REBECCA L. ANDREFSKI, RN

**** ***** **** ****

Wake Forest, NC 27587

910-***-****

adm90p@r.postjobfree.com

SUMMARY OF QUALIFICATIONS

Quality focused and efficiency driven leader. Compassionate REGISTERED NURSE with over 26 years of combined experience in Maternal Child Health, Pediatric and Adult Home Health, Occupational Health, Case Management, Long Term Care, Supervisory, Oncology Clinic, and COVID-19 nursing practice. A strong work history with proven achievement caring for patients in a diverse population and fostering trusting relationships that improve patient outcomes.

AWARDS / ACCOMPLISHMENTS

Dr. James B. Heller, MD Memorial Award for OUTSTANDING NURSING PERFORMANCE IN ALL CLINICAL AREAS.

Deborah Tray, RN Memorial Award for CLINICAL EXCELLENCE IN EMERGENCY NURSING.

Louis Warne Hildreth Memorial Award for EXCELLENCE, SENSETIVITY, AND CARING IN GERIATRIC NURSING.

PROFESSIONAL EXPERIENCE

Registered Nurse II, Duke Cancer Center 03/2021 to 06/2021

Duke University Hospital – Durham, NC

Utilize effective management skills to facilitate flow of fast paced out-patient oncology clinic.

Oversee flow of providers clinic day, while assisting Medical Assistant staff with rooming patients, intake screening, room turn over, and patient education, while ensuring patient safety, privacy and dignity are maintained at all times.

Review of patient appointment lists to gather overview of each patient presenting to clinic. Including diagnosis, plan of care, anticipated treatment regimen, and symptom management. Conducted post day huddle to ensure completion of all care tasks and optimal follow up.

Assist providers with office visits. Obtain detailed medical history with documentation on EPIC. On-going patient and family education, venipuncture, IV access via peripheral or ports, Palliative medication administration.

Triage patient inquiries from Nurse line, in basket, and My Chart. Processing each while utilizing the nursing process and scope of practice to answer and manage questions.

Registered Nurse, Home Health Case Manager 11/2020 to 02/2021

PA Elks Home Nursing Program – Somerset, PA

Provided therapeutic communication, conflict resolution and crisis intervention to families with special needs.

Facilitated in helping patients with disabilities. Reduced care costs by coordinating effective service plans with multidisciplinary teams.

Participated in patient and family meetings. Discussed treatment options, set goal plans, and alternative approaches to care.

Responded to patient requests while working with multidisciplinary team members and outside resources to carry out successful treatment plans for diverse, acute, and chronic conditions.

Produced weekly and monthly financial reports, visitation logs, travel statements, and new contact / resource lists for presentation to board of directors as required.

Stayed current on all safety protocols and ever changing CDC guidelines related to home health practices and the COVID-19 Pandemic.

Case Manager, Occupational Health Nurse 08/2020 to 10/2020

Hershey Corporate Offices / YOH Services – Hershey, PA

Promoted high level of service to every individual while observing confidentiality rules and company regulations.

Delivered outstanding care to employees with various diagnosis, and degrees of injury.

Educated employees on return to work procedures, follow-up care and instructions.

Tracking of COVID-19 positive employees.

Applied nursing expertise to meet needs of employees in challenging COVID-19 workplace environment.

Vaccinated patients to protect individuals from influenza. Participated in FLU clinic while maintaining Universal precautions during a pandemic.

Maintained, collaborated, and improved upon safety plan protocol for PPE distribution, application, use, and disposal during a Pandemic crisis.

Registered Nurse, Occupational Health Case Manager 07/2017 to 09/2020

Carpenter Technology / Premise Health – Reading, PA

Delivered array of employee health services including, but not limited to telephone triage, pre-employment health screenings, work injuries, sick visits, travel vaccines, return to work clearances, and flu clinics.

Provided consumer based, individualized, encompassing medical care for employees.

Maintained systemic completion of all corporate, state, and federally mandated medical requirements.

Promoted a high level of service to each individual while observing company confidentiality and HIPPA regulations.

Educated all employees on COVID-19 guidelines, illness prevention, slow the spread, flatten the curve, benefits of good hand hygiene, and smoking cessation.

Utilized excellent communication and active listening skills to conduct COVID-19 screenings, tracking, and return to work eligibility.

