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Stephanie
Registered Nurse – Pre-Op / PACU
Contato
Competências
Demonstrated experience with Physician Collaboration.
Demonstrated experience with Concurrent Chart Review.
Demonstrated experience with Quality Improvement.
Demonstrated experience with Electronic Medical Records (Epic, Cerner, Meditech, SIS).
Demonstrated experience with Microsoft Word, Excel & Outlook.
Formação acadêmica
Resumo
Registered Nurse – Pre-Op / PACU open to new opportunities
Experiência
Registered Nurse – Pre-Op / PACU
Conduct daily medical record audits to ensure documentation accuracy, completeness, and compliance with organizational and regulatory standards.. Review nursing and physician documentation to identify opportunities for clarification and complete patient records.. Collaborate with physicians, anesthesia providers, and interdisciplinary teams to promote accurate clinical documentation and quality outcomes.. Verify documentation supports procedures performed, medical necessity, and continuity of care.. Complete comprehensive pre-operative assessments while validating patient histories and required documentation.. Coordinate discharge planning, patient education, and post-operative follow-up while maintaining accurate electronic medical records.. Utilize SIS electronic health record systems to support efficient documentation and workflow.
RN Circulator | Pre-Op | PACU | Charge Nurse
Performed concurrent reviews of physician and nursing documentation to ensure accurate, complete, and compliant medical records.. Conducted chart audits supporting quality initiatives, documentation standards, and regulatory compliance.. Served as Charge Nurse while coordinating daily operations, supporting staff, and promoting high standards of patient care.. Led and collaborated on a pediatric medication administration process improvement initiative to enhance patient safety and workflow efficiency.. Precepted and mentored newly hired nurses on perioperative workflows, electronic documentation, and best practices.. Recognized as a clinical resource for documentation accuracy and electronic health record utilization.. Collaborated closely with surgeons, anesthesia providers, and interdisciplinary teams throughout the perioperative process.
Registered Nurse – Perioperative Services
Collaborated with physicians and multidisciplinary team members to coordinate safe, efficient perioperative care.. Performed comprehensive patient assessments to determine procedural readiness and identify potential clinical concerns.. Monitored patients throughout vascular procedures while documenting assessments, interventions, and patient responses.. Administered conscious sedation under physician supervision while ensuring accurate clinical documentation.. Circulated during procedures while maintaining patient safety and documentation standards.. Conducted post-procedure assessments to determine discharge readiness and continuity of care.. Completed preoperative and postoperative patient education and follow-up documentation.. Participated in specialized training focused on dialysis access assessment and vascular care.
Travel Registered Nurse – Cardiac Progressive Care
Delivered comprehensive nursing care within a Level I Trauma Center caring for complex cardiac patients.. Monitored patients receiving high-risk cardiac and anticoagulation therapies, including cardiac drips and heparin infusions.. Assessed and monitored patients recovering from cardiac catheterization procedures and temporary pacemaker placement.. Interpreted cardiac rhythms and communicated significant clinical findings to physicians and interdisciplinary team members.. Documented ongoing patient assessments while ensuring timely and accurate clinical documentation.. Collaborated with multidisciplinary teams to coordinate evidence-based patient care.
Travel Registered Nurse – Progressive Care Unit
Provided comprehensive nursing care to progressive care patients with complex respiratory, neurological, and cardiac conditions.. Managed patients requiring advanced respiratory support including AirVo, BiPAP, CPAP, and High-Flow Nasal Cannula.. Performed ongoing patient assessments while documenting clinical status and response to treatment.. Collaborated with physicians, respiratory therapists, case management, and interdisciplinary teams to optimize patient outcomes.. Maintained accurate and timely electronic medical record documentation in a fast-paced acute care environment.
Registered Nurse – Mental Health Nurse Rapid Crisis Stabilization Unit
Completed comprehensive mental health assessments for patients experiencing behavioral health crises.. Collaborated with psychiatrists, pharmacists, case managers, and interdisciplinary team members to develop individualized treatment plans.. Coordinated daily telepsychiatry rounds while ensuring complete and accurate clinical documentation.. Assisted in improving medication ordering workflows and unit medication management processes.. Initiated daily interdisciplinary staffing meetings to improve communication and continuity of care.. Maintained a safe therapeutic environment for patients requiring suicide precautions and crisis intervention.
Registered Nurse – Cardiovascular Progressive Care Unit
Provided specialized nursing care for patients with acute cardiac conditions including myocardial infarction and dysrhythmias.. Managed complex cardiac therapies including heparin infusions and continuous telemetry monitoring.. Performed post-cardiac catheterization recovery assessments while documenting patient progress and outcomes.. Collaborated with cardiologists, cardiac surgeons, residents, and multidisciplinary teams to coordinate care.. Served as a preceptor for graduate nurses, providing education on documentation standards, clinical assessment, and patient care.. Educated patients and families regarding diagnoses, medications, and discharge planning.
Registered Nurse – Neuroscience Progressive Care Unit
Completed Medical City Healthcare Nurse Residency Program within a Level I Trauma Center.. Provided comprehensive care for patients recovering from stroke, traumatic brain injury, neurosurgical procedures, and seizure disorders.. Performed detailed neurological assessments while monitoring for changes requiring physician notification.. Managed IV therapies and monitored EEG findings while documenting ongoing neurological status.. Collaborated with neurology, neurosurgery, rehabilitation, and interdisciplinary healthcare teams.. Served as a preceptor and mentor for newly hired graduate nurses.. Educated patients and families regarding neurological diagnoses, treatment plans, medications, and discharge expectations.