Medical Center Entry Level

Arthur T Marcello, Jr. 401-***-****

** ****** ***** ****** ***** Date: 5-21-53

East Providence, R.I. 02914 *********@***.***

EDUCATION:

Fall River Diploma School of Nursing Entry level Nursing Education Charlton Memorial. Hospital Diploma: 1974

Fall River, Ma. R.N. Lic.: Ma. & R.I.

Providence College Bachelor of Science, Health Service Eaton Street Administration

Providence, R.I. 02902 1986

WORK EXPERIENCE:

VA Medical Center Chalkstone Ave, Providence, RI, 02908 Quality Review (June 2023 to March 2024)

-Responsible in performing nursing audits / chart review as requested by nursing leadership. Presents monthly results to Chief Nurse / Quality Management / Patient Safety Officer with recommendations and solutions to improve nursing care and patient outcomes.

-Provides vaccines to Veterans (COVID / FLU / RSV) within the department of Population Medicine/ Primary Medicine.

-Updated Medical Center Joint Commission training materials and review documents.

-Provided back-up support for the Patient Safety department. Infection Prevention/Control April 2020 t June 2023

-Responsible in performing daily IC surveillance activities within the medical center as it relates to COVID and MDROs.

-Key role in department activities related to COVID: education of the virus, providing isolation / self-quarantine recommendations, best practices in the prevention of the spread of the virus.

-Participated in planning of programs, policies and/or objectives for the medical center or work group related to COVID.

-Collaborated with Employee Health Department in conducting interviews / tracers with staff and patients who had tested positive for COVID, been exposed to COVID and/or exhibiting signs and symptoms of the virus.

-Provided weekend / holiday coverage for the medical center for Infection Prevention and Control issues. Quality Management

-Developed unit based “Report Cards” with Infection Prevention results for successful Joint Commission visit

(6/2021).

-Participated as scribe for the 6/2021 Joint Commission visit.

-Developed signage for cleaning of non-critical reusable medical equipment cleaning addressing correct cleaning agent/product and dwell time for various items

-Initiated MD documentation reviewing discharge diagnosis and ICD 10 codes to educate MD staff.

-Initiated MD documentation reviewing of encounter completion of the hospitalist for their initial and ongoing visits. Credentialling & Privileging

-Provided support to the sole credentialing specialist whilst in the hiring process of additional staff. Patient Safety

-Reviewed and followed up on patient safety reports.

-Instituted a tracking mechanism to encourage rapid responses.

-Provided daily overview to upper management and national levels. 3-2006 to 12-2019 (retire date) VA Boston Healthcare VFW Parkway, West Roxbury, MA, Nurse Manager/Quality Manager, Medical Service.

-Involved with all quality issues related to attending and resident physicians practice & process issues.

-Nurse Manager of Cardiac Procedure Nurses.

-Developed the Medicine In-patient team NP/PA Service and managed the staff.

-Supervised the credentialing staff. Oversaw the privileging process for all physicians and physician extenders within the service. related to peer review.

-Developed and oversaw the physician ongoing professional practice (OPPE) & Focused (FPPE) review process.

-Oversaw Facility access for the 12 Medical Service specialty services, responsible for 38 Medical Support Assistants dealing with scheduling and overall clinic management.

-Participated in all Joint Commission reviews.

-Chair Operative & Invasive Procedure Committee.

5-1989 to 3-2006 VA Medical Center Chalkstone Avenue Providence, RI, 02908 Nurse Manager of the following units:

Emergency Department: 2005 to 2006

Hemodialysis: 2000 to 2006

Ambulatory Diag. & Treatment Unit: 1990 to 2005

Medical ICU: 2005

Surgical ICU: 2001

Telemetry/Step Down Unit: 2005

Interim Assistant Chief Nurse 2005

-Chair, Medical Center Patient/Family Education Committee

-Chair, VISN 1 Pt. Family Ed. Committee

-Chair, Medical Center Pain Management Committee

10-99 to 5-05 The Memorial Hospital Brewster Street, Pawtucket, RI, 02861

-Per diem visiting nurse. Provided professional nursing care services to adult patients including assessment, treatments, teaching.

1-96 to 5-99 Hospice Care of R.I. George Street Pawtucket, RI, 02861

-Per diem visiting nurse & weekend &Telephone Triage Coordinator. 6-85 to 4-89 R.I. Hospital 593 Eddy Street Providence, RI, 02901

-Nursing Coordinator: Interventional Radiology; Clinical/administrative/Management duties. 2-80 to 6-85 Linde Homecare Med. Systems Wilton, CT

-District Sales Rep. RI & MA; Home Oxygen.

1-76 to 2-80 R.I. Hospital 593 Eddy Street Providence, RI, 02901

-Staff & Charge nurse S.I.C.U.

6-74 to 1-76 St. Anne’s Hospital South Main Street Fall River, MA

-Staff & Charge nurse Med/Surg

Accomplishments and Activities

Infection Prevention/Control:

Developed policy and procedure during the COVID 19 epidemic within the Providence VA Medical Center. This included hands on teaching of staff related to PPE and overall protective activities as well as ongoing staff education of changes in practice.

Quality Management:

Developed overall noncritical medical equipment program for all services within the hospital. Developed unit- based report cards for staff to relate unit-based QM activities. These actions were cited by the JCAHO as best practices. Initiated hospitalist documentation review to assure required documentation of resident supervision.

