Nurse Practitioner Student Advisor, DNS-CT11years LTC and AL settings

Gayle Schied RN, RAC-CTA, C-NE, ANACC Medicare-CT, DNS-CT

Experience 1982-1994 Huron Regional Medical Center Huron, SD

REGISTERED NURSE

•Medical, Surgical, Pediatric staff nurse

•Charge nurse

•Member of QA committee

•Member of interdisciplinary committee to draft new nursing documentation system to be JACHO compliant

•Seven years of night shift & five years of day shift duly

•Float nurse to ICU, Nursery, Recovery, & Code Blue Float Nurse

1989-1990 HU/HRMC School of Nursing Huron, SD

CLINICAL NURSE INSTR UCTOR

•Medical/Surgical Clinical instructor for I st & 2 nd year nursing students

•Evaluation of clinical nursing skills on medical/surgical units according to SD Board of Nursing Code of Ethics & Standards of Practice.

1990-1991 HU/HRMC School of Nursing Huron, SD

INSTRUCTOR @ 2ND YEAR LEVEL

•Theory instruction to 2nd year nursing students on the following Systems: Hematology, Reproductive (including post-surgery care), Immunology, Endocrine, Time Management, Documentation, Prioritization and Empowerment.

•Clinical instruction on Surgical floor for 2 nd year nursing students.

•Faculty/Student Advisor for I st & 2nd year nursing students.

1991-1992 HU/HRMC School of Nursing Huron, SD

CO-CHAIR 2 nd YEAR CO-CHAIR HEALTH CARE COURSE

CURRICULUM CHAIRPERSON

•Theory & Clinical Instructor of 2nd year nursing students Coordinated the Rural Health Care Course for 2 nd year nursing students

Co-developed a new objective evaluation tool for I st & 2 nd year nursing student's clinical competency

•Nursing Curriculum, Chairperson with successful SD Board of

Nursing Accreditation Student Advisor

1993-1997 Clinic Huron, SD

CLINIC NURSE

•Worked with General Practice Physician, Internist, & Oncologist Administered chemotherapy, scheduled patient appointments, assisted with minor surgical procedures, initiated & administered IV fluids & IV antibiotics, f/up patient care regarding test/lab results.

•Autoclave sterilization of all equipment & instruments

•Assisted with Bone Marrow Aspirations, Thora-centesis, Rectal

Sigmoidoscopy scopes

PICC Central Line Certification for long term antibiotic therapy & chemotherapy administration

•Scheduled surgical procedures for Vascular Surgeon & outpatient procedures for other practitioners

•Helped establish practice for Nurse Practitioner, developed patient education library, Diabetic Teaching Program in the clinic setting.

•Member of Oncology Care Team

•Developed f/up system for patient/client test/labs/pertinent information for Nurse Practitioner & Internist's practices Referrals to appropriate licensed practitioners as needed Referrals to State Department of Health any occurrences of communicable disease and follow-up as needed

•Organized & administered community corporation influenza vaccinations

1997-1998 Reed Clinic Huron, SD

CLINIC NURSE

•Worked for Nurse Practitioner to develop a general practice

Part-time for Vascular Surgeon

Started State Immunization Program @ the clinic-with 2 successful 100% compliance audits

•Developed an itemized inventory of all patient sample medications Coordinated Indigent Programs for Medicare elderly clients to gain assistance in obtaining needed medications Laboratory Coordinator

Coordinated well-child, adolescent & adult physical exams and health maintenance/prevention education

Low fat/high fiber diet and weigh loss/maintenance instruction

Re-organization of all client charts uniform/organized system

Organized & obtained patient educational material library Organized Child & Adult allergy administration scheduled & wellness checkups for children & adults

Organized & assisted with Huron Community Corporations influenza vaccinations

1997-1998 Huron Nursing Home Huron, SD

STAFF NURSE

Delivering care, medications for nursing home residents on dementia Wing, Medicare wing, and other wings as well for 160-bed facility.

