Krista Selby has over 30 years of nursing experience in a variety of settings including intensive care, home health, hospice care, infusion therapy, hospitals, dialysis, and case management. She has a Bachelor of Science in Nursing and is licensed in Tennessee, Alabama, and Florida. Her most recent experience is as a case manager for SouthernCare Hospice since 2015 where she provides patient care and assessments.

1. Krista S. Selby
Krista Selby RN/BSN
3130 Hillsboro Rd
Huntsville, AL 35805
Phone: (256)-701-2556
K_selby8289@yahoo.com
OBJECTIVE: Delivery ofquality nursing care in all settings. I have active Registered
Nurse license’s in Tennessee, Alabama, and Florida.
QUALIFICATIONS
Extensive skills in nursing which includes Intensive Care, Home Health,
Hospice Care,Infusion therapy, multiple neurological settings, various
hospital
settings,chronic and acute hemodialysis, and at present Care Manager.
EDUCATION
1978-1983-University ofAlabama in Huntsville, Bachelor ofScience in Nursing
EMPLOYMENT
06/2015 to present-SouthernCare Hospice
Currently I am a Case Manager, full-time, making patient visits.
I also do assessments for admission criteria, admissions who are
appropriate under Medicare regulations, take call when assigned,death
visits and all patient care for my paients. Pain management, as well as
other comorbidies are managed by the case manager to ensure,as much
as possible, that the patient can stay at home and have a peaceful death,
as they wish. We use HomeCareHomeBase for all office and field
personnel.
5/2015 to 6/2015-Humana through Oxford Health Care-Care Manager
I am currently working through an agency doing Care Management
for Humana Senior Bridge program. I do Transitions, LTIH, Brief
surveys and followthrough with each member until the goals
have been completed and accomplished. This is part ofthe integrated
health care system to meetmembers needs and to attempt to keep them
home post discharge from the hospital by assessing, educating, and
providing resourcesas needed.This is done within the members home.

2. 5/2014-11/2014-Emerald Coast Hospice, Gentiva Corporation
I was a full time RN Call Nurse for weekends starting Friday at 5pm
until Monday at 8am. All calls from patients or families were discussed,
dealt with by phone, or a personal visit from the Registered Nurse. All
aspects ofpain management, changes in patients condition to include
those that were not considered part ofthe hospice diagnosis, and
follow up with the physician on call were necessary. All deaths were
attended, as were any admissions on the weekend. All phone calls were
documented and any patient or family who called twice were
automatically seen, as were patients who took falls. Any changes in the
patients condition that the family were concerned about was also an
automatic visit. Pain management, comfort, teaching to the patient and
family on the processofdisease as a terminal illness, were presented
with education. Crisis care could be started by the R.N. ifthe patient
was declining and needed assistance with pain management/comfort. IV
infusions ofcomfort medications such as antibiotics and blood draws for
various tests were also performed.
2/2014 to 4/2014-Davita Dialysis
I was hired to be the Charge Nurse in Acutes Hemodialysis but
unfortunately I did not receive the orientation I was told would be part
of my training and ended up working anywhere from 15-20 hour days
with back to back call. I resigned due to what I felt was unsafe nursing
practices.
07/2008 to 12/2013-Fresenius Dialysis
I was employed as Charge/StaffNurse in the clinic setting for end
stage renal disease.My responsibilities include caring for all aspects of
total patient care; evaluating the patient who presents with various
complaints and notifying the physician of changes in patients’ condition.
I carry out any standing orders, at times autonomously challenging goals
or decreasing these as needed, as well as monitoring vital signs
throughout treatment and post treatment. All medications are given as
prescribed, as well as catheters,grafts and fistulas cannulation and care
of. Interpretation oflab values is necessary with the knowledge base to
understand those values critical to patient care.I am also the designator
preceptor for all newnurses.
EMPLOYMENT
06/2007-12/2007-Decatur General Hospital, A&Dnurse/StaffNurse Med/Surg
I began as an Admission/Discharge nurse and then went to a
staff nurse working 3 twelve hour shifts.My responsibilities included

