Nurse Practitioner Quality Assurance

Heather Wolak, BSN, RN

** ********* **** 201-***-****

Randolph, NJ 07869 ***********@******.***

MISSION STATEMENT

I desire to bring compassionate leadership to the forefront of healthcare through the delivery of innovative, holistic nursing practice that focuses on the well-being of both patients and colleagues EDUCATION

BSN, Nursing, 2021

Capella University, Minneapolis, MN

AAS, Nursing, 2010

County College of Morris, Randolph, NJ

BA, Psychology and Music, 2006

College of Saint Elizabeth, Convent Station, NJ

Graduated with Highest Honors, GPA 3.95

MSN, Primary Mental Health Nurse Practitioner, expected graduation date 4/2025 Wilkes University, Wilkes-Barre, PA

EXPERIENCE

Director of Nursing

Allaire Health Services – Fallsview Rehab and Nursing, Boonton, NJ January 2021-current

Oversee resident census of 117 beds

Review patient referrals for appropriateness and acceptance to facility

Responsible for ensuring adequate clinical staffing and addressing any staffing/disciplinary/attendance issues

Work in conjunction with the infection preventionist on infection control guidelines and compliance of staff with infection control guidelines

Oversee antibiotic stewardship program in collaboration with the infection preventionist

Ensure therapeutic medication interchanges are addressed and carried out

Initiate/review admission documentation on new patients

Complete quarterly care plan reviews

Ensure clinical follow ups are completed by clinical nursing staff

Participate in weekly utilization review meetings, monthly weight meetings interdisciplinary care plan meetings, behavioral committee meetings, weekly tracker calls regarding quality measures and lead daily clinical meetings

Ensure accuracy and completion of all incident reporting for proper quality assurance

Utilization of AAS-45 form and completion of reportable event reporting Director of Nursing

Allaire Healthcare – New Grove Manor, East Orange, NJ July 2020–January 2021

Oversee resident census of 185 beds

Specializing in substance abuse and behavioral disorders

Ensure adequate staffing and oversight of clinical/attendance issues with nursing staff

Attendance at weekly utilization review meeting to discuss residents’ clinical/functional progress and ensure appropriate discharge planning

Periodic review of quality measures in order to implement and maintain efforts to improve CMS star rating

Lead daily clinical meetings with the interdisciplinary team to address all clinical, behavioral, social issues, ensure daily clinical follow-ups are completed, accuracy of documentation, etc.

Ensure all prior authorizations are addressed as well as therapeutic interchanges

Completion of monthly pharmacy reports and consultant pharmacist to physician communications

Head of the antibiotic stewardship with completion of CDC Infection Preventionist Course

Monitoring and maintenance of the facility psychotropic log to ensure GDRs are completed timely and as indicated

Leader of quality assurance with oversight and completion of all incident reporting

Completion of daily care plan reviews in conjunction with MDS ARD dates

Review of all new admissions for accuracy and completeness of documentation

Knowledge of AAS-45 form and experience with reportable event reporting Carrier Clinic – Staff Nurse, Per Diem - EOW

Hackensack Meridian Health, Belle Mead, NJ October 2023–January 2024

Administer medications as ordered

Follow facility ordered alcohol and drug detox protocols

Communicate with MDs regarding ongoing treatment plan

Float to other areas of psychiatric hospital as needed Agency Staff Nurse – Per Diem

Fivestar Care, NJ December 2020–January 2021

Work at various nursing facilities to assist with staffing needs

Administer medications and treatments as ordered

Monitoring of residents and documentation of current status as per facility protocol

Address any change in status with primary physician and family

Ensure all necessary follow-ups have been completed

Accurate nurse to nurse reporting to ensure quality of care and care continuum Director of Nursing

Allaire Healthcare - Morris View Healthcare Center, Morris Plains, NJ July 2019–July 2020

Oversee resident census of 283 beds

Ensure staffing numbers are appropriate and adequate; address any staffing issues or clinical/attendance issues with nursing staff

Complete monthly administrative report

Attend weekly UR meeting to discuss new and continuing residents under skilled therapy or nursing care

Daily PDPM meeting with MDS staff to review new and ongoing residents and any change in status, medications, diagnoses, etc.

