Marcia Holter, BSN RN

• Ascension Health Illinois -Nursing Supervisor for Staffing Resource Center formerly regional Float pool department
• Supervised staff of 200 including 180 RNs and 20 patient care techs and Behavioral health counselors along with a co supervisor and manager
• Manage Regional Float Pool Staff throughout Metro and Northwest Illinois Regions on shift to shift basis in the Acute Care Hospitals and Outpatient Clinics
• Interview, Hiring, and Onboarding, Training Staff
• Coordination with Acute Site Managers and Educators to provide facility and skill specific orientation and ensure staff maintains required continued education and encouraged professional development opportunities to direct reports
• Staff scheduling and Biweekly Payroll via Kronos Timekeeping, Balancing Staff schedules by location and specialty to assist with adequate staffing and maintain and monitor department budgets
• Held Monthly staff meeting and individual quarterly staff check in
• Collaboration with direct reports and site contacts, MDs, to communicate expectations, promote changes occurring within sites and maintain quality assurance and ensuring optimal patient care and adherence to policy and procedures within the system
• Established staff relationships with Open and effective communication , mentorship, effective listening and frequent rounding on staff at various sites to establish and maintain staff recognition and worth.
• Conflict resolution amongst staff, MDs with staff, unit managers, and patient and family issues in collaboration with the site unit manager and facilitators.
• Initial Incident Command Leader NIMS 100 certified

• Ascension St Joseph Hospital Elgin- Lead House Supervisor Administrative Coordinator
• Functions as Primary Administrator on duty off shifts, holidays, and weekends and oversees the flow of hospital operations on a daily basis
• Collaborates with administration and unit leaders to assess staffing, on going acuity and patient care needs
• Participated in Administration daily safety huddle, Discharge rounds, and headed daily staffing meetings with managers during day shift and on off shift with unit charge nurses. Deployed internal and any regional float pool staff based on admissions , discharges, staffing needs and acuity
• Coordinates with each nursing unit to adjust staffing accommodates for fluctuations according to patient census, acuity, and makes staffing decisions based on skill mix in a fair safe manner to ensurance compliance and quality care provided throughout facility
• Supervision and support of direct patient care-staff in collaboration with unit leaders
• Serves as a mentor and a clinical resource to patient care staff
• Assigns all patient admissions and bed placement on inpatient units, transfers in and assists with immediate transfers out, emergency room admission, post op PACU admits, and direct admissions in collaboration with MDs and facilitates between departments transfers and physician offices based on acuity and diagnosis while maintaining and promoting ongoing through put goals and initiatives. Assists MD or case manager for transfers out of hospital
• Coordinates on call teams for required off shift emergencies, traumas, unscheduled procedures and surgeries
• Provides clinical support to all staff in emergency situation, responds to all codes, Rapid responses, and assists clinically as needed
• Serves as primary patient advocate to investigate incidents, manage and resolve patient and family complaints, addresses any staff concerns or conflicts and collaborates with MD, unit leaders, staff in a timely manner
• Acts as a liaison between inpatient and outpatient
• Follows all current protocols and procedures and educates staff and maintains required education, promotes developmental opportunities to staff throughout the hospital
• Performs initial restraint face to face exam and audits timely documentation for ongoing restraints
• Frequently rounding on all units and outpatient areas to promote and maintains a safe environment for staff and patients
• Facilitates all post fall huddles and audits documentation to ensure within policy notifies Risk Manager and Administrator per policy
• Safety coach for internal department and float pool staff
• Developed current orientation checklist and safety goals for department and orients all new House Supervisors and functions as mentor to team as lead
• Peer Interviews conducted in collaboration with manager
• Maintains current policy and procedure handbook
• Developed resource to House Supervisor role book for every department and emergency code called for new staff to utilize as
• Completes daily CMS reporting for CDH in Illinois for Covid as required
• Completes quarterly Illinois Hospital Association Nurse Report Card Act for nursing care for inpatient hours stats for all inpatient units
• Coordinates expired patient pick up from morgue
• Provides social service, senior service, Lyft rides, assists with difficult discharge planning and home needs and support to staff and patients and families to maintain through put goals

• Ascension St Joseph Hospital Elgin
• Audit patient medical record maintaining HIPPA and privacy to ensure patient in correct classification and collaborated with MD advisor to determine if full inpatient or observation status using InterQual guidelines.
• In collaboration with patient care team Nursing, MD, PT/OT and patient and family input to anticipate potential discharge needs at the time of admission for home care IV infusion, durable medical equipment, home health, outpatient patient follow up appointments and assured the discharge needs where coordinated as to not delay a discharge.
• Updated and maintained discharge plan among patients care team throughout hospitalization with notes in Midas and patient family education.
• Communicated to patient payor source to obtain authorization for reimbursement services throughout patient hospitalization .
• Secured authorization for post discharge care such as sub acute or acute inpatient rehab based on patients needs and collaboration with care team.
• Updated primary care team at daily discharge rounds
• Facilitated transport to post hospitalization location when needed.
• Assisted MD with transfers to outside hospital for higher level of care or per patient request.
• Ensured individualized Patient and family education on discharge care and follow up for medications, equipment, appointments and verified understanding in attempt to decrease readmission.
• Developed resource for weekend discharges including durable medical equipment companies and rehab facilities for weekends and holiday when charge RN and or House Supervisor handling final discharge plan to prevent delay in discharge from Acute hospitalization
• Contacted outside services such as Senior services, lending closets, etc to assist patient in optimal home outcome as possible

