Triage Nurse Clinical Research
Resume:
Tyanne T. Chavis
**** ******** ***** ******, ** *7707
ad5dod@r.postjobfree.com
Professional Career Objective
To attain a position as a Clinical Telehealth/Triage Nurse, where 16 years of nursing skills can be utilized and advanced. Striving to provide adequate & positive outcomes by using a holistic approach with evidence-based practices. Striving to further understand & develop health processes and to promote and maintain health & safety via public service. As well as maintaining physiological & psychosocial integrity to clients (patients), parents/family, and caregivers for overall well-being and better quality of life.
Skills and Services:
Short Stay / Observation Surgery/PACU Pre/Postop Care
Trauma / Orthopedics Educate / Teach Telehealth/Triage
Ante/Postpartum Nurse Consulting Care Coord / Case Mgmt.
Counseling/ Resource Auditing/QA Data Mgmt.
Mentoring/Precepting Teambuilding Pharma / Clinical Research
Infusions/CVAD Port Care Immun./Vaccination Admin Primary / Preventive Care
Public Health Women’s Health OB Gyn/Oncology
Pediatric / Newborn Care Nursing Assessments Patient Advocate
Education
North Carolina Central University-Durham, NC Bachelor of Science in Nursing 5/2012
SNA (Student Nurse Assoc.)
Licensure/Certification/Memberships/Skills
Registered Nurse (NCBON) 2012-Present
#265368
CPR BLS-AED 2002-Present
PALS 2018-Present
NRP 2023-Present
Newborn Care Specialist/Breastfeeding Coach/Doula 2012
Birth Assistant 2022
Experience
Duke Health-Duke Primary Care 01/2022-4/2024
Telephonic Triage Nurse (Patient Engagement)
● Evaluate needs of acute and chronically ill patients/clients. Counsel patients /caregivers on treatment disposition.
● Collect and analyze patient data. Advise recommendations for care, evaluate and document (EPIC)nursing actions and patient responses.
●Observe & Assess patient based on nursing judgment and guideline protocols using SBAR format.
● Educate patients/families on plan of care & implementation. Support patient based on needs of care.
● Collaborate and assist other HCP’s & medical personnel regarding implementation of care. Communicate effectively with patients, families, healthcare & leadership team with recommendation and request concerning medical care.
● Monitor and initiate appropriate environment of care, including maintaining required competencies and continuing education resources.
● Utilize Epic System (EMR) to accurately document patient assessments or view charts for previous Medical Hx, Care, Visits and medications.
● Arrange medical appt, route Messages to patients/ other HC team members regarding care or patients.
● Interact with patients, providers and other personnel in a timely, courteous and accurate manner
● Demonstrate trust & respect for client. Be aware of cultural and social needs and differences.
UNC Healthcare 8/2018-Present Clinical Nurse II-Children’s Short Stay Unit
● Offer clinical nursing to the following areas: Pediatric Surgery, Preop/PACU & Short Stay/Observation.
● Conduct admission assessment, survey patients and monitor vitals during observation.
● Administer medications and perform various procedures, diagnostic tests and treatments such as Blood Transfusions, Phototherapy, Dressing Changes, Infusion/IV Therapy, & Injections.
Develop patient care plans in conjunction with other HCPs and multidisciplinary team.
●Provide ongoing support via assessments, planning, implementation and overall evaluation of patients’ needs on admission and prior to discharge.
● Responsible for Admission & Discharge teaching/instructions. Evaluate discharge plans to determine possible needs after discharge and communicates to patient, family/caregiver and other multidisciplinary team members. Participate in audits and improvement projects related to patient support.
● Promote patients independence by teaching families and patients to understand conditions, medication and self-care skills. Educate & train staff, patients and caregiver as needed.
●Perform infusion with various research IV Treatments for eligible clients who are participants. Observe & report all clinical findings to Chief Medical Investigator etc.
● Prioritize patent care, escalate issues of concern and collaborate with other multidisciplinary team member to coordinate care throughout patient stay and after discharge.
●Precept and Train new Nurses/Staff to assigned task & duties.
