Home Health nursing, managing a patient load of 12 to 18 patients, some with highly technical needs, in a rural area.

 Clear, concise communication with MD offices and other health care professionals, to provide care to a diverse population of adult and pediatric patients. 

Technical Skills include IV therapy and wound care. 

Specialty care includes involvement with Hospice patients of varied ages, working with a multidisciplinary team to provide comprehensive end-of-life care in the home.

Outpatient flow management and prioritization.

Patient assessments, including phone triage, with clear communication of findings to the treatment team.

Technical Interventions, including initiation and maintenance of peripheral venous access, use and maintenance of central venous access devices, preparation and delivery of chemotherapeutic agents, delivery of supportive medications.

Team Efforts:  Collaboration within a multidisciplinary team on patient care issues. Patient and family education. Community out-reach education for hospital and home health nurses, and participation in a school reintegration program for patients. Scheduling of diagnostic testing as necessary. 

In-home nursing assessment and management of patients requiring intravenous and intrathecal medication, and enteral feedings. Working knowledge, including troubleshooting capabilities, of a wide array of delivery devices. 

Collaboration with home health nurses, physicians, and pharmacists on all aspects of home care delivery. 

Triage on-call situations and communicate with other healthcare professionals as necessary. 

Understanding and managing a wide range of diagnoses on a 35+ bed pediatric unit, a 10 bed infant intensive care unit, and a pediatric intensive care unit. 

Presented teaching in-services on the unit. 

Trained for the charge nurse role. 

Staff Nurse on a  44 bed adult Medical-Surgical floor. 

Qualified Charge Nurse. 

Participated in the development of a Critical Pathway for total hip replacement patients. Assumed case manager role and taught pre-operative classes for these patients.  

Certification in Pediatric Oncology, 10/97 

Camp Sunshine Liaison for Maine Children's Cancer Program

 Mantoux Skin Test Provider Certification 9/97

Student Nurse Preceptor 5/98 

Pediatric Advanced Life Support Certified 4/98