Licensed Vocational Nurse

Ashley Nerios

San Antonio, TX ***** +1-210-***-**** *********@*****.***

Professional Summary

Highly accomplished Licensed Vocational Nurse with 14 years experience in Texas providing compassionate professional and skilled patient care. Obtaining a vast array of experience in Vocational Nursing. Obtaining. proficient nursing experience as a quality assurance nurse auditor LTC &Skilled Charge Nurse, behavioral /mental health nursing Home Healthcare Assistant to DON (ADON)/HH Supervisor Field Nurse. I’m hardworking, very organized, flexible, loyal, dedicated to my patients, maintaining patient safety 1st and ensuring patient privacy, I am Compassionate, focused extremely Empathetic, detail oriented work efficiently in a team or independent settings prioritize effectively have an innate ability to build a positive rapport with patients and family members. I am self motivated, reliable, with commitment to continuous learning I am Open to relocating anywhere in Texas. 1m&Skilled Charge Nurse, behavioral /mental health. I’m organized with commitment to continuous learning focusing on progressing with ever changing policies, practices, and procedures to promote and provide the highest quality of patient care and safety . I have a Proven track record in mentoring nursing staff and implementing evidence- based interventions to enhance patient outcomes. Skilled in crisis management and fostering collaborative relationships with healthcare teams to ensure optimal care delivery. Committed to maintaining high standards of patient safety, always maintaining patient privacy and staying updated on the state of Texas regulatory compliance in diverse healthcare settings. Willing to relocate to: Dallas, TX - Austin, TX - San Marcos, TX Work Experience

LVN Charge Nurse

Cantex Continuing Care Network San Antonio, TX

April 2024 to Present

• Monitored vital signs, administered medications, and performed various medical procedures in accordance with established protocols

• Collaborated with physicians and other healthcare professionals to create comprehensive treatment plans for patients

• Assessed patient conditions and reported any changes or concerns to the appropriate medical staff

• Maintained accurate documentation of patient information, including medical histories, treatments administered, and progress notes

• Provided education to patients and their families on disease management, medication administration, and lifestyle modifications

• Ensured compliance with infection control protocols by implementing proper sanitation practices in patient care areas

• Mentored newly hired LVN nurses by providing guidance on clinical skills development and professional growth opportunities

• Responded promptly to emergencies or critical situations by initiating appropriate interventions

• Managed inventory levels of medical supplies and equipment to ensure availability for efficient patient care

• Performed regular rounds on assigned units to assess overall unit functioning as well as identify areas for improvement

• Actively participated in continuing education programs to stay updated on the latest advancements in nursing practices

• Maintained a safe and therapeutic environment for patients, adhering to safety guidelines and infection control protocols

• Advocated for patient rights and ensured that ethical principles were upheld in all aspects of care delivery

• Demonstrated proficiency in using electronic health record systems for accurate documentation and information retrieval

• Provided emotional support to patients and their families during challenging times

• Implemented evidence-based nursing interventions to promote positive patient outcomes Quality Assurance Coordinator

Orion Health Services, Inc Corpus Christi, TX

April 2003 to Present

1. Provide detailed-focused review of Nursing documentation to ensure quality, regulatory compliance and audit-readiness. 2. Daily reviews of medical records and medical documentation for completion, accuracy, compliance, repeated errors, charts Prepared paperwork for Quality Assurance Registered Nurse,

3. Assists with infection control and fall logbooks. Assist QA RN with quarterly reports, monitoring client's record for accurate documentation. Assist biller so that all documentation is filed in client's chart so Agency can properly bill for client 4. Assists in the development, implementation, and maintenance of policies, procedures, and workflows pertaining to Quality Assurance services under the direction of the RN.

• Participated in ongoing education and training to stay updated on the latest healthcare practices and technologies

• Performed assessments for potential home safety hazards and recommended interventions

• Maintained confidentiality of patient information and adhered to HIPAA regulations LVN Charge Nurse/Memory Care and Skilled Nursing

Creative Solutions in Health Care San Antonio, TX March 2022 to January 2024

• Performed wound care, including cleaning, dressing changes, and monitoring healing progress

• Educated patients and their families about medication instructions, disease management, and self-care

• Provided emotional support to patients during difficult procedures or when dealing with challenging diagnoses

• Assisted in the coordination of patient transfers between different healthcare facilities

• Ensured compliance with regulatory standards by adhering to policies, procedures, and guidelines

• Provided compassionate end-of-life care while respecting each patient's dignity

• Assessed pain levels in patients using standardized tools such as numeric rating scales or visual analog scales

• Administered intravenous medications under physician orders while closely monitoring for adverse reactions

• Provided support and guidance to nursing assistants and other healthcare team members

• Managed patient admissions, discharges, and transfers while ensuring smooth transitions of care

