Rachel M Jacobs

• Work as a full-time bedside RN, providing care to children of all ages with multiple healthcare needs and medical diagnoses with primarily, but not limited to, hematology/oncology diagnoses and chemotherapy requirements, diabetes and insulin management, cystic fibrosis management, post-operative care, mental health needs, and medical-surgical diagnoses.
• Supervise CNAs and student nurses working on the floors. Trained to fill-in as Relief Charge Nurse, as well as precept new staff as needed.
• Communicate with healthcare team members to plan, implement and enhance treatment strategies.
• Support patients/families and provide listening ear and emotional support.
• Explain course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Provide skilled, timely and level-headed emergency response to urgent and emergent situations.
• Use first-hand knowledge and clinical expertise to advocate for patients under care and enact prescribed treatment strategies.
• Quickly respond to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Conduct ongoing monitoring and evaluations of behaviors and conditions, and update clinical supervisors with current information.
• Implement care plans for patient treatment after assessing physician medical regimens.
• Promote patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
• Collaborate with leadership to devise initiatives for improving nursing satisfaction, retention and morale.

• Worked as a casual private duty nurse, providing care to a medically fragile and technologically dependent teenager with multiple healthcare needs and medical diagnoses, including congenital defects, trach management, and extensive pulmonary management.
• Prepared notes, updated and summarized records and conferred with health care disciplines in providing coordinated patient care.
• Interpreted patient needs, knowledge, growth and development to construct treatment plan.
• Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities.
• Implemented care plans for patient treatment after assessing physician medical regimens.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.

• Worked as a casual home health nurse, providing care to a medically fragile and technologically dependent child as a Home Health RN, as well as a Private Duty School RN while the patient was attending school. Provided exceptional care to a patient with multiple healthcare needs and medical diagnoses, including congenital defects, trach and ventilator management, and extensive pulmonary management.
• Prepared visit notes, updated and summarized client records and conferred with health care disciplines in providing coordinated patient care.
• Changed out tracheostomies, gastrostomy buttons and catheters regularly to prevent infection or other problems.
• Fostered strong relationships with the patient and family to support comprehensive social, mental and physical care.
• Participated in service education programs, patient care conferences and staff meetings to advance knowledge and foster multidisciplinary communication.
• Engaged and educated patient on appropriate behaviors and essential social interaction.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
• 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 patient regain or improve coping abilities.

• Worked as a full-time flex team bedside nurse, providing care for children of all ages on all medical/surgical units, as well as the Neonatal Intensive Care Unit, Emergency Department, and Infusion Center. at Children’s Hospital and Medical Center with multiple extensive medical diagnoses and healthcare needs, including but not limited to, hematology/oncology and chemotherapy needs, diabetes and insulin management, post-operative care, ventilator management, bi-pap management, extensive pulmonary management, telemetry monitoring, mental health needs, and medical-surgical diagnoses. Supervised LPNs, CNAs and student nurses working on the floors.
• Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
• Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.

Worked as a part-time Clinical Nurse Coordinator, supervising RNs, LPNs, CNAs at Children’s Home Healthcare’s World.

• Coordinated assignments and staffing needs.
• Collaborated with physicians and interdisciplinary teams to devise and manage individualized plans of care.
• Sought opportunities to improve patient care, outcomes and nursing staff performance.
• Interacted effectively with department managers to promptly correct problems and improve services.
• Evaluated nursing staff's performance and developed education programs and professional development opportunities to improve individual and team competencies, clinical knowledge and delivery of care.
• Administered performance evaluations and probationary reviews to assess nursing personnel.
• Supervised nursing staff and delegated tasks to maintain continuum of care.
• Advocated for patients' physical, psychosocial, developmental, spiritual and emotional needs during planning.
• Responded to behavioral and medical crises codes.
• Introduced initiatives based on staff education, infection control audits, safe medication administration and proper wound care to achieve unit and facility goals.
• Reviewed charts to complete quality control checks.
• Performed employee observations and hand-washing evaluations monthly, as well as analyzing the data.

• Worked as a full-time private duty nurse, providing care to medically fragile and/or technologically dependent infants and children at Children’s Home Healthcare’s World, as well as Private Duty in-home care. Supervised LPNs and CNAs at Children’s Home Healthcare’s World working on the floor. Cared for patients of all ages with multiple healthcare needs and medical diagnoses, including shaken baby syndrome, trauma, congenital defects, prematurity, TPN infusion, ventilator management, bipap management, and extensive pulmonary management.
• Responsible for IV and central line access and medications.
• Prepared notes, updated and summarized patient records and conferred with health care disciplines in providing coordinated client care.
• Changed out tracheostomies, gastrostomy buttons and catheters regularly to prevent infection or other problems.
• Fostered strong relationships with clients and families to support comprehensive social, mental and physical care.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.

• Worked as a full-time charge/bedside nurse in the pediatric unit. Supervised CMAs, LPNs, and nursing students working on the floor. Cared for patients of all ages with multiple extended healthcare needs and medical diagnoses, including shaken baby syndrome, trauma, congenital defects, prematurity, ventilator management, and extensive pulmonary management.
• Responsible for all labs draws, IV and central line access and medications, and NG access. Also assisted adult pulmonary and Medicare units with RN duties, including lab draws, IV access and medications, and NG access.
• Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
• Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
• Educated patients and families on health topics, medications and treatments to increase understanding and improve health outcomes.
• Administered immunizations and other preventative care measures to promote health and prevent disease.
• Responded to emergencies and critical situations to provide prompt and appropriate care.
• Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
• Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
• Scheduled appointments and traveled with patients via medical transportation.
• Educated patients and families on disease processes, medications and treatments.

• Worked as a full-time bedside nurse in the Cardiac Progressive Care Unit with primarily cardiac or thoracic diagnoses. Intermediate level of care. Supervised CNAs and nursing students working on the floor. Diagnoses included post cath, EP, Pre & Post Op heart transplants, heart failure, MI, and Post-Op CABG/valves.
• Assisted in diagnosis and treatment of conditions such as unstable angina, cardiomyopathy, coronary artery disease and cardiac dysrhythmia.
• Conducted initial assessments, documented findings in patient records and notified physicians of abnormal findings.
• Liaised with patients following cardiothoracic surgical procedures, providing support and education on post-surgical care.
• Supported healthcare team by maintaining responsibility for electrocardiogram monitoring, defibrillation and cardio rehabilitation training.

• Worked as a full-time clerk/patient care technician on the pediatric unit with primarily, but not limited to transplant and trauma diagnoses.
• Entered MD orders.
• Obtained patient vital signs and reported results to staff nurse or physician, noting changes from prior measurements.
• Answered patient assistance calls, assessed needs, and offered qualified support.
• Maintained clean and safe environment to promote patient safety and comfort.
• Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
• Collected and transported specimens to prepare for lab testing.
• Assisted in transferring patients, beds and patient care equipment.
• Organized and replenished unit supplies to maintain team readiness for expected demands.
• Supported patient admissions, discharges, and transfers to promote team productivity.
• Reduced risks of patient infection and cross-contamination by cleaning and sterilizing equipment.