●Float & Assist as Nurse/Charge Nurse on other Peds Floors (incl ICUs)
Durham Public Schools 11/2019-8/2021 School Nurse-CFST Lead
● Planned, provided, educated and trained staff /administrators on medications, medical advice for medically complex students and symptomatic students.
● Maintained medical records utilizing the nursing process, in accordance with physician orders and established policies procedures under the supervision of the nursing director.
● Case management conducted home visits and counseling provided to the student body and area schools.
● Initiated plans, health screens and assessments for the student body and area schools.
● Delegated nursing task to assistive personnel supervise the activities of other licensed and unlicensed care providers
● Knowledge of COVID protocols & SOP’s Assist with Contact Tracing for COVID exposure.
● Shared COVID protocols & how to increase prevention of COVID outbreaks/clusters.
PRN Triage (Pediatric Healthline) 3/2016-1/2019 Tele-Triage Nurse (Contract-Per-Diem)
● Provided triage for Home Health & Hospice patients.
● Provided assessments and advice via phone for patients in need of medical advice.
● Interviewed patients (if possible) and/or family to obtain medical histories and to make an accurate assessment. ● Assigned a triage priority based on observations and available information.
● Used the Barton Schmitt & David Thompson Adult/Pediatric Assessment Guideline Protocol.
● Collaborated with On-call physicians and PCPs.
● Reviewed triage calls and charts for accuracy to remit for compensation.
● Consultant Nurse for pharmaceutical companies and laboratories partnered with assigned clinics.
● Advised and reported adverse events and abnormal side effects & refer for appropriate treatment and schedule appts.
● Provided Breastfeeding assistance and Newborn/Postpartum Care.
● Used Triage Logic system to collect and store patient documentation.
BrightStar Health of Cary 6/2017-6/2018 Infusion Nurse (Contract-PerDiem)
● Obtained vitals, reported any ADR to pharmacy and nursing supervisor.
● Administered pre/post medication, lab draw, and specimen collection.
● Programmed and titrated Curlin Pump IV flow rates as needed.
● Delivered Labs via drop off /delivery service.
●Medication Info Specialist POC. Would give basic knowledge of IV med. Anything further would refer clients to assigned Pharmaceutical Specialist.
●Performed In-services as needed with staff or collaborated with outside medical companies when new equipment/supplies were being introduced or utilized.
Bayada Healthcare 10/2016-12/2019 Pediatric/Infusion Nurse (PRN)
● Served medically fragile patients and families with various diagnoses across a broad spectrum of disease processes.
● Communicated to patients, caregivers/parents, healthcare personnel and physicians regarding patient’s health status
● Provided 1:1 nursing care to clients ages newborn to 18yoa; Head-Toe Assessment/Vitals Age-appropriate care and interactions for growth and development.
● Administered Meds and G Tube feedings via pump or bolus. GJ Tube, Vent and Trach Care/Suctioning/ Humidification/Cleaning of Equipment
● Communicated a new plan of care and Rx instructions, provided from doctors.
● Provided ADL skills, activities, Chest PT, Infusion via CVAD/PICC Line/Broviac; TPN, IVIG, AntiBx
● Documented precise and adequate nursing notes and monitoring as ordered.
●Performed IVIG infusions via peripheral venipuncture, Central /PICC Lines, and ports using SASH technique.
Pediatria Healthcare for Kids 6/2016-6/2018
Care Coordination/Case Management-Resource Nurse
● Provided care to patients with special needs and various disease processes.
● Responsible for initial assessments, patient care and case management.
● Collaborated and communicated with primary physicians and clinicians.
● Assisted Patients and parents with education and teaching proper techniques for care.
● Home supervisor visits, case management for Cap/C & Medicaid patients.
● Reviewed, checked and audited Patient Charts for accuracy and QC.
●Performed recertifications & continued Care eligibility to submit to Insurance/Medicaid as proof of necessity of care.
● Provided lab specimens, blood Draw/Cultures for testing.
● Review clinical notes & appropriate documentation to determine reasoning for care or continuity of care.
● Contact PCPs or HCPs for orders to start or continue care.