• Implemented fall prevention strategies by assessing environmental hazards and educating patients family and nursing assistants on

• Advocated for patients' rights by addressing concerns or grievances through proper channels

• Maintained confidentiality of patient information in accordance with HIPAA regulations

• Demonstrated effective communication skills when interacting with patients, families, and healthcare professional

• Responded promptly to emergencies or critical situations by initiating appropriate interventions

• Performed regular rounds on assigned units to assess overall unit functioning as well as identify areas for improvement

• Served as a resource person regarding complex clinical cases or challenging situations requiring expertise in nursing

• Maintained a safe and therapeutic environment for patients, adhering to safety guidelines and infection control protocols

• Assisted in the orientation and training of new LVN nurses, ensuring their smooth integration into the healthcare team

• Implemented evidence-based nursing interventions to promote positive

• Coordinated discharge planning activities by collaborating with social workers, case managers, and other healthcare professionals

• Facilitated effective communication between patients, families, and members of the healthcare team regarding treatment plans and progress updates

• Performed regular audits of medication administration records to ensure accuracy and adherence to prescribed regimens

• Demonstrated strong problem-solving abilities by effectively resolving conflicts or issues among team members

• Instituted infection prevention measures such as hand hygiene protocols among nursing personnel LVN Medical Quality Assurance Coordinator and Substance Abuse Nurse SOBA Recovery San Antonio, TX

September 2016 to January 2022

• Advanced from Medical Quality Assurance coordinator of Texas Facility to Sole Medical Quality Assurance and Auditor Specialist of all 4 facilities 1 in Texas 2 in California and 1 in New Jersey

• Solely Responsible for qualitative and quantitative audits and maintaining facility state compliance

• Reviewed EMR to determine the appropriateness of documentation for select conditions. Ensuring documentation was complete and correct.

• Maintained medical chart audit spreadsheet to track all incoming documentation.

• Identified, tracked and resolved problems relating to medical documentation.

• Collected screened and evaluated patient information to identify and pursue opportunities which improved all aspects of patient care and services

• Clinitox/millennium lab liaison. Audited tracked and evaluated all UA and PGT tests.

• Coordinated with the lab to resolve any issues

• JOB TITLE CHANGE

• MY JOB TITLE SWITCHED TO CHARGE NURSE RESPONSIBILITIES BELOW

• Provided Direct patient care to individuals struggling with substance abuse and Addiction with Dual Dx ensuring their safety and wellbeing

• Completed Initial Admissions/Intakes, Evaluated, Assessed and monitored residents progress maintained accurate documentation

• Monitored PT Withdrawal symptoms and managing them withDr. Ordered Medications. Noting effectiveness or ineffectiveness and notifying Provider

• Collaborated with other health care Providers such as the Psychiatrists andNP throughout Detox process and through progression to a higher LOC

• Monitored and reported achieved and non-achieved treatment goals to MD.

• Updated and maintained Residents medical records and Charts.

• Educated patients and their families about dangers of substance abuse, various treatments, coping skills, and the importance of medication compliance.

• Assessed PTs in active withdrawal and provided interventions to manage physical and psychological withdrawal symptoms.

• Ensuring patients felt comfortable during detox process.

• Provided behavioral/ emotional support to residents and families struggling with addiction.

• Implemented individualized treatment plans under the supervision of licensed mental health professionals

• Assisted in conducting assessments and evaluations to determine clients' needs and develop appropriate interventions

• Facilitated therapeutic group activities to promote socialization, self-expression, and skill-building among clients

• Monitored clients' progress and documented observations accurately in electronic medical records (EMR) system

• Supported crisis intervention efforts by implementing de-escalation techniques and providing emotional support

• Administered detox medications as prescribed by healthcare providers, adhering to proper protocols and documentation procedures

• Assisted in coordinating community resources for clients, including referrals to housing programs, vocational training, or outpatient services

• Participated in staff meetings and trainings to enhance knowledge of mental health disorders, treatment modalities, and best practices

• Developed positive relationships with clients through active listening, empathy, and validation of their experiences

• Promoted a safe environment by monitoring client behavior closely for signs of distress or potential harm

• Assisted in crisis management situations by following established protocols for ensuring client safety

• Counseled individuals on effective communication skills within interpersonal relationships

• Aided in the implementation of behavior modification plans designed to address challenging behaviors

• Provided guidance on coping skills development strategies such as relaxation techniques or mindfulness exercises

• Maintained confidentiality regarding sensitive client information according to HIPAA regulations

• Demonstrated cultural sensitivity when working with diverse populations from various backgrounds

• Served as an advocate for clients' rights while respecting their autonomy

• Fostered a therapeutic environment by establishing and maintaining professional boundaries with clients

• Assisted in crisis intervention efforts, including assessing risk factors and implementing appropriate

