Ny 1 Access Manager

Shonda R. Cheers, RN

*** **** **** **., *********, MD 21826 440-***-**** *************@*****.***

Skills and Qualifications

Seeking opportunity to obtain MSN/MBA/DNP currently hold A.D.N, A.D.S, and A.A.

Licensed in the states of New York, and Maryland.

BLS/ACLS certified by AHA.

Over twenty-six years of experience in various healthcare settings, such as, in-patient/out-patient care, telemetry, LTAC, MED/SURG, SNF, acute/chronic/home dialysis, PEDS dialysis, chronic disease management and education of ESRD, DM I&II, HTN, and CHF.

Six years of management experience as a Nurse Manager, Clinical Coordinator, Charge Nurse, and/or team leader. Responsibilities included data of QAPI meetings, QIP scoring, develop, mentor, train, interview, hire and discipline employees. Perform monthly budgeting and reports and ordering of supplies, development of special projects, scheduling patients and staff, staff meeting, meeting deadlines on projects for Renal Network, case management, nursing management and education, supervise day-to-day operations, evaluate patient outcomes and goals, adhere to AMMI, JCAHO, and CMS standards, writing policies with reference to best evidence based practices in renal care setting.

Strong background in natural and homeopathic remedies, patient/family education for ESRD/AKI/ CKD/PD/DM I& II/HTN/CHF, diet and lifestyle care and management, chronic disease management/alternative therapies/prevention strategies, Medical Lab Science training, and unique skills in problem solving and managing difficult situations, problems, and behaviors.

Experience with Epic, Sorian, Gaia, Allscripts, Cyberyn, Meditech, Renasan, PCC, McKesson, Sunrise, Darwin, PowerPoint, Excel, Word and ICD9&10.

Work Experience

Travel Nurse November2020-January 2022

Salisbury, MD

Concerto

36hrs per week, universal precautions for staff and patients, monthly med recs and nursing notes, admitting/discharging patients, making clinical decisions and interventions for patients on hemodialysis, direct floor scheduling, review orders and adjust dry weights per protocol, rounding with nephrologist, delegating task to PCT’s, part of Skilled Nursing team, treating patients with trachs and vents on hemodialysis, monitoring RO system, putting in orders, setting up machines, monitoring patients Q15-Q30min, documenting and assessing patients, calling and running codes, charge nurse roll and duties, adhering to state and fed guides drawing labs and assessing for changes and needs, daily disinfection, care plans, educating patients and family. Travel Nurse

Salisbury, MD

Deer’s Head Hospital June 2020-October 2020

January 2021-March 2021

40hrs per week, Covid precautions for staff and patients, weekly testing, contactless rounds with NP and doctor, Performed assessment pre and post treatment, monthly med recon, care plans, educations of patient and their Families, OT when needed to cover unit needs, daily disinfection, water checks, working with team for better Patient outcomes, review of lab work and adjusting medication accordingly, adhering to state and federal guidelines for care of the ESRD patients, treatments, and policies. Travel Nurse March 2020 to May 2020

Covid-19 First Line

Long Island, NY Mt. Siania South Nassua Hospital, Salisbury, MD Deer’s Head Hospital

40 hours per week, Covid precautions for staff and patients, assessing patients for signs and symptoms of Covid-19 and ESRD complications, printing HD orders and preparing for treatments, utilization of Tablo Machine and Fresinius T and K, working in Acute and Chronic settings, individualized strategies for Complicated cases, such as drain off, UF first hour, and profile treatments. Working OT when needed Meeting needs of clinic and patients, working with interdisciplinary team for best effectiveness of filtration, Knowledge of EKG interpretation, performing and calling codes, proper documentations of data for research, adhering to Federal and State regulations that govern ESRD patients, treatments, and policies. Case Manager

Albany, NY

St. Peter’s Health Partners August 2019 to October 2020

40 hours per week, monitoring patient board for admissions and discharges, prepare for floor assessment and AM rounds with floor team to discuss each patient as it relates to the DRG, home care needs, rehab eval, PT/OT Eval, insurance, and placement/replacement into community facilities, performed interviews with patients and Their families to assess readiness for discharge, patient’s need for SS intervention, assistance with prescriptions and education with self-care of wounds, wound vacs, dressing changes, and assistive devices. Travel Nurse

University Hospital of Cleveland Ohio 1/2015-6/2015, Basset Cooperstown of NY 2/2017-4-2017, Claxton 6/2017-9/2017, Renal Care of Suffern Suffern, NY 10/2017-1/2018, ARA Platttsburgh, NY 1/2018-9/2018 Faxton St. Luke’s Masonic Home 10/2018-2/2020 Ohio and New York January2015 to February 2020

40 hours+ per week travel nurse in outpatient, acute inpatient, home therapies, and renal telemetry dialysis floor 20 stations unit, 4 stations of pediatrics, initiate HD, Home Therapies/PD/CKD/ESRD education and treatment, manage fluid removal and interventions for hypo/hypertension, volume depletion, and CHF. Perform administration of blood, blood products, antibiotics, and meds during and post hemodialysis. Perform volume replacement therapies while maintaining drips, titrating meds for therapeutic response, perform hemodialysis on pediatric patients using crit-line, daily med pass based on labs, assessed wounds and change both sterile and clean dressings, interpretation of ECG rhythms and strips, and assist in plan of correction for state survey, performed charge nurse duties, taking orders from physicians and NPs, giving direction to PCT’s to meet the needs of patients and give assignments as orders are written. DCI Inc. Samaritan Hospital Saratoga Springs/Troy, NY Nurse Manager/Acute Services June 2015-March 2017

