Kavita Parbhane

• In long-term care, registered nurses have a wide range of responsibilities to ensure residents’ health, safety, and well-being, many of whom are elderly or have chronic illnesses

• Assessing and Monitoring Health Conditions
• Comprehensive Health Assessments: RNs conduct detailed health assessments of new and existing residents, including physical, emotional, and psychological evaluations
• Monitoring Vital Signs: Regularly check vital signs (blood pressure, heart rate, temperature, respiratory rate) and document changes
• Ongoing Observation: RN monitors residents for any changes in their condition, including pain, mobility issues, or signs of infection, and takes appropriate action if necessary
• Care Planning and Coordination
• Developing Care Plans: The RN collaborates with other healthcare professionals doctors, social workers, dietitians, resident care facilitators, etc
• To create personalized care plans that address each resident’s unique needs
• Updating Care Plans: Regularly review and update care plans as residents’ health conditions change
• Coordination of Care: RN coordinates with multidisciplinary teams to ensure residents receive timely treatments, medications, and therapies
• Medication Management
• Administering Medications: The RN is responsible for the safe administration of medications, including oral, intravenous, and topical treatments, while adhering to proper dosages and schedules
• Monitoring for Side Effects: RN constantly Observes residents for any adverse reactions or side effects from medications and reports concerns to the physician or pharmacy
• Medication Education: RNs educate residents and their families about the purpose, side effects, and proper use of prescribed medications when the resident is discharged and going home
• During the family visit explain all courses of treatment the resident is ongoing.
• Wound and Pain Management
• Wound Care: RNs manage the care of residents with wounds, including pressure ulcers, surgical wounds, and other skin issues
• Follow up and update wound care nurse if require
• Pain Assessment and Management: assessing residents for pain, including chronic pain or pain related to specific conditions (e.g., arthritis, cancer), and providing appropriate interventions, such as medications or non-pharmacological treatments.

• Patient Advocacy and Emotional Support
• Advocating for Residents: RNs act as advocates for residents, ensuring that their rights are respected, their concerns are heard, and they receive the best possible care
• Providing Emotional Support: Many long-term care residents experience loneliness, depression, or anxiety
• RNs offer emotional support, assist with social interaction, and refer to counseling services when necessary and upon resident request pastoral care In my experience residents really get help from pastoral care
• Infection Control
• Infection Prevention and Control: RN follow strict infection control protocols to prevent the spread of infections, especially important in long-term care settings where residents may have weakened immune systems
• Monitoring for Signs of Infection: RN regularly checks for symptoms of infections (e.g Fever, changes in the skin, respiratory symptoms and initiates appropriate interventions
• Updating Infection control nurse when required
• Family Communication and Education: Keep families informed about residents’ health status, addressing concerns and providing regular updates
• Notifying about resident falls, medication errors, and health status
• Educate families on care needs and resources for at-home support or additional services post-discharge
• Supervision and Leadership: Oversee the work of Licensed Practical Nurses (LPNs) and Personal care Assistants , ensuring adherence to protocols and care standards
• End-of-Life and Palliative Care: Deliver compassionate palliative care focused on pain control, comfort, dignity, and emotional support for residents and families
• Assist with end-of-life planning, and honoring residents’ wishes, including advance directives and DNR orders
• Compliance and Documentation: Maintain accurate and comprehensive records of residents’ health, medications, and treatments in compliance with HIPAA
• Emergency: Manage medical emergencies such as falls, cardiac events, and respiratory distress, stabilizing residents until further care is available
• Handle behavioral crises with residents suffering from dementia or cognitive impairments, employing de-escalation strategies
• Quality Improvement: Participate in quality initiatives to enhance care coordination, reduce hospital readmissions, and improve the resident experience
• Track and report clinical outcomes, leveraging data to optimize care processes and resident safety

Skills and Expertise:

