SlideShare a Scribd company logo
Jackie Cochrane RN I embrace change, welcome variety and thrive on stress.
585-261-4126
814 2 French Hill Rd.
Naples NY 14512
Jackie.cochrane@outlook.com http://www.linkedin.com/in/jackiecochrane
Highlights of Qualifications
 Over twenty years experience in healthcare with progressively advancing positions
 MS Healthcare Informatics Administration
 RN with experience in Community, family practice, acute and Long Term Care
 Management experience in Long term care with care area-deficiency-free DOH survey 2012
 I have real practice in quality improvement, patient safety and injury analysis.
 Personal characteristics include love of learning, motivating the team and I thrive on variety.
Education
MS in Healthcare Informatics Administration completed 5/11/13
Roberts Wesleyan College 2301 Westside Dr. RochesterNY 14624
U of R Patient Safety Course Certificate Program October 2012
BS in Health Care Administration completed 5/28/2011
Roberts Wesleyan College 2301 Westside Dr. RochesterNY 14624
High Honors GPA 3.92 *Received the Distinguished Achievement Award
Associates in Applied Science of Nursing RN completed May 1991
(BS equivalent in maternity child health and psychology)
Finger Lakes Community College Canandaigua, NY 14424
Swedish Massage,Yoga, Stress Reduction through exercise Fall 2004
Finger Lakes Vocational School: Stanley, NY 14561
Completed Licensed Practical Nursing program in February of 1988. * Received perfect attendance award.
Naples Central School Naples, NY 14512
Earned High School Diploma in June of 1987. *Received Perfect attendance award.
Employment History
Director of Nursing
Steuben Center for Rehabilitation and Healthcare September 2014- Current
Skills: Manage the staff and residents of a 107 bed Long Term Care Facility. Oversight of the clinical aspects of
care. Chairman of the Quality Assurance committee, Risk assessments and analysis. State regulatory compliance
and reporting. Infection Control Nurse, Involved with scheduling.
Systems: Health Commerce System, ADL, Point Click Care,
Director of Nursing
Brighton Manor Skilled Nursing Facility October 2013-March 2014
Skills: Manage the staff and residents of an 80 bed Long Term Care Facility. Liaison, Oversight of the clinical
aspects ofcare. Screen residents,Quality Assurance monitoring, Accidents and Incidents evaluations and root
cause analysis. State regulatory compliance and reporting. Employee Health maintenance, all phases ofthe hiring
process.
Systems: Health Commerce System, e-partners, 6N
Inform II District Trainer
Roche Diagnostics-Adecco Indianapolis March 2013-July 2014
Traveled throughout the region to educate end users and trainer on the new Inform II glucometer.
Skills: Inform II in-service trainer. Trained to perform meter set up for accounts and to educate small to medium
sized groups on the new Inform II glucometer.
Thompson Health over 12 years in progressive nursing roles:
Nurse Supervisor Long Term Care Facility
July 2012-Current*
Nurse Manager of The Meadows Unit
M.M. Ewing Continuing Care Center/Thompson Health Canandaigua NY October 2011-July 2012 –Current*
Skills: Manage the staff and residents of a 42 bed Long Term Care avenue.Liaison for staff and administration.
Staff meetings, education, budget management, staffing, quality control. Oversight of the clinical aspects ofcare.
MDS entry, screening residents.Injury Analysis committee, Enhanced dining committee.
Achievements:
 Significant statistical improvement in skin assessments ofresidents by care staff
 Deficiency free DOH survey in 2012 (pt care related)
Systems: 6N, McKesson,Meditech, Achieve, Kronos, Ultipro, Omnicare, Microsoft Office, Excel, Word, and
power Point.
* as of July 2012, changed status to perdiem nursing supervisor
Assistant Nurse Manager- Lakeview
M.M. Ewing Continuing Care Center/Thompson Health Canandaigua NY August 2009- October 2011
Skills: Manage the day to day clinical activities of the avenue for both staff and residents.Act as liaison for
clinical issues.Patient assessments. Oversee care plans,skin assessments,chart compliance and more. Ensure
medical orders and policies are followed by transcribing orders daily. Responsible for completing MDS’s. Acted
as SNF supervisorof facility on rotating schedule. Systems: 6N, Meditech, Achieve, Ultipro, Omnicare,
Microsoft Office, excel, word
Emergency Room Nurse
Thompson Health Canandaigua NY July 2002-August 2009
Skills: Nursing-care across a variety of acuity levels and all age ranges.
Assessments,treatments,pt teaching, evaluation and reporting to the MD as needed.
Lab and EKG skills, computerized documentation, and order entry as well as maintaining hard copy
records/billing sheets.Meditech,T-system, Microsoft Office,
Also, experienced in nursing in the Surgical Care Center, Diagnostic Imaging and Pines Avenue in the Continuing
Care Center.
**Additional work experience available upon request
Volunteer Positions
Girl Scout Leader and Special Events coordinator
Red Cross Blood Drive Volunteer Coordinator
Literacy Volunteer for Ontario & Yates County
.
Language Proficiency Level
English Fluent full knowledge
American Sign Language Moderate- communicational level
Spanish Basic-familiar

