Victoria Hartzfeld

Objective

To become a member of a company that values teamwork; recognizing, encouraging and valuing contributions made by its members. And, one that allows all its members a voice in changes to policies and procedures.

Summary

Since obtaining my license in Practical Nursing in 1994, I have welcomed many challenges and developed many skills within the field of nursing. With each position held, I have taken every opportunity in order to gain clinical skills and knowledge to enhance my practice. I enjoy learning new techniques and keeping up with current trends in the nursing profession and I am actively seeking to obtain my degree in order to sit for my state boards for Registered Nurse. 

Work History

Work History

LPN

Choice Professional Resources

Temporary Staff Nurse assigned to various Long Term/Rehabilitation and Acute Care Facilities.

Performance of duties and responsibilities within the scope of practice of the LPN in both the LTC/RF and Hospital settings.

LPN

Britthaven of Franklin

Staff Nurse assigned to 25-30 Residents, alternating on General Floor and Alzheimer's Unit in a Long Term Care Facility.

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                              Responsible for assessment, documentation and monitoring of changes in client status,

                              reporting those changes to the PC/MLP as needed. Medication administration or super-

                             vision of the CMA in this task, per facility staffing. And, overseeing CNA staff  in the

                              completion of their shift tasks per facility protocol. Other nursing duties include order

                             transcription, Medicare charting, updating care plans, IV, G/NG-tube  therapy, blood

                              draws and wound/ostomy care as needed.  In addition, provide clients with a safe,

                              secure environment that promotes quality of life and well-being. 

Jun 2009 - Present

LPN

Emeritus @ Pine Park

                               Responsible for assessment, documentation and monitoring of changes in client status,  

                              reporting those changes to the PCP/MLP as needed. Medication administration, order

                              transcription, admissions and discharges, including transfers to other facilities.

                               Duties also include monitoring CNA assignments and tasks, and promoting

                              independent living of clients through encouragement and ADL assistance.

Jul 2008 - Nov 2008

LPN

Asheville Health Care Center

Staff Nurse assigned 20-30 Residents in a Long Term Care Facility. 

General nursing duties and responsibilities within the scope of practice of the LPN in a LTCF.

Jan 2006 - Jun 2008

LPN

Autumn Care of Saluda

Staff Nurse assigned to 25-30 Residents in a Long Term Care/Rehabilitation Facility.

                              Responsible for assessment, documentation and monitoring of changes in client status,

                              reporting those changes to the PC/MLP as needed. Medication administration or super-

                              vision of the CMA in this task, per facility staffing. And, overseeing CNA staff  in the

                              completion of their shift tasks per facility protocol. Other nursing duties include order

                              transcription, Medicare charting, updating care plans, IV, G/NG-tube  therapy, blood

                              draws and wound/ostomy care as needed.  In addition, provide clients with a safe,

                              secure environment that promotes quality of life and well-being. 

Sep 2002 - Dec 2005

LPN

Mission Hospitals

LPN/Staff Nurse under the direct supervision of the RN,

Direct patient care w/ 5:1 patient/nurse ratio.

                              Precepted and assigned to a general medicine/renal care floor, under the direct 

                              supervision of the RN, responsible for general nursing duties as previously described,

                              with a focus on the client in acute distress and the specific needs related  to their

                              hospitalization. Additional nursing tasks include peripheral and central line IV

                              therapy, parenteral nutrition, transfusion of blood and blood products,  pre-/post 

                              dialysis care, and wound ostomy care. Occasional pre-/post-operative care due to

                              overflow from surgical and trauma floors.

Education

Education
Jan 2004 - Present

Transfer Student presently working to obtain Associate in Arts degree for transfer to a four year university for Bachelor's Degree in Nursing

Accumulated Credit Hours:  88

Accumulated GPA:  3.14

Oct 1981 - Present

GED

MD State Board of Education
Jun 1993 - Aug 1994

GPN

Dubois-Jefferson AVTS

Pennsylvania State Board & National League of Nurses (NLN) approved Practical Nursing Program.

