Julie Fisher
Cambridge
Summary
Registered Nurse with 25 years of experience in direct patient care and nursing management positions in hospital settings. Experience spans across behavioral and mental health, Palliative /Geriatrics, and med-surgical environments. Passionate about providing programs/ education and services in support of growth and healing for patients and families . Active listener with direct communication style and compassionate, non-judgmental approach to build patient trust and rapport. Outside-the-box thinker with strong crisis resolution skills.
Overview
20
20
years of professional experience
Work History
Clinical Nurse Consultant/ Palliative Care Lead
St Marys Hospital
2012.01 - Current
- Clinically managing physicians, nurses and other multidisciplinary teams through Best practice standards and regulatory operations around end of life care
- Advanced analytical and critical thinking skills Advanced interviewing skills/ observation of skills ect GPA and LEAP training Lead Evaluation of Geriatric and Palliative care patients/Management and training of front line staff including Reg staff and PSWs Educator lead MAID Regional Creation and monitoring of quality indicators for the hospital wide quality program Clinical in depth consultations, initial consultation and collaboration with physician, participate in on call rotation with physician group, conduct family meetings, discharge planning with CCAC and LHIN, refer to community team and hospice
- physical and mental health assessments understanding medical emergencies
- Talking with and managing difficult situations
- Supported nursing staff retention by creating a positive work environment, addressing concerns, and providing resources for ongoing professional development.
- Managing referrals, starting CADD pumps, transcribing orders and working with floor nurses
- Facilitating discharges and working with outside partners such as CCAC and hospices Mentoring and educating the public, stakeholders and front line staff on best practices and new innovative approaches Leadership award- Sept 2013 Ongoing Lean projects: Lead Palliative care Committee lead, MAID discussion lead, Strategic planning See patients that are referred and determine pain and symptom management using ESAS and PPS
Faculty Part Time/RPN Program/ PSW/Simulation Lead
Conestoga College
2011.01 - Current
- Teach and instruct Campus Clinical classes ( simulation and scenarios high fidelity mannequin operation), labs, clinical Design, evaluate project courses/ learning outcomes Conducting research and program evaluations Creating power point and new creative ways to engage students in the classroom Provide a positive classroom experience to all students/ international students Plan and create and teach labs on all nursing skills Simulation and high fidelity mannequin operation and voicing Simulation and standardized patients Lab high and low fidelity mannequin operation and student engagement Orientation of new faculty and student to the SIM Labs Building and reviewing curriculum and making changes Review of current and new initiatives for research within palliative care and advanced geriatrics Palliative Care course certificate course/ management of course shell and building of lesson plans and presentation Evaluate student progression and provide remedial teaching if required Provide lessons, scenarios and evidence based learning for all students Teaching, implementing and evaluating evidence based practice within labs and creating new programming or lab scenarios that match the curriculum Creation and implementation of quality indicators: follow through education and plans to improve
- Leadership of new faculty and mentoring Grade and mark written projects and student presentations Do public speaking engagements around palliative care and MAID Clinical Expertise
- Managementand Implementation of Best Practice Guidelines
- Coaching and mentoring front line staff
- motivating an building new ideas
LTC Compliance Director/ CQI and Risk Consultant Independent
Golden Years Nursing Home, Algoma Manor, Caressant Care
2010.01 - Current