More Related Content

What's hot

Michael zinn,rn
Michael zinn,rn Michael zinn,rn
Michael zinn,rn
Michael Zinn, RN
 
Resume Jason Krawchuck RN 2015
Resume Jason Krawchuck RN 2015Resume Jason Krawchuck RN 2015
Resume Jason Krawchuck RN 2015Jason Krawchuck
 
Medical Office Assistant
Medical Office AssistantMedical Office Assistant
Medical Office Assistant
Metro Technology Centers
 
Resume - Sharon 5-10-16
Resume - Sharon 5-10-16Resume - Sharon 5-10-16
Resume - Sharon 5-10-16Sharon Rock
 
What Does a Medical Assistant Need to Know? Part 1
What Does a Medical Assistant Need to Know? Part 1What Does a Medical Assistant Need to Know? Part 1
What Does a Medical Assistant Need to Know? Part 1
Everest College
 
Doris Wong 2015 Resume v2
Doris Wong 2015 Resume v2Doris Wong 2015 Resume v2
Doris Wong 2015 Resume v2Doris Wong
 
Chapter 013
Chapter 013Chapter 013
Chapter 013
stanbridge
 
Indeed resume
Indeed resume Indeed resume
Indeed resume
John Moisant
 
Tracie's resume 2016
Tracie's resume 2016Tracie's resume 2016
Tracie's resume 2016Tracie Hurt
 
Bedside Shift Report in Medical Surgical Unit TeamStepps 2.0 Teach-Back Sess...
Bedside Shift Report in Medical Surgical Unit TeamStepps 2.0  Teach-Back Sess...Bedside Shift Report in Medical Surgical Unit TeamStepps 2.0  Teach-Back Sess...
Bedside Shift Report in Medical Surgical Unit TeamStepps 2.0 Teach-Back Sess...
Jaleann M McClurg MPH, CSPO, CSM, DTM
 

What's hot (20)

Denise Resume
Denise ResumeDenise Resume
Denise Resume
 
Michael zinn,rn
Michael zinn,rn Michael zinn,rn
Michael zinn,rn
 
KerryJenkins2016_ResumeUpdated
KerryJenkins2016_ResumeUpdatedKerryJenkins2016_ResumeUpdated
KerryJenkins2016_ResumeUpdated
 
Resume Jason Krawchuck RN 2015
Resume Jason Krawchuck RN 2015Resume Jason Krawchuck RN 2015
Resume Jason Krawchuck RN 2015
 
Medical Office Assistant
Medical Office AssistantMedical Office Assistant
Medical Office Assistant
 
MB Resume
MB ResumeMB Resume
MB Resume
 
Resume - Sharon 5-10-16
Resume - Sharon 5-10-16Resume - Sharon 5-10-16
Resume - Sharon 5-10-16
 
Resume
Resume Resume
Resume
 
What Does a Medical Assistant Need to Know? Part 1
What Does a Medical Assistant Need to Know? Part 1What Does a Medical Assistant Need to Know? Part 1
What Does a Medical Assistant Need to Know? Part 1
 
KT_Resume2016
KT_Resume2016KT_Resume2016
KT_Resume2016
 
Doris Wong 2015 Resume v2
Doris Wong 2015 Resume v2Doris Wong 2015 Resume v2
Doris Wong 2015 Resume v2
 
