nurse- served as charge when
administrator was unavailable
•
Assigned staff to referrals and admissions and
assisted staff in ensuring that all patients were seen
•
• Served as preceptor for new employees.
The Intensive Care/Coronary Care Registered Nurse
is a professional nurse who coordinates the
delivery of nursing care for critically ill, post
operative, ventilator, post cardiac arrest, post heart cath, hemodynamic stabilization and other critically ill patients in the units
•
• Lead nurse in trauma cases
• Assigned to most critical patients in the unit
• Resource for all nurses on the unit
Assisted charge nurse with duties and education of all staff on shift.
•
Performing nursing assessments regarding the health status of patients; developing and implementing a plan of care which emphasizes the teaching of evidence best practices. This person will als coordinate patient care with the physician, management, and the
multidisciplinary teams.
Initiated home health services and determined patient needs for nursing services.
· Collaborated with physicians for appropriate orders to meet patient needs.
November 2017 - January 2019
ICU/CHARGE NURSE
Hospitals of Providence East Campus
June 2016 - February 2018
PEDIATRIC RN
Epic Home Health
US
February 2015 - June 2016
RN ICU/CHARGE NURSE
SIERRA MEDICAL CENTER, EL PASO, TEXAS
• RN ICU
The Intensive Care/ Coronary Care Registered
Nurse is a professional nurse who coordinates the
delivery of nursing care for critically ill, post
operative, ventilator, post cardiac arrest, post heart cath, hemodynamic stabilization and other critically ill patients in the units
•
• Provided care to variety of critical care patients
• Designated nurse for CRRT patient management
• Assisted charge nurse with duties as needed
• Preceptor as needed for new employees.
Reported symptoms, condition changes and vital
signs to primary care doctors, patients, and
families.
•
Kept accurate records and charts related to
medications and treatments according to policies,
procedures, and physician orders.
•
Performed ongoing patient assessments, notifying
supervising clinician of abnormal findings.
•
Assessed and evaluated patient physical, mental,
and emotional status to assist with care needs.
•
Maintained confidentiality in patient matters to
comply with HIPAA guidelines and measures.
•
Conducted patient assessment, prioritizing data
collection based on patient condition or needs.
•
Liaised with multidisciplinary teams to organize and coordinate health and care services to meet
patients' complex care needs.
•
Attended educational workshops and reviewed
professional publications to maintain competency
in nursing specialty.
•
Managed multiple tasks simultaneously while
paying attention to detail.
•
Performed emergency medical procedures such as
CPR and intubation.
•
Developed individualized care plans for each
patient based on assessment results, physician
orders, and patient goals and needs.
•
Ensured compliance with all relevant laws,
regulations, policies, procedures, standards of care and ethics codes.
•
Participated in continuing education programs
related to nursing practice.
•
Demonstrated excellent communication skills when
interacting with colleagues, supervisors, and
patients.
•
Utilized critical thinking skills to make sound clinical judgments in complex situations.
•
Maintained accurate patient records using
Electronic Health Records software.
•
Assessed and monitored patient health, including
vital signs and medical histories.
•
Adhered strictly to infection control guidelines while performing nursing duties.
•
Assisted physicians during examinations and
diagnostic tests.
•
Identified potential risks or complications
associated with assigned interventions and
treatments.
•
Administered prescribed medications and
treatments in accordance with approved nursing
protocols.
•
Conducted assessments of new admissions in order
to develop an appropriate plan of care.
•
Responded to life-saving situations based upon
nursing standards and protocols.
•
Evaluated patient care needs to prioritize treatment and maintain patient flow.
•
Initiated resuscitative measures to reduce disability and death from acute circulatory and respiratory
emergencies.
•
Obtained specimens to run monitoring or
diagnostic tests.
•
Performed EKGs using proper techniques and
procedures.
•
Monitored, recorded, and reported symptoms or
changes in patients' conditions.
•
Used computers to complete necessary patient
charts and documentation on patients' progress.
•
Informed physician of patient's condition during
procedures.
•
L A N G UAGES
English
Native
•
Spanish
Fluent
•
S K I L L S
• Member Retention
• Cleaning Skills
• Schedule Coordination
• Customer Service Understanding
• Employee Mentoring
• Customer Relations Skills
• Personnel Scheduling
• Strategy Management
• Special Assignments
• Privacy Regulations
• Educational Strategies
• Behavior Redirection
• Impact Assessment
• Differentiated Instruction
• Safety Compliance
• Good Listening Skills
• Customer Support
• Project Assistance
• Protocol Adherence
• Process Improvement
• Administrative Support
• Daily Progress Reports
• Acute Rehabilitation
• Long-Term Care
• Risk Management
• Quality Assurance
• Team Meeting Management
• Recruiting and Hiring
• Critical Thinking
• Hazard Elimination
• Acute Care
• Swan-Ganz Catheters
• Multidisciplinary Team Collaboration
• Strategic Planning
• Nursing Protocols
• Regulatory and Statutory Compliance
• Clinical Quality Program Standards
• Nursing Recruitment
• Program Development
• Practice Standards
• Employee Coaching
• Chronic Disease Management
• Public Speaking
• Effective Multitasking
• Time Management
• Family Support
• Staff Scheduling
• Health Information Systems (HIS)
• EMR Software
• Professional Development
• Verbal and Written Communication
• Nursing Ethics
• Patient Education
• Budget Planning
• Discharge and Transfer Procedures
• Shift Scheduling
• Emergency Response
• Medical Equipment Services
• Administrative Staff Supervision
• Staff Evaluations
• Quality Improvement
• Mass Casualty Incident Planning
• Performance Evaluations
• Wellness Services
• Disease Control
• Clinical System Monitoring
• Patient Care Assessment
• Leadership and Guidance
• Hospital Admissions
• Team Supervision
• Public Relations
• Capital Budget Management
• Human Resource Management
• Quality Assurance Controls
• Clinical Staff Management
• Facility Inspections
• Profitability Strategies
• Seasoned in Medical Clinical Procedures
• Accreditation Coordination
• Problem Identification
• Family Advocacy
• Medication Side Effect Knowledge
•
Contact this candidate