Diane Scharfenberg
Maquon
Summary
Patient-oriented Nurse with 30 years of diverse experience in direct patient care, staff supervision and department operations. Skilled at multitasking and prioritizing patient needs and daily assignments. Offering expertise with Critical Care, Emergency Department, Care/Case Management specialty. Natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
30
30
years of professional experience
1
1
Certification
Work History
RN Nurse House Supervisor-PRN
OSF ST Mary Medical Center
2023.07 - Current
- Provides a critical link between hospital management and clinical care, overseeing patient-care operations, assigning and monitor staff nurses.
- Uses conflict resolutions, critical thinking, time management, priority management skills.
- Evaluated patient histories, complaints, and current symptoms.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Educated family members and caregivers on patient care instructions.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
Registered Nurse (PACT Case Manger)
Quad Cities CBOC, Department Of Veteran's Affairs
2023.02 - 2023.12
- Provides care and counseling to persons in promotion and maintenance of health and prevention of illness and injury based upon the nursing process
- Poised and articulate in communicating with all members of the team
- Uses nursing process and evidence-based practice to collaborate with the Core Team (Primary Care Provider, RN Care Manager, Clinical Associate, Clerical Associate and PACT neighbors
- Provide patient and family education with a focus on self-management, prevention, and wellness based on patient's goals
- Demonstrates leadership by serving as an advocate for patients and team player to colleagues.
- Utilizes the PACT Almanac, Compass, Quality Metric Report, other data sources, and Population Health Management principles to drive panel management.
- Assumes responsibility for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge.
- Considers all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences.
Nurse Critical Care—ICU
Naval Medical Center Portsmouth, DOD
2020.11 - 2023.02
- Serves as a critical care nurse providing highly specialized nursing care to all critically ill patients
- Such patients require close continuous observation and rapid intervention to monitor for subtle changes and restore health
- Potential areas of assignment include: Medical-Surgical Intensive Care Unit, Step-Down Unit, and Progressive Care Unit
- Utilize the nursing process to consistently apply advanced assessment skills to identify difficult patient care problems, formulate complex plans to meet patient care needs, and to continually revise goals/objectives according to changes in patient status
- Respond decisively to life-threatening changes in patient's condition, providing immediate and appropriate emergency measures according to Advanced Cardiac Life Support (ACLS) protocols
- Administer a wide variety of rapid-acting, highly potent medications (direct intravenous and other routes) according to unit policies, procedures and protocols
- Closely monitor and document patient's response, and adjust therapy accordingly to a widely varied patient population.
- Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
- Evaluated patient histories, complaints, and current symptoms.
Staff Nurse, Emergence Department
Sentara Obici Hospital
2011.08 - 2023.02
- Responsible for direct patient care in 28 bed Emergency Department
- Responsible for triage, assessment, monitoring patients ranging from medical, surgical and trauma emergencies, all levels of acuity
- Duties include Intravenous Access, medications, ancillary testing, coordinating all care and admission
- Responsible for bedside computer charting.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
SUPV Clinical Nurse: Orthopedic Department
Naval Medical Center Portsmouth, DOD
2019.02 - 2020.11
- Clinical Nurse Manager for twelve orthopedic specialty clinics (Sports/Fleet Sports, Spine, Hand, Joint, Tumor, Podiatry, Pediatrics, Fracture Trauma, Foot and Ankle, General Orthopedics, and Chiropractic)
- Direct, Oversee, and coordinate staff to assure that effective clinical and surgical services are provided, and quality standards are met
- Develop and maintain an environment that supports the providers, professional nurses and staff
- Provide assistance in administrative management of all assigned personnel
- Plan work to be accomplished by subordinates, set priorities and preparing schedules for completion of work
- Directly supervise 7 RN's, 6 LPN's, 7 Office Automation Clerk's, 9 Medical Assistant's, 3 Chiropractic Assistants, 1 Supply/Ortho Tech
- Evaluate the performance of subordinates
- Monitor employees' productivity
- Oversight of all clinical operations, clinic schedules, Operating Room schedules for 19 surgeons
- Collaborate with surgeons, specialty physicians, perioperative nurses, anesthesia service and other professional health care providers to assess, coordinate, plan, and implement care
- Customer service representative
- Monitor clinic data to ensure timely and accurate data submission reports
- Identifies problems and independently utilizes problem solving techniques to ensure delivery of quality patient care
- Collaborates with the Department Head in the development, justification and monitoring of departmental budgets
- Plans and participates in the clinical and leadership development of staff
- Demonstrate effective leadership skills of delegation, organization and overall management of the clinic
- Refer group grievances and unresolved complaints to a higher level supervisor or manager
- Liaison with other health care professionals and community services
- Maintain effective communication within the department with staff, patients, and families and between the clinic divisions and other departments
- Serve as the clinic nursing subject matter expert and perform direct patient nursing care as needed.
