Maria Pacheco

• Review and track all incoming requests for referral and consultation. Track requested testing is completed prior to patient appointment so care is not delayed. • Coordinates all aspects of patient care with the interdisciplinary team. • Arrange patient travel and send medical necessity letters as appropriate • Arrange provider travel to villages as needed • Maintain provider travel calendar for village visits and publish as appropriate • Meet or exceed all deadline requirements for provider and patient communications for referral/consultations and follow-up • Maintain database showing when village patients require follow-up so they can be scheduled for appointments during the appropriate provider village visit. • Maintain database and track when village patients need mammography, pap testing, colonoscopy, etc. • Maintain upward communication with director regarding development within areas of assigned responsibilities and perform special projects as required or requested Additional Functions • May require travel to remote village to aid during provider visit by performing patient intake and vitals, if needed. • May require travel to remote villages to help with Rapid Response Teams giving COVID-19 vaccines, if needed. • Assist coworkers as needed. • Other duties or special projects as assigned

● Conducted screening, diagnostic treatment and supportive services as the nurse on a primary health care team. Delivered high-quality and compassionate treatment to indigent and low-income patient community. Administered IV therapy to floor status patients. Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and orient patients to unit or floor. ● Administration of chemotherapy/biotherapy by the use of theoretical knowledge with key points to safely and competently provide treatment with the highest standards and practices. ● Relief charge nurse duties, delegating assignments and working side by side with the interdisciplinary team to provide excellent care services. ● Develop and maintain quality care systems and standards, including but not limited to, creating and improving medical protocols/guidelines. ● Disciplined, energetic employee who quickly establishes rapport with patients and colleagues. Performs all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments. Assist patients with healing and recovery after surgery. Evaluate patients presenting with asthma, appendicitis and hernia. Provide necessary health education training for patients. Act as a patient advocate and implement total patient care through a team nursing process covering up to 5 fair-high acuity patients per shift. ● Admit pediatric patients to the floor, provide ongoing care with an interdisciplinary team, and provide follow up education and referrals. ● Provide educational support to patients and families to inform them of procedures. ● Help young patients feel comfortable with procedures and immunizations. ● Analyze and interpret patients' histories, symptoms, physical findings and diagnostic information to develop appropriate diagnosis. ● Identify common pediatric and adolescent illnesses to plan and implement interventions and management. ● Provide bedside care and treatment for patients in Pediatric/Surgical units. ● Educate patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options. ● Provide skilled, timely and level-headed emergency response to critically-ill patients. ● Follow all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches. ● Collect blood, tissue and other laboratory specimens and prepare for lab testing. ● Deliver medications via oral, IV and intramuscular injections, monitoring responses to address new concerns. ● Manage patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management. ● Strengthen training and nursing knowledge by taking part in continuing education programs and workshops. ● Performed ongoing assessments to evaluate mental health needs, working with a multidisciplinary team to develop, initiate, manage and modify individualized plans of care. ● Partner with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and document all patient interactions and interventions in electronic charting systems. ● Perform frequent checks on life support equipment and make necessary adjustments to preserve optimal patient conditions

Under the direct supervision of the Nurse IV, Director of Nursing and the medical supervision of the Regional Medical Director, provides routine (journey-level) public health nursing work in clinical and non-clinical settings for the assessment, care, and treatment of individuals, families and communities according to standing delegation orders. Utilizes the nursing process in assessing, planning, implementing, coordinating, delivering and evaluating public health services in assigned counties. Services include, but are not limited to, providing public health, educational, and investigative support for Covid-19 operations and are focused on the promotion of optimum wellness and disease prevention such as immunizations against vaccine preventable diseases, and comprehensive case management for clients utilizing community resources and referrals to needed services. This position works with moderate supervision with limited latitude for the use of initiative and independent judgment. Assists with preparedness activities as needed. Employee actively participates and/or serves in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. This position requires travel. Compliance with DSHS Immunization Policy required: serologic evidence of immunity to, or documented evidence of vaccination against, measles, mumps, rubella, varicella (chickenpox), Tdap, annual vaccination against influenza (and hepatitis B if applicable).