40 hours plus a week salaried, managed care for 125 patients and 30 employees, overseen day-to-day operations of clinic, scheduling of staff and patients, monthly QAPI meetings, weekly huddle notes, monthly reporting to state and other governing bodies, performed treatments, overseen titration and dosing, and administering of ESA therapies, reviewed lab data with physicians and NP, EKG interpretation, cannulation and aspiration of dialysis catheters and AVG, AVF, lab draws and interpretation, created care plans and goal setting for patients and their families based on co-morbid conditions and alerts, evaluation of lab data and patient information, DM/CKD education for patients and their families, created grid schedule for patients for more efficient treatments and turnover, coordinated with area surgeons and physicians for better progress with access placement and patient better quality of life, improved standing with renal network based on catheter rate over 29% per IPRO in 2015 CVC rate as of June 2016 rate is 17%, created action plan for state for dialyzer errors, and a built a team after take over from another company. Admission and discharge of patients. DaVita Dialysis Cleveland, Ohio

Clinical Nurse Coordinator February 2013 to October 2014

forty hours per week salaried, coaching, training, developing, hiring, interviewing, and providing education for clinical teammates. Ensured adherence to CMS, JCAHO, OSHA, and AMMI guidelines. Admit and discharge patients, case management of 89 patients in ESRD/CKD/DM/CHF/HTN. Directed and managed nursing care and education, ensured completion of patient assessments and care plans, planned IDT/QUIFF meetings, monitoring patient outcomes, evaluation of quality improvement and planning, overseeing of day-to-day operations for 20 station unit, developed relationships with physicians and surgeons ensuring needs of patients’ were met, established rapport with outside affiliates, performed the role of Vascular Access Manager, Impact Manager, and Anemia Manager, supervised cost control and inventory regulation, maintained physical environment, monitored use of equipment and medication needs and costs. Implemented plan to reduce CVC rate of 29% to 10%, increase albumins >4.0 to 80%, and increase DQI score from 69 to 77.1 from January 2014 to July 2014 per Renal Network guidelines.

Fresenius Medical Care Cleveland, Ohio

Charge Nurse September 2011 to December 2012

Forty hours per week or more as salary employee. Performed medication counts and ordering for budget and inventory. Monitor and adherence of JCAHO, CMS, OSHA, and AMMI guidelines, supervised staff and patient schedules while monitoring quality of care. Wrote care plans, performed patient education of CKD/ESRD/DM/CHF/HTN, monthly mediation reviews, supervise nursing care of 22 employees and 120 patients, delegating care and tasks, and overseeing day-to-day operations, overseeing nocturnal and day chronic units. Use of crit-lines, reviewing lab data and titrating of medication based on findings, rounding with nephrologists, coordinating care for vascular interventions, and monthly reports. Responsible for patient outcomes and setting monthly goals for IDT/QUIFFM, and identifying outliers, coordinating care for transplant candidates, and educating/admitting/discharging of patients. Travel Nurse at SNF Lutheran Home/Sub-Acute Grace Unit Cleveland Clinic Mentor, Ohio Career Tech Staffing July 2011 to February 2012

Forty hours in LTAC/MedSurg, Rehab, Renal Telemetry and SNF working in teams with STNA and LPN’s.

Administering of controlled narcotics and various meds, responsible for medication card counts, cart and keys.

Perform nursing assessment pre/post admission and discharge, performed tracheotomy care, suctioning, and verifying vent settings and weaning, I&O’s with Foley catheter, TURPS, and nephrostomy tube care and placement, pre/post-surgical care, charting and reporting, cultural-diversity awareness in healthcare, wound care and dressings, obtain blood draws and various specimen collection, IV insertions, administering IV medication, calculating drip factors/rate, program IV pump, PEG and NG care,

Assist with admissions/discharge, patient-family education and instructions, reporting and charting, taking and verifying orders from physicians, adhering to JCAHO, CMS, and OSHA guidelines Hemodialysis Services Inc.

Elyria Memorial/Lorain Community/Lakewood Hospital/St.John Westshore Beachwood, Ohio Acute Hemodialysis Tech/Registered Nurse August 2007 to June 2011

Perform full pre/post-assessments of patients, assessments of catheter/fistula/graft and invasive lines for signs of infection and any malfunctioning, review of patient H&P, labs and previous treatments, new orders, results of images, monitoring, receiving and giving pre/post SBAR report, writing orders per physician’s request and transcription, understanding of normal and abnormal functioning in acid/base balance, renal, cardiac, endocrine, integumentary, and pulmonary systems with presenting signs/symptoms, disease stages, and interventions, operating, testing, and troubleshooting various dialysis machines such as Fresenius E, K, M, and Braun.

Working autonomously case by case for optimal benefit for each individual patient condition using nursing judgment and critical thinking skills based on assessment findings and other data obtained.

Team leader in emergency code situations, initiating CPR/BLS/ACLS measures in the event of cardiac and/or pulmonary arrest, maintaining patient care in various hospital settings during dialysis treatment, obtaining various types of labs for testing, blood and blood product administration, monitoring post-surgical patients while dialyzing, giving meds and/or performing interventions for hemodynamic stability, removing fluid/toxins/drugs, obtain blood glucose and giving insulin per sliding scale, giving routine medications as ordered, calculating flow rates, administering IV meds, titrating drips while on dialysis, wound care both sterile and clean, inserting IV’s, knowledge of medications that may cause complications or dialyze out. Community Involvement

Teen Empowerment Workshop- Speaker and presenter June 2010

Lorain Teen Summit “Relationships Matter”-Speaker and presenter June 2011

Founder of Roses in a Concrete Jungle mentoring program May 2014

Red Cross Parish Nurse

Contact this candidate