Tami Graziano RN, BSN

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

Henderson, NV. 89074

Cell 702-***-****

adz47o@r.postjobfree.com

QUALIFICATIONS SUMMARY:

Dedicated professional with clinical, case management and administrative experience resulting in the proven ability to create a high performing medical unit with exceptional quality and care standards. Developed and executed programs to create a unity driven collaborative staffing environment, while also improving productivity, profitability and enhancing the patient and family centered focus of care.

EDUCATION:

University of Phoenix, MSN-FNP est grad. date 2021

Bachelor of Science in Nursing, BSN (2007)

CERTIFICATIONS & LICENSURE:

LEAN Bronze Certification

Advanced Cardiac Life Support; current

Basic Life Support; current

Registered Nurse (R.N.) state of Nevada

Registered Nurse (R.N.) state of Washington

Registered Nurse (R.N.) state of Oregon

Registered Nurse (R.N.) state of Utah

Registered Nurse (R.N.) state of California

AWARDS:

2014 March of Dimes Medical Oncology Nurse Manager of the year nominee.

2013 and 2009-Daisy Award at St. Rose Hospital Siena Campus. This award was commenced by a patient’s family in celebration of excellence in nursing and to honor exceptional nurses around the country; nominated by patients and their families. Received the highest number of nominations since inception of the award.

2013 Las Vegas Chamber of Commerce Customer Service Excellence Nominee

2011March of Dimes Nurse of the Year Oncology Runner-up

CAREER EXPERIENCE:

*Coquille Valley Hospital, Coquille, Oregon FT/40+ hrs/wk 9/2020 to present

Assistant Chief Nursing Officer

Assist the Chief Nursing Officer (CNO) in providing leadership to nurse employees that will enroll their support, create ownership of goals, and have them actively participate in decisions that impact the hospital.

Assist the CNO in maintaining necessary regulatory and compliance approvals and quality accreditations.

Assisting in planning new services that generate additional sources of profitable revenue.

Creating an environment that will encourage recruiting and retention of clinical employees.

Assisting the CNO in managing costs by continually seeking data that will identify opportunities and take action to eliminate non-value costs.

Assisting the CNO in establishing standards for nursing practices and maintain authority, accountability and responsibility for nursing services.

Developing organizational patient care programs, policies and procedures that describe how nursing care is assessed, delivered and evaluated.

Assisting the CNO in developing and managing the nursing, ensuring sufficient number of qualified staff to assess patient needs.

Analyzing areas in planning, promoting and conducting organization-wide performance improvement activities.

*Coquille Valley Hospital, Coquille, Oregon FT/40+ hrs/wk 3/20 to 9/2020

Interim Director Medical/Surgical/Emergency Room, Quality and Risk

Oversee and lead quality process and improvement initiatives

Ensure the use of consistent policies and procedures

Implement an Accreditation Ready approach

Provide leadership and management within the organization through high quality, evidence-based evaluations and processes

Implement and support a quality driven culture through a “hands on”, “boots on the ground” approach

Mentoring of hospital leaders for quality driven units while also promoting staff and patient satisfaction

Delivering sustainable quality services in an efficient and financially responsible manner to achieve desired high-quality outcomes

MountainView Hospital, Las Vegas, Nevada FT/40+hrs/wk 3/2019 to 2/2020

Manager, Peri-operative Services (Pre-Admission Testing, Same Day Surgery, GI Lab, PACU)

Oversee daily operations of units.

Ensuring appropriate staffing while maintaining quality and safety standards.

Development and implementation of the Early Recovery after Surgery Program

Developed process flow in PAT for improved patient turn around times and improved patient satisfaction.

Dignity Health – Nevada Market

St. Rose Hospital- deLima campus, Henderson, Nevada FT/40+ hrs/wk 8/2016 to 6/2018

Director, Peri-operative Services (Operating Room, PACU, Same Day Surgery, GI lab)

Manage time and financial responsibilities by appropriating budgets to surgical case volume.

Achieve institutional goals of quality, patient satisfaction, room turnaround time and budget.

Determine and assign appropriate level of staffing.

Physician recruitment, analyzation of community needs and trends for service line opportunities.

Managed team to decrease of supply par appropriate to volume and use as well as initiating supply charge revue changes resulting in large volume revenue capture.

Director of Intensive Care Unit and Emergency (in addition to Peri-op) FT/40+ hrs/wk 11/2017-6/2018

ICU/ER; oversee staff operations

Budget development

Ensure services are compliant with state and federal regulator requirements.

Manage quality and effectiveness of care given by staff to meet quality and safety goals.