● Maintain a good care management plan

● Treatments to other facilities ● Lab work referrals ● Needs and preferences known ahead of time and communicated to the right people. ● High quality- timely-efficient care ● Proactive care plan ● Self-management goals ● Community resources ● Align the process between primary care to specialty sites ● Support patients in fully understanding their care services ● Home care needs ● Resources: ● Government insurance ● Benefits programs ● Community resource agencies ● Medicaid ● Chip ● Care coordination assessment ● Medical needs ● social needs ● educational needs ● financial needs ● legal needs ● Interdisciplinary team meetings ● Good communication skills ● Trauma informed care skills

• Initiate patient care assignments
• Provide and direct supervision of comprehensive nursing care
• Delegated duties to appropriate personnel
• Available as a resource for pediatric clinical team
• Good communication skills
• Preceptor to new nursing staff
• Provide coaching performance to team as needed
• Appropriate problem solving techniques
• Assist team for solutions and assist in procedures
• Identify training needs fo team
• Monitored patients, evaluated results and recommended further courses of treatment to quickly improve patient outcomes.
• Collaborated with multidisciplinary team to evaluate patient data and determine patient care plans.
• Evaluated nursing practices and processes and made changes.
• Used RPS/EHR to track patient status, treatments and outcomes while maintaining complete data confidentiality in compliance with HIPAA regulations.
• Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
• Led successful 10-12-person team comprised of RNs, CNAs and ancillary staff.
• Performed triage on all incoming patients and determined severity of injuries and illnesses.
• Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.
• Reported patients' status and delegated nurse assignments to achieve optimal outcomes.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
• Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care.
• Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
• Adhered to strict safety measures by carefully determining proper dosages before administering medications.

• Easily adapted to new changes and environment
• Teamwork mindset
• Good communication skills
• Broad knowledge of pediatric skill sets
• Thrived in high volume atmosphere providing care ranging from wellness visits to illnesses, injuries, and life-threatening conditions.
• Cultivated rapport with patients and caregivers, utilizing effective communication with parents and children of all age groups.
• Completed school forms and referrals for further needed assistance.
• Identified common pediatric and adolescent illnesses to plan and implement interventions and management.
• Provided educational support to patients and families to inform them of procedures.
• Analyzed and interpreted patients' histories, symptoms, physical findings and diagnostic information to develop appropriate diagnosis.
• Asked parents pre-determined questions based on age of child.
• Helped young patients feel comfortable with procedures and immunizations.
• Educated patients and answered questions about health condition, prognosis and treatment.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Implemented interventions, including medication and IV administration, catheter insertion and airway management.
• Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Audited charts and reviewed clinical documents to verify accuracy.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• Performed triage on all incoming patients and determined severity of injuries and illnesses.
• Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care.
• Explained course of care and medications, including side effects to patients and caregivers in easy-to-understand terms.
• Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
• Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.