• Demonstrated strong problem-solving skills by effectively resolving conflicts between clients within the residential setting

• Served as a positive role model for clients by demonstrating healthy coping mechanisms and self-care practices

• Maintained accurate documentation of client interactions, progress notes, incident reports, and other required paperwork

• Pursued ongoing professional development opportunities related to mental health counseling techniques and evidence-based practices

• Fostered a trauma-informed approach when working with individuals who have experienced significant adversity or trauma

• Demonstrated proficiency in crisis de-escalation techniques during high-stress situations involving agitated or aggressive individuals Assistant Director of Nursing (ADON)

Orion Health Services Corpus Christi, TX

January 2012 to June 2014

• Assisted with hiring, training, teaching, and monitor nurses. Under direction of DON

• Managed clinical operations and made sure Nurses were following individualized care plans

• Assisted in budget preparation and expense management.

• Conducted patient home visits addressing any complaints or safety issues or concerns with DON and all appropriate staff

• Evaluated performance of the nursing team and recommended improvements when needed.

• Ensured compliance with state, federal, and local regulatory requirements and standards in healthcare practices

• Developed and maintained positive relationships with patients, families, and healthcare professionals

• Led regular case conference meetings with nursing staff to address concerns, provide updates on department goals, and foster teamwork

• Collaborated with interdisciplinary teams to coordinate patient care plans based on individual needs

• Managed budgets for staffing, supplies, equipment, and other resources within allocated financial limits

• Participated in quality improvement initiatives aimed at enhancing patient safety and satisfaction rates

• Provided mentorship opportunities for junior nurses to enhance their professional development skills

• Coordinated continuing education opportunities for nurses ensuring compliance with licensing requirements

• Maintained accurate records related to patient care, staff certifications

• Collaborated with the Director of Nursing in developing and implementing policies related to nursing practice

• Conducted regular audits to ensure adherence to regulatory standards and identify areas for improvement

• Managed inventory of medical supplies, ensuring adequate stock levels while minimizing waste reducing company costs to under 30%

• Developed and implemented strategies for improving patient satisfaction scores through enhanced customer

• Provided support during emergencies or critical incidents by coordinating resources and personnel effectively

• Facilitated ongoing education programs for nursing staff on topics such as medication safety fall prevention strategies, and provided nurses with acceptable and billable topics for patient and family teachings according to patient’s individualized care plan LVN Field Nurse

Orion Health Services, Inc Corpus Christi, TX

November 2011 to January 2012

• Provided skilled nursing care to homebound patients, including wound care, medication management, and symptom assessment

• Managed and coordinated the care of patients, ensuring timely visits and adherence to care plans

• Assessed patient needs and developed individualized care plans to promote optimal health and well-being

• Administered medications and treatments as prescribed by physicians, following all safety protocols

• Monitored vital signs, recorded patient data, and maintained accurate medical records

• Educated patients and their families on disease management, medication administration, and self-care techniques evaluating implementing and providing additional teaching when necessary

• Collaborated with a multidisciplinary team of healthcare professionals to provide comprehensive care

• Assisted in the implementation of care plans, including physical therapy, occupational therapy, and dietary recommendations

• Implemented infection control measures to prevent the spread of illness and ensure patient safety

• Evaluated and documented patient progress and communicated findings to the healthcare team

• Provided emotional support and counseling to patients and families facing health challenges

• Ensured the safe transfer and mobility of patients, minimizing the risk of falls and injuries

• Coordinated with healthcare agencies and community resources to enhance patient care and support

• Performed assessments for potential home safety hazards and recommended interventions and following proper procedures if they were not properly corrected

• Implemented pain management strategies, collaborating with physicians to adjust treatment plans as needed

• Provided wound care, including dressing changes, wound assessment, and infection control

• Administered injections and intravenous therapy as prescribed, with strict attention to safety and cleanliness

• Monitored and managed chronic conditions such as diabetes, hypertension, and respiratory disorders

• Implemented fall prevention strategies and educated patients/families/caregiver on fall risk factors

• Responded promptly to patient and family inquiries and concerns, providing reassurance and support

• Administered and documented patient assessments and interventions accurately and thoroughly

• Maintained a high level of professionalism and empathy in all patient interactions

• Participated in case conferences to discuss patient progress and adjust care plans as needed

• Provided education on medication management and potential side effects to patients and their families

• Assisted patients with activities of daily living, ensuring their comfort and well-being

• Demonstrated strong organizational skills in managing a caseload of diverse patients

• Utilized electronic health records (EHR) systems for accurate and efficient documentation

• Adhered to ethical and legal standards in nursing practice, maintaining patient confidentiality and informed consent

• Demonstrated a commitment to ongoing professional development and education Medical Secretary/Medical Data Processor

