
Dynamic Clinical Documentation Specialist with extensive experience at Springs Memorial Hospital, excelling in documentation compliance and process improvements. Proven leader with exemplary communication skills, successfully educating physicians and enhancing quality standards. Adept at initiating new programs, ensuring optimal patient care and satisfaction in high-pressure environments.
Provide orientation and education to physicians. Review and audit charts. Work with physicians to clarify documentation. Work with Quality to clarify documentation for HACs and other quality standards.
Provide orientation and education to physicians. Review and audit charts. Work with physicians to clarify documentation. Work with Quality to clarify documentation for HACs and other quality standards.
Use critical thinking to care for post op patients.
Supervision, evaluation and scheduling for 75 employees. Maintained patient flow, staff and patient satisfaction during renovation of the Emergency Department and instituting a new computer program. Developed new work flow for patient care. Asked to speak at the SC Hospital Assoc. on our psychiatric hold process and Telepsychiatry program in the Emergency Dept.
Assisted with supervision, evaluation and scheduling of 55-60 employees. Maintained staff competencies, obtained Chest Pain accreditation, worked as staff nurse when
Developed and provided Hospital orientation for clinical staff. Provided orientation and education for all new RNs and precepted for a year. Supervised 2 PRN employees. Sat on the AHEC Board for 4 years. Assisted with revision/update of York Tech Nursing Program in 2008.
Administered medications and monitored patients during cardiac procedures to ensure safety and comfort.. Collaborated with cardiologists to prepare patients for catheterization, enhancing procedural efficiency.
Supervised nursing staff to ensure compliance with emergency department protocols and standards. Coordinated patient care plans, collaborating with multidisciplinary teams for optimal outcomes. Implemented triage procedures to prioritize patient treatment based on severity of conditions.
Started new Home Care program. Hired staff (RN, CNA, Nurse Manager). Supervised staff, started new Out Patient IV home infusion. Transferred to Lancaster to open a new office. Hired and supervised staff.
Managed a patient caseload of 30-35 patients: Provided general nursing care and assessments, wound care, IV therapy, patient education, Specialty in pediatrics. Supervised Nursing assistants.
Provided direct patient care in high-acuity situations, ensuring safety and comfort. Monitored vital signs and assessed patient conditions to identify changes requiring intervention.
Administered medications and monitored patient responses to treatment plans.
Sat on AHEC Board
Assited with revision and updates of the York Technical College Nursing Program
Began new outpatient IV home Infusion
ACLS
BLS
PALS