GRACIA LAXINA
Saipan,MP
Summary
Compassionate Director of Nursing dedicated to maintaining highest standards of nursing practices and policies. Excellent leader, mentor and recruiter, supporting staff and local community. Demonstrates strong working knowledge of regulatory compliance along with proven results in managerial role.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Director of Nursing
Commonwealth Healthcare Corporation
Saipan, MP
04.2022 - Current
- Provided clinical guidance and direction to nursing staff to ensure quality care was provided in a timely manner.
- Oversaw the daily operations of the nursing department including staffing, scheduling, budgeting, and resource allocation.
- Conducted performance evaluations for all nursing staff members and made recommendations for improvement when necessary.
- Ensured compliance with state regulations regarding nurse-to-patient ratios and other safety guidelines.
- Implemented strategies for improving patient satisfaction scores in the nursing department on an ongoing basis.
- Participated in interdisciplinary teams to discuss patient care issues or concerns and develop solutions as needed.
- Monitored changes in laws and regulations related to healthcare delivery services to ensure compliance with all applicable standards.
- Assisted with recruitment efforts by interviewing potential employees and making hiring decisions when appropriate.
- Organized educational programs for nurses such as seminars, lectures, workshops.
- Served as a mentor for new nurses providing support during their transition into the organization.
- Facilitated communication between departments within the hospital setting to improve efficiency.
- Resolved conflicts among staff members in a professional manner while maintaining positive working relationships.
- Attended meetings with senior management personnel to provide updates on progress of projects and initiatives being undertaken by the nursing team.
- Reviewed incident reports submitted by nurses related to any adverse events that occurred during their shift.
- Analyzed trends in patient care activities such as medication errors or falls within the facility.
- Assessed competency of clinical staff to promote quality, continuity, and safety.
- Developed and maintained staffing schedule in accordance with contract terms, budget mandates and accreditation standards for nursing coverage.
- Conducted recruitment and retention activities to develop highly skilled nursing team.
- Implemented changes needed to correct deficiencies found during government inspections.
- Set and monitored achievement goals for nursing department consistent with established philosophy and standards of practice.
- Oversaw explanation of personnel policies and job descriptions as part of nursing employee orientation process.
- Budgeted, managed, and scheduled nursing staff, fostering environment supportive to patients.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges.
- Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
- Maintained records management system to process personnel information and produce reports.
- Managed changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care.
- Administered fiscal operations for accounting, budget planning, authorizing expenditures and coordinating reporting.
- Assessed need for additional staff, equipment and services based on historical data and seasonal trends.
Utilization Review Program Manager
Commonwealth Healthcare Corporation
Saipan, MP
01.2013 - 04.2022
- Perform Hospital Utilization Review Services in accordance with the Utilization Review Plan rules and regulations from the Centers for Medicare and Medicaid (CMS) and other applicable standards.
- Ensure that the utilization review program safeguards the hospital against unnecessary and inappropriate medical care rendered to all patients availing its services.
- Enhance the Utilization Review Plan by providing insights into reporting, analysis, and process improvement initiatives.
- Direct and manage the clinical improvements initiative of CHCC, chart/case review, ensuring regulatory compliance, and promoting improved healthcare outcomes.
- Review admissions appropriateness on all inpatient records.
- Utilize evidence-based medical necessity criteria to determine if it meets criteria for admission. If criteria are not met, refer the admission to a physician adviser.
- Monitor patient progress towards discharge.
- Assign cases for review to Physician Advisor, Utilization Review Committee.
- Review records for evidence of risk management and quality management issues.
- Assures Utilization Review Program and Discharge Planning Program met standards as set forth by external regulatory agencies, such as CMS.
- Present and/or report findings in concise monthly or quarterly reports and at requested managerial meetings.
- Work collaboratively with Quality Improvement Organization (QIO) to ensure the effective functioning of Utilization Review Program.
- Interpret and analyze statistical information monthly, quarterly, and as required.
- Plan and Direct Utilization Review Program.
Nurse Unit Manager - Pediatric Unit
Commonwealth Healthcare Corporation
Saipan, MP
10.2011 - 01.2013
- Oversee the workflow, staffing, orientation, and development of staff nurses within the unit, and ensure the effective and efficient operation of the unit.
- Assure that staff nurses deliver quality nursing care in accordance with the hospital policies and procedures.