Patient Safety:

This role, reporting to the Medical Center Quality Manager, included the review of each incident, requiring the assignment to the appropriate respondent. The response is time sensitive, and the role includes tracking of responses and follow up of any changes in practice. While in the role, to avoid overdue response, I established a reminder/tracking system that successfully decreased outstanding responses by 90%. In addition, I was required to provided daily overview to upper management and national levels. Medicine NP/PA Service:

Overall administrative supervision of activities/duties of the in-patient Medical Service N.P. / P.A. (C). The service covered all five of the in house general medical teams. The role requires continued coordination and encouragement of the group to remain actively involved in the participation of the training of new house staff in the daily life at VA Boston. In addition, addressed all Proficiencies and Performance Appraisals as well as any performance or disciplinary actions.

Cardiology Nurses:

Assured compliance with nursing practice, policy and procedure as well as acting as a liaison to other services in addressing care provided. Addressed all Proficiencies and Performance Appraisals as well as any performance or disciplinary actions.

Q.M. Coordinator Role:

Active participation with the Quality Improvement Committee led to more focused issue resolutions. Initial recipient of all Patient Safety investigations (national program) assigned to Medical Service which required review as well as assignment of appropriate provider/section for action and/or follow up. Created quarterly Medical Service Q.M. report. Monitored and assured the 14 MCM/PCM’s that Medical Service is responsible for are maintained. Remained the service's coordinator for all things related to Joint Commission and other reviewing agencies. Co-Chair of the Operative and Invasive Procedures Committee which addressed all issues related to procedures as well as Moderate Sedation administered by non-anesthesiologists.

System Redesign:

Medical Service lead in both the Facility Access and Clinic Management Committees. Administratively supervised 33.5 MSA FTEE; GS 6 staff and directly supervises of the 2 MSA GS 8 supervisors, 1 MSA GS7 supervisor and 2 MSA GS 7 Leads: addressing Performance Appraisals as well as any performance or disciplinary actions. Credentialing and Privileging

Coordinated and responsible for the overall supervision of the Credentialing & Privileging process for the service as well as the Chart (Peer Review) program. Supervised 2 credentialing specialists. Addressed Performance Appraisals as well as any performance or disciplinary actions. This involved both attending MDs as well as trainees. Medical Service Personnel Issues

Developed a tracking system of all vacancies within the section. Developed and/or assisted in the development of various position descriptions and functional statements as well as routinely developed most professional and nonprofessional position postings; LEAF clinic/leave and VATAS approvals. Member of the Hire Right Hire Fast committee; the hiring process of M.S.A. GS 6 staff, of which I oversee the 31 FTEE within the service along with the remaining 24 FTEE supervised that include RNs, NPs, PAs, Program Assistants. and Medical Instrument Techs, Committees and Meetings:

Weekly Admin meeting

Monthly Section Chief meeting

Operative & Invasive Committee (Co-Chair)

Accreditation

Safety

Quality Management Committee

Facility Access

Clinical Practice Management

Clinical Products Review

Infection Control

Hire Right Hire Fast

Quality Improvement Council

Developed non-critical medical equipment cleaning standardized tool for hospital wide use. This item was highly praised by the most recent Joint Commission Review (6/2021). Developed licensed independent practitioner tracking mechanism for service, now used throughout the Medical Center. (8/2006)

Developed On-line Joint Commission Preparedness training using “Q Stream” approach for staff; imitated in 2013. Completion of Lean Yellow Belt training; (1/2011.) Completion of I.H.I. Reducing Re-Admissions Program, (12/2010) Completion of VHA TEACH for Success Program, (6/2010). Established a process for shared communication between the Medical Service and Medical Staff Office. This process is now in use with other services that interact with the Medical Staff Office to better provide privileging status of newly hired and reappointed providers.

Expanded the scope of resident/intern education/orientation to include all Patient Safety Standards. This is now an on-going process established for Medical Service. (6/2006) Participated in the Quality Management Resident Rotation for B.U. Provides information related to what outside agencies drive quality issues as well as what is done by non-physicians. (6/2006) Coordinated conversion of paper to electronic documentation for all invasive procedure area supervised by the Medical Service.

Part of on-going nursing orientation providing training in the Universal Protocol/Time Out process. Completed Management/Leadership Development Program VISN 1, (5/2003). Established the first Ambulatory Procedure Unit at the Providence V.A. Medical Center and has guided its evolution from a “short stay” overnight unit to a totally ambulatory, 12-hour, unit. This included the development of policy, procedure, staffing patterns & mix, hiring and the development of a documentation system. Established the functionality of the Minor Procedure Room concept. This area more than doubled the procedural capability of the Medical Center while maintaining “one standard of care” for the patients. Developed the Performance Improvement Programs for the Hemodialysis and Ambulatory Diagnostic & Treatment Unit. These programs have evolved through multiple Joint Commission reviews with positive responses for each.

(Providence)

Established a core group of 12 R.N.s to provide monitoring of patients receiving moderate anesthesia, (conscious sedation), for various procedures outside of the surgical suite i.e.: Radiology, Pulmonary, Gastroenterology. This included the development of an on-going educational program and competencies for the role as well. (Providence) Re-structured the Hemodialysis Unit to optimize hours of operation and staff availability to better meet the needs of the patient population as well as the Medical Center. This included the cross-training of two R.N.s and a program to maintain their competency in the area. This has also included the coordination of restructuring the physician component to contract physicians from full time VA physician. (Providence) Established Interdisciplinary Care Planning Meeting for the chronic hemodialysis population. This twice monthly meeting addresses multiple issues with the physician, nurse, dietitian, and social worker. Chair of My HealtheVet initiative at Providence V.A.M.C. Coordinated and designed local publicity and education for patients and staff on this new national initiative. Completed initial VISN training in Inter-Qual.

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