Works collaboratively with Human Resources to effectively handle administrative/labor proceedings

St. Rose Hospital - deLima Campus, Henderson, Nevada FT/40+ hrs/wk 12/2015-08/2016

Director, Medical/Telemetry Unit and Inpatient Rehabilitation Unit

Reporting directly to the Chief Nurse Executive, responsible for the 24 hour day-to- day operation and management of all assigned clinical areas including the supervision and leadership of personnel and the management of fiscal and material resources.

Recruited for purpose of managing the 40 bed medical/surgical unit and a 36 bed inpatient rehabilitation unit with the intention of repairing the less than satisfactory productivity of both units and improving HCAHPS of the medical/surgical unit.

St. Rose Hospital - Siena Campus, Henderson, Nevada FT/40+ hrs/wk 4/2013 – 12/2015

Nurse Manager, Medical/Telemetry/Oncology Unit

Resurrection of underperforming 35 bed unit. 72 staff, including Registered Nurses, Certified Nurse Assistants, Unit Secretaries and Patient Care Coordinators. Achieving 104% productivity and maintaining 100% productivity. Reduction in overtime from 1.7-2.0 Full Time Employees (FTE’s) to consistently less than 0.72 FTE. Maintained CORE standards above 97%.

Performed quarterly employee satisfaction and assessment rounds as well as annual employee assessments. Launched an employee recognition program which improved morale and created a cohesive staffing environment improving the overall employee satisfaction. Leading to retention of high performers and coaching out of low performers.

Lead employee charity program further enhancing employee morale. 3 East adopted an under privileged family for Christmas. The staff collectively purchased and delivered an entire Christmas from the dinner and Christmas tree to presents for the entire family of four.

Piloted hourly round protocols, bedside report protocols and established new pain management standards improving pain management HCAHPS from 52.94% to 87.29%. Improving the overall HCAHPS rating from 60.71 % to 90%.

Served on Performance Excellence Teams aimed at increasing HCAHPS as well as decreasing the patient length of stay using the LEAN mentality.

St. Rose Hospital - Siena Campus, Henderson, Nevada FT/40+ hrs/wk 1/2012 – 4/2014

Patient Care Coordinator

As one of the founders of the implementation of the Patient Care Coordinator Program assisted in development and implementation of a position integrating the charge nurse and case management roles.

Collaboration with nursing, physicians, intra-hospital departments, community and social service resources as well as insurance providers to facilitate safe and timely discharges from the hospital to the most appropriate next level of care.

Assured proper billing and maximum revenue capture by delineating proper patient status through the MIDAS and INTER/Qual case management tool. While also monitoring patient status, appropriate use of clinical pathways and nursing care to ensure patient’s needs were met timely and patients discharged appropriately.

Served as a preceptor training the new Patient Care Coordinators as the position was expanded across the three Dignity Health campuses.

St. Rose Hospital - Siena Campus, Henderson, Nevada FT/40+ hrs/wk 1/2008 – 1/2012

Registered Oncology Nurse / Charge Nurse

Performed as a highly skilled Registered Nurse on an acute oncology unit.

Maintaining a safe healing environment while managing patient care and being acutely in tune to subtle dire medical changes as often necessary with oncology patients.

Educated patients and their families to the medical and oncology regimens, chemotherapy expectations, dietary needs and community resources to enhance a sense of nurturing, safety and security while in my care.

Acted as Relief Charge Nurse maintaining patient flow, staff accountability, and productivity and safety standards of the unit.

St. Rose Hospital - Siena Campus, Henderson, Nevada FT/40+ hrs/wk

Interim Nurse Educator

Created and presented continued education material and tools to the nursing staff of three medical/surgical units while the nurse educator was on maternity leave.

Maintained high expectation of nursing education standards while maintaining an approachable learning environment.

HCA - Sunrise Health System FT/40+ hrs/wk 2/2007 – 12/2010

Sunrise Hospital & Medical Center, 3186 S. Maryland Pkwy Las Vegas, Nevada

Registered Oncology Nurse

Performed as a highly skilled Registered Nurse on an acute oncology unit.

Educated patients and their families to the medical and oncology regimens, chemotherapy expectations, dietary needs and community resources to enhance a sense of safety and security while in my care.

HCA - Sunrise Health System FT/40+ hrs/wk 1/2003 – 12/2006

Sunrise Hospital & Medical Center, 3186 S. Maryland Pkwy Las Vegas, Nevada

Unity Secretary

CNA

Happy Jacks/Poker Joe’s Casinos, Rapid City, SD. FT/40+ hrs/wk 1/1998 – 12/2000

Bookkeeper

Maintained records of all financial transactions by establishing accounts, posting transactions and ensuring legal requirements were met for fifteen casinos.

Payroll via QuickBooks

Balanced general ledger by preparing balances and reconciling entries.

*Critical Access Hospital

**References available upon request

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