● Write & Prepare quality clinical care plans for patients, providers and caregivers
● Follow up with Physicians and Payers/Insurance for compliance in reference to treatment protocols.
● Provided medical info to Providers and Patients as needed.
● Experience with Dialysis and Nephrology patients and other chronic/congenital diseases.
● Discuss patient barriers with appropriate members of multidisciplinary team regarding psychosocial concerns as it relates to impacting progression of care or increased risk of hospital admission.
●Provide education and coordinate care/referrals to community resources, support groups and other appropriate resources to patient family and Multidisciplinary team.
Durham Connects (Center for Child & Family Health) 3/2014-3/2016 Postpartum Home Visitor Nurse
● Provided ongoing clinical universal health & psychosocial assessments of newborns, mothers & families for strengths, risk, and needs. Reducing risk for lack of continuity of care.
● Establishing care plans to meet specific health needs and building patient/family rapport for best possible outcomes with evidence-based practices.
● Distributed information of importance to accurate bottle prep, safe sleep practices, tummy time, and preventive healthcare.
● Reassured and provided education in response to parent queries and observation on possible difficulties in adapting to newborn.
● Provided health assessments to mother and infant (ie. Weight/length checks, BP, Head to Toe assessment and observation).
● Screened mother and family for emotional wellbeing (“baby blues"/PPD), substance and domestic abuse.
● Educated moms and family on signs of PPD and when to contact healthcare providers for mothers or infants.
● Provided individualized connects to community resources and referrals for families in need (ie. LC support, Social Services, child-care and other parenting resources.
● Scheduled home visits during mother/newborns time in hospital after delivery/before Discharge. (L&D/Maternity/NICU) & Palliative Care/Pregnancy Loss.
● Provided care to all moms who live in Durham County (no matter what hospital they delivered).
● Followed up with home visits and phone calls to monitor outcomes.
● Document via electronic documentation from time of initial home visit, referrals, follow ups to closing patient cases.
● Interacted and communicated with OB, Peds, Primary Care provider or SW/Community Agency.
● Identify, discuss and address patient barriers with appropriate members of multidisciplinary team regarding psychosocial concerns as it relates to Maternal/Newborn Health and risk of postpartum depression and Mental health needs.
●Provide education and coordinate referrals to community resources, support groups and other appropriate resources to parents, family caregivers and support system, as well as Multidisciplinary team.
● Resource/Case Management for mother/baby and families w increased risk of low economic status & health disparities etc
UNC Healthcare 6/2012-3/2014 Clinical Nurse I, RN-Womens Health; OB-GYN/Maternity
● Coordinated patient care and safety while using the nursing process.
● Built nurse patient/family rapport via teaching & demonstrating safe practice in planning & delivery of care Utilize clinical judgment and decision-making skills.
● Performed nursing assessments and triage of patient care needs for new and ongoing patients. Report
from PACU/ED or Women’s Clinics.
● Supported care and administration of chemotherapy, blood components, fluid and electrolytes
replacements, and other oncology treatments as prescribed.
● Accessed power ports, PICC & PIV Lines (sterile technique) Start IVs, TPN, Heparin, PCA pumps & admin Insulin Perform Lab Draws Diabetes/ Wound management.
●Performed IVIG infusions via peripheral venipuncture, Central /PICC Lines, and ports using SASH technique.
● Advocated for care after D/C (ie. hospice, home health, or rehab/SNF).
● Followed established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards.
● Trained and guided other nursing and support staff engaged in clinical activities; may participate in research and related activities.
● Performed miscellaneous job-related duties as assigned.
● Provided a reassuring and calming environment and administered health treatment to mothers & babies.
● Assessments of mothers, postpartum treatment and routine checks for vaginal and cesarean after birth treatment administered.
● Assessed and treated newborn infants performed duties such as bathing, weight, hearing screens, labs, circumcisions, bilirubin, breastfeeding assistance to mothers, feeding and measurement of newborns on admission and thereafter before discharge.
● Performed blood glucose checks, hearing tests, car seat screens, TC Bili and O2 checks.
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