Rachel Pareja

• Educate patients on breast cancer treatment steps, side effects, and follow-up expectations.
• Assess symptom changes and route urgent concerns to the appropriate clinical team.
• Document patient interactions, care plans, and follow-up actions in medical records.
• Support patients through diagnostic and treatment transitions with consistent guidance and advocacy.

Provide clinical support for a busy surgical oncology practice caring for those undergoing treatment and diagnosis of breast cancers and other breast diseases. Evaluate patient care needs, prioritize treatment and maintain clinic schedule flow. Prepare charts for outpatient clinic, including gathering all hospital records and test results. Perform triage support to our patients by phone and online portal. Provide emotional support and education to patients when called upon. Collaborate with other medical specialties (radiology, medical oncology, plastic surgery) to assist patients in their pursuit of care and treatment.

Provided clinical and triage telephone support for Northshore outpatient medical groups through the resource pool for short term assignments or ongoing clinical needs on as needed basis. Worked with rheumatology, urology, orthopedic surgery and general surgery groups over a period of time while also fulfilling my reponsibilites as project manager at PMC (listed below). Transferred from resource pool to breast surgical oncology team in 2012.

Project manager assigned to oversee EMR adoption and implementation for a small bilingual medical practice in southwest Chicago. Researched all available EMR software options. Provided support for acquisition, on site training, and adoption of new software for all employees with a "go-live" transition from paper charting to electronic charting. All changes made in compliance of Medicare regulation for private medical practices.

Accepted State of Michigan waiver assignment to provide in home support of a young female patient (age 6-8) with need for 24 hour nursing care. Provided all aspects of medical care and activities of daily living including trach support and airway management, medication and oxygen administration, and care of feeding tube. Followed all state regulations and required documentation to support patient and family's continued need for nursing support and care in home and at school.

Managed multiple inpatient assignments in specialty care facilities throughout Southeast Michigan providing nursing support with support for facilities requiring supplemental staff with critical care and vent management skills.

Moved to Monterrey, Nuevo Leon, Mexico in response to a call to a short term missions assignment. Joined a team of Americans called upon to build and establish a small liberal arts university in developing dormitory and student life. My husband and I were assigned to the mens' dormitory and student life. I also taught English as a second language. (I returned to the US between semesters to continue work in hospital in South Carolina.)

Provided care for patients in ICU, including implementation of treatment plan, monitoring vitals and administering medications. Managed all facets of telemetry, including PA catheters and arterials, vasoactive drug administration and titration, thrombolytic therapy, dysrhythmia interpretation, chest tube care and ventilator management.

Accepted entry level position as new graduate nurse within a step-down critical care unit. Gained valuable experience working with post trauma and surgical patients with focus on spinal cord injuries and trauma admissions. Provided full nursing care for patients with care of vent management, rapid response management and overall inpatient medical care.