Charge RN
Resume:
David Strawn
PO Box ***
Hollis, OK *****
*************@*****.***
Phone: 580-***-****
OBJECTIVE:
To acquire full-time employment as a travel RN that will allow the use of existing critical thinking and technical skills as well as utilize my psychology background to form relationships and utilize good communication and problem solving skills. This position will enable me to empower patients, family, and staff in the provision of high quality, safe, and compassionate care. The position would also afford me to utilize my past teaching experience.
EXPERTISE AND ACHIEVEMENTS:
Strong patient advocacy skills
Strong assessment skills and care plan development Strong working knowledge of Studer Principals to increase patient satisfaction thereby increasing positive outcome for the patient. Skilled in the Use of Studer's AIDET process: Acknowledge, Introduce, Duration, Explanation, and Thanks.
Working Knowledge of several types of Electronic Medical Health Records Focus on infection control and prevention through good hyiene practices and patient teaching as well as close monitoring
Ability to empower others through primary prevention strategies such as education Emphasis on patient safety and Evidence Based Patient Care Knowledgable about medications and possible adverse reactions or reactions with other medications
Strong skills in providing patient and family education Ability to communicate well and engage in objective problem resolution Strong Documentation skills
Ability to give comprehensive, but concise nurse-to-nurse report Encouragement of patient and family involvement in nursing care as well as development of his/her personalized care plan.
Focus on maintaining a safe, clean, therapeutic environment Ability to focus on the positives and focus on outcomes to be achieved rather than on barriers to achieving outcomes
15 years experience as a Masters Prepared Clinical Psychologist which has fine-tuned my compassion and empathy as well as a great ability to connect with patients and their families.
Experience using computerized documentation and automated Medication Administration Records
Ability to think clearly and problem solve in stressful or emergency situations Accomplished at IV starts and Phlebotomy
Familiar with use of technical equipment such as IV Pumps, EKG equipment, and defibrilators as well as other Emergency Equipment Strong history of involvement in Continuous Quality Improvement Served on State of Texas Quality Systems Oversight Team, auditing facilities for compliance with state and federal regulations
Served on a Human Rights Committee to ensure treatment plans were ethical, and maintained the dignity and integrity of persons served Accomplished at staff scheduling
Accomplished at development of Polices and Procedures Ability to "think outside the box" and engage in creative problem solving Strong interest in learning and continuing education PROFESSIONAL EXPERIENCE:
July 2021
to
July 2022
Red River Behavioral Health Hospital Wichita Falls, TX January 2020
to
July 2021
Harmon County Home Health Hollis, OK
April 2013
to
January 2020
Harmon Memorial Hospital Hollis, OK
March 2011
to
November 2012
Total Medical Personnell Staffing Oklahoma City, OK Charge RN
Managed milieu on Chemical Dependency Unit. Conducted shift assessments. Conducted admission assessments. Administered medications.
Director of Nursing
As the Director of Nursing/Administrator, I supervise all personnel and provide leadership by example, coaching, and mentoring. I am responsible to ensure the agency's policies and procedures as well as clinical documentation meet the guidelines of multiple regulatory agencies.
Charge RN, Emergency Department Director, Skilled Nursing Director, and Infection Preventionist.
Covered the medical floor as well as all patients that came through the Emergency Room. This was a small rural hospital with limited resources. I was the only RN in the building and worked 6p until 6a. This facility served a wide population of patients from pediatric to adult. Agency RN
All Assignments were in the role of Registered Nurse. The most recent assignments are listed first while other assignments are listed in chronological order. Mercy Hosptial at Wotonga:
1. Charge RN covering both the Medical Unit and the Emergency Department. 2. Conducted Admission Assessments as well as provided all nursing care in the Emergency Department. This is a rural community hospital with a critcal care access Emergency Department.
