Compassionate, Experienced, Professional, RN with a long demonstrated history of working in Hospice, Long Term Care and Hospital industries. Skilled in Leadership, Nursing Management, Team Building, Customer Satisfaction, Compliance, Crisis Management, Case Management and Triage. Excellent organizational, written, oral and interpersonal skills. Teamwork, listening and communication are key. Strong healthcare services professional always ready to greet the next challenge. Personal Mottos: "Do not meet the standard, set the standard." and "Be part of the solution, not part of the problem."
PROFESSIONAL OBJECTIVES
To obtain a full-time position to utilize my working knowledge of leadership and nursing and to continue to develop and apply evidence-based practices, quality assurance and professional interpersonal relationship experiences.
PROFESSIONAL OBJECTIVES
To obtain a full-time position to utilize my working knowledge of leadership and nursing and to continue to develop and apply evidence-based practices, quality assurance and professional interpersonal relationship experiences.
Definition: Patient-Centered Care
Definition Patient-centered care (patient centred care): “Is a model in which providers partner with families to identify and satisfy the full range of patient needs and preferences.”
To expand this definition, patient-centered care is dependent on the involvement of the staff and care team as well.
“To succeed, a patient-centered approach must also address the staff experience as staff’s ability and inclination to effectively care for patients is unquestionably compromised if they do not feel care for themselves" (Picker Institute).
Researchers from Harvard Medical School, on behalf of Picker Institute and The Commonwealth Fund, defined seven primary dimensions of patient-centered care model.
These factors are identified as:
Respect for patients’ values, preferences and expressed needs
Coordination and integration of care
Information, communication and education
Physical comfort
Emotional support and alleviation of fear and anxiety
Involvement of family and friends
Transition and continuity
Definition: Patient-Centered Care
Definition Patient-centered care (patient centred care): “Is a model in which providers partner with families to identify and satisfy the full range of patient needs and preferences.”
To expand this definition, patient-centered care is dependent on the involvement of the staff and care team as well.
“To succeed, a patient-centered approach must also address the staff experience as staff’s ability and inclination to effectively care for patients is unquestionably compromised if they do not feel care for themselves" (Picker Institute).
Researchers from Harvard Medical School, on behalf of Picker Institute and The Commonwealth Fund, defined seven primary dimensions of patient-centered care model.
These factors are identified as:
Respect for patients’ values, preferences and expressed needs
Coordination and integration of care
Information, communication and education
Physical comfort
Emotional support and alleviation of fear and anxiety
Involvement of family and friends
Transition and continuity
PATIENT ASSIGNMENTS AND NURSING CARE RESPONSIBILITIES.pptxPRADEEP ABOTHU
Patient Assignments and Nursing Care Responsibilities
Functional Nursing:
Functional nursing is a care delivery model in which nursing tasks are divided among team members based on their specific skills and expertise. In this model, each member of the nursing team is assigned specific functions to perform for a group of patients. For instance, one nurse may be responsible for administering medications, while another nurse may focus on vital sign monitoring. This approach aims to promote efficiency by utilizing the specialized skills of each team member. However, it can also result in fragmented care and reduced continuity as different nurses handle different aspects of patient care.
Team Nursing:
Team nursing is a collaborative care delivery model that involves a team of healthcare professionals working together to provide comprehensive care to a group of patients. The team typically includes registered nurses, licensed practical nurses, and nursing assistants, among others. A registered nurse usually leads the team and coordinates care, delegating tasks to team members based on their abilities and scope of practice. This model encourages teamwork, shared decision-making, and a holistic approach to patient care. By leveraging the collective skills and knowledge of the team, team nursing aims to provide high-quality care while maintaining efficiency.
Primary Nursing:
Primary nursing is a patient-centered care delivery model in which a registered nurse takes full responsibility for coordinating and providing care to a specific group of patients. The primary nurse develops a therapeutic relationship with the patients, assesses their needs, creates individualized care plans, and provides direct care throughout their healthcare journey. This model emphasizes continuity of care and places a strong emphasis on the nurse-patient relationship. By having a dedicated primary nurse, patients benefit from personalized attention, improved communication, and a sense of continuity in their care.