Triaged all on-site work related injuries, as well as sicknesses. Stabilized employees for transport to medical facilities, release from duty or to return to work.

Monitored employee conditions including EKG, PFT, UDS, NDT, AHT, PAT exams.

Proper documentation through use of OHM and PCC.

Registered Nurse, Home Health Case Manager 05/2015 to 01/2019

PSA / Aveanna Healthcare – Schuylkill Haven, PA

Carried out successful treatment plans for diverse, acute, and chronically ill children in the home setting.

Communicated with patients and family members providing detailed information regarding treatment plans, care options, medications, always ensuring all medical information was kept private, even in the home setting.

Tracked patients progress through detailed paper and paperless charting in the home at each visit.

Provided compassionate nursing care to medically fragile children in home settings; Including Trach and Vent care, Tube feeds, Weight checks, Dressing changes and wound care, and on- going Intense Family education.

Determined individual home care needs by completing detailed assessments and reviewing physician orders.

Collaborated with vendors to procure medical equipment, supplies and services on an individual need basis, while using best practice nursing to be cost effective to both facility and family.

Registered Nurse II, Mother / Baby Unit 09/2011 to 04/2015

Reading Health System – Reading, Pa

Contributed substantially to successful department JCAHO accreditation by consistently operating to the highest standards of care.

Reviewed post-operative orders and continuously monitored patients post-operative vital signs, set up PCA and IV fluids, oriented patients to unit to maintain safety and achieve optimal outcomes.

Collaborated with physicians to quickly assist patients and deliver appropriate treatment while managing rapidly changing conditions.

Participated in educational activities including evidence based practice project implementation and nursing competency development.

Delivered high level of quality care to diverse populations. Newborns, and mothers of various ages, from triage to discharge.

A multi – level team approach with interdisciplinary healthcare personnel to meet patients personal, physical, psychological, emotional, cognitive, and spiritual needs.

Observed, reported and accurately documented patient condition, progress, and any adverse side effects or reactions, and timely updates while using EPIC charting system.

Accurately documented all elements of head-to-toe nursing assessments including treatment, medications, discharge instructions, and follow up care needs.

Provided the optimal family centered care to both mom and newborn. From time of delivery through discharge, while providing education and outside resource material to ensure a seamless hospital to home transition.

Registered Nurse, Mother/Baby Unit & Child Birth Educator 05/1995 to 08/2011

Pottsville Hospital & Warne Clinic / Schuylkill Medical Center – Pottsville, PA

Interpreted fetal monitor tracings and updated team members on changes and intervened appropriately to have a healthy outcome with both mom and baby.

Delivered medications via a variety of routes and monitored responses to both mom and fetus.

Conferred with physicians to discuss, diagnosis and devise well-coordinated treatment plans (tocolysis, induction, epidurals, assisted deliveries, or cesarean deliveries )

Managed patients recovering from vaginal or surgical deliveries including safety, education, Pain management, wound care, pressure ulcer prevention, DVT prevention, hydration, infection, and optimize the maternal / infant dyad throughout the entire hospital stay.

Acted in the role of Scrub Nurse and Immediate New Born Nurse in the Operating Room for Cesarean Deliveries.

Newborn Nursery – total assessment and admission of infants and stabilization of pre-term or critical newborns for transport to level 2 nursery.

Post-Partum Nurse – Assessed and monitored mom from stage 4 throughout discharge. Ensured patient education is completed and safety protocols are followed at all times.

EDUCATION AND CERTIFICATIONS

BSN: In progress through Penn State University

RN Diploma: obtained April 1995 Pottsville Hospital School of Nursing, Pottsville, PA

RN Licensure:

Pennsylvania State Board of Nursing

North Carolina State Board of Nursing

Virginia State Board of Nursing – Compact License

BLS certification – expires 12/2022

PROFESSIONAL AFFILIATIONS

American Nurses Association

Pennsylvania Nurses Association

North Carolina Nurses Association

Virginia Nurses Association

PROFESSIONAL PERFORMANCE

Childbirth Educator - 10 years

Childbirth Education Program Director - 5 years

Breastfeeding Support Group Leader - 5 years

Breastfeeding Educator - 10 years

REFERENCES AVAILABLE UPON REQUEST

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