Select Speciality Hospital (Oklahoma City):
ICU
1. Continuous Monitoring and on-going assessment of critically ill patients, some of whom were on ventilators.
2. Medication Administration including management of multiple "drips" 3. Shift and Admission Assessments
4. Interpretation of ECG monitoring and EKGs
5. Interpretation of Lab Results including: CBC, CMP, Arterial Blood Gases, etc. 6. 15-minute increment documentation on standardized forms 7. Report to Medical/Surgical Registered Nurse upon transfer. The SBAR system was used to ensure comprehensive and meaningful use communication so continuity of care is maintained
8. Initated ACLS Protocol and called for Code Blue when inidcated
.
Deaconess Hospital at Bethany (Adult Mental Health): 1. Shift Assessments on assigned patients
2. Admission assessments for new patients
3. Milieu Managment and provision of guidance to Mental Health Technicians 4. Use of McKesson-based e-MAR system for medication administration and documentation 5. Crisis Intervention and consultation with the on-call physician should a patient need June 2011
to
January 2012
Maxim Healthcare Staffing Solutions Oklahoma City, OK October 2010
to
February 2011
Ten Oaks: Horizon Bay Retirement Community Lawton, OK 5. Crisis Intervention and consultation with the on-call physician should a patient need chemical or mechanical restraint.
Integris Clinton Regional Hospital: (this is a small rural hospital with a Critical Access Emergency Department as well as an Intensive Care Unit) 1. Medical/Surgical Floor
a. Charge RN who made staffing assignments and supervised Licensed Practical Nurses and Nursing Aides.
b. Shift assessments on each patient as well as comprehensive Nursing Assessment on Newly Admitted patients.
c. Started IVs and administered IV Push medications not permitted by LPNs. d. Blood administration
e. Documentation of patient progress toward identified outcomes 2. Emergency Department
a. Triage Assessments using the ESI system of triage. b. Assesment of Patients (after Triage) using the "T-Sheet system" c. Started IVs and drew blood
d. Assisted Physician with procedures such as: laceration repair, chest tube insertion, incision and drainage, etc.
e. Concisely documented monitored vital signs, medications administered, and patient progess
f. Assisted with patient flow through the emergency department and ensuring patients admitted to ICU or Med/Surg were within 45 minutes of physician order to transfer. g. Participated in Patient Code Blue utilizing ACLS protocol. h. Provided understandable patient education.
3. Intenstive Care Unit:
a. Continuous Monitoring and on-going assessment of critically ill patients, some of whom were on ventilators.
b. Medication Administration
c. Shift and Admission Assessments
d. Interpretation of ECG monitoring and EKGs
e Interpretation of Lab Results including: CBC, CMP, Arterial Blood Gases, etc. f. 15-minute increment documentation on standardized forms g. Report to Medical/Surgical Registered Nurse upon transfer. The SBAR system was used to ensure comprehensive and meaningful use communication so continuity of care is maintained
h. Initated ACLS Protocol and called for Code Blue when inidcated Agency RN
Lawton Corrections Center: 2,500 Inmates
--Served as Charge Nurse on 7p-7a shift
--Conducted assessments
--Provided Emergency Interventions and simple first aid as needed resulting inmate conflice or Officer Use of Force.
--Passed Medications as needed.
Director of Health Services
Provided Pre-Move In Assessments
Completed Comprehensive Care Plans
Responded to Emergency Situations
Provided Crisis Intervention
Made the Employee Schedule
Coached and Mentored Employees
January 2008
to
October 2010
Nurse Finders Lawton, OK
March 2010
to
June 2010
Jim Taliaferro Community Mental Health Center Lawton, OK Conducted Annual Performance Reviews
Ensured Compliance with Oklahoma State Regulations Interfaced with Physicians regarding residents
Completed all administrative duties, including budget, reports, and compliance with corporate expectations.
Travel RN
Traveled to various hospitals to include: ICU, ER, Psychiatric/Behavioral Health, and Assisted Living Community
Worked at Lawton Comanche County Communty Hospital in the Emergency Department. This was a Level II Trauma Center for 9 months.