Chapter 013
Chapter 013Chapter 013
Chapter 013
 
nia resume
nia resumenia resume
nia resume
 
Stehman, Beth RN
Stehman, Beth RNStehman, Beth RN
Stehman, Beth RN
 
Melonie Dennison Resume 4
Melonie Dennison Resume 4Melonie Dennison Resume 4
Melonie Dennison Resume 4
 
BESSEM, RN, BSN. Resume
BESSEM, RN, BSN. ResumeBESSEM, RN, BSN. Resume
BESSEM, RN, BSN. Resume
 
Indeed resume
Indeed resume Indeed resume
Indeed resume
 
cma resume bv
cma resume bvcma resume bv
cma resume bv
 
Tracie's resume 2016
Tracie's resume 2016Tracie's resume 2016
Tracie's resume 2016
 
Bedside Shift Report in Medical Surgical Unit TeamStepps 2.0 Teach-Back Sess...
Bedside Shift Report in Medical Surgical Unit TeamStepps 2.0  Teach-Back Sess...Bedside Shift Report in Medical Surgical Unit TeamStepps 2.0  Teach-Back Sess...
Bedside Shift Report in Medical Surgical Unit TeamStepps 2.0 Teach-Back Sess...
 

Viewers also liked

Working Safely With Chemicals
Working Safely With ChemicalsWorking Safely With Chemicals
Working Safely With ChemicalsIVAN MOSES OKUNI
 
principles-and-guidelines-certificate
principles-and-guidelines-certificateprinciples-and-guidelines-certificate
principles-and-guidelines-certificateIVAN MOSES OKUNI
 
Kabboord comobidity 2016 THE FINAL version
Kabboord comobidity 2016 THE FINAL versionKabboord comobidity 2016 THE FINAL version
Kabboord comobidity 2016 THE FINAL versionAnouk Kabboord
 
Q3 round up
Q3 round upQ3 round up
Q3 round up
James Wallace
 
construction safety and health professional
construction safety and health professionalconstruction safety and health professional
construction safety and health professionalIVAN MOSES OKUNI
 
Feedback from the national focal points for surveillance
Feedback from the national focal points for surveillanceFeedback from the national focal points for surveillance
Feedback from the national focal points for surveillance
European Center for Disease Prevention and Control (ECDC)
 
Trabajo de computación
Trabajo de computaciónTrabajo de computación
Trabajo de computación
Fernando Luis Rogel
 
Flow and Throughput Improvement at Pratt and Whitney Canada
Flow and Throughput Improvement at Pratt and Whitney CanadaFlow and Throughput Improvement at Pratt and Whitney Canada
Flow and Throughput Improvement at Pratt and Whitney Canada
Ramon Saviñon
 
Santrock essentials4e ppt_ch15
Santrock essentials4e ppt_ch15Santrock essentials4e ppt_ch15
Santrock essentials4e ppt_ch15
stanbridge
 
Rajat flipkart project
Rajat flipkart project  Rajat flipkart project
Rajat flipkart project
Rajat Baranwal
 
Week11 eng1060.ppt
Week11 eng1060.pptWeek11 eng1060.ppt
Week11 eng1060.ppt
stanbridge
 
Β΄ΘΕΜΑ ΤΡΑΠΕΖΑΣ ΘΕΜΑΤΩΝ ΦΥΣΙΚΗΣ Α΄ ΛΥΚΕΙΟΥ ΑΝΑ ΚΕΦΑΛΑΙΟ: Ευθύγραμμη Ομαλά Μετ...
Β΄ΘΕΜΑ ΤΡΑΠΕΖΑΣ ΘΕΜΑΤΩΝ ΦΥΣΙΚΗΣ Α΄ ΛΥΚΕΙΟΥ ΑΝΑ ΚΕΦΑΛΑΙΟ: Ευθύγραμμη Ομαλά Μετ...Β΄ΘΕΜΑ ΤΡΑΠΕΖΑΣ ΘΕΜΑΤΩΝ ΦΥΣΙΚΗΣ Α΄ ΛΥΚΕΙΟΥ ΑΝΑ ΚΕΦΑΛΑΙΟ: Ευθύγραμμη Ομαλά Μετ...
Β΄ΘΕΜΑ ΤΡΑΠΕΖΑΣ ΘΕΜΑΤΩΝ ΦΥΣΙΚΗΣ Α΄ ΛΥΚΕΙΟΥ ΑΝΑ ΚΕΦΑΛΑΙΟ: Ευθύγραμμη Ομαλά Μετ...
HOME
 
