Seasoned registered nurse with background in Care transitions and Cardiology. Skilled in fast-paced environments, prioritizing patient needs and delivering high-quality care. Effective communicator with a collaborative mindset Strong interpersonal skills with a talent for effectively addressing concerns and barriers.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Transition Services Coordinator
Vancouver Coastal Health
Richmond, British Columbia
03.2015 - Current
Lead and facilitate acute-to-community transitions by assessing and evaluating clinical and functional needs.
Advise on availability and eligibility for community services, and coordinate community staff and resources to provide assessed care after the transition home.
Facilitating and leading complex family meetings to resolve conflicts and barriers, as well as providing information regarding care plans and resources.
Facilitating complex care rounds and clinical discussions with the acute care teams, and other health care professionals, to support safe client discharges.
Provided leadership, insight, and mentoring to newly hired employees to supply knowledge of various workflows, resources, and processes.
Participate in and advise working groups to improve workflows and processes.
Lead integrated care conferences between the acute care teams and various community services to facilitate safe discharges.
Coordinates the transition of clients to residential care, including the completion of clinical decision support tools (Inter-RAI MDS).
Educates and communicates with families and patients regarding their plan of care.
Collaborates with other members of the healthcare team to create a safe transition plan.
Advises senior leadership regarding ALC and LLOS status, and escalates barriers appropriately.
Document and maintain client records and clinical assessments
Liaise with physicians regarding plans of care and clinical assessments.
Educate acute staff on community resources, care planning, and clinical assessments.
Home Health Registered Nurse
Vancouver Coastal Health
Richmond, British Columbia
03.2015 - 12.2015
Assessed patient conditions during in-home visits, developing personalized care plans.
Conducted risk assessments in home environments to ensure patient safety.
Led patient care conferences with multidisciplinary healthcare teams.
Conducted telehealth visits, providing remote support and monitoring.
Evaluated effectiveness of nursing interventions based on outcomes achieved relative to goals established in the care plan.
Provided direct nursing care by administering medications, treatments, wound care, injections, and other skilled procedures as ordered by the physician.
Educated patients and families on disease management and prevention techniques.
Monitored vital signs and symptoms, adjusting care plans as necessary.
Responded promptly to emergency situations involving life threatening conditions or potential harm to the patient or others.
Trained new home health nurses, sharing best practices and clinical expertise.
Collected biological samples for routine laboratory testing to assist diagnostic processes.
Attended professional development seminars and workshops in order to stay up-to-date on best practices within the field.
Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
Maintained accurate records of patient assessment data and nursing interventions in accordance with agency policies and procedures.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
Instructed patients in proper self-care techniques such as medication administration or wound dressing changes.
Delivered compassionate end-of-life care, supporting patients and families emotionally.
Notified physicians of changes in patients' conditions.
Facilitated patient access to community resources and support services.
Interim Patient Care Coordinator Various Dates
Fraser Health Authority
Surrey, British Columbia
09.2009 - 03.2015
Provided emotional support and guidance to patients and their families.
Received and routed care team messages and documents to appropriate staff.
Explained policies, procedures and services to patients.
Scheduled appointments for patients and coordinated follow-up visits as needed.
Collaborated with clinical and administrative staff to meet patient needs.
Coordinated patient care services with the medical team to ensure quality and timely delivery of care.
Stayed current on community-based resources and services useful to patients.
Responded promptly to any emergency situations that arose within the facility.
Collaborated with multidisciplinary teams in order to provide comprehensive patient centered care.
Received patient inquiries or complaints and directed to appropriate medical staff members.
Managed patient admission and discharge processes, ensuring smooth transitions.
Assisted physicians in performing various procedures related to patient care needs.
Monitored patient progress and updated care plans accordingly.
Participated in weekly case conferences with members of the healthcare team for each assigned patient.
Coordinated patient referrals to specialists and other healthcare services.
Assessed staffing needs, and coordinated with the staffing team to ensure appropriate staffing levels.
Created nursing shift assignments to ensure appropriate care for patients.
Liaised with other sites to facilitate patient procedures and surgeries.
Liaised with the patient transfer network to facilitate patient moves to the appropriate site.
Registered Nurse Cardiology and CCU
Fraser Health Authority
Surrey, British Columbia
04.2007 - 03.2015
Trained and mentored new RNs on best practices, hospital policies and standards of care.
Stocked clinical workstations and procedure rooms with necessary supplies.
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
Monitored vital signs, administered injections, and provided assistance with medical procedures.
Educated patients and families on health care needs, conditions, and options.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Conducted intake assessments with patients and relatives to gather case history.
Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
Coordinated discharge planning activities including arranging follow up appointments or referrals for additional services.
Prepared medical equipment and tools to aid physician during examination and treatment of patients.
Provided patient care and education to patients with chronic illnesses.
Monitored patients after surgery, answered questions, and provided home care strategies.
Participated in multidisciplinary team meetings to discuss patient care plans.
Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
Accompanied unstable patients to other sites via EHS to access life-saving procedures and surgeries.
I participated on the code team to assist with Code Blue situations and support other units.
I attended medical rounds to discuss previous cases in order to learn from negative patient outcomes.
Attended medical education rounds to learn about new standards of practice and evidence based care
Education
High Acuity Nursing Certificate -
British Columbia Institute of Technology
Burnaby, None
04-2009
Bachelor of Science - Nursing
Kwantlen Polytechnic University
Surrey
01-2007
Skills
Presenting ideas and plans
Problem-solving
Multitasking and organization
Attention to detail
Adaptability and flexibility
Process improvement
Effective written and verbal communication
Certification
Coaching outside of the box-communication course
Inter-RAI MDS trained
Cerner online charting system training
Timeline
Transition Services Coordinator
Vancouver Coastal Health
03.2015 - Current
Home Health Registered Nurse
Vancouver Coastal Health
03.2015 - 12.2015
Interim Patient Care Coordinator Various Dates
Fraser Health Authority
09.2009 - 03.2015
Registered Nurse Cardiology and CCU
Fraser Health Authority
04.2007 - 03.2015
High Acuity Nursing Certificate -
British Columbia Institute of Technology
Bachelor of Science - Nursing
Kwantlen Polytechnic University
Similar Profiles
Shannon Lee Hope McboyleShannon Lee Hope Mcboyle
Care Aide Various Areas at Vancouver Coastal Health Authority/Northern HealthCare Aide Various Areas at Vancouver Coastal Health Authority/Northern Health
Health Unit Coordinator at Fraser Health Authority, Vancouver Coastal HealthHealth Unit Coordinator at Fraser Health Authority, Vancouver Coastal Health