QA Reviewer/Infection Control Nurse
January 2008 to Present
Dual responsibilities as an Infection Control Nurse and Quality Assurance Reviewer. Patient population includes individuals with Down syndrome, traumatic brain Injury, cerebral palsy, autism spectrum disorder, dementia, seizure disorders, dysphagia and multiple genetic syndromes, across the lifespan. Serve as a county wide resource to providers and agency personnel regarding issues related to health and safety, medication administration and infection control. Additional responsibilities include nursing delegation to unlicensed personnel as well as utilizing principles of telephone triage. Job responsibilities also include fact finding in Non-Protocol Major Unusual Incidents involving deaths, hospitalizations and use of emergency measures, such as CPR and treatment of choking. Provide indirect supervision of LPN at Early Intervention Program for preschool children with developmental disabilities, serving as resource and delegating nurse. Train staff in American Heart Association Basic Life Support and Ohio Department of Developmental Disabilities Medication Administration Curriculum. Instruct nurses statewide in training of unlicensed personnel for medication administration, use of gastrostomy and jejunostomy tubes and Insulin administration.
Quality Assurance nursing role requires reviews of medication administration services at group homes and community based supported living sites. Surveys entail observation of medication administration, reviewing agency policies and procedures, as well as audits of medication related documentation to ensure compliance with Ohio Revised Code and Ohio Administrative code.
December 2010 to February 2012
Temporary remote analyst, performing medical case record review for product liability cases.
March 2010 to March 2011
Independent examiner for LifePlans Inc., providing on-site assessments for evaluation of cognition and functional status.
March 2009 to December 2010
Provide individualized nursing care for a child with autism, including tube feedings, sensory diet, Wilbarger brushing protocol, oral-motor development, gross and fine motor exercises.
April 2006 to August 2008
Case manager providing Home Health Services to patients under Medicare and Medicaid (Passport and Waiver). Required assessment and coordination of care to patients across the life span, including children with developmental disabilities. Required working knowledge of admission criteria and documentation requirements, including Oasis forms. Provided patient and family education regarding disease processes, treatment protocols, medication regimen and prevention of falls and skin breakdown.
January 2005 to January 2008
Program Nurse for 2 ICR/MR facilities and 2 supported living sites coordinating medical care for multi-handicapped adults with varying developmental disabilities. Required extensive assessment of physical, emotional and psychiatric needs of medically fragile individuals with Intellectual and Developmental Disabilities, in order to promote wellness in a home-like setting. Patient population included individuals with cerebral palsy, traumatic brain injuries, Rett syndrome, seizure disorders, and dysphagia. Responsible for health care training and indirect supervision of program staff, including delegated nursing for medication administration, gastrostomy and jejunostomy tubes (G and J tubes), CPR and blood borne pathogens. Provided 24/7 telephonic staff support utilizing principles of telephone triage. Maintained documentation in compliance with county board, Ohio licensure and Medicaid standards, resulting in consistently above average survey results. Experience with program start up as well as serving as the acting QMRP, overseeing Individual Service Plan (ISP) development and implementation.
Health Services Coordinator
October 1998 to January 2005
Health Services Coordinator providing cost-effective coordination of care to 17 adults with Developmental Disabilities in 3 community based sites. Patient population included individuals with dual diagnosis, Down Syndrome, Prader-Willi syndrome, seizure disorders, autism and unspecified IDD, in multiple residential sites. Required assessment and coordination of care for individuals with physical, emotional and behavioral limitations, in order to provide a wellness based quality of life. Responsible for health care training, support and indirect supervision of direct care staff, including Delegated Nursing and blood borne pathogens. Provided 24/7 telephonic staff support utilizing principles of telephone triage. Maintained documentation in compliance with Ohio licensure and Medicaid standards.
January 1998 to October 1998
Paramedical examiner performing history and physicals for insurance applicants, including pulmonary function testing, extensive phlebotomy and specimen collection for laboratory and toxicology testing. Worked independently from home, with responsibility for client contact and scheduling, specimen processing and documentation.
Field Nurse/Case Manager
February 1983 to November 1997
Field nurse case managing interdisciplinary care for patients with multiple medical needs in the home setting, coordinating care with families, physicians, rehabilitation staff and social workers. Case managed from home base including scheduling, records management and documentation. Experience included phlebotomy, venipuncture, and infusion therapy. Provided consistent patient care, with excellent skills in patient assessment, care planning and implementation. Provided supervision of home health aides. Maintained documentation in compliance with Medicare, Medicaid, Passport and private insurance requirements. Also maintained on-call responsibilities after hours and on weekends and holidays.
September 1988 to November 1989
Served as staff and charge nurse on a rehabilitation floor at Metrohealth Medical Center through the supplemental staffing branch of Staffbuilders. Administered medications, including intravenous therapy. Performed all necessary procedures and treatments to rehab patients, including burn victims, stroke rehabilitation and chronic disease. Worked closely with patients, families, physicians and the interdisciplinary team to restore optimum level of function.
Health Services Coordinator
November 1980 to April 1983
Health Services Coordinator, provided start-up nursing policy and procedure for a five home residential facility housing 55 adults with developmental disabilities. Interviewed, hired, trained and supervised rehabilitative and nursing personnel. Developed policy and procedure for nursing department. Required extensive assessment of physical, emotional and psychiatric needs of individuals with a wide range of physical and cognitive disabilities, in order to provide a wellness based quality of life. Responsible for health care training, support and supervision of direct care staff including instruction in CPR and medication administration. Maintained documentation in compliance with licensure and Medicaid standards.
July 1980 to November 1980
Staff nurse in the Emergency Department of a Level 1 Trauma Center. Served in triage and treatment roles, providing emergency care and emotional support to victims of multiple trauma, cardiac and medical emergencies and sexual abuse, utilizing principles of critical care and crisis intervention. Extensive experience in infusion therapy, phlebotomy and critical care.
July 1979 to June 1980
Community health nurse responsible for a caseload of 30 to 50 patients in the home setting. Provided direct patient care, patient and family education and maintained documentation according to Medicare and Medicaid guidelines. Coordinated and supervised rehabilitation and patient care personnel in the care of a primarily geriatric population. Provided supervision for home health aides.
Bachelor of Science in Nursing
September 1976 to May 1979
September 1974 to May 1976
* Active in professional nursing practice for over 30 years with extensive experience
in Home Health Care and Developmental Disabilities Nursing with patient
populations from pediatrics to geriatrics.
* Certified Developmental Disabilities Nurse
* President, Northeast Ohio Chapter of DDNA (Developmental Disabilities Nurses
* Infection Control/Quality Assurance Reviewer for a county board of DD , providing
site reviews of medication administration and serving as a resource to providers.
* Extensive experience in Medicaid (ICF/MR) and licensure surveys.