Monthly weight meeting with dietitians and unit managers to review all unplanned weight losses/weight gains in-house

Review Casper Reports and oversee that adjustments and monitoring is being done to improve percentages

Lead daily clinical rounds with IDCP staff to review and address all pertinent resident issues and changes in status, follow-up with diagnostic testing, ensure charting is being completed, etc.

Oversee all Prior Authorizations/Narcotic letters are completed by nurses to ensure timely delivery of medications

Ensure that therapeutic interchanges are being done whenever necessary in order to be fiscally conscientious of facility costs

Review all new potential referrals for possible admission to ensure that criteria are met, review cost of medications, ensure discharge planning is appropriate, etc.

Review all new admissions for correctness and completeness and conduct chart audits for accuracy

Assistant Director of Nursing/Clinical Educator

Allaire Healthcare – Morris View Healthcare Center, Morris Plains, NJ April 2019-July 2019

Provide general orientation education for all new employees

Review 24-hour reporting and nurses notes to address any clinical issues and ensure appropriate follow up

Coordinate daily clinical meeting with nursing managers to ensure continuity of care

Participation in weekly Utilization Review

Act as employee health nurse for all new hires ensuring H+P, all health paperwork, PPD and immunizations are completed

Oversee annual TB screening for all “high risk” employees

Responsible for ongoing education and in-servicing of all nursing staff

Ensure completion and organization of all employee health records

Ensure completion and organization of all employee mandatory education and all nursing education

Provide as needed in-servicing to nursing staff to address any clinical or occupational issues in addition to mandatory in-servicing as set forth by CMS

Director of the Antibiotic Stewardship Program

Monitor and document infections and antibiotic usage within the facility utilizing McGreer’s criteria

Deliver quarterly reports at the QA committee meetings to provide information regarding infection rates, adherence to infection criteria, tracking of MDROs, prevalence by prescriber, facility vs. hospital acquired infections, etc.

Ensure staff adhere to infection control policies and procedures in order to prevent adverse effects due to breach in protocol, employee negligence or lack of education and training Staff Nurse – Per Diem

JDT Villas/Renaissance, Lincoln Park, NJ March 2019–Dec 2019

Administer medications and treatments as ordered

Communicate with MDs regarding pertinent diagnostic testing results and any change in resident status

Complete all necessary nursing documentation on new admissions and daily charting as required

Assist CNAs with ADL care as needed

Document any new incidents and inform family and MD

Provide quality of care to maintain dignity and deliver exceptional customer service Assistant Director of Nursing Sept 2017–Feb 2019

Canterbury at Cedar Grove Care and Rehabilitation, Cedar Grove, NJ

Oversee patient population of 180 beds

Ensure staffing is adequate and appropriate for quality patient care and safety

Responsible for narcotic tracking, ordering and destruction

Cover nursing units for nurse managers and staff nurses as needed

Oversee nurse managers to ensure duties are completed

Audit charts for appropriate documentation and thorough completion, review nursing admission assessments, orders, progress notes, etc. to ensure proper policies and procedures are followed and appropriate care plans and interventions are in place

Responsible for all staff education including mandatory in-servicing, as well as on an as-needed basis, in order to continue to provide quality care and empower our caregivers

Responsible for wound tracking documentation and reports as well as infection control and antibiotic stewardship

Submission of quarterly reports to Quality Assurance for wound tracking and infection control reporting

RN Nursing Supervisor May 2017-Sept 2017

JDT Resort Medical Rehab, Lincoln Park, NJ

Oversee sub-acute facility of 60 beds

Ensure that staffing is adequate

Assist with admissions and discharges

Attend UR meetings with rehab and the interdisciplinary team to ensure proper discharge planning

Accompany wound doctor on weekly wound rounds and ensure wound documentation is accurate

Collect and destroy unused narcotics and document accordingly

Track and record patients’ current immunizations and offer and provide immunizations in a timely manner

Track and record patients who are receiving antibiotics, ensuring proper diagnoses, stop dates and the use of a probiotic

Ensure that nurses are following up on the 24 hour report and that there are no outstanding pertinent issues