Sparklight company`s profile
Sparklight company`s profileSparklight company`s profile
Sparklight company`s profile
SPARK LIGHT TRADERS
 

Viewers also liked (13)

Working Safely With Chemicals
Working Safely With ChemicalsWorking Safely With Chemicals
Working Safely With Chemicals
 
principles-and-guidelines-certificate
principles-and-guidelines-certificateprinciples-and-guidelines-certificate
principles-and-guidelines-certificate
 
Kabboord comobidity 2016 THE FINAL version
Kabboord comobidity 2016 THE FINAL versionKabboord comobidity 2016 THE FINAL version
Kabboord comobidity 2016 THE FINAL version
 
Q3 round up
Q3 round upQ3 round up
Q3 round up
 
construction safety and health professional
construction safety and health professionalconstruction safety and health professional
construction safety and health professional
 
Feedback from the national focal points for surveillance
Feedback from the national focal points for surveillanceFeedback from the national focal points for surveillance
Feedback from the national focal points for surveillance
 
Trabajo de computación
Trabajo de computaciónTrabajo de computación
Trabajo de computación
 
Flow and Throughput Improvement at Pratt and Whitney Canada
Flow and Throughput Improvement at Pratt and Whitney CanadaFlow and Throughput Improvement at Pratt and Whitney Canada
Flow and Throughput Improvement at Pratt and Whitney Canada
 
Santrock essentials4e ppt_ch15
Santrock essentials4e ppt_ch15Santrock essentials4e ppt_ch15
Santrock essentials4e ppt_ch15
 
Rajat flipkart project
Rajat flipkart project  Rajat flipkart project
Rajat flipkart project
 
Week11 eng1060.ppt
Week11 eng1060.pptWeek11 eng1060.ppt
Week11 eng1060.ppt
 
Β΄ΘΕΜΑ ΤΡΑΠΕΖΑΣ ΘΕΜΑΤΩΝ ΦΥΣΙΚΗΣ Α΄ ΛΥΚΕΙΟΥ ΑΝΑ ΚΕΦΑΛΑΙΟ: Ευθύγραμμη Ομαλά Μετ...
Β΄ΘΕΜΑ ΤΡΑΠΕΖΑΣ ΘΕΜΑΤΩΝ ΦΥΣΙΚΗΣ Α΄ ΛΥΚΕΙΟΥ ΑΝΑ ΚΕΦΑΛΑΙΟ: Ευθύγραμμη Ομαλά Μετ...Β΄ΘΕΜΑ ΤΡΑΠΕΖΑΣ ΘΕΜΑΤΩΝ ΦΥΣΙΚΗΣ Α΄ ΛΥΚΕΙΟΥ ΑΝΑ ΚΕΦΑΛΑΙΟ: Ευθύγραμμη Ομαλά Μετ...
Β΄ΘΕΜΑ ΤΡΑΠΕΖΑΣ ΘΕΜΑΤΩΝ ΦΥΣΙΚΗΣ Α΄ ΛΥΚΕΙΟΥ ΑΝΑ ΚΕΦΑΛΑΙΟ: Ευθύγραμμη Ομαλά Μετ...
 
Sparklight company`s profile
Sparklight company`s profileSparklight company`s profile
Sparklight company`s profile
 

Similar to 2015 Resume

Robin Manard current resume 1-1-2016
Robin Manard current resume 1-1-2016Robin Manard current resume 1-1-2016
Robin Manard current resume 1-1-2016Robin Manard
 
MichaelaVAndrews_RESUME Revised 04 26 2016
MichaelaVAndrews_RESUME Revised 04 26 2016MichaelaVAndrews_RESUME Revised 04 26 2016
MichaelaVAndrews_RESUME Revised 04 26 2016Michaela Andrews
 
LaWaughn Scruggs 2016 Resume
LaWaughn Scruggs 2016 ResumeLaWaughn Scruggs 2016 Resume
LaWaughn Scruggs 2016 ResumeLaWaughn Scruggs
 
Clarion Campbell Msn 092011 Resume Final
Clarion Campbell Msn 092011 Resume FinalClarion Campbell Msn 092011 Resume Final
Clarion Campbell Msn 092011 Resume Final
cjisanrn
 
