Registered Nurse Medical
Resume:
JAMES P. STRESING
Waukesha, Wisconsin 53189
adkhdt@r.postjobfree.com
Passionate Registered Nurse, former professional firefighter / paramedic with industrial, manufacturing, construction, mental health, PSTD, and community health background, seeking a Nursing opportunity that requires the ability to complete proper assessments of patients to determine diagnosis, identify potential outcomes, and develop an appropriate plan of care. Including the ability to incorporate the 13 essential functions of nursing which are adapted from the ANA Standards of Clinical Nursing Practice. Possesses and uses solid organizational, problem-solving, and critical thinking skills; further uses strong communication skills necessary to establish trusting relationships with patients, families, and healthcare team members. And finally, provide cares that comply in accordance with the American Nurses Association Standards of Practice.
EDUCATION
WISCONSIN STATE REGISTERED NURSE LICENSE #189446-30
Bachelor’s degree University Wisconsin Green Bay July 29, 2017
Associate Degree Nursing Bryant & Stratton College April 21, 2012
Advanced Cardiac Life Support February 2017
Paramedic Level EMT License/Pediatric/ Advanced Cardiac Life Support 1985 -2006
RELEVANT EXPERIENCE
GALLAGHER BASSETT NURSE FIELD CASE MANAGER 09/17/2018 - PRESENT
Fundamental Job functions:
Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.
Implements and coordinates all case management activities relating to workers comp cases across the continuum of care that can include consultant referrals, home care visits and the use of community resources,
Interacts with claimants telephonically and in person. Meets with claimants their homes, work-sites, or physician’s office to provide ongoing case management services.
Assesses and analyzes injured, acute, claimants medical and/or vocational status; develops a plan of care to facilitate the claimants appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.
Communicates with claimants and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person.
Prepares all required documentation of case work activities as appropriate.
Interacts and consults with internal multidisciplinary team as indicated to help claimants maximize best health outcomes.
May make outreach to treating physician or specialists concerning course of care and treatment as appropriate.
Provides educational and prevention information for best medical outcomes.
Applies all laws and regulations that apply to the provision of rehabilitation services; applies all special instructions required by individual insurance carriers and referral sources.
Conducts an evaluation of claimants needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. Facilitates appropriate condition management, optimize overall wellness and medical outcomes, appropriate and timely return to baseline, and optimal function or return to work. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes, as well as opportunities to enhance a claimants overall wellness through integration. Monitors claimants’ progress toward return to work through assessment and evaluation.
SENSIA WELLNESS
CONTRACT OCCUPATIONAL HEALTH NURSE TO MULTIPLE INDUSTRIA SITES. 07/15/2018 – 09/14/2018
Provides expertise and support to clinical staff in partnership with the Medical Director to assure compliance with regulatory requirements related to clinical occupational health operations. This includes worksite injury/illness triage and treatment, workers compensation case management, audiograms and hearing conversation program management, vision testing, urine collection, blood collection, spirometry, respirator surveillance and fit testing, injections and basic first aid.
Employs strategies to streamline and control cost to occupational health clinics. Includes proposing and implementing policies and procedures to make on-site health care delivery cost effective by removal or implementing waste reduction strategies and procedures.
Collaborate with the Occupational Health Manager and outside resources for program development, such as healthcare providers, third-party administrators, legal advisors, medical director, regulatory agencies, etc.
Participates in the assessment of an integrated occupational health services support software.
Maintains current knowledge of Workers’ Compensation, legislation issues, OSHA regulations and safety standards, Department of Transportation, Center of Disease Control and other regulatory areas relevant to occupational health programs.
Collaborate with the Occupational Health Manager, Medical Director and internal resource on specific occupational health projects which will create efficiency across the Sensia Wellness delivery model. Examples of such projects include the implementation and use of the occupational health specialized EMR, QA activities and accreditation survey preparedness.
Lead a multidimensional team of occupational health nurses in the delivery of occupational medicine services for employer clients
Renders first aid to injured employees such as giving artificial respiration, CPR, cleaning and bandaging wounds, applying heat and cold to promote healing and advising on safer mechanism of job performance. Requests assistance of on and off-site employee health services or a physician including local ACLS as necessary to assist employees as needed.
Employs A comprehensive understanding of the patient care procedures, medical protocols, and testing procedures necessary to support an Occupational Health program.
Uses excellent Interpersonal skills necessary to teach fellow clinicians as well as interact with clients/employers’ representatives.
Has superb computer skills in EMR, word processing and database software programs.
Ability to be self-directed and can manage multiple projects simultaneously while maintaining the flexibility to adapt to changing priorities
Proficient in the following equipment Machines/Equipment:
PC and PC applications along with other general office equipment.
