CYNTHIA HOLSTINE- CHT/RMA

*** **** **

Rocky Mount, VA 24151

540-***-****

professional experience -34 years of medical experience

and still loving it!

RENAL AVANTAGE INC/FRESENIUS/DAVITA 10/2008-PRESENT

Administrative Assistant/CHT

Scope of responsibility off all office duties, currently work patient care.

Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.

Welcome assigned patients and inquire as to their wellbeing since their last treatment. Report any complaints or observations to the nurse supervisor.

Evaluate vascular access for patency and report any unusual findings to nurse supervisor.

Obtain necessary pre-and post-treatment vital signs and weight. Report unusual findings to nurse supervisor.

Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.

Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.

Perform administration of Heparin as delegated or as allowed by state law.

Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).

Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.

Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor.

Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.

Discontinue dialysis treatment according to established procedures,

Evaluate patient prior to termination of venous access - standing & sitting blood pressure.

Obtain Hemostasis and apply appropriate dressings.

Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.

Perform and record Pre-and Post-dialysis evaluation, weight and vital signs with initial identification.

Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.

Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits (NVL) 160.

Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.

Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.

Report any significant information and/or change in patient condition directly to the nurse supervisor.

Observe patient, and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor.

Perform and document any intervention for unusual patient status and document patients' response to intervention.

Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings tothe nurse supervisor.

Obtain all prescribed laboratory testing and prepare specimens for collection.

DAVENPORT MEDICAL CENTER 5/2007-2008

MEDICAL ASSISTANT/Office manager

Scope of responsibility is diverse and includes overseeing the front and

Back office, answering phones, sending faxes daily, scheduling patient appointments, preparing patient charts, handling of co-payments,

Preparing the patients to see the Doctor, discharging patients, recording

Vital signs, injections, ear cleaning system, EKGs, phlebotomy, coumadin

Checks, sugar checks, preparing prescriptions, calling in prescriptions,

Doing all the major charting, including filing, calling patients with results,

Procedures, and upcoming tests needed, pre-certifications, insurance

authorizations, medical records clerk. In charge of office communication,

Staff relations, Insurance and billing, coding, Daily charges, Day sheets,

Ordering all supplies- office and medical, new employee data, sitting in on the interview process, patient complaints, Dealing face to face with patient

And employee onset problems, All Administrative duties.

MEDICAL ASSISTANT

GESSLER CLINIC P.A. 6/1999-5/2007

Front and back office, taking and recording vital signs, patient flow,

Assisting with procedures, discharging patients, assisting the Doctor,

Pediatrics, Internal, cardiology, Gastroenterology, surgical, urology,

Medical coding, insurance authorization, pre-certification, medical over rides for medications, charting documentation, filing doctor’s dictation.

Call in prescriptions, scheduling for procedures and patients

Appointments, inter-office calls/scheduling.

PATIENT CARE TECHNICIAN

OSCEOLA REGIONAL MEDICAL CENTER 4/1994-6/1999

Responsible for phlebotomy, renal, medical, surgical, pediatrics,

PCU, ICU, ER, taking and recording vital signs, performing hands on care,

Sugar checks/one touch machine, inserting foley caths, D/C caths, D/C the I.v’s, assisting with procedures, cleaning and suctioning of the tracheotomy,

Transposing doctor’s orders into mediTech system, 5 lead monitor tech,

Check placement of NG tubes.

CERTIFIED NURSING ASSISTANT

SOUTHERN OAKS HEALTH CARE 10/1991-4/1994

Duties included maintaining and updating patients’ charts, taking and recording vital signs, feeding patients, getting patients out of bed, rehab,

Getting short term patients mobile, dressings and cleaning bed sores,

Taking and recording intake and output of fluids.

Certified Nursing Assistant

Westbrook Nursing Home Richmond, VA

Duties included maintaining and updating patients’ charts, taking and recording vital signs, feeding patients, getting patients out of bed, rehab,

Getting short term patients mobile, dressings and cleaning bed sores

Taking and recording intake and output of fluids.

1/1989-10/1991 relocated to Florida

EDUCATION

Bonent

Board of Nephrology Examiners Nursing and Technology 2010

ARMA

American Registry of Medical Assistants 2009

Graduate-patient care technician 1996

Technical Education Center Graduate-certified Nursing Assistant 1989

Hermitage vo-tech

Richmond, VA

of Osceola

Kissimmee, FL

Graduate-phlebotomy 1997

Americare School of Nursing

Winter Park, FL

REFERENCES

Available upon request.

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