3. phlebotomy, IVstarts, PCA pumps, all medication administration
including Medport, Subclavian and PICC lines. We cared for multiple
disease process and surgical patients, pre and post operative. I resigned
due to the illness ofmy mother, who has since passed away.
12/2005-06/2007-R.N. Gentiva, Huntsville,AL
Gentiva is a home health/hospice company. I cared for the
terminally ill patient within their home setting which included nursing
homes and assisted living facilities.Management oftheir terminal
diagnosis as well as any other disease processes was required.
Assessment ofphysical and emotional being was completed with each
visit. Pain control was of utmost importance, which included
medication management and titration with changes as needed.
Education on all diagnosis to patient and family was taught and
reinforced. Autonomous decision-making was necessary, as well as
assessment skills. I also presented CEU courses to other facilities and
was to the Patient Care Coordinator over all Case Managers,LPN’s,
and Home Health Aides.I reported directly to the Director ofNursing. I
scheduled patient visits, did pre-certification for Medicare and hospice
appropriate disease process.I was responsible for discipline and
corrective actions. I transferred to home health from hospice, and
completed OASIS admissions. I also did regular skilled visits as needed.
12/2004-12/2005-R.N.-Huntsville Hospital, NeuroPCU/NICU. Huntsville,AL
Caring for patients who were transferred from NICU, as well as
direct admits, surgical patients, and E.R. patients. Care consisted of
many total care patients, recovery ofsurgical patients,CVA,
Intracranial Bleeds, neurological conditions such as Multiple Sclerosis,
differing neuropathies,and malignancies. I also worked in NICU as a
preferred
pulled R.N. This included ventilator patients,swan and arterial
lines, and intracranial pressure monitoring.
9/2003-12/2004-Neurology Associates
I worked as a R.N. as well as Physician Assistant to a
Neurologist who seen patients for various neurological conditions as well
as the administration ofIVIG and Solumedrol. Responsibilities
included assessment ofpatients to be seen as well as starting IV’s,mixing
and administration of IVIG and drawing pre, mid, and post lab work.
Cervical, thoracic, and lumbar injections and punctures were performed
in the office by this physician. I resigned because this physician was
fraudulently charging Medicare by postdating procedures.

4. 3/2003-09/2003-Huntsville Hospital, Emergency Room Staff Nurse, Huntsville, AL
This emergency room is one ofthe 10 busiest in the United
States. It was necessary to work quickly and efficiently. Trauma related
injuries were airlifted to this facility from the North Alabama region.
The ability to run EKG’s, IVstarts, as well as phlebotomy skills were
necessary. Assessments done in a timely manner were also received on
each patient. I resigned because I was told to “treat them and street
them”, and I believe my love is to treat the full patient.
11/2000-2/2003-R.N. Case Manager, SouthernCare Hospice, Huntsville, AL
Full time Case Manager monitoring all aspects oftheir care.
Being a liaison between the physician and the patient was essential.
Venipuncture skills were required as well as phlebotomy. Titration of
narcotics for comfort with total physical assessments and emotional
assessments were completed with each visit. Wound care was common
practice. The R.N. attended all deaths. In addition I taught CEU classes
and documentation, speaking sessions to the community, and auditing of
charts for completeness.
09/1994-06/1996-R.N. Case Manager and On-Call R.N., Hospice ofHuntsville,
Huntsville, AL
I was a part-time R.N. Case Manager and their on-call nurse 4 nights a
week.In dealing with terminal illness the job description was wide and
varied. It consisted ofmaking patient visits and assessments and
interacting with the attending physicians to maintain patient comfort.
Lab work was obtained when ordered. All duties required autonomous
decision-making.Techniques employed included venipuncture, titration
of medications, assessing for signs and symptoms ofother secondary
infections or disease processes’,and most importantly emotional
support ofthe patient and family during the death and dieing process.
07/1990-09/1994-Athome with children.
04/1988-07/1990-StaffR.N., Humana Hospital, Huntsville AL
I was employed full-time in the float pool to staff for the
Medical/Surgical floor, ICU, CCU, and NICU. I was also the medication
nurse for the above units when needed.

5. 02/1987-12/1987-R.N. On-Call for Intensive Care Units,Private Treatment ofE.R.
Huntsville Hospital, Huntsville,AL
Employed on an on-call basis to staffintensive care units.
Responsibilities included monitoring ABG’s, EKG’s,venipuncture, IV
therapy, ventilator dependent patients,arterial lines, and other
necessary intensive care unit monitoring. In the Private Treatment area
I was a staff R.N. for non-emergency treatment ofpatients by private
physicians and E.R. physicians. Responsibilities and skills required
included administration of intravenous fluids, blood products, and
venipuncture. Routine physical exams, assessments ofpatient status,and
assisting physicians with suturing, breaks and fractures, ob-gyn exams,
and related cultures,as well as lab work were also performed. Triage
was also performed.
10/1984-11/1986-R.N. Medical Intensive Care, Huntsville Hospital, Huntsville, AL
Staff R.N. with the rotating Clinical Charge Nurse responsibilitiesin the
assessment and maintenance ofthe critically ill adult in acute, chronic,
and trauma related crisis.Maintenance ofventilator dependent patients,
invasive cardiac and central venous monitoring as well as assisting
physicians in diagnostic procedures such as cardiac catheterization,
arterial blood monitoring, bronchoscopes, thoracentesis, and lumbar
punctures were routine. Initiating resuscitation measures, as well as
administration and maintenance ofintravenous medications for cardiac
arrest and stabilization was necessary.
07/1983-10/1984-StaffR.N. Oncology, Float, Medical Center, Huntsville, AL
Staff R.N. on the oncology/chemotherapy floor as well as
working in the
float pool for the ICU unit.