--Conducted Assessments
--Started IV's and administered IV Medications
--Cared for Critically Ill patients
--Participated in Codes
--Assisted Physicians with procedures such as I & D as well as placement of Central Lines.
--Interpretation of Lab Values and notifcation of Physician regarding abnormalities.
--EKG
--Provided Triage
--Provided Patient Education
Acted as Charge RN and "House Supervisor" on Night Shift in RN Capacity at Taliaferro Community Mental Health Center. Also served as Nursing Coordinator on the 4p-12a shift. Provided Emergency care services in Rural Critical Access Hospitals, including Quartz Mountain Medical Center in Mangum, Oklahoma.
Completed Admission Assessments
Provided Patient Education; particularly upon discharge. Provided Concise Clinical Documentation
Delegated assignements based on Hospital Acuity, Individual Patient Acuity, and Patient care-need level
Took telephone Physician Orders
Update electronic MAR as needed
Utilized Electronic Health Record keeping system
Used Critical Thinking Skills
Was flexible and adaptable to meet changing needs within the work setting. Nursing Coordinator
Admission Assessments
Crisis Intervention
Medication Administration
Client Education
Supervision of LPN, RN, and Client Care Aides
Chart Reviews
February 2007
to
March 2008
Harmon Memorial Hospital Hollis, OK
January 2006
to
February 2007
Great Plains Regional Medical Center Elk City, OK
February 2005
to
November 2006
Colonial Maor Nursing Home Hollis, OK
Maintained close contact with Psychiatric regarding changes of condition Indicident Reports
Utilization of Restraint and Seclusion per State Regulations and facility protocol Use of Electronic Health Record
Nursing Care Plans and Interventions
Use of good communication skills for verbal de-escalation of upset clients Working knowledge of State of Oklahoma Mental Health Rules and Standards of Care Provided Safe, Clean, and Therapeutic Enviornment
Served in Charge Nurse Capacity
Made Monthly Schedule to ensure safe client to staff ratio ER LPN
Focused assessment of patient's presenting problem Collaboration with RN for comprehensive assessment Communication with Physician regarding orders for lab work, radiology, and medications IV starts and Medication Administration
Reported patient changes to Charge RN and to Physician Reviewed patient's home medication list and reported to physican so lab such as Dilantin Level, PT/INR, or Digoxin level could be obtained
Completed EKG's
Reported Lab findings to physician (who was not on site at all times) Provided documnetation in compliance with Medicaid and Medicare standards Assisted with admission process if the patient was admitted Provided patient education with return demonstration, when appropriate, or expression back from patient his/her understanding of instructions to follow upon return home This was a rural hospital, so in addition to providing nursing services, I also registered the patient, secured proper identification and notification of allergies Consulted by phone with Oklahoma Board of Nursing to ensure I practiced within my scope of practice
Again, since this was a rural community with only basic EMT's, I accompained patient and EMT on Ambluance transfers if care beyond the EMT's scope was anticipated. To ensure safety, phone contact was maintained with covering physiican and charge RN. Geriatric Psychiatric Nurse
Conducted Focused Assessments
Administered Medications as ordered
Provided Consice Documentation
Provided Group Activities
Provided reassurance and re-orientation to confused patients Provided diversional activies for patients becoming agitated Taught CAPE courses to all staff so behavioral problems could be managed in a way that caused no harm to the patient or staff and created a positive environment Charge LPN 3-11 and 11-7
Made rounds at beginning of shift to ensure cleanliness of patients and to ensure safety Comleted Focused Assessments as required by a change in a resident's status from baseline
Performed emergency interventions for breathing difficulties or hypo/hypergylcemia until EMS arrived
Maintained close contact with Phsycians
Assisted Director of Nursing with Infection Control Monitoring Ensured compliance with DHS, Medicare/Medicaid standards Provided documentation regarding the use of fall prevention devices to ensure safe use February 2005
to
February 2006
Jackson County Memorial Hospital Altus, OK
July 1999
to
December 2002
Waco Center for Youth Waco, TX
August 1995
to
July 1999
Waco Center for Youth Waco, TX
and that release policies were followed
Supervised CNA's and CMA's
Engaged in Activities with Residents to promote self worth and dignity Promoted Team Work to ensure quality of care
Wrote weekly summaries on assigned residents
Communicated closely with Admistrator and Director of Nursing regarding any staff performance issues, after I talked with the staff regarding any issue and ways the issue might be resolved
Weekend Charge LPN Skilled Nursing Unit
Made rounds at beginning of shift to ensure no changes from information received from off-going Charge Nurse
Had contact with RN House Supervisor every two hours for update on status of unit Supervised LPNS and CNA's
Communicated wtih Physicians regarding changes in patient condition and received orders and delegated to assigned nurse
Made frequent rounds to ensure safe, clean, therapeutic environment Completed chart audits to ensure accuracy of physican order and medication administration record
Documented on status of each patient througout the shift Served on Code Blue Committee
Servied on MediTech, computerized documentation method, to seek ways to improve documentation, paticularly pain reassessment
Since this was a rural hospital, I hung blood and TPN and monitored the administration of both.
