Jacquelyn Fletcher

Managed and provided care for patients experiencing renal disease. Monitored vital signs, managed volume overload and electrolyte imbalances. Educated patients and families on medication adherence, dietary restrictions, fluid management, and early symptom recognition. Collaborated with physicians and care team to address emergent patient needs based on lab values and physical assessment findings. Trained staff on emergency response protocols. Implemented quality improvement initiatives to enhance patient safety and reduce catheter-related infections.

Provided care to acutely ill patients receiving dialysis treatments in a hospital setting. Developed advanced proficiency in complex vascular access cannulation, utilizing specialized needle placement techniques to ensure safe and effective treatment delivery. Administered blood products per physician's orders during intradialytic care. Assessed patients for hemodynamic changes and treatment-related adverse events, including hypotension, air embolism, and blood clotting. Ensured accurate administration of medications based on renal dosing parameters, and dialysis timing. Monitored vital signs, fluid status, and laboratory values; managed complications. Coordinated transitions of care between hospitals, home, and long-term care facilities.

Managed nursing operations for a 150-bed long-term care facility. Participated in the development, implementation, and evaluation of care plans for residents experiencing acute and chronic medical conditions, including CHF exacerbation, cardiac arrhythmias, myocardial infarction, COPD, CVA onset and recovery, seizure disorders, ESRD, gastrointestinal diseases, lupus, sickle cell, mental health disorders, and various cancers.

Delivered comprehensive, evidence-based nursing care to patients in a hospital setting. Administered medications via clinically indicated routes, managed IV therapies, and monitored patients for therapeutic responses and adverse effects. Performed wound care, catheterizations, trach care, and postoperative monitoring. Recognized and responded to changes in patient condition, promptly communicating critical findings to providers. Responded to emergencies such as respiratory distress and cardiac events, performing rapid assessments, and initiating interventions per ACLS guidelines. Utilized EMR systems to document assessments, interventions, and outcomes accurately. Prioritized and delegated tasks effectively. Educated patients and families on disease processes, discharge instructions, and home care needs. Maintained compliance with hospital policies and clinical protocols to ensure regulatory compliance. Maintained certifications in Critical Care, Telemetry, CPI, ACLS, and PALS. Floated to various units, including Med/Surg, ICU, Special Care-Telemetry, Obstetrics/Mother-Baby, and Pediatrics, to support staffing needs.

Provided skilled nursing care to patients in a home setting across diverse populations. Conducted thorough physical assessments and gathered medical history to determine care needs, and create individualized plans.

Monitored changes in patient conditions, relaying critical information to physicians and care team.

Administered medications, performed wound care, and managed central lines and catheters.

Provided education on medication regimens, mobility support, and symptom management to promote independence and recovery. Documented visits timely and accurately, ensuring efficient team communication, and compliance with OASIS requirements. Adhered to infection control and patient safety protocols during all home visits.

Provided skilled nursing care to residents experiencing various illnesses and functional limitations. Performed physical assessments, monitored changes in condition, and communicated concerns to physicians. Administered medications, treatments, therapies, and wound care in accordance with physician orders and facility protocols. Collaborated with the care team to develop, implement, and revise individualized care plans focused on residents' goals and quality of life. Assisted with activities of daily living (ADLs), mobility, and restorative interventions to preserve function and independence. Supported end-of-life care with compassion, dignity, and adherence to advanced directives and palliative principles. Complied with infection control protocols, fall prevention strategies, and patient safety initiatives. Supported end-of-life care with compassion, dignity, and adherence to advanced directives and palliative principles.