Behavioral Health Long-Term Care

Deborah Fleming-Zeigler, RN

Psychiatric Nursing Rehabilitation & Skilled Nursing Long-Term Care

*** ****** **, ******, ** 92877

*************@*****.***

Professional Summary:

• Compassionate and results-driven Registered Nurse with over 10 years of clinical experience across behavioral health, psychiatric nursing, correctional healthcare, rehabilitation, skilled nursing, and long-term care settings.

• Licensed to practice in California, with an active BLS certification, and proficient in electronic health record systems including Epic and PointClickCare.

• Holds an Associate Degree in Nursing (ADN) from Columbia State Community College.

• Expert in caring for complex patient populations with acute and chronic psychiatric conditions, substance use disorders, and co-morbid medical needs.

• Demonstrated leadership as a Charge RN, Clinical Administrator, and Nurse Educator in high-acuity psychiatric, rehabilitation, and behavioral health settings, including Dream Care of Prescott, Detention Center Clinic, McKendree Village, and a State Psychiatric Hospital.

• Highly skilled in crisis de-escalation, therapeutic communication, behavioral interventions, suicide and self- harm precautions, and psychotropic medication management for patients with acute mental health and co- occurring disorders.

• Demonstrated competency in procedural sedation including patient preparation, medication administration, and continuous monitoring of vital signs and respiratory status.

• Provide skilled nursing care for patients with brain injuries, developmental delays, or post-surgical rehabilitation needs.

• Proficient in wound care, tracheostomy and colostomy management, enteral feeding, and diabetic management.

• Committed to delivering trauma-informed, ethical, and patient-centered care in both acute and residential psychiatric environments.

• COVID-19 Vaccination: Fully vaccinated per CDC guidelines Skills:

Psychiatric & Behavioral Health Nursing

• Crisis Intervention

• Seclusion & Restraint Management

• Mental Status Examination

• Therapeutic Communication

• Group Therapy / Activity Leading

• Patient Education

• Behavior Management Techniques

• De-escalation Techniques

• Documentation (Behavioristic Charting, EMR, MSE)

• Admission/Discharge of Psychiatric Patients

• Crisis Intervention Concepts

Rehabilitation & General Nursing

• Foley Catheter Insertion (Male/Female)

• Wound Care & Wound Vac

• Procedural sedation

• Suctioning (Oral/Nasal/Tracheostomy)

• Specialty Beds and CPM Machines

• JP/Hemovac/Penrose Drain Care

• Airway Protection

• Neurological Assessments

• Electronic Documentation

• Assistance with Invasive Procedures (Central Line, Intubation, Lumbar Puncture)

Cardiovascular & Acute Care

• Heart Failure Management

• Permanent Pacemaker Monitoring

• Chest Pain Assessment

• Auscultation – Rate & Rhythm

• Hypertension Management

Emergency & Critical Care Skills

• Seizure Management & Neurological Monitoring

• Assessment and Management of Respiratory

Distress (COPD, Ambu-Bag use)

• IV Therapy & Infusion Management: Insertion,

Maintenance, Heparin Locks, Pump Operation

• Blood Administration and Monitoring

• Pain Management & Tolerance Assessment

Clinical Procedures & Nursing Fundamentals

• Foley Catheter Insertion (Male/Female)

• Universal & Isolation Precautions

• Specimen Collection: Clean Catch, Finger Stick,

Venipuncture, Butterfly Stick

• Nutritional & Metabolic Monitoring (Diabetes,

Glucose Monitoring)

Licensure & Certifications:

• California RN – License #95410352 Nov 2025

• Tennessee RN – License #119691 Apr 2029

• Basic Life Support (BLS) – American Heart Association Mar 2027 Education:

Columbia State Community College – Franklin, TN Oct 1998

• Associate Degree in Nursing (ADN)

Professional Experience:

Dream Care of Prescott – Prescott, AZ Jan 2024 – Jan 2025 Behavioral/Psychiatric Nurse Charge RN

Facility Type: Behavioral Health Residential Facility Bed Size: 40

Patient Ratio: 1:8

• Oversaw the care delivery for residents with behavioral health diagnoses, including PTSD, substance use disorders, and personality disorders.

• Conducted intake assessments, developed individualized treatment plans, and coordinated care with interdisciplinary teams.

