KRISTEN NICARRY
Hagerstown
Summary
Dedicated, compassionate and hard working Registered Nurse with more than 30 years of clinical experience including 10 years of supervisory experience. Proficient in documentation, clinical assessment, medication management, facility administration and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with leadership skills and strong interpersonal abilities.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Registered Nurse Regional Manager
State Of Maryland-Department Of Juvenile Services
05.2021 - 12.2023
- Served as lead resource for the administration and evaluation of nursing practice and the environment of care including supervision, consultation and education of nursing staff.
- Assured operational efficiency and consistency in health care services were implemented and delivered according to DJS policy and procedure as well as the Nursing Protocols and Standard of Conduct at assigned facilities.
- Provided indirect supervision of the assigned medical units and ensured compliance with state laws and regulations.
- Responsible for the 24 hour operation, management and clinical nursing care at 4 facilities throughout the region, including fiscal and environmental quality
- Conducted program evaluations and on site visits which included the completion of comprehensive quality assurance systems for Somatic Health with reports to the Director of Nursing and Health Administrator.
- Served as a liaison with the facility RN Supervisors, Director of Nursing and Medical Director regarding youth with special needs and their treatment plans and ensured follow up services were completed.
- Participated in the interview, selection, placement, promotion and evaluation of nursing personnel.
- Oversaw the Certified Medication Technician training program and renewal process as an RN Delegating Nurse/Case Manager to ensure education compliance with the Maryland Board of Nursing.
- Assisted the Health Administrator and Medical Director to carry out special projects and health initiatives.
Registered Nurse Supervisor
State Of Maryland-Department Of Juvenile Services
10.2016 - 05.2021
- Develop and maintain monthly schedule of state employed nurses, along with agency staff, to ensure adequate coverage of 24/7 male juvenile detention center
- Provide coverage in the medical department as needed
- Collaborate with Nursing Administration Team regarding hiring and dismissing nursing personnel
- Address staff concerns, including staffing ratios, resource management, allocation of responsibilities and optimize workload management
- Coordinate in-services to facilitate nursing leadership development and career growth, as well as meet mandatory training and licensing requirements
- Hold and maintain minutes for monthly staff meetings
- Assure and complete ongoing evaluation/PEP process
- Maintain clinic schedule of somatic and psychiatric services
- Coordinate care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services to juveniles in facility
- Approve and help co-ordinate any needed referrals to outside providers
- Maintain clinic lists of all held clinics in order to appropriately approve submitted invoices for physician services
- Partner with organizational and unit leaders to devise QA/QI initiatives, continuously improving delivery of care and overall services
- Hold and maintain minutes for quarterly Infection Control and Superintendent Meetings to deliver and discuss timely information and develop any needed improvement plans
- Order adequate unit supplies (both medical and office) to meet expected demands, while keeping inventory records of all medical, lab supplies and PPE
- Ensure compliance with all requirements of the VFC program including yearly re-enrollment, downloading, review and re-calibration of digital data loggers, and required yearly education for vaccine contact and back-up personnel
- Maintain adequate and up to date supply of offered vaccines as well as Immunet requirements
- Collect and maintain all completed records at the end of the month and calculate somatic statistic reports to provide to Nursing Administration.
