• Agency nurse in ER• Agency nurse Home Health• Agency nurse ICU• Agency Nurse Med-Surg• Agency Nurse MICU

Direct and lead a team of RN, Lvn, and certified nurses aides in a 133 bed facility census full

Chief Nursing Officer for a 72 bed hospital• Increased patient satisfaction scores by 20 points• Started 7 service teams• Decreased agency use by 55%• Decreased LOS from 4.2 to 3.2• Continued direct patient care in ER, Med/Surg, ICU

Chief Nursing Officer/Chief Operating Officer -35 bed hospital• Responsible for Dietary, Lab, radiology, pharmacy, OR, ICU, Med/Surg, Tele, Case Management, Infection Control, employee Health• Decreased agency use of $100,000.month to zero• Decreased LOS to 2.2 days from 5.4 days• Started interdisciplinary team conferences• Started concurrent Interqual review of patients• Continued direct patient care in ER, Med/Surg, ICU

• Supervised approx 70 Employees• Increased Patient satisfaction from 42% 74%• Decreased agency use from 500 hours month to 80 hours• Had 10 openings, filled those positions • Served on Leadership team for Community Cares

Responsible for OR, PACU, Pre-Op, PAT, ER, 7-bed In-Patient Telementry Unit, Pharmacy, Risk Management, QA, Laboratory, Imaging, Plant Ops, Bed Control, Case Management, Materials Management, Infection Control, and HousekeepingDirect and coordinate an organization's financial and budget activities to fund operations, maximize investments, and increase efficiency. Decreased budget by 300,000/monthConfer with board members, organization officials, and staff members to discuss issues, coordinate activities, and resolve problems.Analyze operations to evaluate performance of a company and its staff in meeting objectives, and to determine areas of potential cost reduction, program improvement, or policy change.Direct, plan, and implement policies, objectives, and activities of organizations or businesses to ensure continuing operations, to maximize returns on investments, and to increase productivity.Prepare budgets for approval, including those for funding and implementation of programs.

Oversee nursing, dietary, activities, and Director of Nurses, in assisted living communities/SNF.Wrote policy and procedures manualsComplete Budgetary responsibility and over siteCoordinated and oversaw all Federal, State and Local agency readiness, evaluation and follow-upLiaison with physicians, families, and vendors, and marketing

Managed over 30 Assisted Living, LTC, LTAC communities with approximately 40-120 patients in each community.Direct supervision of over 250 FTE's, never had sub-standard rating with any federal or state agency,

Wrote policy and procedures using evidence based literature reviewMaintain documentation of orientation and in-service in the ER.Assess employees competencies and verified their ability to perform skills by conducting skills daily training and check-offProvided in-services to new employees and conducted training for graduating nursesImplemented a hospital wide fax report to be used for resident reports as well as for patient reports for transportation from ER to the unitsReceived THR Nursing Research Award for research done on the unit to decrease pressure ulcers in the fractured hip patient by 70%. Instrumental in getting ready for the JCAHO survey where we made a 97%.Set up the internship program for the ER and performed the lectures for the Texas Health Resources ER Internship Program. I helped in organizing and planning the all ER Internship program.Was an integral part of the magnet committees, and magnet teams assigned to coordinate magnet training, contest participation, and evaluation teams.Orthopedic/ Neuro, Pediatric, GI/GU, Pulmonary UnitsNurse ManagerOriginally nurse manager over 1 unit (ortho/neuro) but within a few months increased my units to 4 units each 30 beds, the units included orthopedic/neuro, pediatric, gi/gu, and pulmonaryHospital Committee Member, including JCAHO, Magnet, Root Cause Analysis, and Patient Progression Committee. This committee was developed to flow-chart movement from admission to discharge, to move the patient through the system in the most efficient way Budget control, staffing, scheduling, conflict resolutionLiaison with physicians, families, vendors, and retention of staffPatient satisfaction increased from 84% to 94%, retention increased from 75% to 91%Won the Texas Health Resources Quality award with research done on the unit to decrease pressure ulcers in the fractured hip patient Instrumental in preparing for the JCAHO survey where we made a 97%

(Multi-system Chief Nursing Operator) over 7-12 Long-Term Facilities/Sub-acute units,LTAC that range from 120 beds to 350 beds. Each facility had a Director of Nurses and up to 12 Nurse managersManaged 2 Nurse Consultants and 7 Directors of Nursing Budget control, regulatory issues, risk management, and QIPolicy and procedure review and modification, quality control, compliance, staffing, team building and retention of Director of Nurses.Attained Masters of Health Care Administration (MHA)Coordinated and oversaw all Federal, State and Local agency readiness, evaluation and follow-up

Responsible for the creation of staffing solutions for a 450 bed IL, AL, LTC, and Rehab Hospital which were multiple buildings Designed staffing solutions to include employee sharing, scheduling programs, and on-call utilization on a 24/7 basis. Created employee incentives for employee sharing, split shift solutions and other retention systems.

Managed 110 FTE, staffing, scheduling, budget control, ordered supplies, was instrumental in saving the facility from closure due to multiple state deficienciesPressure sore reduced from 34 to 4 with in 90 days with improved staff education, training, and turning programs that were not previously in placeImproved nursing documentation, physician notification, decreased weight loss from 20 to 0 with in 90 days, created staffing ladders and worked with staffing to decrease issues from 15 openings to 0 openings in 90 days