Constance Saunders Email and Phone Number

Triage RN, Clinic Coordinator, and Community Based Case Management RN, Health Care for the Homeless Project (HCHP)Provides primary nursing services and psychiatric interventions to the Women's/Family IHS Kalihi-Palama Clinic and to the CBCM team as follows:Triages, performs head to toe nursing assessments and interventions servicing the homeless population of Oahu and outer island Does venipuncture, vital signs, diagnostic lab testing, PPD testing, immunizations, BG testing, clinical referrals, shelter screening drug prior authorizations and provides assistance to the clinic MDAdministers and orders/maintains all pharmacy medications and administers psychiatric and other medications-for example Risperdal Consta and Prolixin shots; Deals with acute crises, maintains clinic and coordinates care for over 100 clients in the community and coordinates medical care for them.

Acting RN for Ohana Project screening/Case management as follows:Conducted multi-disciplinary rounds on patients situated at Ohana house in Kalihi once weeklyReceived referrals from The Queen's Medical Center for assessments for Ohana House discharges and screens clients daily for admissionConducted chart reviews and assessments and interviews clients at Queen's for Ohana placement, deciding who gets accepted Provided follow-up nursing care and facilitates medication reconciliation and all medical follow-up post discharge to Ohana HouseTracked discharge, referral and admission data for Ohana HouseMet bi-monthly with social work, Nurse Case Managers and care coordination to promote and market Ohana House admissions to the Queen's community at large

Administrated and managed a medical clinic at a transitional psychiatric homeless shelter in downtown HonoluluTriaged patients prior to seeing psychiatrist, and coordinated care with all staff in accordance within the Standards of Practice for Nursing (ANA);Managed (checks, obtains, administers, troubleshoots and documents) medications for more than 25 residents concurrently;Participate in, coordinate, and documented patient admissions, discharges, and transfers, including the ex-parte process of clients to Hospital;Collected report from overnight Mental Health Kokua staff and conducted Case Management rounds prior to start of workday, prioritizing crises, planning resolution with Case Managers and informing the MD of changes on a daily basis to coordinate care and ensure accurate communication; Reviewed, analyzed and communicated laboratory values and patient status reports to the attending physician and other members of the multi-disciplinary team, arranged for preparations for tests and completed follow up care post surgery or crisis;On-site Manager for a team of 5 staff including Case Managers, RN and Office Coordinator;Completed process flow of medications in the organization to identify areas of potential error;Implemented a medication storage unit/process for isolation of medications to heighten security and limit access to medications;Created and implemented a tracking tool and weekly update report to accurately inventory residents medical and psychiatric care, care planning, external case management services and medical coverage;Trained residential staff for medication monitoring on an ongoing basis.

Coordinated care and discharge planning for orthopedic and neuro unit patients in accordance with American Case Management Standards of Practice for Nursing;Reviewed, analyzed and communicated patient status reports and statistics on patients to the attending physician and other members of the multi-disciplinary team;Documented using the Carelink software on all patient contacts;Determined Level of Care and requested orders from MDs to adjust accordingly based on Interqual criteria;Provided external Insurers with clinical reviews and updates and planned with them and families to facilitate safe, appropriate and timely discharge;Arranged for external equipment for home wound vacs, IV antibiotic therapy, oxygen treatment, and any needed medical equipment and supplies prior to discharge;Planned for patient discharge at the time of admission using expected length of stay data and identified and eliminated all barriers to discharge;Arranged and facilitated patient transfers to external Health Care Organizations (inter-island, mainland, rehab, hospice and long term care placements) using resources such as Flying Nurses to ensure patient safety;

TelemetryCompleted primary care nursing of 4-6 assigned patients in the Medical Surgical telemetry Unit in accordance within the Standards of Practice for Nursing of the ANA;Maintained, administered and documented IV therapy and all medications and performed and documented patient admissions, discharges, transfers, tracheostomy care, complex dressing changes, suctioning, all line and tube maintenance and trouble shooting; skin care and assessment for prevention of decubiti;Monitored the assigned patients on Telemetry and did ECG analysis and interpretation, informing the MD of changes; Reviewed, analyzed and communicated laboratory values and patient status reports to the attending physician and other members of the multi-disciplinary team and performed patient admissions, transfers and discharges and preparations for tests;.