Patient Care Medical Records
Resume:
Orange, US *****
*****************@*****.***
SUMMARY
I am an LVN for a reason. That reason
is to help others in their time of need.
Whether it be CPR, medication
administration, drawing labs, critical
thinking skills, or just a shoulder to
lean on. It's my passion and my
purpose in life. I need to know that I
am making a difference in other
peoples lives during their moments
of sadness sickness weakness and
fear. I will complete my duties in a
professional and compassionate
manner.
SKILLS
• English Language
• Manipulated controls
• Machinery operation
• Equipment inspection
• Load coordination
• Record keeping
• Safety regulations
• Emergency response
• Computer systems
• Dispatching
Crystal Henson
EXPERIENCE
July 2024 - Current
LVN OneStaffMedical Williston, North Dakota
• Assisted in the admission, discharge and transfer of patients. Provided direct patient care by taking vital signs, administering medications and treatments, and providing wound care.
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Performed routine diagnostic tests such as EKG's, urinalysis and blood draws.
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Monitored patient progress, reported changes to physician and provided education to families regarding medical conditions.
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Maintained accurate medical records for each patient utilizing electronic health record systems.
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Assessed patient needs for additional services such as social work or home health aides.
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• Conducted physical assessments of patients on a regular basis. Collaborated with other healthcare providers including physicians, nurses and specialists in order to coordinate optimal patient care plans.
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Instructed patients on proper self-care techniques such as medication administration, nutrition management and disease prevention strategies.
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Ensured compliance with all state laws governing nursing practice standards.
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Provided emotional support to patients and their families during difficult times.
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Responded quickly to life threatening situations using appropriate interventions based on established protocols.
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Participated in team meetings to discuss patient progress and plan treatment goals accordingly.
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Ordered lab tests or imaging studies according to physician orders while ensuring accuracy of documentation in the medical record system.
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Educated patients about preventative measures for healthy living such as exercise routines, dietary guidelines and smoking cessation programs.
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Actively participated in continuing education activities in order to stay abreast of latest developments in nursing practices, procedures, techniques
.
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Served as an advocate for individualized patient care by coordinating resources within facility limits while promoting cost effective solutions whenever possible.
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Educated patients and families on health maintenance and disease prevention.
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• Participated in interdisciplinary team meetings to discuss patient care.
• Call prioritization
• Information relay
• Map interpretation
• Certification
• Alarm monitoring
• Radio frequency monitoring
• Routine inquiries
• Mobile equipment operation
• Emergency medical instructions
• Patient care
• Health monitoring
• HIPAA compliance
• Vital sign recording
• Medication management
Looked for physical, emotional, and symptomatic changes in patient condition and obtained necessary care for medical concerns.
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Coordinated with doctors and registered nurses to develop care plans for patients.
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• Collected and documented vital signs to track current patient conditions. Monitored patient's respiration activity, blood pressure and blood glucose levels in response to medical administration.
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Communicated concerns regarding patients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.
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Answered patient and family questions to educate on optimal treatment procedures.
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• Interviewed patients to obtain medical history.
Promoted culture of safety for patients and employees through proper identification, reporting documentation and prevention.
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• Used sterile techniques to prepare patients for procedures. Followed rehabilitation and treatment care plans to accelerate patient recovery, minimize pain, and optimize patient outcomes.
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Administered prescribed medications or started intravenous fluids, noting times and amounts on patient charts.
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Applied interventions to progress patients toward wellness and address maintenance of wellness.
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Prevented drug interactions and contributed to correct diagnosis by recording patient health information, monitoring vitals and updating patient files.
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Collected biological specimens and packaged for laboratory transport to complete diagnostic tests.
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Facilitated communication between patients, families, and healthcare professionals.
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Participated in quality improvement initiatives to enhance patient care outcomes.
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Managed patient records, ensuring confidentiality and compliance with healthcare regulations.
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Administered medications and therapies in accordance with physicians orders.
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Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
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Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
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Took temperatures or blood pressures, dressed wounds and provided other basic patient care or treatments.
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• Documented patient medical histories, current symptoms and vitals.
• Measured and recorded patient height, weight and other vital signs. Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
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• Observed strict confidentiality and safeguarded all patient-related September 2023 - June 2024
LVN Christus Health St Mary's Port Arthur, Tx
February 2023 - June 2024
LVN Christus Health Orange Orange, Tx
January 2022 - April 2022
Equipment Operator T Diamond Bar Walla Walla, Washington information.
Communicated with patients with compassion while keeping medical information private.
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Collected blood, urine or sputum from patients to perform routine laboratory tests.
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• Answered patients' calls to determine how to assist.
• Delivered high-quality direct and indirect nursing care to patients. Monitored infection control procedures to verify facility-wide health and safety.
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Collaborated with multi-disciplinary staff to improve overall patient care and response times.
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Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
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• Working at a fast pace in the ER
Completed IV starts, drawing blood for labs, EKG, breathing treatments, collecting numerous types of specimens for testing, cardiac monitor, collecting vital signs, completing assessments, giving medications (PO, IM, IV ect) discharge instructions and teaching, creating a trusting repore with each patient...adults and pediatrics
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• Transferring patients
• But most importantly, being a patient advocate.
• Working at a fast pace in the ER
Completed IV starts, drawing blood for labs, EKG, breathing treatments, collecting numerous types of specimens for testing, cardiac monitor, collecting vital signs, completing assessments, giving medications (PO, IM, IV ect) discharge instructions and teaching, creating a trusting repore with each patient...adults and pediatrics
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• Transferring patients
• But most importantly, being a patient advocate.