• Monitored residents for signs of crisis, medication side effects, and behavioral changes, providing immediate intervention when necessary.

• Ensured compliance with safety standards, privacy laws, and mental health facility regulations, including HIPAA and other relevant policies.

• Provided mentorship and support to LPNs and mental health techs to enhance team performance, improving patient outcomes.

• Administered prescribed medications and managed the medication administration process in accordance with regulatory guidelines.

• Developed and led therapeutic groups, promoting patient engagement and progress toward treatment goals.

• Assisted with crisis intervention and de-escalation techniques, ensuring the safety and well-being of all residents.

• Conducted regular care rounds and assessments to evaluate the effectiveness of treatment plans and made adjustments as necessary.

• Skilled in assessing and documenting sedation levels, patient tolerance, and post-procedural recovery in compliance with facility protocols and Joint Commission standards.

• Served as a resource for the team, providing guidance on complex patient cases and offering support during high- stress situations.

• Maintained comprehensive patient records, ensuring accurate documentation in compliance with facility and state regulations.

Detention Center Clinic – Arizona Sep 2023 – Dec 2023 Clinical Administrator – Behavioral/Psychiatric – Staff RN Facility Type: Correctional Medical Unit

Bed Size: 20

Patient Ratio: 1:5

• Managed inmate detoxification protocols, withdrawal symptoms, and provided care for substance use disorders and alcohol dependency.

• Implemented and monitored 5150/involuntary psychiatric hold protocols, including seclusion and restraint procedures as needed.

• Administered and monitored psychotropic medications; tracked side effects, including EPS symptoms and behavioral changes.

• Facilitated crisis intervention, de-escalation techniques, and assaultive behavior management in collaboration with custody officers.

• Coordinated and led patient education and group therapy sessions, addressing topics such as anger management, medication adherence, and coping strategies.

• Assisted with electroconvulsive therapy (ECT) preparation and recovery for inmates receiving off-site psychiatric treatments.

Middle Tennessee Mental Health Institute – Nashville, TN Jun 2023 – Aug 2023 Psychiatric Staff Nurse & Nurse Educator

Facility Type: State Psychiatric Hospital

Bed Size: Approx. 200

Patient Ratio: 1:8

• Delivered therapeutic care to adult psychiatric patients with acute and chronic mental illnesses, including schizophrenia, bipolar disorder, MDD, and dual diagnoses.

• Led therapeutic interventions, de-escalated crises, and implemented suicide/self-harm precautions in high-risk patients.

• Administered and titrated psychotropic medications; closely monitored for side effects, efficacy, and signs of non- compliance.

• Collaborated with psychiatric providers, social workers, therapists, and case managers in interdisciplinary care meetings.

• Served as a Nurse Educator, conducting clinical orientation, training modules, and preceptorship for newly hired nurses and CNAs.

• Educated patients on medication adherence, self-care techniques, coping strategies, and relapse prevention to support long-term stability.

• Maintained meticulous documentation of behaviors, interventions, and patient responses to ensure compliance with Joint Commission and state regulatory standards.

Mckendree Village – Nashville, TN Apr 2013 – Jun 2023 Rehabilitation/Psychiatric Nurse Charge RN Skilled Nursing Long-Term Care Facility Type: Skilled Nursing, Assisted Living, Rehab Bed Size: 50 Trauma Level: Level I

Patient Ratio: 1:15

• Performed advanced wound care, tracheostomy management, colostomy care, enteral feeding, and diabetic management.

• Oversaw medication administration, documentation, and adherence to facility infection control policies.

• Trained and mentored junior nurses and CNAs to elevate care standards and improve patient outcomes.

• Provided discharge education and support to patients and families to facilitate safe transitions of care.

• Monitored psychiatric symptoms, initiated behavioral interventions, and ensured adherence to individualized mental health care plans.

• Demonstrated competency in procedural sedation including patient preparation, medication administration, and continuous monitoring of vital signs and respiratory status.

• Responded to medical and behavioral emergencies, including falls, seizures, elopement risks, and psychiatric crises.

• Conducted routine assessments including neurological checks, fall risk evaluations, and skin integrity assessments.

• Led daily shift handoffs, ensured accurate patient reporting, and updated interdisciplinary teams during care plan meetings.

Additional information provide upon request

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