Orion Health Services, Inc Corpus Christi, TX

April 2003 to October 2011

• Provided computer support by generating various Medicare/Medicaid documentation, insurance billing, preparation of client data for biller

• Verified insurance coverage and processed patient payments using billing software

• Scheduled and coordinated referrals to specialists for patients as required

• Managed incoming and outgoing correspondence such as emails, faxes, and mail distribution

• Maintained knowledge of current insurance plans and coding guidelines to accurately verify coverage eligibility for different procedures

• Served as a liaison between patients and healthcare providers to address any concerns or issues promptly

• Assisted in the coordination of patient referrals to other medical facilities and specialists as needed

• Managed a high volume of incoming calls, effectively prioritizing urgent matters while maintaining professionalism and providing excellent customer service

• Maintained knowledge of medical terminology, procedures, and medications to accurately assist patients with inquiries

• Demonstrated strong problem-solving skills by effectively resolving conflicts or complaints

• Achieved a consistently high level of accuracy in managing patient records through attention to detail and thoroughness

• Implemented time management strategies to handle multiple tasks simultaneously, prioritizing urgent matters and maintaining a high level of organization

• Managed the front desk of a busy medical office, greeting and assisting patients, scheduling appointments, and directing inquiries to the appropriate healthcare professionals

• Utilized electronic medical record (EMR) systems to update and maintain patient information, ensuring accuracy and confidentiality

• Verified and updated patient insurance information, facilitating smooth billing processes and reducing claim rejections

• Assisted with the processing of medical records, including filing, scanning, and organizing documents to maintain a streamlined and compliant record-keeping system

• Provided exceptional customer service by addressing patient concerns, resolving issues, and ensuring a positive experience for all visitors

• Verified and updated patient demographics, insurance, and medical history information during each visit, reducing errors and improving data integrity

• Assisted with the completion of disability and medical forms, ensuring accuracy and timely submission

• Managed and updated the office filing system, ensuring easy retrieval of patient records and administrative documents

• Maintained a friendly and professional demeanor when interacting with patients, visitors, and colleagues LVN Charge Nurse

Education

Nursing (Licensed vocational nursing)

Kaplan College Corpus Christi, TX

November 2010 to November 2011

Del Mar College testing center Corpus Christi, TX August 2001 to August 2001

Vocational nursing (Vocational Education and Training) Nursing Licenses

PN

Expires: March 2027

State: TX

Skills

Clinical research Documentation review Medical records Nursing Acting ICD coding Photo editing Staff training Care plans Working with people with developmental disabilities Medical terminology Windows Managed Care Team management Patient service Proficiency with PCC Experience Administering Injections OSHA Quality assurance Computer skills Medical office experience Kipu Memory care Reporting Point-Click Care Personal assistant experience Clinical documentation Crisis Management Document review Working with people with disabilities Sanitation Infection control ADLs Team Work Nurse Management Critical thinking Communication skills ICD-10 Medical scheduling CPR patient education Data collection Home health agency experience Behavioral Health Word Data entry Wound care (10+ years) Compliance management Case Management Blood sampling Nursing home experience Long term care Patient care Auditing Driving Senior care Professionalism Supervising Experience Medical documentation Teaching Office experience Transcription Medical Billing Home Care Front desk FDA regulations Medical receptionist IV infusion EMR systems Tube Feeding Caregiving Working with patients with dysphagia Time management Charge experience Triage Expense Management Dementia care Aseptic technique Wound care Compliance Document Management Organizational skills Electronic health records (EHR) management Photography Proofreading Geriatrics Conflict Resolution Medication administration Office management Customer service Rehabilitation center Typing Microsoft Excel Microsoft Powerpoint Patient assessment Quality patient care Appointment scheduling Direct patient care Hospice Catheter Care My unity Employee Orientation English Epic Excel Utilization review (10+ years) Vital signs Administrative experience Infection Control Training Word processing Skilled nursing facility Research Microsoft Outlook Marketing Patient safety Sales Microsoft Word Addiction medicine Customer support Flexibility Fashion styling Primary care Outpatient Addiction counseling Active listening Problem solving HEDIS Resident's rights HIPAA Guidelines Anatomy Knowledge Kinnser Patient monitoring enhanced medication safety Laboratory Experience Languages

English - Fluent

Certifications and Licenses

LVN

November 2011 to March 2027

Promotes and restores patients' health by overseeing the management and planning of patient care for the duration of their shift. Directs, mentors, and schedules staff, including communicating job expectations and providing input to nursing supervisors on staff performance reviews.

LPN

November 2011 to March 2027

provides nursing care to patients of all ages, from pediatrics to geriatric within my scope of practice as delegated by the RN PALS Certification

IV Certification

CPR Certification

AED Certification

BLS Certification

Certified Home Health Aide

First Aid Certification

ACLS Certification

Additional Information

Authorized to work in the US for any employer

Contact this candidate