- LTC home in enforcement/ or closed to admissions/ Compliance issues MOHLTC compliance knowledge and education Compliance reporting and auditing Education planning and implementing Review and new implementation of systems and processes CQI program: building of new indicators, new process, benchmarking, and reporting program Report writing Policies and procedure writing, education and implementation Creation of new policy and procedure and systems and processes Program development/mandatory programs MOH Quality Improvement Strategic planning Teaching regionally the new MOHLTC standards, RAI MDS Developed CQI Program all audits and policy and procedure, benchmarking nationally Mentoring DOC and ADOC/ED, Senior level managers Building and implementing compliance and action plans
Specialty-Care MOHLTC Compliance Expert
MOHLTC
2009.01 - 2010.01
- Support implementation of evidence based practice/ guidelines Education on RNAO Best Practice Guidelines Adult education in LTC and within College Change management principles Team building skills/ motivational skills LTC home legislation and regulated programs Worked with MOHLTC compliance Branch Education to all homes Expert in Geriatric Medicine, Mental Health, Palliative Care Maintaining current CMI Levels for funding Implementing and sustaining budgets Infection Control Practice Clinical Expertise in Palliative Care/Mental Health Annual review process and assessment for all homes CCAC and community connection and development GPA Lead/PIECES trained/Responsive Behavior Lead Creation and implementation of budgets Lead for MDS/CQI Palliative Care Team Lead; creating, implementing, and evaluating educational tools and course material, leading national change for palliative care issues and program, creating and implementing new policy and procedure to guide palliative care practices, demonstrating and teaching new methods nationally across Canada
- Community lead for the LHINS and chair health and safety Diabetes Education and Program building Compliance and Inspection Expert, visited all homes and did audits to ensure regulation were met/ gave recommendations if not Created charts and education for compliance issues Attended regional lhins meeting to form partnerships Visited and stayed for extensive period of time at homes that required monitoring for compliance Dealt with high risk home that were in enforcement Policy and Procedure writing Worked with the MOHLTC to create thinking trees and compliance standards, helped as a compliance advisor National Mental Health Lead: Creation of new Policy and Procedure New acquisitions of new buildings and securing funding through the government programs, lead large new build in SS Marie over 8 month period: new policies procedures, and new hiring, labour relations with unions, new build ect… Best Practice Lead and Mentor or Coach Write clear and concise compliance plans/ excellent judgement and acuity/ resolution of complex problems within LTC homes Advanced understanding of policy and procedure
Consultant Clinical Services/Compliance/Risk/Education
Extendicare( 1yr contract) Life Care Homes
2022 - 2021
- Compliance review/all high risk home Classification New programs/clinical/education to all staff and management CQI reporting and auditing Partner with other consultants for policy writing and best practice guidelines Auditing/follow up and evaluation MDS/RAI/ High Risk reviews on homes in enforcement (Yorkview) Working with other regional consultants on new process, policy development, new programs and compliance issues High Risk Team reviews and planning Extensive knowledge of restraints, creation of restraint reduction program Creation of CQI Initiatives, related education and mentoring
Float Pool/ Medical Daycare Oncology
Cambridge Memorial Hospital
2020.01 - 2022.06
- Visiting all area/ emerg/surgical/medicine/mental health Medication administration IV therapy/PCA/CADD pump IM injections Complex dressings Grief counseling Emergency situation training Assessments for injury
Director of Resident Care/Education Lead
St Peters Residence and Hospital
2019.01 - 2020.06
- Supervision of staff and programs Managing nursing budgets Performance appraisals High intensity needs submission Recruiting staff Creation of CQI platform and reporting structure Development of indicators Development of CQI policy and procedure Strategic planning Best practice lead Accreditation lead Excellent knowledge of MOH standards Creation of Palliative care teams, teaching and mentoring, creation of policy and procedure and evaluation of program
- Classification lead Infection control/staff education Palliative Care initiative: creating/implementing/teaching program
Director of Operations/ Compliance and CQI
Leisure world Care giving Center
2007.11 - 2008.01
