Panama City, FL
RN x 18 years...ICU-Hemodialysis,Hospice, HHC, Mental Health Unit x 5 years, Internal Medicine office Nurse x 2 years, Bay County Health Department-x 11 years-Case Manager, Perinatal Hep B Coordinator for Bay County, STD Clinician, Main Immunization clinic nurse, STD/FP Nurse, interim Supervisor...I love my career as a nurse. I am very organized, detailed and assertive. I love a challenge and work well with my co-workers.
I know my calling is a Hospice nurse. I loved the two years I worked at Bay Medical Center. I would like to get back into Hospice nursing. I would like to start part-time and build to full-time. I have been with state retirement for 21 years and don't want to lose that. I would like the opportunity to become a Hospice Nurse again...I wouldnt let you down.
I can work most evenings and weekends.
January 2001 to Present
My nursing duties include and have included : Perinatal Hepatitis B Coordinator-where I provide leadership for assigned programs; Case manager for all cases related to clinic. i.e., STD-Sexually transmitted Diseases, Hepatitis A,B,C, HIV, Abnormal results i.e., paps, lab results, mammograms, diagnostic tests, etc. I refer patients as needed, schedule and approve for appropriate procedures.I helped develop protocol and provided leadership in Colpo/Cryo clinic w/ all scheduling, assist w/ M.D. procedures, ordering equipment/medicines and all related case management duties. Initiated Abnormal pap and STD referral program..setting up meetings with the private GYN's and have worked closely with private M.D. offices that report STD's and receive Bay CHD referrals. Created Family Planning/STD audit tools; performed quarterly audits; when Supervisor position vacant have been assigned various duties-making schedules, monitoring leave requests, assure maximum utilization of clinic staff. Charge nurse prn; provide effective communication dealing with difficult clients and staff, have performed as clinic nurse-obtain assessments, patient histories, consents, counsel & educate as appropriate, pre-post HIV counseling for testing, epilepsy and diabetes medication disbursement, taught family planning class; triage clinical issues via phone; calculate and administer post rabies exposure medications with infiltration into the wound;
STD Clinician (under State of Florida protocol and guidelines) performed STD physicals and obtain gonorrhea/chlamydia cultures, pap smears, viral cultures and treat HPV (genital warts) and disbursement of appropriate treatment for patients diagnosis. Reason not performing as STD Clinician - State hired 2 doctors and did not need me to perform any longer.
I am the "main" immunization nurse where I determine vaccine schedules for all ages according to CDC guidelines and administer injections appropriately in a timely manner. Provide counseling & education to parents and adults r/t vaccines- required/recommended vaccines, international travel and side effects; have assisted with pharmacy inventory and receiving medications; provide leadership/representation/clinical duties for flu clinics and health fairs; provide interviews for local media via radio/television.
Knowledgeable r/t policy, procedures and technical assistance guidelines for all clinical programs; information custodian for the security and confidentiality of all information in various sets; member of the performance improvement committee for > 6 years; team leader of teamwork/cooperation work group which submitted recommendations using the problem solving tools i.e., brain-storming, cause/effect diagram and data analysis; served on ADHOC committees to establish and update operating procedures, participated in program evaluations; received nomination for Davis Productivity Award- developed labels to ensure efficient charting and received "Best Practices", volunteer for emergency shelter duty as needed.
November 1998 to January 2001
Only nurse in office serving 3,000 patients. Receive calls from patients, assess patient needs, discuss needs with Dr. Harrell and return calls with instructions. Evaluate and assess patients to determine needs. Assist Dr. with procedures sterile/non-sterile, writing prescriptions, and administering medications, EKGs, and treatments as needed. Educate and instruct patients with new disease processes. Assess new patients medical history, medications and any pertinent problems with patients receiving physicals. Evaluate lab results. Schedule nurse appointments to see patients independently. Coordinate procedure authorization and referrals. Maintain inventory of sample medication/providing samples to patients. and order all necessary supplies. Maintain quality control for spirometer and accu check machines. Prepare hospital admission orders. Maintain medical record files. Coordinate applications for care for indigent patients and file paperwork for patients.
June 1987 to November 1998
November-97 to November-98
Worked per-diem prn - Admit and discharge patients; assess and implement nursing skills and document according to changes in patent's status. Teach patients about new disease processes and/or procedures. Converse with doctors regarding patent's condition; transcribe and carry out doctors orders; administer medications as ordered. Served as Preceptor for student nurses; worked in ICUs, Home Health Care, Hospice, and Mental Health Unit, Step-down, Cardiac, Med-surg, and Pediatrics.
May 1993-November 1997
RN- Acute Hemodialysis-Specialized Intensive Care
Performed hemo-dialysis, plasmapheresis, CAVH and CVVH on acutely ill patients. Provided training with CEUs & developed a policy/procedure for plasmapheresis. Preceptor for student and new nurses. Member of the QA committee for 2 years. Appointed as quality control rep to conduct mandatory testing on equipment and maintain accurate records for review by laboratory officials. Served as charge nurse on a rotation basis. Performed ACLS duties as needed. On call for emergency patients as needed.
Part time short staffing relief for Home-Health Care, Hospice and Mental Health Unit.
Legal Nurse Consultant
January 2005 to January 2005
AS in Registered Nursing
January 1988 to January 1993
Interim Supervisor, Case Management, LNC, Immunization Inventory, Immunization Expertise, Employee Health, STD Clinician, Perinatal Hep B Coordinator
June 2004 to June 2007
Performed STD exams on males and females, pap smears and viral cultures. Determined pt diagnosis and independently treated as diagnosis indicated. Performed STD clinic independently.
Nancy Nobles, RN (previous supervisor)
Bay County Health Department
850-872-4455 Ext 1186
Kalynn Pressly, ARNP
Bay County Health Department
850-872-4455 Ext 1347
Michael Fluharty, RN, ARNP (previous DON)
Bay County Health Department
850-872-4455 Ext 1209