Associate Clinical Psychologist IV
Worked with Adolescent girls ages 13-17 with a diagnosis of Borderline Personality Disorder utilizing Dialectic Cognitive Behavioral Therapy Completed Comprehensive Psychosocial Assessments
Constructed Treatment Plans and Montiored Progress Treatment Team Coordinator responsible for ensuring application of treatment interventions
Conducted Group, Individual, and Family Therapy
Wrote and implemented milieu management programs and evaluated effectivenes on an ongoing basis
Provided case-management to ensure continuity of care Worked closely with Psychiatrist and a multidisiplinary team to address needs of patients and families
Program Administrator December 1997 to July 1999
Supervised 18 Mental health Technicians in the provision of care to male residents on an 18 bed unit
Wrote job descriptions and conducted employee evaluations Wrote Policies and Procedures
Ensured compliance with Texas Department of Health and Human Services andJCAHO standards
Participated at the manager level in JACHO survey
Responsible for FTE allocation and staff scheduling to ensure safe staff to patient ratio Enforced Policies and Procedures to ensure safe, therapeutic environment Participated in Steering Committe regarding alternatives to the use of restraint andn seclusion with the goal being to elimate the use of restraint and seclusion March 1995
to
August 1995
Saint Anthony's Episcopal Hospital Fort Worth, TX
March 1993
to
February 1995
Huguley's WillowCreek Hospital Arlington, TX
Associate Clinical Psychologist III August 1995 to January 1998 Worked on a locked Intensive Care Psychiatric Unit with adolescent at high risk for self harm, elopment, and aggressive behavior
Completed Psychosocial admission assessments
Contstructed Treatment Plans and Monitored Progress Completed comprehensive weekly documentation
Conducted Individual, Group, and Family therapy utilizing Cognitive Behavioral Therapy as well as Erik Erikson principles
Supervised Psychosocial habilitation Personnell
Served on State Level Mental Health Clinical Records Committee Private Practice Consultant
Provided Week-end Programming on an Adult Inpatient Psychiatric Unit consisting of didatic groups covering stress and stress management, communication, and problem solving
Conducted Relaxation and Guided Visual Imagery Groups Conducted Multi Family Group Therapy
Conducted Group Therapy utilizing Cognitive Behavioral Techniques Provided Documentation according to facility policy to relfect patient progress and to meet billing procedures
Direcotr of Residential Services July 1993 to February 1995 Provided Administrative Leadership in a REsidetial Psychiatric Facility, supervising the RN Nurse Manager in collaboration with the Director of Nursing for Nurse Practice issues, Master's Level Therapists, Certified ROPES Therapists, Licensed Chemical Dependency Counselors, and Mental Health Technicians in the comprehesive provision of competent, safe, clinically sound provision of care of adolescent males and females Ensured compliance with Texas DHS standards for Licensed Child Care facilities Obtained Licensure and a Licensed Child Care Administrator Wrote Program Descriptions, Policies and Procedures, and Job Descriptions Performed Employee Performance Evaluations and was responsible for hiring and terminating employees.