Sep 1975 - Jun 1978

Crossland Senior High

Skills

Skills

Miscellaneous Care of Patient

Organ Tissue Donation Isolation Restraints Septic Shock

Pain Management

Assessment of Pain Level PCA Epidural  

Wound & Skin Management

Assessment of Skin Breakdown Assessment of Stasis Ulcers Assessment of Surgical Wound Healing Equipment & Procedures Air Fluidized/Low Air Loss Beds Pressure Reducing Mattresses Sterile Dressing Changes Wound Care/Irrigation Pressure Sores Staged Decubitus Ulcers Traumatic Wounds

Care of Metabolic/Endocrine Patient

Diabetes Mellitus 1, 2 Diabetes Insipidus Diabetic Ketoacidosis Dug Overdose Hyperthyroidism Hypothyroidism Insulin Shock Thyroidectomy Thyroid Gland D/Os  

Metabolic/Endocrine

Insulin Administration:  IV Drip/Sub Q Interpretation: Serum Blood Glucose Levels Interpretation:  Thyroid Levels CBG  

Care of Renal/Genitourinary Patient

Hemodialysis Nephrectomy Peritoneal Dialysis Renal Failure Renal Rejection Syndrome Renal Transplant TURP Urinary Diversion

Renal/Genitourinary

Assessment of Fluid/Electrolyte Balance Assessment of AV-Fistula/Shunt Interpretation of Serum Electrolytes Interpretation of BUN & Creatinine Bladder Irrigation:  Continuous/Intermittent Insertion & Care of 3-Way Foley Insertion & Care of Foley Catheter:  Male/Female Care of Suprapubic Catheter Peritoneal Dialysis

Care of Gastrointestinal Patient

Bowel Obstruction Colostomy ERCP Esophogeal Bleed GI Surgery GI Bleeding Hepatitis ileostomy Inflammatory Bowel Disease Liver Failure Liver Transplant Pancreatitis Paralytic Ileus  

Gastrointestinal

Abdominal Assessment/Bowel Sounds Nutritional Status Insertion of NG Tube Administration of Tube Feeding: Bolus/Gravity/Pump Flexible Feeding Tube Salem Pump to Suction Management of G-Tube/Jejunostomy/T-Tube  

Care of Neurological Patient

Aneurysm Closed Head Injury Coma CVA/TIA DT's Encephalitis Internalized VP Shunt Increased ICP Meningitis Multiple Sclerosis Spinal Cord Injury

Neurological Assessment

Neurological Status Cerebellar Function Glasgow Coma Scale Level of Consciousness Pathological Reflexes Reflex/Motor Deficits Visual/Communication Deficits Seizure Precautions

Ventilator Care/Oxygen Therapy

CPAP BIPAP AMBU Bag & Mask Endotracheal Tube Face Mask Nasal Cannula Oximetry Portable Oxygen Tank T-Piece Trach Collar

Care of Respiratory Patient

Aspiration Bronchoscopy Chest Trauma Chest Tube: Measure Output Chest Tube: Removal Mediastinal/Pleural Collection of Sputum COPD Establishing Airway Lobectomy Pneumonia Pulmonary Edema/HTN Pulmonary Embolism Status Asthmaticus Tension Pneumothorax Thoracentisis Tuberculosis Suction: Endotracheal/Nasopharyngeal/Oropharyngeal/Tracheostomy

Respiratory

Chest Exam & Auscultation Inspiratory/Expiratory Evaluation Pleurevac Drainage System Water Seal Drainage System

Care of Cardiovascular Patient

Abdominal Aortic Aneurysm Repair Acute MI Cardiac Arrest Fluid Overload Pericarditis Pre/Post Angioplasty Pre/Post Cardiac Cath Pacemaker: Permanent

Cardiovascular

Auscultation Heart Sounds/Murmers Coagulation Studies Pulse/Circ Checks Doppler

Administration of Blood/Blood Products

PRBC's Plasma/Albumin Whole Blood

IV Therapy

Peripheral/Angio-Cath Peripheral IV Butterfly Mixing IV Solutions Rate Calculation Central Line (care) PICC Line (care) Broviac (care) Groshung (care) Hickman (care) Portacath (care) Quinton (care) IMED Pump IVAC Pump Syringe Pump Blood Draws: Central Line Blood Draws: Venous PPN TPN  

Medication Administration

PO Sub Q Rectal Topical Drops (eye, nose, ear) IM IV Push (limited to scope of practice of LPN) IV Drip Dosage Calculation  

Certifications

Certifications
Nov 2008 - Nov 2012

Practical Nursing/LPN

North Carolina BON
Jun 2010 - Jun 2012

Practical Nursing/LPN

Pennsylvania BON