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Tuwonda
twili248@yahoo.com
904-570-1310
732 Reflection Cove Road East
Jacksonville, FL 32218
Dialysis Nurse
28 years experience W2
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Summary

OBJECTIVE

  • To secure a position within your organization as a Registered Nurse, where my nursing skills gained through education and training can be utilized and expanded.

QUALIFICATIONS AND SKILLS

  • Excellent ability to multitask
  • Outstanding Interpersonal skills
  • Ability to handle non-related task with a pleasant attitude
  • Ability to effectively interact with patients, physicians, families and other staff
  • Highly competent with Electronic Health Records such as Cerner, Millennium and Meditech.
  • Ability to navigate through multiple systems and screens. Such as FISS, MAS, HIMR, and eDoc.
  • The ability to set up and tear down Fresenius Dialysis Machines according to state regulations.

COMMUNITY SERVICE

  • Bethany Christian Institutional Interdenominational Church, Tampa, Florida
  • Youth Counselor
  • Jacksonville Beach Mission House
  • Nursing Community Project Coordinator during nursing school.

References on Available upon Request

Experience
Dialysis Nurse
Medical Devices
Jan 2020 - present
  • Performs hemodialysis treatments in accordance with approved facility policies and procedures. Assessing and accessing dialysis site, such as cathteters, fistulas and grafts,
  • Initiated dialysis by ensuring that dialysis machine, alarms, and products are prepared with quality standards and according to patient's prescription.
  • Monitored patients during dialysis, assessing emergent changes in the patient's condition and adjusting the treatment according to the patient's assessment.
  • Administered prescribed intra and post dialysis medications and documented accordingly.
  • Performed monthly medication reconciliations on patient's home and in-center dialysis medications.
Nursing
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RN Care Coordinator (PRN)
Information Technology
Oct 2019 - present
  • Facilitate all patient transfers throughout the HCA South Atlantic hospitals.
  • Coordinating direct admissions and hospital transfers to an appropriate HCA facility.
  • Organizing ambulance transfers from the HCA hospitals to other facilities and post-acute care.
  • Efficiently and effectively managing consult with on-call physicians regarding patient care issues, needs and concerns and advise when appropriate.
  • Applying nursing knowledge and appropriate clinical data to ensure appropriate placement, transfer facilitation, communication, and accurate documentation for all transfers, emergent and nonemergent.
  • Communicating with physicians and outlying facilities, using problem-solving skills to determine the best course of action for the patient, the MD, and the hospital.
  • Responsible for documenting and tracking all hospital transfers and transports.
  • Assisting in data collection, monitoring, evaluation, and analyzing of transfer problems for the purpose of developing and implementing protocols, policies and procedures.
Nursing Registered Nurse
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Clinical Review Nurse
Medical Devices
Oct 2017 - Oct 2019
  • Render medical decisions on Medicare Part A appeals per established criteria, meeting compliance standards and timeframes.
  • Identifies questionable medical practices, existence of medical necessity, and extent of benefit coverage.
  • Manage medical review inventory, to include resolving workflow problems and identifying continuous improvement opportunities with in a designated timeframe.
  • Identify formal education opportunities and needs for providers and their staff and communicate these needs to appropriate departments.
  • Consult with Medical Director and other resources on issues related to claims, member and provider inquiries /reviews.
  • Follows CMS guidelines using NCD, LCD, and IOM's when making appeals decision and formatting rationales for providers and beneficiaries according to guidelines.
Appeals Compliance Medical Review Medicare Nursing
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Registered Nurse
Medical Devices
Jun 2016 - Oct 2017
  • Collaborating with physicians and other multidisciplinary team members to promote and restores patients' health by completing the nursing process on a Cardiac unit. Providing care for various types of cardiac patient such as Heart Transplant patient (pre and post op), Post Open Heart Surgery, post EP procedures (pacer implants/removal, pacer battery exchanges and wire exchanges, ablations and cardioversions), post PCI, and many other post CTS procedures.
  • Administer medications via eMAR and educate patients on the side effects associated with various medications. Administering and monitoring various cardiac drips, such as Cardizem, Dobutamine, Dopamine, Milrinone, Heparin and many others.
  • Providing care and monitoring patient with Left Ventricular Assisted Device (LVAD), such as Heartmate II and Heartware.
  • Monitored patient's heart rhythm and rate via telemetry, hemodynamic monitoring such as CVP and PA pressures via Swan Ganz, assessed vital signs and addressed any that was outside of normal range, and completed patient plan of care in accordance with their daily goals.
  • Assist with developing a plan of care, maintaining complete and accurate patient records, preparing patients for discharge to home or other skilled nursing facilities.
  • Responsible for assessing, planning, implementing, documenting, coordinating and managing patient care in accordance with hospital's policies and protocols.
Nursing Registered Nurse
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Registered Nurse
Medical Devices
Mar 2015 - Jun 2016
  • Performs and documents assessments and evaluation of all patient admitted to the cardiac step-down unit via Cerner.
  • Develops and implement plan of care for all admitted patients and consult and coordinate with interdisciplinary team to plan, implement and evaluate patient care.
  • Administer medications via eMAR and educate patients on the side effects associated with various medications.
  • Monitor patients' medical information such as lab values, condition/changes and vital signs.
Nursing Registered Nurse
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Registered Nurse
Medical Devices
Dec 2013 - Nov 2014
  • Provide and coordinate care for clients admitted to Medical Methadone Treatment program.
  • Dispense medication and retain accurate records of medications administered during their course of treatment.
  • Provide education to clients regarding various health issues and ways to prevent them from reoccurring.
  • Act as an advocator for clients to promoting a safe environment by educating them regarding various medications given throughout their treatment.
Nursing Registered Nurse
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Registered Nurse
Medical Devices
Aug 2013 - Dec 2013
  • Provide and coordinate care for patients admitted to telemetry medical-surgical unit.
  • Provide education to patients and families regarding various health issues and ways to prevent them from reoccurring.
  • Act as an advocator for patients to promote a safe environment.
  • Develop and implement care plans throughout their hospital stay.
  • Provide direct patient care by administering medication, assisting with ADL's, documenting signs and symptoms, and assisting with rehabilitation service while admitted to the unit.
Nursing Registered Nurse Rehabilitation Services
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Unit Secretary/Health Unit Coordinator
Information Technology
Jan 2010 - Jan 2012