•Part-time evening Supervisor.

1998-2001 Huron Nursing Home Huron, SD

PATIENT CARE COORDINATOR MEDICARE WING

•Coordinate the delivery of care to residents that meet skilled

Medicare Part A stay in the nursing home

•Obtain a pre-assessment on any potential new admission & do PPS pre-screen for potential services needed during nursing home stay Coordinate delivery of care from skilled therapies & nursing & ascertain if continues to meet skilled criteria

Complete MDS assessments, Resident Assessment Protocols, & establish & maintain updated resident's plans of care Submit MDS to State & Federal Entities according to HCFA regulations Corporate Compliance Officer to maintain compliance with OIG regulations

•Nurse Manager & Weekend Manager

2001-2002 Kingsbury Memorial Manor Lake Preston, SD

MDS COORDINATOR/CHARGE NURSE/ASSISTANT DON Coordinate completion of all resident MDS assessments according to

HCFA/CMS regulations & guidelines

•Chair of Care team to develop & maintain updated resident plans of

Care according to triggered QI's to deliver quality care

QA Chairperson

•MDS Certified

•Medical Records Director

•Monthly Psychotropic Medication Review along with PCC,

Pharmacist, Consultant Psychiatrist, & attending Physicians Submission of all MDS's to State & Federal entities according to

HCFA/CMS guidelines

Schedule all Physician visits/recert

•Coordinate all Medicare Part-A residents stays including: on-going skilled criteria evaluation, skilled therapy delivery, obtain physician certification/recertification, month-end Medicare RUG logs for billing

Set MDS schedule for all resident in nursing home

Provide Backup for DON

•Monthly behavior review of all residents

•Delivery of care, treatments, medications to nursing home residents on main floor as well as the Secured Alzheimer's Unit

•Case Mix review\ in 2001 & 2002 with 100% compliance & area to fine-tune towards the goal of accuracy on each resident's MDS assessment

Developed head-to-toe assessment of clients for validation of coding of MDS for accurate picture of each resident's health status Review of medications monthly for possible side effects, overuse, Non-use, or no longer needed/effective in collaboration with Pharmacist & attending Physicians.

Developed comprehensive pain assessment to evaluate and determine the most appropriate and effective plan of treatment individualized to each resident

•Monitored management medically & nutritionally of various health conditions such as: Diabetes Mellitus. Hypertension, Cancer, Parkinson's, Heart Conditions & Irregularities, Congestive Heart Failure, Allergies with allergy shots, etc.

•Draw labs & coordinate with appropriate diagnoses for routine labs according to medications and health problems

Referrals to appropriate physicians or licensed practitioners including: Cardiologists, Internists, Podiatrist, Oncologist, Orthopedic Specialist, Allergist, Dermatologist, & Psychiatrist, etc.

2002-2007 Kingsbury Memorial Manor Lake Preston, SD

DIRECTOR OF NURSING & MDS COORDINATOR

Supervise & Manage Nursing Department for 64 bed facility. All

Medicare Certified Beds-including a 12 bed Secured Alzheimer's Unit

Successful SDOH LTC Survey(s) 2002-2007 @ 95-100% compliance

•Scheduled CNA's & Licensed Nurses to provide coverage & care Elderly care

•Coordinated Physician Recerts, Consultant Optometrist, Dental visits, Psychiatrist, Podiatrists

•Certified Aide Training as well as SD State Approved Dining

Assistant Program, Certified Medication Aide Program through the

SD State Department of Health & SD Board of Nursing Coordinated Quality of Care for all residents of nursing home

•Quality Assurance Chairperson

•Infection Control

Corporate Compliance Officer

•Maintained OSHA & OIG/CMS guidelines for Quality of Care for residents residing in long erm care facility

Worked with Temporary Nurse Agencies for licensed nurse & certified nurse aid coverage during staff vacancies/increased need

Evaluations of all licensed nurses, dining assistances, bath aids, restorative aides, certified nurse aides

•Coordinated Restorative Program for all residents & monitored Medicare Part A Stay residents with skilled therapy to reach highest level of treatment to obtain highest level of recovery for each resident Audit Corporate Compliance as well CMS regulatory compliance in care delivery

Coordinated Quality of Care Meetings with Medical Director, Patient Care Coordinator, Department Heads to provide highest level of care to each resident

•Monitored & coordinated all VA residents within their individual programs & maintained their benefit options, services available, & medication supply/renewals.