Ochsner Slideshare Overview 08.2023.pdf
Ochsner Slideshare Overview 08.2023.pdfOchsner Slideshare Overview 08.2023.pdf
Ochsner Slideshare Overview 08.2023.pdf
BlakeWatts3
 
2016 Ningard_Andrea_BSN,RN Resume OCT
2016 Ningard_Andrea_BSN,RN Resume OCT2016 Ningard_Andrea_BSN,RN Resume OCT
2016 Ningard_Andrea_BSN,RN Resume OCTAndrea Ningard BSN,RN
 
Elisa Garrett Resume
Elisa Garrett ResumeElisa Garrett Resume
Elisa Garrett Resume
Elisa Garrett
 
2016 resume
2016 resume2016 resume
2016 resume
Lori Goucher
 
Joy Beck - Resume
Joy Beck - ResumeJoy Beck - Resume
Joy Beck - ResumeJoy Beck
 
Resume 2016
Resume 2016Resume 2016
Resume 2016
Nicholas Lavelle
 

Similar to 2015 Resume (20)

Phillip Duah -Resume (CV)
Phillip Duah -Resume (CV)Phillip Duah -Resume (CV)
Phillip Duah -Resume (CV)
 
MG_resume_2012
MG_resume_2012MG_resume_2012
MG_resume_2012
 
Robin Manard current resume 1-1-2016
Robin Manard current resume 1-1-2016Robin Manard current resume 1-1-2016
Robin Manard current resume 1-1-2016
 
Resume
ResumeResume
Resume
 
MichaelaVAndrews_RESUME Revised 04 26 2016
MichaelaVAndrews_RESUME Revised 04 26 2016MichaelaVAndrews_RESUME Revised 04 26 2016
MichaelaVAndrews_RESUME Revised 04 26 2016
 
nursing resume
nursing resumenursing resume
nursing resume
 
LaWaughn Scruggs 2016 Resume
LaWaughn Scruggs 2016 ResumeLaWaughn Scruggs 2016 Resume
LaWaughn Scruggs 2016 Resume
 
resume-updated
resume-updatedresume-updated
resume-updated
 
Clarion Campbell Msn 092011 Resume Final
Clarion Campbell Msn 092011 Resume FinalClarion Campbell Msn 092011 Resume Final
Clarion Campbell Msn 092011 Resume Final
 
CDI Nurse
CDI NurseCDI Nurse
CDI Nurse
 
Ochsner Slideshare Overview 08.2023.pdf
Ochsner Slideshare Overview 08.2023.pdfOchsner Slideshare Overview 08.2023.pdf
Ochsner Slideshare Overview 08.2023.pdf
 
2016 Ningard_Andrea_BSN,RN Resume OCT
2016 Ningard_Andrea_BSN,RN Resume OCT2016 Ningard_Andrea_BSN,RN Resume OCT
2016 Ningard_Andrea_BSN,RN Resume OCT
 
Elisa Garrett Resume
Elisa Garrett ResumeElisa Garrett Resume
Elisa Garrett Resume
 
2016 resume
2016 resume2016 resume
2016 resume
 
Joy Beck - Resume
Joy Beck - ResumeJoy Beck - Resume
Joy Beck - Resume
 
Matt CV
Matt CVMatt CV
Matt CV
 
CAC CV 10-24-16
CAC CV 10-24-16CAC CV 10-24-16
CAC CV 10-24-16
 
Jennifer tudek carter resume
Jennifer tudek carter resumeJennifer tudek carter resume
Jennifer tudek carter resume
 