• Company Overview: Ascension St Joseph Hospital formerly Provena, Presence and Amita
• Leadership to internal Float Pool of 50 patient care team along with managing the daily coordination, staffing, scheduling of float pool nurses and PCTs across various clinical units based on skill to ensure a delivery of high quality care
• Interviewed, hired and on boarded new float pool RNs encouraged current Float RNs to engage in precepting new Float Pool employees
• Coordinated with specific units skills days to ensure quality care was given equally throughout unit based staff and float pool staff maintained, provided and updated staff education files
• Daily rounding, support, and recognition to the Float Pool team in the multiple units throughout the facility
• Coordination with unit managers and charge nurses to determine and anticipate upcoming staffing needs and appropriate float pool staff placement based on skill set
• Schedules, time keeping, payroll and yearly evaluations on going
• Promoted collaboration with the float pool team and the unit managers and nursing by enhancing relationships with consistency and open communication.
• Providing educational opportunities for performance development and assuring required continuing education is maintained
• Secured all agency/ outside contracts and specific skilled contract/ per diem employees. Point person and contact for agencies effectively recruited, interviewed and hired outside contract RNs
• Implemented Joint Commission approved agency contract requirements according to our employment policy and procedures and maintained and updated all contract employee files
• Developed agency/ contract RN hospital education orientation day and checklist required
• Conflict resolution internal float pool staff issues as well as agency staff issues
• Effective communication and listening for all patient care staff
• In 2010 took over bed placement and throughput in addition to the float pool manager and staffing role. Placement of all admissions in coordination with MD based on acuity and skill level needed.

• Company Overview: (presently Lurie Children's Hospital)
• Expanded to Pediatrics and implemented school based Teen Center during my employment
• Developed budget for both primary care pediatrics and Teen center
• Maintained facility audits and certification of lab facilities
• Interviewed, hired, and oriented staff
• Yearly evaluations, monthly staff meetings
• Acute Primary Care in outpatient facility
• Phone Triage
• Staffing and scheduling
• Effective relationships with all MDs, and developed resource book for each MD in collaboration with them in relation to their preferences for care
• Initiated Illinois Immunization computer program for all patients and entered all initial information, attended all CDC education
• Supply ordering and sample medication management
• Case management for medically complex children and coordinating home care, durable medical equipment, nursing care, follow up appointments with multi speciality MDs at main hospital.
• Managed Resident clinic pediatric visit scheduling
• patient family education, staff education
• BLS instructor held parent classes at clinic
• Illinois Car seat safety Program instructor and installer
• 
  

• Company Overview: (presently Lurie Children's Hospital)
• Procedural sedation with anesthesia, set up, monitoring, recovery
• managed scheduling procedures for endo. MRI, bronch, etc
• patient family education of pre and post procedure
• PALS certified

• Endoscopy Lab Procedures (presently Lurie Children's Hospital)
• Lead RN, schedules, precepting and maintenance of Endoscopy suite per Joint Commission standards
• IV skills
• Sedation RN, PALS certified sedation administration and monitoring per policy
• Scheduling all procedures
• Pre Procedure and post post procedure parent education
• Moved into sedation suite with anesthesia upon its opening in November 98 shortly after starting in endoscopy for deeper sedation with propafal via anesthesia

• Case Management was initiated at Children's Memorial in May 1997, I worked with interdisciplinary team that followed pulmonary and cystic fibrosis patients Improved client satisfaction by coordinating multi-disciplinary team meetings and daily rounding on patients with the MDs.
• Developed individualized care plans by assessing client needs and strengths.
• Maintained accurate records and documentation, ensuring compliance with regulatory requirements and facilitating seamless audits.
• Facilitated timely transitions between care settings by coordinating with healthcare providers, families, and insurance companies.
• Anticipated discharge needs, durable medical equipment, multi specialty follow up appointments and collaborated care with clinic RN
• Daily UR reviews to ensure hospital certification and authorization per payor source
• Left to return to patient care area
• 
  

• Assessed and quickly responded to emergencies, ensuring prompt and effective interventions in high-pressure situations.
• Employed research based techniques, utilizing evidence-based practices to promote healing and prevent complications in diverse patient populations.
• Educated patients and families on discharge plans, health management strategies, and follow-up care, promoting self-efficacy and adherence to treatment regimens.
• Performed comprehensive patient assessments, identifying changes in condition and initiating appropriate interventions to address acute and chronic health issues.
• Children's Memorial Hospital 9 West (presently Lurie Children's Hospital)
• Primary Staff RN on medical, respiratory and vent dependent unit
• Charge RN
• Self scheduling committee
• Shared Governance unit initiation
• Preceptor
• Vent dependent , trach , IV skills, IV medications, feeding tubes
• Level III RN upon leaving for new case management position

Shriners Hospital for Crippled Children

Staff RN on infant surgical unit, IV skills, surgical care pre and post op. Precepted new RNs prior to leaving