Summary
Overview
Work History
Education
Skills
References
Certification
Phone
Objective And Qualifications
Accomplishments
Affiliations
References
Timeline
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Angela M. Thompson

Angela M. Thompson

Cary

Summary

Dynamic healthcare professional with extensive experience at The Joint Commission, specializing in quality improvement and regulatory compliance. Proven track record in patient safety and accreditation standards, leading successful surveys and educational initiatives. Recognized for attention to detail and adaptability, ensuring optimal outcomes in ambulatory surgical settings.

Overview

24
24
years of professional experience
1
1
Certification
2
2

Degrees

Work History

Full-time Nurse Surveyor for the Ambulatory Cadre

The Joint Commission
01.2021 - 02.2025
  • Travel the United States seeking risks known and unknown in ambulatory surgical settings while providing educational, inspirational, and collaborative survey activity
  • Function as team lead to ensure a smooth survey process
  • Speak at corporate functions on various topics such as Power BI to educate my cadre on the functionality of this system
  • Presented results of surveys to various stakeholders including administrators, clinicians and government officials.
  • Identified opportunities for improvement in clinical areas such as medication management, infection control and emergency services.
  • Prepared detailed reports summarizing findings from surveys conducted at health care facilities.
  • Developed survey protocols, questionnaires and data collection tools for use in the assessment process.
  • Observed strict confidentiality and safeguarded all patient-related information.
  • Conducted comprehensive surveys of health care facilities to ensure compliance with federal and state regulations.

Certified School Nurse, Marlowe Middle School

Huntley Community School District 158
01.2018 - 01.2021
  • Maintain accurate health records for over 1300 students
  • Sit in on IEP meetings and provide health histories for each student with interventions for both junior high schools in the district (approximately 200 students per calendar year)
  • See an average of 45 students per day for illness
  • Report all required illnesses to the state
  • Maintain medications, both daily and as needed, for all students with health needs and administer as prescribed
  • Provide annual teaching to staff regarding EpiPens and signs and symptoms of illnesses such as allergic reactions, diabetes, epilepsy, and asthma
  • All Covid-19 contact tracing and reporting to the county and maintaining records as required

Regional Quality Coordinator

Surgical Care Affiliates (SCA)
01.2016 - 01.2018
  • Position developed specifically to maintain Safety, Environment of Care, trending Infection Control data, Quality Assurance/ Performance Improvement projects, and Quality Measure Data reporting for 3 surgical centers in my area.
  • Maintained the regional title that consults for five states.
  • Organized quarterly meetings, community service projects, and data collection/reporting.
  • Performed mock regulatory surveys, both AAAHC and Joint Commission, with real-time feedback.
  • Consultant in policy and procedure development.
  • Consultant in regulatory compliance and equipment planner for the new construction of ASCs.
  • Gained accreditation for 2 brand-new surgery centers with zero deficiencies.

Quality Coordinator

Surgical Care Affiliates (SCA)
01.2015 - 01.2016
  • Credentialing Coordinator- ensuring physicians and allied health are held to the most stringent of standards as decided by accrediting bodies and state regulations
  • Patient/ physician advocate concerning flow and frequent updates
  • Assisting other ambulatory surgery centers in gaining accreditation/certification with regulatory bodies such as JCAHO, AAAHC, or the Illinois Department of Public Health
  • Public speaking on behalf of Surgical Care Affiliates
  • Serving as a regulatory/best practices resource to seven centers within Illinois and surrounding states - Maintaining quarterly ongoing Peer Review and monitoring trends
  • Collecting and reporting data to NHSN and Quality Net Annually

Director of Nursing

Surgical Care Affiliates (SCA)
01.2013 - 01.2015
  • Managing and scheduling over 35 nurses and surgical techs in both the OR and PACU throughout the workday
  • Maintaining the fluidity of the surgical schedule
  • Solving issues that may present themselves for personnel or physicians
  • Communicating with surgeons to ensure a positive experience at our center
  • Compiling and organizing data for performance improvement projects
  • Hold team meetings and equipment in-services to keep communication flowing throughout the facility
  • Keeping on top of FDA recalls guaranteeing patient safety
  • Infection Control Coordinator: Faxing all on-staff doctors with inquiries of any infections or other notable post-operative issues following surgery
  • Putting together quarterly spreadsheets and charts regarding infection
  • Continuing membership with APIC and receiving e-mail updates with the latest infection control data and current trends
  • Developing an Infection Control Plan per Joint Commission and IDPH standards
  • Developing new and updating current policies and procedures to meet the strictest of compliance demands of regulatory bodies
  • Safety Officer: Monitoring emergency lights, exit signs, eyewash stations, and fire extinguishers to guarantee staff and patient safety at all times
  • Staging and writing detailed reports of various drills (fire, environmental, etc.) performed at the center, as well as editing policies and procedures if necessary
  • Keeping up on CMS guidelines for Emergency Preparedness and ensuring all of my assigned facilities are compliant
  • Recall Manager: Researched FDA Enforcement Reports weekly and cross-referenced supplies within the facility to ensure there were no defective or recalled items in-house
  • Pulling any items that were already on the premises that may have been part of a recall in a prompt and exact manner
  • Work closely with vendors of the recalling companies to get the complete picture of the reason for the recall and ascertain a date for a re-release of the replacement product

Education

Masters of Science - Nursing with Education Specialization

Capella University
Minneapolis, MN
01.2020

Certification for School Nursing -

The University of Illinois At Chicago
Chicago, IL
01-2005

Bachelor of Science - Nursing

Truman State University
Kirksville, MO
05-2000

Skills

  • Healthcare quality improvement
  • HIPAA compliance
  • Management team support
  • Attention to detail
  • Adaptability and flexibility
  • Patient safety
  • Accreditation standards

References

References are available upon request.

Certification

  • CPR Certified
  • ACLS Certified

Phone

(847) 630-2150

Objective And Qualifications

I aim to utilize my skills and knowledge while continuing to challenge myself within the healthcare industry. I have been a master's prepared Registered Nurse for over 24 years. I have been employed in the surgical setting for most of my career. In this setting, I have had many roles that have allowed me to work with many different personality types and manage them all with tact and professionalism. I have had the opportunity to work my way up the chain from staff to administration and travel across the United States and work with many types of practitioners along the way. Continuous improvement and learning is a passion of mine.

Accomplishments

  • Member of Sigma Theta Tau National Honor Society
  • Lean Six Sigma Yellow Belt
  • Over 30 distinct surveys in 2024 with an "excellent" rating from organizations based on power BI data
  • Member of National Society of Leadership and Success

Affiliations

  • Avid sports fan and music lover!

References

References available upon request.

Timeline

Full-time Nurse Surveyor for the Ambulatory Cadre

The Joint Commission
01.2021 - 02.2025

Certified School Nurse, Marlowe Middle School

Huntley Community School District 158
01.2018 - 01.2021

Regional Quality Coordinator

Surgical Care Affiliates (SCA)
01.2016 - 01.2018

Quality Coordinator

Surgical Care Affiliates (SCA)
01.2015 - 01.2016

Director of Nursing

Surgical Care Affiliates (SCA)
01.2013 - 01.2015

Masters of Science - Nursing with Education Specialization

Capella University

Certification for School Nursing -

The University of Illinois At Chicago

Bachelor of Science - Nursing

Truman State University
Angela M. Thompson