Nursing Nurse

Melinda Almeida, BSN, MBA

305-***-**** *******@*****.*** 15760 SW 97 Terrace Miami FL, 33196

Director of Nursing

Professional Nurse with extensive clinical experience combined with administration oversight and staff leadership, resulting in high–performing medical units with exceptional quality and service standards. Develop and execute programs to improve productivity and effectiveness with a focus on patient care. Collaborate as part of cross-functional teams to meet the needs of patients in demanding environments. Apply a solution-oriented approach to resolve conflict, manage staff, and work with strategic partners to achieve optimal results.

AREAS OF EXPERTISE

Excellent Strategist - Provide solutions that boost productivity and efficiency across the organization. Quickly identify problem areas and implement effective solutions to meet goals.

Exceptional organizational skills - Consistently recognized for exceptional talents in needs analysis and problem resolution in fast-paced environments.

Strong sense of responsibility - Solid professional standards; excellent track record of dependability. Maintain focus on achieving results while implementing solutions to meet a diversity of needs.

Administration and Management - Knowledge of administration and management principles involved in strategic planning, resource allocation, leadership techniques, and coordination of people and resources.

Customer/Patient Service - Consistently demonstrate responsiveness, strong customer focus, and ability to build good customer relationships.

PROFESSIONAL EXPERIENCE

Kendall Regional Hospital • Miami, FL 2017-Present

Director of Orthopedic & Spine

Oversee the Orthopedic & Spine Department with specialty skills in orthopedics, spine, urology, general surgery, burns, and geriatrics, with a total of 48 beds.

Manage 125 FTEs, including Nurses (RNs, LPNs), Certified Nurse Assistants, and Unit Clerks.

Coordinate the design, implementation, revision, and evaluation of orientation programs for all levels of new nursing staff members and act as a resource in structuring clinical orientation for all new Nursing Personnel.

Collaborate with nursing leadership to ensure that departmental performance meets or exceeds standards described in medical staff rules and regulations, the hospital bylaws, departmental policies, the TJC Manual of accreditation and in other appropriate local and national standards.

Implement multidisciplinary rounds with Leaders to improve the patient experience scores (HCAHPS).

Chair of the Inpatient Patient Experience Committee.

In conjunction with the leadership team, help build enthusiasm, stability, teamwork, and competence among employees through supervision, individualized evaluation and accountability, training, and praise for a job well done.

Monitor correctness of the Ortho & Spine Departments records; implement action plans as required in association with Medical Records and Quality Assurance mechanisms.

Ensure departmental policies are known, understood, and implemented by the employees.

Participate in counseling, advice, information, and general support to the Physicians and other department members.

Demonstrate independence in problem-solving by utilizing analytical approach.

Maintain budget and productivity according to the Organization.

Maintain adequate staffing coverage, assign and reassign staff as necessary, adjust agency nursing personnel and pool staff to comply with productivity and acuity standards.

Evaluate and revise policies and procedures pertaining to the philosophy, function and scope of Nursing Education.

Demonstrate an understanding of financial indicators (numbers of admissions, Length of Stay, productive vs. nonproductive hours) by implementing and monitoring daily LOS meetings.

Demonstrate ability to remain calm and levelheaded in high pressure situations.

Perform all duties with positivity, professionalism, and dedication to achieve high quality patient care.

Accomplishments: Developed an Action Plan to improve Hospital Acquired Conditions down to 0% in the last 13 months. Decreased Employee turnover by hiring, mentoring, and coaching newly graduated Nursing Staff to meet departmental needs and assure retention. Med-Surge Portal Data improvement for CLABSI, CLAUTI, CDIFF, CHG and Falls from 63% to 100% compliance in the last 12 months.

Mercy Hospital • Miami, FL 2014-2017

Director of Medical-Surgical and Orthopedic & Spine

Oversee 2 Departments with specialty skills in orthopedics, neurology, medical, surgical, and geriatrics, with a total of 68 beds.

Manage 110 FTEs, including Nurses (RNs, LPNs), Certified Nurse Assistants, and Unit Clerks.

Coordinate the design, implementation, revision, and evaluation of orientation programs for all levels of new nursing staff members and act as a resource in structuring clinical orientation for all new Nursing Personnel.