Familiarity with specialty equipment as indicated including:
Litmus Vision Tester
Breath Alcohol Tester
Audiometer
Spirometer
Electrocardiogram
CONCENTRA MEDICAL INC. 03/28/2015 – 06/26/2018
CONTRACT OCCUPATIONAL HEALTH NURSE / CLINIC MANAGER TO GE POWER AND WATER, WAUKESHA ENGINES.
Overall administration of an employer s occupational health program to include delivery and management of surveillance testing, injury care and management and ADA/FMLA program consultation. Assists in administration of the company FMLA and ADA policy. Includes communication with outside medical providers. Oversee and manage the administrative operational activities of occupational health services. Assure compliance with regulatory requirements related to clinical operations. Responsible for securing and developing all records, equipment, and programs related to occupational health services
Monitoring employee exposure to hazardous substances administering statutory and non-statutory health surveillance. Provide or manage the required physical evaluation programs and services to meet regulatory requirement; such as OSHA, Department of Transportation, CDC, etc.
Renders first aid to injured employees such as giving artificial respiration, CPR, cleaning and bandaging wounds, applying heat and cold to promote healing and advising on safer mechanism of job performance. requests assistance of off-site employee health services or a physician including local ACLS as necessary to assist employee as needed.
Communicates and provides general health guidance on disease management issues such as Hypertension and Diabetes. Provides medical knowledge of techniques and information needed to treat injuries/illnesses. Treats minor reports of discomfort and related functional limitations to maintain employee performance.
Assist departments with identifying, evaluating, and implementing accommodations and return to work options for workers with restricted duty. Collaborate with Environmental Health and Safety, Operations, and Human Resources to develop operations, programs, and services by providing content expertise. Provide appropriate case management to manage all cases to facilitate productivity, assuring appropriate care and return to work in a timely manner.
Provide education and training to employees in Health, Safety and Wellness topics, including: BBP, Universal precautions, proper lifting techniques and body mechanics, as well as other health and wellness related topics.
Spending time on the floor interacting with and engaging employees, providing job coaching. Assessing the work environment for potential health and safety problems. Fully capable of extended mobility, climbing both in protected work environments and outdoors.
Maintains friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that result in a positive work relationship with customers, co-workers and managers.
Maintains, charts and records employee health records in accordance to GE policies and guide lines.
Select Specialty Hospital Aurora St Luke’s Staff Nurse 06/2014 - 04/28/2015
Initiates an on-going systematic assessment of the physical, emotional, social, educational, and functional needs of the patients/families through interview, observation, and physical examination. Receives admissions and/or transfers to the unit.
Interprets assessment data and information to develop a nursing care plan which contains problem identification, nursing diagnosis, nursing orders, approaches, interventions, short/long term goals, and discharge planning. Develops nursing care plan utilizing nursing diagnosis. Assesses safety and fall risk levels for patients.
Teaches and counsels patients/families, and makes referrals to appropriate resource personnel when needed. Demonstrates documentation for functional training visit. Documents patient, family, and significant other teaching.
Participates as a productive member of the interdisciplinary team in assessment, planning, implementation and evaluation of rehabilitation goals.
Assures that medical orders are transcribed and processed accurately, and integrates the medical care plan into the provision of nursing care.
Assess needs of patients in basic and complex situations, identify potential or actual needs, and
communicates changes in patient status, needs or condition to the supervisor and physician when applicable.
Assures that medication/I.V. administration is correct and per the established nursing policies and procedures. Looks up unfamiliar medications. Administers medications as ordered. Evaluates effectiveness of PRN medications. Verbalizes and instructs patient on process for self-administered medications. Provides patient education on identified medications. Provides maintenance and care of central line catheters. Identifies critical drip medications; able to locate critical drip policies and administers per policies after completing critical drip competency training. Regulates drip rates as ordered. Administers I.V. drugs.
Provides for and assures personal and environmental safety in accordance with hospital and nursing policies and procedures.
Demonstrates skills in handling emergency and life-threatening situations. Locates and uses crash cart items. Calls Code Blue and Medical Emergency. Initiates CPR. Follows P&P and DNR.
Assures that documents in the medical record are complete, factual, accurate and timely. Documents materials and equipment used. Documents discharge in chart. Initiates and updates care plan as appropriate. Provides discharge instructions and teaching. Completes interagency transfer form for inter hospital transfers.
Full time employment 36 hours per week.
Waukesha County Mental Health Facility Staff Nurse 03/2013-02/10/2015
Work in multidisciplinary teams, liaising with psychiatrists, psychologists, occupational therapists, GPs, social workers and other health professionals. Charge nurse as needed.