• Conducted screening, diagnostic treatment of latent and active TB patients and families in 42 counties.
• Follow up care for patients and families.
• Referrals and appointment scheduling.
• Recorded patients' medical history, vital statistics and test results in medical records.
• Case management of Latent/Active TB patients from beginning of treatment to end of course.
• Delivered high-quality and compassionate treatment to indigent and low-income patient community. Developed and maintained quality care systems and standards, including but not limited to, creating and improving medical protocols/guidelines. Provided palliative care in outpatient settings ranging from assessment to development and implementation of care plans. Sound, ethical and independent decision-making ability consistent with medical protocols. Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments.
• TB testing/HIV testing. Provided necessary health education training for patients. Supported patients with customized patient teaching tools. Assisted physicians in focus studies on subject of Tuberculosis care.
• Administered medications and assisted in diagnostic testing for HIV-positive patients.
• Direct Care Observation for treatment care. Recorded patients' temperature, pulse and blood pressure. Utilized strong assessment skills to determine necessary patient care. Partnered with a team of Registered Nurses to ensure over all well-being of all patients. Cleaned and sterilized instruments and disposed of contaminated supplies. Interviewed patients to obtain medical information and measure their vital signs, weight and height. Maintained patient charts and confidential files.
• Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Observed and reported patient condition, progress and medication side effects to accurately document updates.
• Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals, including physicians, case managers and social workers.
• Adhered to treatment plan instructions when administering medications and treatments to patients.
• Set up and broke down individual clinic sites, managing activities from clinic initiation to termination, including paperwork processing, payment collection, biohazardous waste disposal and proper supply storage.
• Demonstrated ability to advocate for and strive to protect health, safety, and rights of patient.
• Analyzed patient responses to medications, therapies and variances in plans of care.

• Administered IV therapy, Respiratory therapy, PO therapy, Gastric tube therapy to home health pediatric patients.
• Knowledge of Inhalers, nebulizers, CPT machines for respiratory patients.
• Tracheal care and Tracheal change knowledge.
• Gastric tube care and Mickey button knowledge.
• Port access and de-access.
• Family education of patient care.
• Provided palliative care in outpatient settings ranging from assessment to development and implementation of care plans. Disciplined, energetic employee who quickly establishes rapport with patients and colleagues, following up with PT, OT and speech therapy.
• Assisted patients with healing and recovery after surgery. Evaluated patients with asthma, chronic illness and acute care.
• Delivered after-hours care to patients based on strict role-call rotations.
• Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation.
• Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
• Took samples such as blood and urine to complete diagnostic and routine assessment tests.
• Responded to patient requests with appropriate clinical and personal assistance.
• Protected patients and healthcare team members from infection by sterilizing equipment and reusable supplies.
• Informed physicians of any changes to patients' health or concerns observed during home visits.
• Assessed patients' health conditions and asked appropriate questions to better understand current feelings.
• Contacted pediatrician/ambulance immediately when issues arose with at-home patients in effort to find effective resolutions.
• Traveled to patients' homes on daily basis to assess health conditions and provide superior level of nursing care.
• Provided complete care to home health patients, including physical assessments, medication and chronic disease management.
• Scheduled appointments and transported patients to medical facilities using personal transportation.

• Conducted screening, diagnostic treatment and supportive services as the nurse on a primary health care team. Delivered high-quality and compassionate treatment to indigent and low-income patient community. Administered IV therapy to floor status patients. Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and orient patients to unit or floor.
• Developed and maintained quality care systems and standards, including but not limited to, creating and improving medical protocols/guidelines.
• Disciplined, energetic employee who quickly establishes rapport with patients and colleagues. Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments. Assisted patients with healing and recovery after surgery. Evaluated patients presenting with asthma, appendicitis and hernia. Provided necessary health education training for patients. Acted as patient advocate and implemented total patient care through a team nursing process covering up to 6 fair-high acuity patients per shift.
• Oriented new nurses.
• Admitted pediatric patients to floor, provided on going care with interdisciplinary team, and provided follow up education and referrals.
• Home health care Registered Nurse.
• Provided educational support to patients and families to inform them of procedures.
• Helped young patients feel comfortable with procedures and immunizations.
• Thrived in high volume atmosphere providing care ranging from wellness visits to illnesses, injuries, and life-threatening conditions.
• Analyzed and interpreted patients' histories, symptoms, physical findings and diagnostic information to develop appropriate diagnosis.
• Identified common pediatric and adolescent illnesses to plan and implement interventions and management.
• Provided bedside care and treatment for patients in Pediatric/Surgical units.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Collected blood, tissue and other laboratory specimens and prepared for lab testing.
• Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
• Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management.
• Strengthened training and nursing knowledge by taking part in continuing education programs and workshops.
• Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care.
• Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.