Collaborate with nursing leadership to ensure that departmental performance meets or exceeds standards described in medical staff rules and regulations, the hospital bylaws, departmental policies, the TJC Manual of accreditation and in other appropriate local and national standards.

Implement multidisciplinary rounds to improve patient experience scores (HCAHPS).

In conjunction with the leadership team, help build enthusiasm, stability, teamwork, and competence among employees through supervision, individualized evaluation and accountability, training, and praise for a job well done.

Monitor correctness of the Surgical/Ortho Departments records; implement action plans as required in association with Medical Records and Quality Assurance mechanisms.

Participate in personnel, purchasing, and procedural changes in the Surgical/ Ortho Department in cooperation with appropriate personnel and hospital managers.

Ensure departmental policies are known, understood, and implemented by the employees.

Participate in counseling, advice, information, and general support to the Physicians and other department members.

Demonstrate independence in problem-solving by utilizing analytical approach.

Maintain budget and productivity according to the Organization.

Facilitator to the Unit Practice Council Team and Professional Council.

Maintain adequate staffing coverage, assign and reassign staff as necessary, adjust agency nursing personnel and pool staff to comply with productivity and acuity standards.

Evaluate and revise policies and procedures pertaining to the philosophy, function and scope of Nursing Education.

Demonstrate an understanding of financial indicators (numbers of admissions, Length of Stay, productive vs. nonproductive hours) by implementing and monitoring daily LOS meetings.

Demonstrate ability to remain calm and levelheaded in high pressure situations.

Perform all duties with positivity, professionalism, and dedication to achieve high quality patient care.

Accomplishments: Increased Patient Experience Scores (HCAHPS) from 58% to 82% at the Surgical Department and from 59% to 82.9% at the Orthopedic and Spine Department. Developed and implemented Marketing Programs to increase patient volume. Decreased Employee turnover by hiring, mentoring, and coaching newly graduated Nursing Staff to meet departmental needs and assure retention. Increased Press Ganey Pain Management Scores from 30% to 89%.

Program Director – Bay View Inpatient Rehab Facility 2016-2017

Direct the Inpatient Rehab Facility’s (IRF) Program with a total of 15 beds.

Develop and implement the annual comprehensive rehabilitation management strategic plan to include long and short-range goals.

Monthly develop and implement the program’s orientation, education, and training.

Quarterly evaluate the program and report to staff, Quality Committee, and Mercy Regional personnel.

Oversee the pre-screening and admission processes and assure patients admission criteria and ongoing compliance.

Meet all program objectives related to CMS regulations.

Meet all timeframes for initiation and submission of the IRF-PAI and coordinate with physicians and hospital personnel to assure the accuracy of information.

Serve as Liaison between Mercy Corporate personnel and the host hospital.

Timely respond to third-party payor denials through thorough and detailed formal written appeals as designated by CMS, the host hospital, and Mercy Corporate. Timely report denials and appeals for inclusion in the Mercy Tracker report.

Monitor Mercy Tracker information in order to identify areas of concern and opportunities for improvement. Discuss the acquired data with Mercy Regional personnel.

Participate in the development of the annual budget. Analyze budget performance and provide recommendations.

Conduct routine, monthly staff meetings.

Ensure timely team conference for all patients.

Coordinate team participation and input in the identification and development of measurable long/short term goals and barriers for timely discharges.

Review qualification and competence of new staff.

Ensure all employees meet annual mandatory in-service training and coordinate ongoing educational opportunities; review and update annual contracts and credentials of relevant staff; and participate in employees’ annual performance appraisals.

Provide an ongoing assessment of care and services through hospital designated Performance Improvement and Quality Assurance Activities; develop and implement plans as necessary.

Annually develop and implement Quality Improvement Monitors for PPS Quality Management.

Review and validate UDS/Program Evaluation data as compared to IRF-PAI data on a quarterly basis.

Jackson South Community Hospital Miami, Florida April 2011- July 2014

Nurse Manager of The Central Staffing Office, Bed Placement, Transfer Center, Morgue, Outpatient Wound Care, and Dialysis

Managed 60 FTEs including Hospital Supervisors (AIC’S), Staffing Clerk, Wound Care Nurses, Dialysis Nurses and all Pool/Per diem Staff.

Executed consistent staffing guidelines across the nursing departments.

Managed the daily activities of the CSO, coordinated and managed patient care resource across departments.