- Participated in interdisciplinary teams to assess patient outcomes and develop treatment plans.
- Ensured that all documentation was completed accurately in a timely manner according to facility policy.
- Educated nursing staff on changes in protocols or practices based on current evidence-based research.
- Investigated any incidents reported within the unit promptly according to established guidelines.
- Provided support to nurses during stressful situations or emergencies on the floor.
- Resolved conflicts among team members or between departments in a diplomatic manner.
- Attended conferences or workshops related to nursing management topics for continuing education purposes.
- Monitored staff performance to ensure adherence to policies and procedures.
- Provided leadership by setting standards for professional practice and role modeling behaviors.
- Directed development and implementation of quality improvement initiatives.
- Collaborated with physicians, other healthcare professionals, patients, families and community resources to meet individualized patient needs.
- Maintained compliance with regulatory standards related to patient safety and clinical practice guidelines.
- Developed and arranged continuing education opportunities for staff to increase knowledge and skills.
- Monitored staff performance and provided coaching and formal counseling to staff.
- Trained other nurses on patient care and daily tasks, supporting growth and professional development.
- Conducted interviews with prospective employees; supervised hiring process for new staff members.
Staff Nurse - Pediatric Unit
Commonwealth Healthcare Corporation
Saipan, MP
12.2003 - 09.2011
- May assume the Charge Nurse position on various shifts.
- May assist in supervising other registered Nurses, nursing students during clinical hours, as assigned.
- May assist staff orientation for new personnel.
- Provide nursing care, utilizing the nursing process.
- Develops nursing care plan for patient, which includes education and rehabilitation activities. Updates nursing care plan as needed.
- Responsible for total nursing care of assigned patients.
- Administered prescribed medication and treatments.
- Identified potential problems or issues that may arise during treatment, such as drug interactions or allergies, and provided appropriate interventions when necessary.
- Assisted physicians with exams, lab tests or other procedures as requested.
- Demonstrated effective communication skills while interacting with patients, families, physicians and other healthcare staff members.
- Actively participated in departmental meetings, training sessions and educational seminars.
- Utilized an electronic medical record system to store patient information securely.
- Ensured that all equipment was properly maintained according to safety protocols.
- Managed multiple tasks simultaneously while maintaining quality standards of care.
- Implemented infection control measures to reduce the spread of contagious diseases.
- Adhered to strict confidentiality policies when dealing with sensitive information.
- Maintained a clean work environment by following proper sanitation guidelines.
- Monitored vital signs and documented changes in a timely manner.
- Conducted patient education on medical treatments and procedures.
- Collaborated with interdisciplinary team members to develop plans of care for patients.
- Evaluated the effectiveness of nursing interventions and modified plans as needed.
Staff Nurse - Pediatric Unit
Beish General Hospital
Riyadh, Kingdom Of Saudi Arabia
10.1999 - 09.2003
- Assess patient condition to identify appropriate nursing intervention.
- Collaborate with members of interdisciplinary health team to plan, implement, coordinate, and evaluate patient care in consultation with patient and their families.
- Administer medication and treatments as prescribed by a physician and according to established policies and protocols.
- Monitor, assess, address, document, and report symptoms and changes in the patient's condition.
- Implemented infection control measures to reduce the spread of contagious diseases.
- Adhered to strict confidentiality policies when dealing with sensitive information.
- Provided direct patient care including wound dressing, administering medication and IV therapy.
- Evaluated the effectiveness of nursing interventions and modified plans as needed.
- Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care.
- Addressed rapid response and code situations by strategically organizing and delegating tasks.
- Transported patients to and from rooms and prepared for treatments according to individual specifications.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
Staff Nurse - Operating Room
Shaqra General Hospital
Riyadh, Kingdom Of Saudi Arabia
11.1994 - 08.1998
- Prepare a sterile pack of linen, instruments, sutures, and all things to be used for surgery.
- Check, ensure that the patient has been prepared for surgery.
- Operation site cleaned and shaved, if needed.
- Preoperative medication administered timely
- Ensure that consent for surgery was signed by the patient or relative in case the patient is a minor.
- Assists in transferring the patient from the stretcher to the O.R. table and ensures that the patient is comfortable.
- Count the sponges, instruments, needles before operation, and before closure of abdomen with the circulating nurse and surgeon.
- Assists and anticipates the needs of the surgeon during the operation procedure.