Provide inservices to staff regarding policies and procedures within the facility

Work closely with the ADON to enhance the satisfaction of staff, patients and families and to promote and ensure the safety and well-being of our patients Staff Nurse April 2017-May 2017

CareOne at Madison Avenue, Morristown, NJ

Administer medications and treatments as per doctors’ orders

Deliver care to a census load of sub-acute patients at a potential 1:20 ratio

Review diagnostic testing results and relay to MD

Work with the interdisciplinary team to deliver the patients’ individual plan of care

Assist with ADL care to help optimize patients’ individual goals while meeting their needs

Provide daily documentation regarding patients’ status as per Medicare guidelines

Responsible for admitting and discharging patients

Implementation of nursing skills that include TPN, wound vacs, IV medications, care of central lines, peritoneal dialysis, tracheostomy care, g-tubes, LVADs, life vests and Primacor drips Unit Manager Oct 2016-April 2017

CareOne at Madison Avenue, Morristown, NJ

Oversee and audit all new admission charts for correct orders, skin evaluation, medications, etc.

Implement care plans to facilitate quality of care as well as discharge planning

Ensure staff are performing their assigned duties and documenting as appropriated

Observe weekly wound rounds and document wound progress weekly

Check medication carts for outdated meds, un-dated meds, discharged patient meds, etc.

Ensure that orders are transcribed correctly and carried out in a timely manner

Complete Incident and Accident reports for new skin issues, falls, incidents, etc.

Provide staff education and in-services when indicated (clinical or otherwise)

Work in conjunction with the Heart Success Program as well as the COPD program affiliated with Morristown Memorial Hospital and Atlantic Health

Push a med cart when staffing is challenged

Clinical Reimbursement Coordinator Dec 2015-Oct 2016 CareOne at Madison Avenue, Morristown, NJ

Ensure that all Medicare certifications are completed appropriately and in a timely manner

Oversee and aid in completion of MDS assessments and submission to CMS

Participate in implementing and organizing the care planning process

Lead the weekly utilization review meeting to ensure that criteria are met for skilled services under rehabilitation or skilled nursing care

Facilitate the discharge calendar

Review nurses’ notes in clinical review daily to ensure accuracy and appropriate content Director of MDS Aug 2014-Dec 2015

MDS Coordinator Aug 2012-Aug 2014

Lincoln Park Care Center, Lincoln Park, NJ

Implement and organize OBRA, OMRA and PPS assessment schedule for census of 200+ residents

Attend care planning and family meetings, weights and wounds, weekly UR and restorative meetings

Complete MDS assessments in a timely manner and work closely with the interdisciplinary team in order to adjust ARD dates to capture services provided and care rendered consequently increasing reimbursement and improving our case mix index

Ensure that care plans are individualized and appropriately updated in order to provide our highest level of care

MDS Nurse Feb 2011-Aug 2012

CareOne at Morris, Parsippany, NJ

Interview residents and staff as well as audit the resident’s chart, MAR, TAR, and ADL sheets for information in order to complete OBRA, OMRA and PPS assessments as outlined by MDS 3.0

Create and implement resident care plans through addressing problems and providing nursing interventions that directly affect our quality of care

Utilize an interdisciplinary approach in order to collaborate care and ensure accurate and timely completion of MDS assessments

Registered Nurse - Charge Nurse April 2010 – Dec 2011 Merry Heart Senior Care Services, Boonton, NJ

Administer medications as ordered and in a timely manner

Perform glucometer readings and administer insulin as prescribed

Provide skin assessment and wound care i.e. stage wounds, monitor drainage, change dressings

Document daily resident assessment and nursing notes

Communicate directly and appropriately with doctors as well as residents’ family members regarding residents’ status i.e. progress, decline, lab results, etc. Additional Information

BLS CPR certified, IV certified, Infection Preventionist Training with CDC Experience in leading and assisting with Covid outbreaks at three different facilities throughout the pandemic

Voted one of the top 20 nurses of 2020: www.nursestheheroes.com References: Jessica Lenowitz, Capella University Faculty; *******.********@*******.*** Yosef Rosenberg, New Grove Manor; **********@*************.***

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