Maintained adequate staffing coverage; assigned and reassigned staff as necessary; and adjusted agency nursing personnel, temporary relief and Pool Staff to comply with productivity and acuity standards.

Managed all bed requests, balancing bed supply and demands. Ultimate decision maker on bed placements.

Demonstrated an understanding of financial indicators (numbers of admissions, Length of Stay, productive vs. nonproductive hours) by implementing and monitoring daily LOS meetings.

Maintained budget and productivity according to the Financial Goals.

Implemented multidisciplinary rounds to improve patient experience scores (HCAHPS).

Managed and coordinated the daily meetings, which included Associate Nurse Managers from all key areas, Case Management and Housekeeping.

Provided orientation to the AIC’s to their role; provided training and guidance as needed.

Collaborated with Physicians to expedite patient’s movement for pending admissions to manage patient flow.

Managed the Dialysis Center patients flow, budget, charges and billing.

Managed the Wound Care Center Out-Patient Clinic and inpatient care flow, budget, charges, and billing.

In charge of the Morgue including Release of Body, Autopsies, Indigent Burial and Medical Examiners Cases.

Responded to all codes ensuring correct procedures were followed.

Evaluated employees’ job performance and established goals and objectives.

Supervised the performance and interactions of personnel on shift in ICU, Med/Surge, Adult Services, Women’s Services and the Emergency Department.

Evaluated and revised policies and procedures pertaining to the philosophy, function and scope of Nursing Education.

Accomplishments: Decreased Length of Stay in the Emergency Department within 3.8 hours per patient. Exceeded departmental bed placement goals by conducting patient assessment, evaluation, and expediting the admission process, thus helping increase the hospital’s patient experience. Achieved a drastic reduction in overtime by utilizing Pool Personnel. Facilitated patient movement and bed placement to inpatient within stabilizing time; also facilitated patient transfers within the Jackson Health System, as well as, to other external facilities.

Interim Associate Director of the Emergency Depart September 2012- October 2013

Oversaw a 22-bed Emergency Department and 10 beds in the Minor Care Department with a total of 45 FTEs including an Associate Nurse Manager, Nurses, ER Technicians and Unit Secretaries.

Maintained Length of Stay within a more acceptable range and provided recommendations.

Established peer networks within the organization ER Physician, Managers, Central Staffing, Medical Units, Educators, and CNO.

Coordinated the design, implementation, revision, and evaluation of orientation programs for all levels of new nursing staff members and acted as a resource in structuring clinical orientation for all new nursing personnel.

Collaborated with nursing leadership to ensure that departmental performance met or exceeded standards described in medical staff rules and regulations, the hospital bylaws, departmental policies, the TJC Manual of accreditation and in other appropriate local and national standards.

Worked with the Emergency Department team to ensure that the department met or exceeded its defined objectives for improvement, growth, and expansion of services.

Coordinated the implementation, revision and evaluation of new nursing staff members and acted as a resource in structuring floor orientation for all new nursing personnel.

In conjunction with the Emergency Department leadership team, helped build enthusiasm, stability, teamwork, and competence among employees through supervision, individualized evaluation and counseling, training, and praise for a job well done.

Monitored correctness and appropriateness of the Emergency Department records; implemented corrective intervention as required in association with medical records and Quality Assurance mechanisms.

Participated in personnel, purchasing, and procedural changes in the Emergency Department in cooperation with appropriate personnel and hospital managers.

Ensured departmental policies were known, understood, and implemented by the Emergency employees.

Participated in counseling, advice, information, and general support to the physicians and other department members.

Demonstrated independence in problem solving by utilizing analytical approach.

Maintained budget and Productivity according to the Organization.

Ensured adequacy of EMS communications and Physician EMS command.

Assisted in Developing a new Trauma Level 2.

Accomplishments: Reduced turnover of Length of Stay (LOC) and decreased the Left Without Being Seen (LWBS). Implemented multidisciplinary rounds to improve patient experience scores (HCAHPS). Implemented and evaluated processes to ensure Emergency Department patients were seen in a timely manner to ensure the best possible outcome.

Aventura Hospital Aventura, Florida 2010-2011

Registered Nurse at PACU Perdiem

Worked in the PACU Department with 19 beds units.

Independently care for post-operative patients consistently using the nursing process and clinical standards/protocol quickly and efficiently.