•Transported residents to appointments as well as lab draws & runs to laboratory for analysis

•Coordinated admissions with all medications, orders, supplies needed Worked on weekends as manager & as a charge nurse to cover shifts as needed to provide quality of care for all residents

Developed Self scheduling for all licensed nurse & certified aid schedules throughout the building

2007-2012 Good Samaritan Miller Nursing Home Miller, SD

CHARGE NURSE/ASSISTED LIVING MANAGER

BACKUP MDSC/WEEKEND MANAGER

Delivery of care, treatments, medications to nursing home residents

In long term care setting as well as Assisted Living

Coordinate, manage 7 bed private Assisted Living Unit including Medication compliance-ordering from various Med D or VA pharmacies, weekly nursing assessments, yearly physicals, dental, vision, podiatry, hearing evaluations & cardiac or specialist consultations as needed.

•Member of Department Head Team & Quality Assurance Committee

To maintain highest level of care for each resident

•Weekend Manager to assess/help with weekend staff coverage & Quality of care for residents

AANAC MDS 3 0 RAC Certified & back up coverage for MDS Coordinator to ensure compliance with CMS/OIG federal/state regulations for MDS completion & submission for each resident.

AANAC Certified Nurse Executive for Manager Role

•Monitor & maintain resident/family satisfaction for the care of their family members in long term care setting

•Chair/coordinate Care Conferences for designated long term care residents & arrange Assisted Living Resident Care Conferences with family members for quality assurance & highest quality of care

MDS AANAC MDS 3.0 CERTIFIED COORDINATOR (9/15/10 to 6/28/12)

RESTORATIVE PROGRAM NURSE COORDINATOR (9/15/10 to 6/28/12)

CNA CERTIFIED TRAINER/SD CERTIFIED HEADMASTER CNA TEST OBSERVER (2/17/12 to

6/28/12)

*Delivery of care, treatments, medications to nursing home residents of both 2nd & 3rd floor

*Coordinate physician recert & acute visits for all residents based on regulations & need

*Monitor care delivery & staffing of certified nurse aides, assist in dining room at meals for quality care of residents

*Communicate & coordinate care delivery for each resident involving their families, POAI s,

Legal representative/guardian for highest level of care

*Coordinate restorative & skilled therapy is provided & resident's progress is documented in their clinical medical record

*Coordinate MDS guidelines, scheduling, Care Conferences, Care Plan Development for each resident

*Maintain CMS/State/Federal Guideline compliance with all regulations & guidelines for

MDS process completion for each resident

*Coordinate & evaluation/monitor skilled PT/OT/ST therapy delivery based of need of each resident either Medicare Part A & Med B for rehabilitation to highest level of self performance

*Monitor Quality of Care for each resident based on assessment process & care plan compliance

*Participate in skin care program, assessment completion utilized to ensure highest quality

of care for each resident

*Medicare Part A& B billing & diagnosis for coverage to Business Office Manager for the reimbursement based on each resident's highest RUG IV level

*Month end Charges for each resident to Business Office for billing

*Maintain & monitor accurate record/charting of ADL's, Behaviors/Moods, Toileting Programs

Skin assessments for each resident to provide "accurate" picture of each resident per MDS completion schedule

*Back up for Social Services, Activities, & Dietary for completion of their sections of the MDS when ill, new employee(s), or gone on vacation