- Clean the patient's operative site and ensure that it is free from blood and fluid.
- Wash, clean the instruments and equipment used during the operation. Making sure that these are dried and packed for sterilization.
- Maintain sterility during the entire operating procedure.
- Supervise and orient new staff.
Senior Staff Nurse - Operating Room
Dr. Jose Fabella Memorial Hospital
Manila, Philippines
05.1992 - 11.1994
- Prepare a sterile pack of linen, instruments, sutures, and all things to be used for surgery.
- Check, ensure that the patient has been prepared for surgery.
- Operation site cleaned and shaved, if needed.
- Preoperative medication administered timely
- Ensure that consent for surgery was signed by the patient or relative in case the patient is a minor.
- Assists in transferring the patient from the stretcher to the O.R. table and ensures that the patient is comfortable.
- Count the sponges, instruments, needles before operation, and before closure of abdomen with the circulating nurse and surgeon.
- Assists and anticipates the needs of the surgeon during the operation procedure.
- Clean the patient's operative site and ensure that it is free from blood and fluid.
- Wash, clean the instruments and equipment used during the operation. Making sure that these are dried and packed for sterilization.
- Maintain sterility during the entire operating procedure.
- Supervise and orient new staff.
Staff Nurse - Pediatric Unit
Dr. Jose Fabella Memorial Hospital
Manila, Philippines
05.1990 - 05.1992
- Assess patient condition to identify appropriate nursing intervention.
- Collaborate with members of interdisciplinary health team to plan, implement, coordinate, and evaluate patient care in consultation with patient and their families.
- Administer medication and treatments as prescribed by a physician and according to established policies and protocols.
- Monitor, assess, address, document, and report symptoms and changes in the patient's condition.
- Implemented infection control measures to reduce the spread of contagious diseases.
- Adhered to strict confidentiality policies when dealing with sensitive information.
- Provided direct patient care including wound dressing, administering medication and IV therapy.
- Evaluated the effectiveness of nursing interventions and modified plans as needed.
- Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care.
- Addressed rapid response and code situations by strategically organizing and delegating tasks.
- Transported patients to and from rooms and prepared for treatments according to individual specifications.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
Education
Bachelor of Science - Nursing
Chinese General Hospital College of Nursing
Manila, Philippines04-1989
Skills
- Understanding of HIPAA Guidelines
- Recruiting and Hiring
- Expenditure Monitoring
- Accreditation management
- Multidisciplinary team collaboration
- Goal Planning
- Budget Control
- Clinical staffing
- Staff Scheduling
- Shift Scheduling
- Case Management
- Clinical Leadership
- Strong Work Ethic
- Hospital Admissions
- Nursing recruitment
Accomplishments
- Excellence Award 2015 - Utilization Review Program
- Nurse of the Year 2016
Certification
- Registered Nurse, Saipan Northern Marianas Island - License no. R07326
- Registered Nurse, Florida - License no. RN9621134
- CHCQM-CM : Certified in Health Care Quality and Management
Diplomate of ABQAURP (American Board of Quality Assurance and Utilization Review Physicians)
References
References available upon request.
Timeline
Director of Nursing
Commonwealth Healthcare Corporation
04.2022 - Current
Utilization Review Program Manager
Commonwealth Healthcare Corporation
01.2013 - 04.2022
Nurse Unit Manager - Pediatric Unit
Commonwealth Healthcare Corporation
10.2011 - 01.2013
Staff Nurse - Pediatric Unit
Commonwealth Healthcare Corporation
12.2003 - 09.2011
Staff Nurse - Pediatric Unit
Beish General Hospital
10.1999 - 09.2003
Staff Nurse - Operating Room
Shaqra General Hospital
11.1994 - 08.1998
Senior Staff Nurse - Operating Room
Dr. Jose Fabella Memorial Hospital
05.1992 - 11.1994
Staff Nurse - Pediatric Unit
Dr. Jose Fabella Memorial Hospital
05.1990 - 05.1992
- Registered Nurse, Saipan Northern Marianas Island - License no. R07326
- Registered Nurse, Florida - License no. RN9621134
- CHCQM-CM : Certified in Health Care Quality and Management
Diplomate of ABQAURP (American Board of Quality Assurance and Utilization Review Physicians)
Bachelor of Science - Nursing
Chinese General Hospital College of Nursing
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