• Clinical Expertise: Geriatrics, chronic disease management, and complex care
• Compassionate Care: Providing empathetic support to residents and families
• Communication: Strong interpersonal skills for engaging with families, teams, and residents
• Critical Thinking: Ability to assess and adjust care plans for changing conditions
• Leadership: Supervising and mentoring nursing staff to maintain quality standards
• Achievements: family is happy with the care provided by the Writer
• Seen improvement in resident health after lots of efforts, and constant focusing on resident care

• Administered prescribed medications according to treatment plan
• Utilized critical thinking skills to assess complex situations, develop solutions, and implement interventions when needed
• Demonstrated excellent communication skills while interacting with patients, families, physicians and other healthcare professionals
• Administered injections according to established guidelines; documented injection administration accurately
• Monitored patient conditions throughout shift; reported any changes in condition promptly to medical staff
• Educated patients and families on treatment plans and medications

• Utilized critical thinking skills to assess changes in patient conditions, recognize complications and intervene appropriately
• Managed multiple tasks while providing timely, high quality patient care
• Provided direct patient care, including assessment and evaluation of health status, development of individualized plans of care and implementation of nursing interventions
• Administered medications and treatments in accordance with physician orders and hospital policies
• Responded to life-saving situations based upon nursing standards and protocols
• Provided support to the physician performing the Lumbar puncture, ,thoracentesis, paracentesis
• Initiate and manage IV lines for hydration, medication administration, and blood product transfusions
• Monitor IV sites for complications, such as infiltration or infection
• Collected cerebrospinal fluid (CSF) samples in sterile containers for diagnostic testing
• Also, maintained accurate records of the procedure, including assessments, CSF sampling, and any complications or adverse events
• Assisted with the administration of anesthesia and monitor the patient’s vital signs during MRI and CT scan procedure
• Administered the oral and IV contrast Medicine

• Demonstrated strong communication skills to collaborate with interdisciplinary team members to ensure optimal patient outcomes
• Administered medications to patients and monitored for reactions or side effects
• Educated patients about their diagnosis, medications, nutrition requirements, pain management strategies
• Provided patient-centered care to oncology patients and their families, assessing physical, psychological, social and spiritual needs
• Performed venipuncture for blood draws as well as IV insertion and management for hydration therapy or chemotherapy administration
• Utilized critical thinking to assess and manage acute and chronic conditions associated with cancer treatments
• Involved Brachytherapy procedures such as maintaining sterile techniques during catheter insertion and source placement
• Also monitor for signs of infection at the insertion site and address any issues promptly
• Administer pre- and post-brachytherapy medications, including pain management and anti-nausea drugs
• Monitor and manage any side effects or adverse reactions to medications
• Assist with nuclear medicine imaging procedures, such as SPECT (Single Photon Emission Computed Tomography) or PET (Positron Emission Tomography) scans
• Monitor patients during imaging, ensuring their comfort and safety
• Collaborate with radiologic technologists and radiologists to obtain high-quality images
• Administer medications, such as dobutamine or adenosine, if the test is a pharmacological stress test
• Observe and report any abnormal ECG findings, arrhythmias, or ST-segment changes

• Conducted thorough and ongoing assessments of patients, including vital signs, neurological status, and cardiac as well as respiratory function
• Administered medications, including intravenous medications, vasoactive drugs, and pain management medications
• Managed and monitored mechanical ventilation for patients requiring respiratory support
• Implemented ACLS protocols in response to cardiac arrest or life-threatening arrhythmias and administered advanced life support interventions as necessary
• Performed wound care and manage surgical sites or invasive lines, such as central venous catheters or arterial lines
• Operated specialized equipment such as ventilators, hemodynamic monitors, and infusion pumps
• Monitored for post-operative complications, such as infections, deep vein thrombosis (DVT), and pressure ulcers in Orthopedic surgery patients
• Monitored and provided prenatal care for pregnant women, including assessing maternal and fetal health, conducting prenatal tests, and addressing any complications