• Manipulated controls to set, activate and adjust mechanisms on machinery
• Operated smooth compactor and dirt dump truck
• Checked workpieces for proper lubrication and cooling Inspected equipment for defects and safe operating conditions before and after shifts
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Coordinated positioning or moving loads in response to hand or audio signals from crew members
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June 2015 - October 2021
Emergency Medical Dispatcher Beaumont Texas
• Moved dirt, rocks, equipment and other materials
• Kept records of material and equipment usage and problems encountered
• Learnt and followed safety regulations
• Took actions to avoid potential hazards and obstructions Maintained equipment, making emergency adjustments and assisting with major repairs as necessary
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Operated compactors, scrapers and rollers to level, compact and covered refuse at disposal grounds.
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Processed high call volumes for law enforcement and fire and emergency medical services
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Operated workstation comprised of multiple computer systems, telephone systems and geographical mapping tools
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• Entered essential caller information in computer-aided dispatch system
• Reacted immediately and appropriately to emergency and crisis situations Provided special instructions, hazard information and additional information to police officers and other stakeholders
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Questioned callers to ascertain nature and location of emergency using established methods and techniques
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Prioritized calls based on situation, recognizing and addressing duplicate calls
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• Initiated calls for service utilizing appropriate protocols Relayed calls to fire, EMS dispatch, or law enforcement, obtaining relevant information
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• Recorded details of calls, dispatches and messages Relayed information and messages to and from emergency sites and law enforcement agencies
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Interpreted small-scale maps and information from computer screen to determine locations and provided directions
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Determined response requirements and relative priorities of situations and dispatched units
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• Learnt material and pass required tests for certification Scanned status charts and computer screens and contact emergency response field units to determine emergency units available for dispatch
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• Maintained access to and security of highly sensitive materials Observed alarm registers and scanned maps to determine whether specific emergency is in dispatch service area
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Questioned callers to determine locations and nature of problems to determine type of response needed
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Monitored various radio frequencies, such as those used by public works departments, school security and civil defense, to stay apprised of developing situations
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• Answered routine inquiries and referred calls not requiring dispatches to May 2017 - September 2019
LVN Pediatric Home Healthcare Beaumont, Texas
appropriate departments and agencies
Received incoming telephone and alarm system notifications regarding emergency and non-emergency police and fire service, emergency ambulance service and information
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• Operated and maintained mobile dispatched vehicles and equipment
• Provided emergency medical instructions to callers Provided direct care to patients with home visits and medication management
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Monitored patient health conditions and scheduled appointments to provide further care
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Submitted health-related information into online database to maintain records
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Supervised medication distribution and observed patients to identify progress or side effects
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• Complied with HIPAA guidelines to protect privacy of patients Recorded essential information about patient issues and communicated to doctor during appointments
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Took and recorded vital signs in patients to determine fitness and identify immediate health issues
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Followed medication management procedures to comply with state and company guidelines
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• Recorded food and fluid intake and output
• Administered prescribed medications according to treatment plan Observed patients, charted and reporting changes in patients' conditions, such as adverse reactions to medication and treatment and taking any necessary action
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Measured and recorded patient temperature and blood pressure to identify issues.
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Provided direct patient care by taking vital signs, administering medications and treatments, and providing wound care.
•
Monitored patient progress, reported changes to physician and provided education to families regarding medical conditions.
•
Assessed patient needs for additional services such as social work or home health aides.
•
• Conducted physical assessments of patients on a regular basis. Instructed patients on proper self-care techniques such as medication administration, nutrition management and disease prevention strategies.
•
Ensured compliance with all state laws governing nursing practice standards.
•
Provided emotional support to patients and their families during difficult times.
•
• Responded quickly to life threatening situations using appropriate May 2018 - May 2019
LVN Advanced Pediatric Home Health Beaumont, Tx
August 2004 - April 2005
LVN Christus Health Beaumont, Texas
January 2004 - August 2004
CNA Christus Health Beaumont, Texas
interventions based on established protocols.
Collaborated with healthcare team to assess patient needs and develop treatment plans
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Leveraged wound care expertise to change dressings and monitor for signs of infection
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Dressed, maintaining personal hygiene, moved in bed and standing and walking
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Evaluated nursing intervention outcomes, conferring with other healthcare team members as necessary
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Assembled and used equipment, such as catheters, tracheotomy tubes and oxygen suppliers
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Monitored supply usage and proactively requisitioned replenishment to support seamless care continuum
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Charted patient data in EMR system and informed care team of significant changes
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Safeguarded against germ spread with stringent enforcement of infection- control procedures
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Applied proper lifting techniques and mobility aids to support safe movement for mobility-inhibited patients.
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• Assisted in the admission, discharge and transfer of patients. Provided direct patient care by taking vital signs, administering medications and treatments, and providing wound care.
•
Performed routine diagnostic tests such as EKG's, urinalysis and blood draws.
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Provided assistance with activities of daily living, including bathing, dressing and grooming.
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• Assisted patients in ambulation and transfers using proper body mechanics. Performed vital sign assessments, such as taking blood pressure and temperature.
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EDUCATION AND TRAINING
December 2015
Emergency Medical Technician
Lamar State College, Orange, TX
August 2004
LVN
Lamar State College- Orange, Orange, Tx
Some College (No Degree) 911 Medical Dispatcher
Emergency Medical Dispatch, Lafayette
• 3.5 GPA
• Member of the EMD of Texas
CERTIFICATIONS
• Licensed Vocation Nurse In Nursing
• Emergency Medical Technician
• Emergency Medical Dispatcher
• Licensed Vocational Nurse
• HIPAA
• LVN
• EMT
Contact this candidate