- Supervise 7 LTC homes financial, dietary, clinical Clinical expertise in Palliative Care, Post Stroke Care, Geriatrics, Post op Management Provide leadership to management Auditing for MOH compliance Program and organize nursing in-services Development of strategic plans Development of CQI audits and implementation Staffing, budgets, variances Education: develop and implement curriculum
- Evaluation of educational programs Teaching frontline RNs RPNs re: Wound Care CON Standards around documentation, Charting, Computerized Charting
- Just completed a Ort Package for RNs and RPNs - Developed CQI tools and platform for delivery Benchmarking against MOH standards and KPIs and other homes Data analysis and scorecard measurements CQI education and monitoring - Lead for troubleshooting difficult homes in enforcement and enhanced monitoring - Enforce the quality model at home level
Regional Nurse Consultant
Central Care Corporation Revera
2004.12 - 2006.12
- Managing 13 nursing home in the region All clinical area/best practice guidelines Infection control/wound care management Chart auditing and extensive education Compliance planning/ and auditing Discharge planning and liaison with community homes/hospitals CQI direction and leading staff Accreditation/ Best Practice Guidelines Education to all management Quality Indicators Analysis managed the RAI coordinators in Region Psych Geriatric Planner and assessments comprehensive Managing all infection control and skin care products and education Working with 3M reps and management Creating and implementing new policies and programs CQI development: KPIs and new auditing tools New reporting structure for CQI Bench marking and presenting information on CQI All education following best practice guidelines Palliative Care Lead
Team Lead Nurse
Lisaard House
- 2002.05
- Pain control and comfort measures Dealing with families and the grief process Teaching in-services Providing education about pain control Mentoring other nurses and students Providing assistance and guidance with complicated patients In-services and training
Education
Master Program (in progress) -
Ryerson University/ Athabasca
12.2021
Bachelor of Nursing -
McMaster University
12.2008
12.2005
Registered Nurse Program -
Mohawk College
12.2003
Registered Practical Nursing Program -
Conestoga College
12.2000
Skills
- Customer Service
- Clinical assessment
- Healthcare management
- Quality Improvement
- Ethical Practice
- Interdisciplinary Collaboration
- Advanced nursing practice
- Nurse Leadership
- Patient Education
- Clinical Quality Improvement
- Staff Development
- Compliance Monitoring
Courses
- Leadership
- Infection Control/3M skin Care
- Mental Heath Medications, Leadership 1,2
- Running a unionized facility
- IV Certification/start IVs
- Post op Certificate
- Pain Assessment in Post op Patients
- Understanding The Mental Health Act
- Palliative Level I & II
- Oncology Emergencies
- Chemotherapy and Central Lines
- Understanding Grief
- Bipolar Disorders/Suicidal Patients
- Mental Health Certificate (In Progress)
- Awarded TD Study Grant for continuation of Mental Health Education
- LEAN/SIGMA 6 Quality Improvement
- Palliative Certificate
- Infection Control and Wound care Certificate
- Resident First Initiative
- Compliance in LTC
- Palliative Care in LTC
Timeline
Float Pool/ Medical Daycare Oncology
Cambridge Memorial Hospital
2020.01 - 2022.06
Director of Resident Care/Education Lead
St Peters Residence and Hospital
2019.01 - 2020.06
Clinical Nurse Consultant/ Palliative Care Lead
St Marys Hospital
2012.01 - Current
Faculty Part Time/RPN Program/ PSW/Simulation Lead
Conestoga College
2011.01 - Current
LTC Compliance Director/ CQI and Risk Consultant Independent
Golden Years Nursing Home, Algoma Manor, Caressant Care
2010.01 - Current
Specialty-Care MOHLTC Compliance Expert
MOHLTC
2009.01 - 2010.01
Director of Operations/ Compliance and CQI
Leisure world Care giving Center
2007.11 - 2008.01
Regional Nurse Consultant
Central Care Corporation Revera
2004.12 - 2006.12
Consultant Clinical Services/Compliance/Risk/Education
Extendicare( 1yr contract) Life Care Homes
2022 - 2021
Team Lead Nurse
Lisaard House
- 2002.05
Master Program (in progress) -
Ryerson University/ Athabasca
Bachelor of Nursing -
McMaster University
Registered Nurse Program -
Mohawk College
Registered Practical Nursing Program -
Conestoga College
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