Registered Nurse Supervisor
State Of Maryland Department Of Health And Mental Hygiene
10.2013 - 10.2016
- Assure that the scheduling process is completed to provide 24hr/7day a week coverage on assigned unit, meeting all minimum established requirements
- Collaborate with Nursing Administration Team regarding hiring, promoting and dismissing nursing personnel
- Monitor and conduct sick leave/time related issue reviews as required
- While functioning as an RNS to meet comprehensive unit and patient care needs, makes assignments
- Directly assess and monitor assigned personnel and milieu for changing needs
- Assure and assist in the completion of delegated tasks including unit management issues and ongoing evaluation/PEP process
- Facilitate changes in overall unit and Nursing function
- Provide monitoring, assessment and implementation of any staff education, counseling and/or progressive disciplinary action for any employee performance issues of those supervised
- Act as a professional role model
- Assure the maintenance of a safe, therapeutic milieu by assessment which is based on direct observation and communication with unit nursing personnel
- Facilitate staff education via monthly and as needed staff meetings on all three shifts, assuring the review and implementation of all policies and protocols
- Assure that supervised employees attend all departmental and hospital orientation, as well as mandatory in-services
- Establish, promote and maintain a system of nursing participation in inter-disciplinary planning, delivery and evaluation of patient care
- Ensure communication of patient information and issues to all nursing staff
- Establish, promote and maintain PI process and implementation using identified indicators
- Promote cost effective quality care by assuring appropriate utilization of supplies and resources.
Registered Nurse Charge, Psych
State Of Maryland Department Of Health And Mental Hygiene
09.2009 - 10.2013
- Receive report from off going shift RN; report all current shift events to building manager and give report to oncoming shift employees
- Make assignment sheet for all nursing employees assigned for that unit/shift; verify time sheets for staff at shifts end
- Check emergency cart supplies and report any deviant findings; environmental rounds of unit to ensure safety
- Assist patients to get ready for scheduled bloodwork/appointments; administer any ordered medications and treatments; monitor vital signs and weights as ordered; monitor patient meals in the dining room, record diet percentages and flatware counts; assess patient conditions and need for any PRN medications for anxiety, agitation or pain; monitor and intervene in any change in patient condition medical or behavioral
- Attend team meetings and give report from previous shifts to all disciplines; attend and participate in IPOC(individual plan of care)meetings with patients and treating team; address/represent any patient concerns or questions to treatment team
- Assist to plan and carry out any scheduled nursing milieu groups
- Transcribe physicians orders as written or take telephone orders as needed; document as needed on a shift basis and complete monthly/yearly assessments on assigned patients; monitor and complete any risk assessments as needed(fall, seizure, elopement, suicidal etc)
- Complete any required education including monthly Prevention and Management of Aggresive Behaviors and yearly nursing competencies
Registered Nurse, Psych
State Of Maryland Department Of Health And Mental Hygiene
06.1993 - 09.2009
- Same as Registered Nurse Charge.
Education
ASSOCIATE OF ARTS - NURSING
Hagerstown Junior College
Hagerstown, MDSkills
- Schedule coordination
- Policy updates
- Clinical management
- Behavioral Management
- Unit administration
- Staff Development and Precepting
- Coordinating referrals
- Resource allocation
- Nursing staff leadership
- Direct and Indirect Patient Care
- Vaccine Administration
- VFC and Immunet compliance
Certification
- Basic Life Support (BLS) Certification
- Case Manager/Delegating Nurse for Certified Med Techs
- SARS (Sexual Assault Response Support) Staff
Honors
- Employee of the Year Award at Springfield Hospital Center in 2012
- Employee of the Month for Dept of Juvenile Services in February 2020
- State of Maryland Governor's Citation for 30 years of service in January 2023
Timeline
Registered Nurse Regional Manager
State Of Maryland-Department Of Juvenile Services
05.2021 - 12.2023
Registered Nurse Supervisor
State Of Maryland-Department Of Juvenile Services
10.2016 - 05.2021
Registered Nurse Supervisor
State Of Maryland Department Of Health And Mental Hygiene
10.2013 - 10.2016
Registered Nurse Charge, Psych
State Of Maryland Department Of Health And Mental Hygiene
09.2009 - 10.2013
Registered Nurse, Psych
State Of Maryland Department Of Health And Mental Hygiene
06.1993 - 09.2009
ASSOCIATE OF ARTS - NURSING
Hagerstown Junior College
- Basic Life Support (BLS) Certification
- Case Manager/Delegating Nurse for Certified Med Techs
- SARS (Sexual Assault Response Support) Staff
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