Troy Lewelling
Clovis
Summary
Dynamic and results-driven RN with extensive experience at DaVita Dialysis Kidney Care, excelling in patient education and interdisciplinary collaboration. Proven expertise in medication administration and quality improvement processes, effectively enhancing patient outcomes. Adept at developing personalized care plans and leading teams to deliver compassionate, high-quality care.
Overview
32
32
years of professional experience
1
1
Certification
Work History
ICHD, HHD, PD Dialysis RN / Clinical Coordinator
DAVITA DIALYSIS KIDNEY CARE
Fresno
10.2021 - Current
- Measure and analyze patients' vital signs while monitoring patients' condition throughout dialysis sessions.
- Educate patients and care partners on safe execution of hemo-dialysis and peritoneal dialysis at home
- Inform patients about disease progression and therapeutic strategies while responding to questions.
- Supervise dialysis treatments from initiation to completion, ensuring accurate medication administration during procedures.
- Assessing patients' lab data, home medications, and activities while communicating any changes in patients' conditions to physicians.
- Facilitating patient communication for transplant center follow-up
- Coordinating efforts of care team to ensure delivery of quality care in a considerate and respectful manner.
- Coordinate clinical operations of clinic and staff, manage DQI processes, and ensure compliance with mandatory regulatory operations.
- Instruct new staff and support professional advancement of active team members.
Home Health R.N.
In-Home Home Healthcare
Fresno
11.2019 - 07.2020
- Managed comprehensive treatment options for at-home patients, focusing on diabetic care and wound management.
- Facilitated development of personalized care plans to address evolving patient needs.
- Contributed to on-call rotations for consistent patient care delivery.
- Completed assessments and diagnostic tests for physician-informed treatment planning.
- Oversaw LVN and Nursing Assistant efforts in patient management.
- Coordinated interdisciplinary collaboration to enhance patient outcomes.
Home Health R.N.
California Home Health
Fresno
09.2019 - 12.2019
- Delivered nursing care throughout all phases of patient treatment.
- Designed and implemented care plans as directed by physicians and healthcare teams.
- Utilized OASIS assessment and documentation system for comprehensive evaluations.
- Conducted ongoing assessments and data collection to enhance performance metrics.
- Facilitated timely patient discharges in accordance with established objectives.
- Educated patients, families, and staff on care protocols and procedures.
R.N. Case Manager / Home Hospice
Optimal Hospice
Fresno
09.2015 - 08.2018
- Educated patients and families on treatment options and at-home care strategies to alleviate unnecessary burden while providing emotional support and compassion during end-of-life transition.
- Administered and instructed patients and families on the needed medication regimen to manage the patient's health needs.
- Contributed to on-call rotations, ensuring delivery of daily continuous quality care to patients
- Provided high-quality compassionate nursing and palliative care to all patients and families
- Developed and implemented personalized care plans addressing each patient's evolving needs.
- Performed patient evaluations and diagnostic testing to supply physician with essential patient health insights applied in developing precise treatment plans and managing continuous care
Home Health R.N.
R.N. Home Care
Fresno
08.2015 - 12.2015
- Responsible for providing nursing care through all phases of care.
- Establish and uphold care plan in alignment with physician and healthcare team directives.
- Utilized the OASIS assessment and documentation system.
- Performed regular evaluations of systems and compiled essential data.
Coordinated timely patient discharges in accordance with specified goals. - Educates and instructs the patient, the patient's family, and other staff as required.
- Manages and trains LVNs, HHAs as needed for comprehensive patient care.
- Strategically plan, organize, prioritize, and execute tasks with minimal direct supervision.
Clinical Nurse 2
Saint Agnes Medical Center
Fresno
03.2011 - 06.2015
- Assessed patient care needs, prioritized treatment protocols and ensured optimal patient flow.
- Performed examinations on patients and asked thorough questions to best determine medical conditions and illnesses.
- Maintained patient records, and ensured patient privacy and clinical compliance.
- Provided necessary health education training for patients.
- Guided patients in postoperative recovery by closely observing wounds and educating on ongoing care strategies
- Supervised rollout of patient management plans.
- Coordinated Quality Improvement Activities (QIA's) to identify performance areas for improvement.
Pre-Admissions R.N.
Fresno Surgical Hospital
Fresno
01.2015 - 03.2015
- Consult with Physician on essential pre-op testing and facilitate patient scheduling in collaboration with surgical center.
- Conduct and document preoperative health history interviews with patients scheduled for surgery.
- Collects relevant patient data aligned with surgical procedures and medical history.
- Guides patient in mental and emotional readiness for surgical procedure pre-operatively through education
Physical Therapy Aide
Saint Agnes Medical Center
Fresno
02.1994 - 03.2011
- Educated patients on proper techniques for safe and effective operation of therapy equipment, such as pulleys, weights, and inclined surfaces.
- Managed and ordered supplies to maintain inventory stock.
- Trained patients in home care exercises to support patient ROM and overall health.
- Assisted in the application of traction devices.
Nurse Intern
San Joaquin Valley Rehab
Fresno
04.2010 - 09.2010
- Assisted nursing staff with patient care and daily activities.
- Monitored vital signs and recorded changes in patient conditions.
- Administered medications under supervision of registered nurses.
- Supported rehabilitation processes by encouraging patient participation in activities.
Education
Associate of Arts - Nursing
Fresno City College
Fresno, CA12.2009
Skills
- Documentation and medical records
- Problem solving and critical thinking
- Interdisciplinary collaboration
- Quality improvement processes
- Team leadership
- Case management and care plans
- Medication administration
- Data collection and analysis
- EMR systems expertise
- Medical scheduling and DME management
- ICD-10 knowledge
- Patient education and counseling
- Proper dialysis catheter insertion/removal
- Staff supervision
Certification
- Registered Nurse (RN), 02/01/10, Current
- CPR Certification, Current
References
References available upon request.
Timeline
ICHD, HHD, PD Dialysis RN / Clinical Coordinator
DAVITA DIALYSIS KIDNEY CARE
10.2021 - Current
Home Health R.N.
In-Home Home Healthcare
11.2019 - 07.2020
Home Health R.N.
California Home Health
09.2019 - 12.2019
R.N. Case Manager / Home Hospice
Optimal Hospice
09.2015 - 08.2018
Home Health R.N.
R.N. Home Care
08.2015 - 12.2015
Pre-Admissions R.N.
Fresno Surgical Hospital
01.2015 - 03.2015
Clinical Nurse 2
Saint Agnes Medical Center
03.2011 - 06.2015
Nurse Intern
San Joaquin Valley Rehab
04.2010 - 09.2010
Physical Therapy Aide
Saint Agnes Medical Center
02.1994 - 03.2011
Associate of Arts - Nursing
Fresno City College
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