*Restorative Nursing Program Coordinator & quarterly evaluation completion & meetings daily to weekly with RNs & skilled therapists for highest & most effective programs to maintain & prevent loss of function for each individual resident based on their needs and physical abilities/function

*SD Case Mix Review 2012 & 2011 99% Compliance with only 1-2 areas of need for more accuracy of MDS completion & validation documentation for care of residents. No errors in

RUG reimbursements were noted either year

*Coordinate Care Conferences for each resident as per their individual MDS assessment schedule & notify/involve their family/POA &/ or Legal Guardian/Representative. 99% attendance of Family/DPOA/POA/Legal Guardian/Representative in person or via teleconference

*Trained new Nurse Aides & successfully Test Observed through Headmaster for State of South Dakota for a 80-98% written pass rating with 100% successful certification of new

Nurse Aides to become Certified Nurse Aides in South Dakota

September 2012 – March 2020

SunQuest/Avantara Huron Nursing Home; Huron, SD

Deliver of care, treatments, medications to nursing home residents to all wings ABCDE

Supervised & monitored care delivery by certified aides, restorative aids, and certified medication aides

Communicate & coordinated care for each resident involving their families, POA’s, Legal representative/guardian; & Primary provider to maintain highest level of functioning & quality of life.

Completed all assessments needed for MDS completion of each resident as per CMS regulations

2016 to present

Independent Health Solutions; Huron, SD

Home Health Registered Nurse/Assistant to DON/Manager/RN Owner

Coordinate services, telemedicine/accompany to provider/consultant visits, develop POC for clients in their homes advocating for quality of life and highest level of function while remaining in their own homes with family

Monitor & promote client compliance with medication regimen in coordination with their individual pharmacy & providers

Administer ProLastin C IV infusions to Alpha 1 Deficient Clients on a weekly basis – coordinating their care & infusion with pulmonologist & Ervasana Pharmacy

Assist & support clients to maintain their highest level of ADL function & independence

Completed SD State & Veteran’s Authorizations for continue services and care foreach client as needed or arise

Coordinate with Veteran’s Health Care for Veteran’s for all qualified services in their homes

May 2021 to present

Director of Nursing @ Angelhaus Behavioral Assisted Living; Huron, SD

Screen, profile all new potential residents for admission process to ensure they meet requirements to be admitted

Coordinate care for each resident with primary care, specialist(s) referrals based in their medical diagnoses & needs

Ensure they are seeing a psych provider, counselor, case management, specific behavioral counseling IE: substance, alcohol abuse; grief; depression; etc.

Monitor all dietary & nutritional needs are met in coordination with Registered Dietician and their primary provider. Especially on wound care, weight loss, diabetes management, specialized diets

Train and monitor resident aides, medication aides for compliance & performance competencies are met/ongoing

Monitor and ensure compliance with all SDOH regulations for Assisted Livings, infection control measures in lieu of COVID pandemic

Complete assessments & maintain ongoing current person centered care plans for each resident

EDUCATION

Kindergarten to 8th grade

Doland Grade School

Doland, SD

1975-1978

*Valedictorian

James Valley Christian High School

Huron, SD

1978-1982

Augustana College

Sioux Falls, SD

*B.A.,Nursing

9/07/2010 AANAC RAC-CTA MDS 3.0 Certification 9/27/2010 AANAC C-NE Certified Nurse Executive

6/17/2021 SDBON UMA TRAINER/PROCTOR; DIABETIC UMA TRAINER/PROCTER Certifications

3/31/2018 ANACC Medicare RN Nurse Certification

5/22/2019 DNS-CT

INTERESTS Gardening, reading, bike-riding, computers, music, crafts,

Swimming, jogging.

STRENGTHS Highly motivated, goal driven, meticulous to detail and maintaining Standards of Nursing practice & Code of Ethics, Empowerment in support of "Teamwork", supportive of fellow co-workers in their desire for further career/education advancement & perform to their highest level of quality.

*Patient/Client/Resident/Student Advocate 1st & foremost

*Honor & integrity

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