resume
resumeresume
resume
 
Resume 2016
Resume 2016Resume 2016
Resume 2016
 

2015 Resume

  • 1. Jackie Cochrane RN I embrace change, welcome variety and thrive on stress. 585-261-4126 814 2 French Hill Rd. Naples NY 14512 Jackie.cochrane@outlook.com http://www.linkedin.com/in/jackiecochrane Highlights of Qualifications  Over twenty years experience in healthcare with progressively advancing positions  MS Healthcare Informatics Administration  RN with experience in Community, family practice, acute and Long Term Care  Management experience in Long term care with care area-deficiency-free DOH survey 2012  I have real practice in quality improvement, patient safety and injury analysis.  Personal characteristics include love of learning, motivating the team and I thrive on variety. Education MS in Healthcare Informatics Administration completed 5/11/13 Roberts Wesleyan College 2301 Westside Dr. RochesterNY 14624 U of R Patient Safety Course Certificate Program October 2012 BS in Health Care Administration completed 5/28/2011 Roberts Wesleyan College 2301 Westside Dr. RochesterNY 14624 High Honors GPA 3.92 *Received the Distinguished Achievement Award Associates in Applied Science of Nursing RN completed May 1991 (BS equivalent in maternity child health and psychology) Finger Lakes Community College Canandaigua, NY 14424 Swedish Massage,Yoga, Stress Reduction through exercise Fall 2004 Finger Lakes Vocational School: Stanley, NY 14561 Completed Licensed Practical Nursing program in February of 1988. * Received perfect attendance award. Naples Central School Naples, NY 14512 Earned High School Diploma in June of 1987. *Received Perfect attendance award. Employment History Director of Nursing Steuben Center for Rehabilitation and Healthcare September 2014- Current Skills: Manage the staff and residents of a 107 bed Long Term Care Facility. Oversight of the clinical aspects of care. Chairman of the Quality Assurance committee, Risk assessments and analysis. State regulatory compliance and reporting. Infection Control Nurse, Involved with scheduling. Systems: Health Commerce System, ADL, Point Click Care, Director of Nursing Brighton Manor Skilled Nursing Facility October 2013-March 2014 Skills: Manage the staff and residents of an 80 bed Long Term Care Facility. Liaison, Oversight of the clinical aspects ofcare. Screen residents,Quality Assurance monitoring, Accidents and Incidents evaluations and root cause analysis. State regulatory compliance and reporting. Employee Health maintenance, all phases ofthe hiring process. Systems: Health Commerce System, e-partners, 6N Inform II District Trainer Roche Diagnostics-Adecco Indianapolis March 2013-July 2014 Traveled throughout the region to educate end users and trainer on the new Inform II glucometer.
  • 2. Skills: Inform II in-service trainer. Trained to perform meter set up for accounts and to educate small to medium sized groups on the new Inform II glucometer. Thompson Health over 12 years in progressive nursing roles: Nurse Supervisor Long Term Care Facility July 2012-Current* Nurse Manager of The Meadows Unit M.M. Ewing Continuing Care Center/Thompson Health Canandaigua NY October 2011-July 2012 –Current* Skills: Manage the staff and residents of a 42 bed Long Term Care avenue.Liaison for staff and administration. Staff meetings, education, budget management, staffing, quality control. Oversight of the clinical aspects ofcare. MDS entry, screening residents.Injury Analysis committee, Enhanced dining committee. Achievements:  Significant statistical improvement in skin assessments ofresidents by care staff  Deficiency free DOH survey in 2012 (pt care related) Systems: 6N, McKesson,Meditech, Achieve, Kronos, Ultipro, Omnicare, Microsoft Office, Excel, Word, and power Point. * as of July 2012, changed status to perdiem nursing supervisor Assistant Nurse Manager- Lakeview M.M. Ewing Continuing Care Center/Thompson Health Canandaigua NY August 2009- October 2011 Skills: Manage the day to day clinical activities of the avenue for both staff and residents.Act as liaison for clinical issues.Patient assessments. Oversee care plans,skin assessments,chart compliance and more. Ensure medical orders and policies are followed by transcribing orders daily. Responsible for completing MDS’s. Acted as SNF supervisorof facility on rotating schedule. Systems: 6N, Meditech, Achieve, Ultipro, Omnicare, Microsoft Office, excel, word Emergency Room Nurse Thompson Health Canandaigua NY July 2002-August 2009 Skills: Nursing-care across a variety of acuity levels and all age ranges. Assessments,treatments,pt teaching, evaluation and reporting to the MD as needed. Lab and EKG skills, computerized documentation, and order entry as well as maintaining hard copy records/billing sheets.Meditech,T-system, Microsoft Office, Also, experienced in nursing in the Surgical Care Center, Diagnostic Imaging and Pines Avenue in the Continuing Care Center. **Additional work experience available upon request Volunteer Positions Girl Scout Leader and Special Events coordinator Red Cross Blood Drive Volunteer Coordinator Literacy Volunteer for Ontario & Yates County . Language Proficiency Level English Fluent full knowledge American Sign Language Moderate- communicational level Spanish Basic-familiar