Barbara Maffei Email & Phone Number

Performed nursing rehabilitation and promoted convalescence immediate pre/post op with patient and family. Performed wound care as prescribed for all stages and kinds of wounds, such as post op/decubiti/stasis, and burn wounds. Instructed/supervised patient and family in wound care as indicated orally and with written follow up. Instructed s/s infection, hand washing, and disposal waste products. Inserted feeding tubes, suprapubic tubes, and Foley catheters on regular basis. Cared and maintained surgical drains, nephrostomy tubes, av shunts as prescribed. Provided instruction in nutrition, exercise, med regimen and self- administration. Pre poured/prefilled meds as prescribed

Supervision of field staff in the coordination of home care services to maintain JCAHO standards, state, federal and Medicare guidelines. Serve as the communication link between the physician, patient and agency staff by conveying and documenting problems, changes/observations, and other essential information for 60 to 70 patients. Develops a complete plan of care based on assessment of patient needs. Plan of care updated and verified as needed in a timely fashion. Initiates and monitors respective reimbursements within agency, local, state, federal and JCAHO standards and obtains required authorizations to ensure services.

Supervision of LPN, HHA and PCW as well as educational preparation to ensure quality care within agency guidelines. Cared for patients in community, retirement and life care settings byobserving, assessing, and recording symptoms, reactions, progress and vital signs. Performed fasting blood sugars and instructed extensively in diabetic management. Also instructed self-administration of insulin. Consistently and frequently performed, instructed, and supervised colostomy care, changes to patient and family. Provides and maintains universal precautions for all patients and performs basic infection control protocols.

Supervised 3 to 5 RN's, 1 aide per shift on a relief basis as charge nurse. Assessed and triaged incoming patients pre and post opProvided respiratory care through use of ventilators, t-tubes, masks, cannulas, nebulizers, spirometers, inhalers, and percussion. Set up, assessed, trouble shoot, and interpreted data from a variety of monitoring equipment. Assisted in setup, insertion and maintenance of central lines, swan ganzs, arterial lines, chest tubes, drainage ports, and dialysis shunts. Provided wound care as prescribed immediately post op and through SICU stay. Administered medications, started lVs, drew bloods, assisted in ABG's, and inserted nasogastiric and foley catheter as prescribed.

Med Surgical, Telemetry, ER, Recovery Room Made judgments on patient conditions and called doctors based on those decisions. Developed and followed through on patient care plans. Provided direct patient care; kept legal documents of nurse's notes and maintained adequate communication among patient care staff.