Patient Care Tech Baptist Medical Center-Beaches

  • Provided patient care on various types of nursing units
  • Cardiovascular
  • Med/Surgical Post/op
  • Liver & Heart Transplant
  • Orthopedics
  • Emergency Room
  • Responsible for 8-10 patients within a given shift
  • Charted and documented all activities via Cerner computer system
  • Established great working rapport with patients, doctors, nurses, unit secretary and family members
No skills were added
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Unit Secretary/Health Unit Coordinator
Healthcare
Jan 1993 - Jan 2010
  • Baptist Medical Center-Beaches, Jacksonville, Florida
  • St. Joseph’s Children’s Hospital, Tampa, Florida
  • St. Joseph’s Hospital, Tampa, Florida
  • Touro Infirmary Hospital, New Orleans, Louisiana
  • All Children’s Hospital, St. Petersburg, Florida
  • Scott & White Hospital, Temple, Texas
    • Controlled the flow of the unit and all patients admitted to the unit.
    • Entered all orders via Computer System.
    • Answered multi-line telephones
    • Ordered lab test, x-rays, and other medical necessary test.
    • Communicated with patients and their families during their hospital stay.
    • Organized and handled various patient related tasks.
    • Assisted the nurse by informing her of patient needs.
No skills were added
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Edit Skills
Non-cloudteam Skill
Education
Nursing
University of North Florida 2013
Hillsborough Community College 2009
Certifications
ACLS (Advanced Cardiac Life Support)
BLS (Basic Life Support)
Skills
Nursing
2021
6
Registered Nurse
2021
4
Appeals
2019
2
Compliance
2019
2
Medical Review
2019
2
Medicare
2019
2
Rehabilitation Services
2013
1