Caring for patients experiencing acute mental distress or who have an enduring mental illness;
Assessing and talking to patients and families about their problems and discussing the best way to plan and deliver their care.
Building relationships with patients and families to encourage trust, while listening to and interpreting their needs and concerns.
Ensuring the correct administration of medication, including injections, and monitoring the results of treatment.
Responding to distressed patients in a non-threatening manner and attempting to understand the source of distress.
Applying 'de-escalation' techniques to help patients and families manage their emotions and behaviors.
Working with patients' families and other care givers, helping to educate them and the patient about their mental health problems.
Promoting a 'recovery' based approach to care.
Nonviolent Crisis intervention training.
Writing and developing nursing care plans for the mental issues presented to the unit.
Average of 40 hours per week till 03/2014 then hours reduced slowly till PRN.
Lifecare Hospitals of Wisconsin, Pewaukee Wisconsin Staff nurse 08/2012- 05/2014
Assess needs of patients in basic and complex situations, identify potential or actual needs, and
communicates changes in patient status, needs or condition to the supervisor and physician when applicable. Document assessment.
Plan the care of patients and their families in response to identified needs, throughout the continuum of care, in collaboration with the transdisciplinary team. Document the plan and all revisions.
Implement the plan of care by providing nursing interventions directly and/or appropriately
delegating care to others. Respond appropriately and assist others in responding to emergencies in a calm and effective manner.
Response to care provided by nursing and other members of the transdisciplinary team.
Facilitate the identification and resolution of patient's admission, transfer and discharge needs
throughout the course of care in collaboration with the transdisciplinary team. Identify individual learning needs of patients and families and provides education in a manner that meets their special needs.
Communicate with the Charge Nurse or Nursing Supervisor on changing patient needs or acuity for appropriate staffing. Facilitate the admission and transfer of patients including appropriate patient placement.
Oversee and direct delegation of functions of LPN’s, CNA’s, Monitor technicians and unit clerks.
Uses strong interpersonal skills to interact positively and effectively with patients, visitors, physicians, and the health care team.
36 hours per week.
HCR Manor Care, Pewaukee Wisconsin Staff Weekend nurse 20 hours per week 06/2012-11/2012
Providing direct supervision to the nursing staff.
Ensuring the medication room is in full compliance with all Clinic Policies, Federal and State Laws and Regulations.
Maintaining accurate records to ensure compliance with all Federal and State regulations.
Reviewing medical records to ensure medical compliance.
Ensuring the administration of medications as ordered by the Medical Director
Providing orientation and on-going training of staff.
Coordinating and cooperating with local agencies and organizations necessary to expedite treatment for each patient.
Wound care, medication administration.
Ability to work as part of a team environment showing excellent verbal, non-verbal and written communication skills.
City of Waukesha Firefighter/Paramedic 56-hour work week 11/1985 - 12/2005
Operating room / surgery experience in relation to required Paramedic level skills.
Conducted Post Traumatic Stress Debriefings as county level team member.
Good organization, delegation and communication skills to facilitate efficient patient care.
Strong ability in assessment, analytical decision making, and critical thinking.
Dealing with community members that in crisis and the ability to deescalate the situation as needed.
Exceptional Leadership ability and communication skills.
Manage paramedic program purchases and maintain budget.
Familiarity with PC's and computer systems and tools with exceptional ability to learn new programs.
Extinguished/controlled all types of fires and properly extracted victims from burning buildings.
Performed emergency medical services at paramedic level in compliance with state and department guidelines.
Trained personnel on state and local EMS, OSHA, and NFPA related subjects.
Assessed community need for fire safety, emergency care procedures and interacted with the community to promote a safer work and home environment.
ADDITIONAL EXPERIENCE
Heavy Equipment Operator IAOE Local 139, Pewaukee, Wisconsin 2006-2012
Safely operate equipment used to load, unload, and move materials and machinery.
Strong interpersonal skills to interact positively and effectively with public and other team members.
Exceptional Leadership ability and communication skills.
Familiarity with PC's, GPS units and computer systems and tools or demonstrated ability to learn.
President/Owner B.A.S. Landscaping, LLC, Waukesha, Wisconsin 1989-2004
Strong interpersonal skills to interact positively.
Leadership ability and communication skills.
Familiarity with PC's and computer systems and tools.
Designed and installed all aspects of residential and commercial landscapes.
Supervised construction crews, managed payroll, and properly operated large machinery.
MILITARY EXPERIENCE
E-S, Staff Sergeant, United States Air Force 1978-1982
Served as Fire Protection Specialist and operated aircraft and structural firefighting vehicles.
Professional leadership courses and skills
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