Performed excellent patient care activities while keeping their comfort and personal needs in mind.

Gave excellent patient care and helped them emotionally and physically.

Checked the needs of every patient on individual basis.

Maintained all the patients’ record with most privacy.

Provided with all the care during, before and after the surgery.

Code Blue Team Member.

Prepare patients for and assist with examinations or treatments.

Monitor, record, and report symptoms or changes in patients' conditions.

Record patients' medical information and vital signs.

Maintain accurate, detailed reports and records.

Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans.

Continuous Education to patients and families on topics such as health education, disease prevention.

Modify patient treatment plans as indicated by patients' responses and conditions.

Monitor all aspects of patient care, including diet and physical activity.

Interpret and evaluate diagnostic tests to identify and assess patient's condition.

Assess the needs of patients and family to identify potential health or safety problems.

Osceola Medical Center • Orlando, FL 2008-2011

Intensive Care Unit RN

Worked in a 20-bed ICU Stroke Unit.

Managed all phases of Stroke, Acute Stroke Assessment (NIHSS), and Care of patients post TPA administration.

Collaborated with multidisciplinary team members, working closely with Physicians, Nurses, Technicians, and Therapists to formulate, implement, and modify care plans.

Managed Mechanical Ventilators, Continuous Veno-Veno Hemofiltration Dialysis (CVVHD), EKG monitors, and IV Drips.

Code Blue Team Member.

Excellent critical thinking and decision-making capabilities.

Ability to work successfully with diverse patient populations.

Performed excellent patient care activities while keeping their comfort and personal needs in mind.

Provided excellent patient care and helped them emotionally and physically.

Checked the needs of every patient on individual basis.

Maintained all patients’ records with most privacy.

Prepared patients for and assisted with examinations or treatments.

Monitored, recorded, and reported symptoms or changes in patients' conditions.

Recorded patients' medical information and vital signs.

Maintained accurate, detailed reports and records.

Continuous Education to patients and families on topics such as health education and disease prevention.

Modified patient treatment plans as indicated by patients' responses and conditions.

Monitored all aspects of patient care, including diet and physical activity.

Interpreted and evaluated diagnostic tests to identify and assess patient's condition.

Assessed the needs of patients and family to identify potential health or safety problems.

Coral Gables Hospital • Coral Gables, FL 2006-2008

Nurse Manager Telemetry Unit

Managed 80 FTEs, including Nurses (RNs, LPNs), Certified Nurse Assistants and Unit Secretaries.

Coordinated the design, implementation, revision, and evaluation of orientation programs for all levels of new nursing staff members and acted as a resource in structuring clinical orientation for all new nursing personnel.

Collaborated with nursing leadership to ensure that departmental performance met or exceeded standards described in medical staff rules and regulations, the hospital bylaws, departmental policies, the TJC Manual of accreditation and in other appropriate local and national standards.

Monitored correctness of the Med-Surge Telemetry Department records; implemented corrective intervention as required in association with Medical Records and Quality Assurance mechanisms.

Participated in personnel, purchasing, and procedural changes in the Med-Surge Telemetry Department in cooperation with appropriate personnel and hospital managers.

Ensured departmental policies were known, understood, and implemented by the employees.

Demonstrated independence in problem solving by utilizing analytical approach.

Maintained Budget and Productivity according to the Organization.

Maintained adequate staffing coverage; assigned and reassigned staff as necessary; and adjusted agency Nursing Personnel and Pool Staff to comply with productivity and acuity standards.

Demonstrated an understanding of financial indicators (numbers of admissions, length of stay, productive vs. nonproductive hours) by implementing and monitoring daily LOS meetings.

Performed all duties with positivity, professionalism, and dedication to high quality patient care.

Accomplishments: Increased patient satisfaction.

EDUCATION AND TRAINING

Master in Science Nurse ARNP

Ana G. Mendez University • Miami Lakes FL Present

Master in Business Administration

Bayamon Central University • Bayamon, Puerto Rico 2001

Bachelor of Science in Nursing

Bayamon Central University • Bayamon, Puerto Rico 1998

Nursing Florida License

Basic Life Support (BLS)

Advance Cardiac Life Support (ACLS)

AFFILIATIONS

American Nurses Association

American Heart Association

American Stroke Association

Contact this candidate