Case Management:
Case management is a care delivery model that focuses on coordinating healthcare services for patients with complex medical conditions or multiple healthcare needs. A case manager, often a registered nurse, plays a key role in this model by working closely with the patient, their family, and other healthcare professionals to ensure seamless transitions between healthcare settings and to optimize resource utilization. The case manager assesses the patient's needs, develops and implements care plans, advocates for the patient, coordinates appointments and services, and collaborates with various healthcare providers. The goal is to provide comprehensive and efficient care while maximizing patient outcomes and resource allocation.
Each of these care delivery models has its own strengths and weaknesses, and the choice of model depends on factors such as the healthcare setting, patient population, and available resources.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
1. JEANNE FROBOSE, RN
380 ChestnutStreet, Nutley,NJ 07110 | C: 862-215-1177 | mftroop@verizon.net
Professional Summary
Energetic, disciplined, innovative Registered Nurse and Leader. Dedicated to advocating for patientsby setting the
standard and maintaining reputation for achieving high levels of patient satisfaction and quality outcomes. Collaborative
multi tasker with long demonstrated experience working closely with interdisciplinary teams creating, implementing care
plans and nursing process to meet and exceed patient needs. Expertise in management, supervision, regulatory
compliance, care planning/implementation, infection control,and wound care. Excellent interpersonal and
communication skills. Quickly and effectively establishes rapportwith patients, families and colleagues. Seeking
leadership role in a Long Term/Skilled Care facility or Hospice with a commitment to innovative processes.
Skills
Leadership InterpersonalCommunication
Oral and Written Communication Interdisciplinary Collaboration
Team Building Advanced Problem Solving
Staff Education and Development Geriatric Nursing
Compliance Reporting(HIS and MDS) Alzheimers/Dementia Care
Policy and Program Development Quality Assurance
Hospice/Palliative Care Utilization Review
Wound Care Long Term/Skilled Care
Infection Control Case Management
Patient Advocacy Care Plan Development
Pain Management Crisis Management
Time Management Therapeutic Speaking
Conflict resolution Triage
Electronic Documentation In-Servicing
Professional Experience
Hospice Admissions Nurse 08/2015 to 10/2017
Compassus Paramus, NJ
Led Interdisciplinary Team through admission process from referralto implementation.
Simultaneously served as lead RN and Admissions manager of inpatient Hospice Unit.
Authored, Developed, Initiated and Maintained policies and procedures for newly acquired inpatient unit.
Led and Managed Sales Team through initiating opening inpatient unit to accept new patient referrals.
Managed the day-to-day tactical and long-term strategic activities within the Admissions Department.
Collaborated and Developed with all Department Heads of inpatient unit to develop their own internal workflow
and process.
Coordinated Hospice Plan of Care for individual patients with Long Term Care facilities.
Achieved 100% HIS reporting compliance.
Purchased Nursing and Patient supplies adhering to strict budget.
Established knowledge-sharing processes for Nursing.
Reduced and controlled expenses by improving resource allocation.
Developed terminal diagnosis of all new patient referrals.
Coordinated ordering and delivery of DME and personal care items for newly admitted patients.
Developed and Implemented Plan of Care for all admissions.
2. Identified medication needs of patients and Implemented the ordering and delivery of hospice medication
comfort kits to patients homes or facilities.
Prioritized and solved pain management issues of terminal patients.
Collaborated with Interdisciplinary Team during team meetings and during everyday operations.
Delegated tasks to home office personnel while visiting patients in the field.
Generated daily new referrals/admissions reports to Corporate Superiors and Interdisciplinary Team.
Mentored and Trained new RN Case Managers in Admission Process and Hospice Philosophy.
Hospice RN Case Manager 09/2012 to 09/2015
VITAS Healthcare Livingston, NJ
Deliver high quality, compassionate palliative care and treatment to terminally ill patients in private homes and
facilities.
Performed and documented initial exams and determined appropriate diagnosis.
Reviewed physician referrals and patient medical records to formulate accurate diagnosis and care planning.
Facilitated adjustment to death and dying process by cultivating caring relationships with patients and families.
Counseled, educated and made recommendations to patients and their caregivers and families about realistic
goal setting and coping strategies.