- Maintained accurate and comprehensive patient records in line with regulatory standards.
- Utilized evidence-based practice to assess and provide care for patients.
Nurse Specialist: Oral Maxillofacial Surgery Department
Naval Medical Center Portsmouth, DOD
2011.03 - 2019.02
- Oversee the scope of practice in the outpatient Oral and Maxillary Facial Surgery (OMFS) department
- Admit patients for Outpatient OMFS
- Establish IV lines
- Document Pre Anesthesia, administer conscious sedation medication to surgical patients
- Monitor the effect of conscious sedation
- Monitor patients undergoing treatment in the clinic for adverse reactions and complications related to procedures and surgery
- Provide emergency treatment as indicated
- Discharge patients after monitoring during the post op period
- Maintain effective interpersonal relationships with department and hospital personnel, patients, family members, and coworkers
- Remain current in all training, participate in staff meetings, in-service training
- Oversee the training of new enlisted personnel
- Maintain effective communication within the department with staff, patients, and families.
- Reviewed medical records and summarized care.
SUPV Clinical Nurse: General Surgery Department
Naval Medical Center Portsmouth, DOD
2008.11 - 2011.03
- General Surgery Clinic encompasses Pediatric Surgery, Bariatric Surgery, Breast Surgery, and General Surgery
- First-line supervisor for 14 civilian employees (GS and Contract) oversight of 11 Enlisted personnel
- Oversee the scope of practice and provision of nursing service within the General Surgery Department
- Provide the full range of supervisory duties to include personnel and resource management comprised of coordinating staffing support, scheduling, hiring and enforcement of performance standards
- Oversight of all clinic operations, clinic scheduling and Operating Room schedule for 18 General Surgeons
- Collaborate with surgeons, specialty physicians, perioperative nurses, anesthesia service and other professional health care providers to assess, coordinate, plan, and implement care
- Customer service representative
- Monitor clinic data to ensure timely and accurate data submission reports
- Identifies problems and independently utilizes problem solving techniques to ensure delivery of quality patient care
- Collaborates with the Department Head in the development, justification and monitoring of departmental budgets
- Plans and participates in the clinical and leadership development of staff
- Demonstrate effective leadership skills of delegation, organization and overall management of the clinic
- Refer group grievances and unresolved complaints to a higher level supervisor or manager
- Liaison with other health care professionals and community services
- Maintain effective communication within the department with staff, patients, and families and between the clinic divisions and other departments
- Serve as the clinic nursing subject matter expert and perform direct patient nursing care as needed.
- Made informed decisions of therapeutic intervention based on patient information and preferences, up-to-date scientific evidence and clinical judgment.
