Desiree Nester

• Performing patient assessment and diagnosis based from medical history, physical examination, and ordering/interpreting diagnostic tests.
• Performing minor procedures such as wound care/burn care, I&D of cysts/abscesses, foreign body removal, suturing, ear lavage, and splinting.
• Medication management/education and prescription of medications.
• Managing medical emergencies such as CPR and anaphylaxis.
• Providing appropriate referrals to specialists and ensuring proper follow-up care for patients.

• Conducted comprehensive home and SNF assessments: PMH review, med reconciliation, health screenings, physical exams, and documentation of diagnoses and care plans.
  • Identified and closed gaps in care through referrals to primary care and specialists, initiation of chronic care plans (HTN, DM, COPD), and enrollment in care-management programs.
  • Educated patients and caregivers on disease self-management, medication administration, and preventive health;.
  • Collaborated with interdisciplinary teams and care managers to optimize transitions of care and reduce re-admissions.

• Supervising/assisting LPN and CNA staff to ensure high-quality patient care is being provided to all residents.
• Maintaining state regulations for the facility such as glucometer QA checks, refrigeration temperature check, emergency cart check, etc.

• Developed and implemented individualized care plans for home-bound patients; coordinated with providers for plan adjustments and telehealth follow-ups.
• Delivered chronic disease education (CHF, COPD, diabetes), medication reconciliation, wound assessments, and escalation when necessary to reduce ER utilization.
• Tracked outcomes and reported care gaps to the interdisciplinary team.

• Provided specialized wound care for complex cases, promoting healing and preventing complications.

• Communicated, collaborated, and consulted with medical specialists and advanced providers to develop individualized treatment plans and coordinate care.