Interviewed applicants for potential employment
Responsible for Fiscal Management of Unit
Servied as Interim Director of Chemical Dependency Services and wrote all new Policies and Procedures as well as program development and daily schedule for upcoming JCAHO survey, during which our department faired very well Conducted all preadmimssion screening to ensure the resident matched our treatment population
Served on Risk Management Committee
Attended weekly Administrative/Clinical Meeting to update CEO of the status of the unit Interacted wtih multiple insurance companies while conducted utilization review for continued stay.
Psychotherapist/Family Therapist March 1993 to July 1993 Completed Psychosocial Admission Assessments
Conducted Individual, Group, Family, and Multi Family Therapy Provided Case Management Services
Wrote and Reviewed Treatment pland with Multidisciplinary Treatment Team Wrote daily progress notes for each resident
March 1992
to
March 1993
Terrell State Hospital Outpatient Clinic Terrell, TX January 1989
to
March 1992
Vernon State Hospital Vernon, TX
June 1988
to
September 1988
Vernon Junior Regional College Vernon, TX
EDUCATION:
OU Health Science Center Oklahoma City, OK
2009 Bachelor of Science in Nursing Nursing GPA: 3.8 Member of Sigma Theta Tau Nursing Honor Society.
Southwest Technology Center Altus, OK
2004 LPN Nursing
Completed didactic and clinical experiences to obtain degree. Obtain LPN Licensure in February, 2004
Southwestern Oklahoma State University Weatherford, OK 1988 Master of Science Clinical Psychology GPA: 3.9 Completed all course work and clinial internship
Active Member of Psi Chi: Psychology Honor Society Graduate Assistant: taught General Psychology to students working on a variety of degrees
Midwestern State University Wichita Falls, TX
1987 Bachelor of Science Psychology and Spanish GPA: 3.5 Member of Psi Chi: Honor Society for Psychology
Foreign Language Honor Student of the Year 1987
Child and Adolescent Specialist
Worked with ages three years to eighteen years old to provide crisis intervention services Completed Psychosocial Screenings to determine eligibility for outpatient services or need for Psychiatric Hospitalization
Provided Individual, Group, and indivudal Therapy
Made Home visits and conducted Family Therapy in client's homes Participated in Community Resource Coordination Group in order to provide continuity of care for client
Provided documentation to justify current level of care or to facillitate transition to a less intense level of care
Staff Psychologist
Completed comprehensive Psychogical Evaluations completed within five days of admission using a clinical interview, MMPI, MCMI, Beck Depression Inventory, Wechsler Intelligense Scale, Draw a Person, Thematic perception Cards, Sentence Completion Test, and educational testing. All information was synthesized into a report for use by the Multidisciplary Team to formulate a comprehensive treament plan. Served as Treatment Team Coordinatory and wrote the Diagnostic Summary and put together the treatment plan from assessment completed by all disciplines Provided Indivudal, Group, and Family Therapy
Served as HIV Counselor/Educator in conjuction with Infection Control Nurse Adjunct Psychology Instructor
Taught General Psychology to students working on a variety of degrees. CERTIFICATIONS:
Registred Nurse License Number: 96312 Expires July, 2024 Previously Held Texas Licenses:
Licensed Marriage and Family Therapist: 002620; obtained in 1992; allowed to expire in good standing when I went to school for nursing
Licensed Child Care Administrator: Co1849; obtained in 1995; allowed to expire in good standing when I went to nursing school.
KEYWORD SUMMARY:
Nurse, RN, BSN, Evidence Based Practice, Master's Degree Clinical Psycholgy, Critical Thinking Skills, Organizational Skills, Educator, Advocacy, Patient Education, Patient Safety, Quality Improvement
REFERENCES:
Available upon request.
Contact this candidate