Critical Care Nurse Specialist
Portsmouth Naval Medical Center, DOD
1999.12 - 2008.11
- Utilize the nursing process to plan, implement, coordinate, and supervise highly specialized nursing care in the 10 bed Intensive Care Unit and 9 bed Step-Down Unit
- Formulate complex plans to meet patient care needs
- Continually revise goals and objectives according to changes in patient conditions
- Respond to life threatening changes in patient conditions
- Recover unstable and stable patients from general and regional anesthesia in ICU
- Operate and monitor specialized equipment used in the care of critically ill patients
- Administer a wide variety of rapid acting highly potent medications according to unit policies, procedures and protocols
- Administer conscious sedation to patients who require bedside procedures in the ICU/SDU
- Function as charge nurse for 10 bed ICU and 9 bed SDU
- Responsible for managing, coordinating, and facilitating patient care and bed status for ICU/SDU
- Act as a liaison with nursing administration and as a role model for staff
- Review current staffing, existing and potential needs, available nursing resources and bed availability status with NOD
- Maintain a clean, safe, orderly and therapeutic work environment.
- Utilized critical thinking skills to assess, plan and implement evidence-based patient care.
- Worked with intubated and ventilated patients, monitoring and reporting on conditions to maintain stats within optimal levels.
- Responded rapidly to critical codes to coordinate stabilization treatments and restore vital functions.
- Collaborated with interdisciplinary healthcare team to deliver optimal patient outcomes.
Staff Nurse, Burn Trauma Unit
Sentara Norfolk General Hospital
1996.08 - 1999.12
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
Staff Nurse, Emergency Department
Sentara Norfolk General Hospital
1995.08 - 1996.08
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
Staff Nurse, Emergency Department
University Hospital And Medical Center
1994.08 - 1995.08
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
Education
Bachelor of Science in Nursing -
William Paterson University
Wayne, NJ01.1994
Skills
- Data Collection
- Care Planning
- ADL Assistance
- Emergency Response
- Medical Assessment
- Appointment Scheduling
- Chart Updating
- Nursing Staff Leadership
- Case Management
- Health Screening
Certification
- Commonwealth of Virginia Nursing License
- Illinois State Nursing License
- BLS
- I.V. Conscious Sedation
- Department of the Navy Clinic Manager Course
- BUMED Lunch and Learn Sessions: Documenting Counseling and Other Corrective Actions, Douglas Factors, Labor and Employee Relations
References
Andrea Boone, RN Naval Medical Center Portsmouth. 757-407-2258
Shannon Lavender, SNGH Night Shift Supervisor, 757-465-0682
LCDR Nube Macancela 718-930-2840
N_mac87@yahoo.com
Timeline
RN Nurse House Supervisor-PRN
OSF ST Mary Medical Center
2023.07 - Current
Registered Nurse (PACT Case Manger)
Quad Cities CBOC, Department Of Veteran's Affairs
2023.02 - 2023.12
Nurse Critical Care—ICU
Naval Medical Center Portsmouth, DOD
2020.11 - 2023.02
SUPV Clinical Nurse: Orthopedic Department
Naval Medical Center Portsmouth, DOD
2019.02 - 2020.11
Staff Nurse, Emergence Department
Sentara Obici Hospital
2011.08 - 2023.02
Nurse Specialist: Oral Maxillofacial Surgery Department
Naval Medical Center Portsmouth, DOD
2011.03 - 2019.02
SUPV Clinical Nurse: General Surgery Department
Naval Medical Center Portsmouth, DOD
2008.11 - 2011.03
Critical Care Nurse Specialist
Portsmouth Naval Medical Center, DOD
1999.12 - 2008.11
Staff Nurse, Burn Trauma Unit
Sentara Norfolk General Hospital
1996.08 - 1999.12
Staff Nurse, Emergency Department
Sentara Norfolk General Hospital
1995.08 - 1996.08
Staff Nurse, Emergency Department
University Hospital And Medical Center
1994.08 - 1995.08
Bachelor of Science in Nursing -
William Paterson University
- Commonwealth of Virginia Nursing License
- Illinois State Nursing License
- BLS
- I.V. Conscious Sedation
- Department of the Navy Clinic Manager Course
- BUMED Lunch and Learn Sessions: Documenting Counseling and Other Corrective Actions, Douglas Factors, Labor and Employee Relations
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