Received several “Above and Beyond” awards 2012,-2015 for outstanding patient care and customer service.
Regularly evaluated clinical outcomes and adjusted care plans to achieve maximum comfort and quality of life of
patients.
Provided compassionate, attentive support to families.
Independently assess and diagnose patients, often praised by MD's for exceptionalnursing skills.
Facilitated ADLs and assisted patients with functionalmobility to increase comfort and quality of life.
Recommended equipment for in-home modifications aiding in comfort of patient and decrease in care giver role
strain.
Time management expert
Impeccable rapport with patients and their families resulting in continual requests to keep me as primary RN
Consulted with other direct-care staff and worked with caregivers to implement care plans that achieved
maximum comfort and quality of life goals.
Earned repeated commendations from supervisor and patients for providing high-quality, compassionate care.
Expertly customized conventional nursing care plans and techniques to meet the specific needs of individual
patients.
Regularly evaluated care planning and treatment and adjusted to achieve maximum quality of life.
Precise documentation and timely reporting to multidisciplinary team.
Responsible for entire patient census ranging from 70-125 patients.
Supervised 10 on call nursing staff.
Provided rapid response to emergency calls from triage nurse on 24 hour basis.
Unit Manager Alzheimers/Dementia Unit 08/2003 to 01/2009
Genesis /Waterview Center Cedar Grove, NJ
Managed 44 bed Alzheimer's/dementia Unit.
Developed and retained nursing staff of 20
Developed patient care procedural changes based on current state and federalregulations resulting in deficiency
free state surveys.
Achieved departmental goals and objectives instituting new processes and standards of patient care resulting in
zero in house acquired pressure wounds.
3. Jumped in to fill staffing gaps when necessary.
Diligently responded to QA (Quality Assurance) recommendations maintaining high standards of care and safety.
Conducted all in-service training and staff development/education of unit nursing staff, resulting in zero
reportable incident/accidents.
Organized and led weekly personnel meetings with all unit staff, achieving profound sense of camaraderie and
teamwork resulting in impeccable nursing care.
Welcomed and encouraged staff suggestions provided positive reinforcement in the form of award recognition.
Completed applicable required MDS reporting for Unit.
Actively participated in weekly utilization review meetings and changes.
Led family meetings for unit.
Conducted performance appraisals for unit nursing staff.
Routinely evaluated the overall resident care within the Unit and diligently enforced high standards through
mandatory walking rounds at start and end of all shifts with Nurses and Aides resulting in improved positive
clinical outcomes for residents.
Evaluated nursing notes daily, confirming accuracy and depiction of patient response to care according to all
laws and guidelines.
Diligently enforced infection control policies/procedures resulting in zero in house acquired infection.
Recognized for training/mentoring award winning Nurses Aide winning "Best Nurses Aide" in NJ.
Chosen by superiors to mentor new hire unit managers from "sister" facilities.
RN Staff/Wound Care Nurse 01/1999 to 05/2000
St Barnabas/Clara Maass Hospital Belleville, NJ
Supervised nursing staff of 25 on per-diem basis.
Developed patient care plans, including assessments, evaluations, and nursing diagnoses.
Participated in unit based Quality Assurance Program.
Maintained the safety, respect and dignity of residents.
Evaluated health education needs of patients and provided necessary training and instruction.
Expertly provided wound care to patients with a multitude of wounds and types including pressure wounds,
burns, amputations, stasis ulcers, diabetic wounds, arterialwounds.
Expertly maintained sterility during wound dressing and other procedures, foley catheter insertion, IVinsertion.
Diligently maintained and exceeded infection controlstandards by Maintaining a clean, orderly and well-stocked
environment.
Education and Training
Associate of Science: Nursing 1998
Felician College Lodi, NJ, USA
Awarded New Jersey League for Nursing Award for Outstanding Leadership Skills.
Publications
Worldwide Leaders in Healthcare - Healthcare Providers of Excellence 2016
featuring Jeanne Frobose, RN. This publication is "a book of assurance, honoring those who have achieved greatness,
while setting the standard by which others are measured". publication:http://www.iahcp.com/index.php
LinkedIn and Websites
www.linkedin.com/in/jeannefrobosern
http://www.iahcp.com/index.php