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Patient Care Medical Records

Location:
Miami, FL
Posted:
March 29, 2024

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Resume:

Kimberly Nguyen, BSN, RN

***** ** **** ** (***) *14 - 1713

Coral Springs, FL, 33076 ad4nvn@r.postjobfree.com PROFESSIONAL SUMMARY

Dedicated and skilled Registered Nurse specializing in Medical and Surgical Oncology with seven years of clinical expertise and three years in hospital Med-Surg/Telemetry setting. Known for effective communication and adaptability to changing environments, and fostering a culture of collaboration. Committed to delivering exceptional patient care and driving operational excellence by leveraging clinical knowledge, experience in various healthcare systems, and passion for telemedicine.

EXPERIENCE

7/2021 – 02/2024: Medical and Surgical Oncology Nurse Supervisor Miami Cancer Institute

• Demonstrated leadership in overseeing nursing staff and daily operations, ensuring adherence to quality standards and regulatory requirements.

• Performed chart audits to ensure accuracy and completeness, identified missing medical records pertaining to upcoming new patient visits, collaborated with medical assistants and nurse navigation intake teams to ensure medical records are obtained timely prior to consultations.

• Utilized data analytics to identify trends and drive continuous improvement initiatives.

• Developed and implemented strategic plans for quality improvement and key performance indicators, enhancing clinical workflows, efficiency, and standardization practices.

• Established and supported various speciality clinics such as Breast Surgery, Surgical Urology, Oral Medicine, GYN Oncology, Palliative Care, and Cancer Rehab, exceeding metric goals for patient care.

• Implemented and maintained inventory lists for each speciality clinic supplies, conducted regular inventory assessment to ensure accuracy, optimize inventory levels and minimize stockouts.

• Created and maintained Excel logs for hand hygiene audits, pathology review cases, and equipment sterilization.

• Served as administrative leader for nurses and medical assistants, provided support and resource, performed 1:1 meetings with direct reports to evaluate performance and productivity.

• Cerner EHR Proficiency: acted as resource for the clinic team and assist in troubleshooting minor EHR end-user issues.

• Cerner Oncology Informatics Liaison: working collaboratively with the Oncology Informatics team to escalate and follow up on technical issues/bugs experienced by end- users.

• Nursing Education Workflow Development: developed workflow and collaborated with interdisciplinary team, leadership, and systems analyst to design and build a nurse education template. Provided training to end users on appropriate Cerner documentation and workflow process.

• Cerner Proficiency: Serves as Cerner resource for the clinic team and assist in troubleshooting minor onsite Cerner issues.

12/2016 – 6/2021: Oncology Clinic Nurse

University of Miami Hospital and Clinics

• Worked closely with Medical Oncologist and Advanced Nurse Practitioner to provide comprehensive oncology management and improve clinical outcomes for benign heme, malignant heme, and solid tumor patients.

• Contributed to successful new/established patient visits through weekly patient chart reviews to identify missing medical records, obtain records from different healthcare systems, and organize the records by file type to ensure a complete chart for the provider.

• Utilized knowledge of ICD-10 codes, patient diagnosis and thorough review of medical charts in order to initiate and complete Prior Authorization for oral oncolytics, supportive oral medications, and benign hematology drugs, and internal/external coordination and arrangement for port placement or various biopsies as indicated by the treatment plan. Worked closely with the Insurance Verification team to obtain authorization timely.

• Provided telephonic triage to incoming calls to the clinic to monitor, identify, and respond in emergency situations and other call types. Provided timely and appropriate guidance to patients in critical status and escalated to the medical provider. Synthesized patient data and implemented an action plan appropriate to the situation. Provided nutritional, lifestyle, disease management, and chemotherapy/biotherapy education to patients and family. Documented calls accurately and relayed messages per established protocols.

• Managed clinic flow and patient visits while accurately documenting vitals, updates or changes to medications, depression screening, changes to medical or surgical history in the EHR.

• Worked in collaboration with infusion department and provider to address same day chemotherapy, biotherapy, and blood product infusion orders or changes in treatment plan.

• Requested pathology slides and facilitated pathology review process per physician order and maintained a log of pending and completed cases.

• Facilitated NGS and genetic requisition forms and followed up on results to ensure timely treatment coordination with provider.

• Completed FMLA, disability, and medical leave forms on behalf of medical team.

• Set up and assisted with in-office bone marrow biopsies.

• Accessed ports, collected labs prior to infusion treatment, and de-accessed ports prior to pre-chemo visit or follow up visit.

• EPIC Utilization: Pioneered the Nursing Discharge Instruction SmartPhrases/DotPhrases to be used in the After Visit Summary (AVS) initiative for the clinic.

• Developed and regularly updated SmartPhrases/DotPhrases, designating/sharing the SmartPhrases/DotPhrases with the nursing team, and providing training on the documentation process. Designed EPIC Nursing Note Templates for various telephone triage needs to include medication refills, symptom triage and management, escalation calls, and PT/INR monitoring.

• EPIC Proficiency: Skilled end user with to include nursing assessments, charting, and Epic In Basket messaging system. Provided patient and provider on-site support for telehealth- based patient visits. Served as a preceptor for new nursing staff to include as acting resource for EPIC EHR-related queries or issues.

06/2015 – 12/2016: Medical Surgical nurse

Broward Health Coral Springs

• Provided direct patient care and accurately documented assessments, medication administration, discharge planning.

• Assessed, evaluated and implemented nursing care plans in a medical-surgical setting.

• Educated patients and family regarding surgical treatment plans, ERAS protocol, medications, and diseases management.

03/2013 – 05/2015: Telemetry nurse

HCA Florida Northwest Hospital

• Provided patient and family education regarding treatment plans, medications, discharge instructions to optimize recovery and wellness.

• Proficient with IV infusions, infusion titrations, management of central lines and peripheral lines, NG tubes, Foley catheters and other lines.

• Assessed, evaluated and implemented nursing care plans in a telemetry setting.

• Provided patient and family education regarding treatment plans, medications, discharge instructions to optimize recovery and wellness.

SKILLS

Outlook Word Excel PowerPoint Zoom Publisher

Microsoft Teams Kronos Epic Cerner Meditech Tableau EDUCATION

BSN, Nursing, Florida Atlantic University, Boca Raton, FL, Graduated May 2012 High School Diploma, Marjory Stoneman Douglas High School, Parkland, FL, Graduated June 2007

LICENSE/CERTIFICATION

Registered Nurse License No. 9348702 (Compact), Expires July 31, 2024 BLS, Expires January 31, 2026

ACLS, Expires September 27, 2024

ONS/ONCC Chemotherapy Immunotherapy Certification, Expires October 4, 2025 REFERENCES

Lolita Byars-Shuyler, RN- Infusion Supervisor 786-***-**** Kelly Vasquez, RN- Patient Care Nurse Supervisor 954-***-****



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