Margaret A.

Nickel, RN, Hospice Director

18625 Elm Court
Macomb, Michigan 48044
586-228-8921 E-mail:
Registered Nurse -Professional Experience- 27 years
Registered Nurse with strong clinical skills and many years of experience in the
field of Hospice
and Palliative care. Strong professional skills in managing a Hospice Interdisci
plinaryTeam, training, developing and presenting educational offerings. Supervis
ory success in creating a work environment that enhances professional practice,
customer service, employee satisfaction and increased productivity. Public speak
er and talented marketer of our hospice program, philosophy and palliative servi
ces. Seeking FULL TIME POSITION in Hospice Management in Macomb county or parts
of Oakland and St Clair County
Guardian Angel Hospice Care, Rochester Hills, Michigan Nov 2008 ?April 2010 Esta
blished, developed and implemented a new hospice program in Rochester Hills, Mi.
. Worked independently to establish policies and procedures, developing addition
al policies as program grew. Hired skilled talented professionals, negotiate con
tracts with facilities and individuals, established care planning guidelines, de
veloped and conducted IDT groups., Established QA/PI program, developed patient
admission packet forms, hospice brochures, marketing packets, staff orientation
program. Admitted and case-managed first 30 patients in hospice program, did 100
% on-call duties for 9 months. Good knowledge of CHAP, Medicare and State of Mic
higan regulations. Passed State License and CHAP survey, obtaining deemed status
.
Garden Angels Grave Site Maintenance - March 2007 - present. Self Employed. Ceme
tery grave site clean ups, headstone cleaning, weeding, planting, edging seeding
. One time cleanups or weekly maintenance. Saw need while working as hospice nur
se. Business has been successful.
St. John Hospice, Detroit, Michigan 1999-2007 Hospice Clinical Nursing Superviso
r
Oversaw day-to-day operations, coordination and supervision of all aspects of pa
tient/family services for a team of approximately 50 patients in St John Hospice
. Led IDT meetings weekly, actively participated in the development, implementat
ion and evaluation of policies and procedures, and in the development and accomp
lishment of annual goals and team objectives. Professional management expertise
in effectively directing the hospice team comprised of Medical Director, RNs, HH
As, MSW, Spiritual Care Coordinator, Volunteer Coordinator, Bereavement Services
and therapy staff. Providing needed educational and in-servicing of staff in cl
inical settings...
While at St. John, served on:
* St. John Hospital Ethics Committee, 2005-2007
* St. John Oncology Improvement Committee, 2004-2007
* St John Cancer Committee. 2004-2007
* New Products Committee ? testing and implementing new products to be used in H
ome Care and Hospice 2004-2007
* Went on medical mission to Outer Mongolia with Dr. Sang Lee from St John Macom
b Hospital, where I assisted in training staff of the first hospice in Mongolia.
Also did nursing in the pediatric clinics -2005
* Filmed one hour video on types of pain, symptom management, titration and conv
ersions of med doses, side effects and adjuvant drug use.
* ?Operational Leadership? ? 2005
* Six Sigma? ? 2004
* ?Train the Trainer Pain Management and presented to 100 nurses at St. John Mac
omb
St. Joseph Hospital, Clinton Twp, MI Hospice field RN, hospital staff nurse 1991
-1999
Hospice ? (Home, Nursing Home and In-patient)--contracted to Henry Ford Hospital
. Expert clinical skills, pain management knowledge, assessment skills of patien
t/family?s physical, psychological, spiritual and social needs and implementing
excellent care planning. Staff inservice presentations to hospice staff, hospita
l Oncology units and volunteers on subjects such as end-stage illnesses, pain co
ntrol, Nearing Death Awareness, Oncology emergencies, signs of impending death,
AIDS, and Universal Precautions. Nine years experience as a home hospice nurse a
nd original team member for the first hospice in Macomb County. Pronouncing pati
ent death, supporting family, working with police, medical examiner, facilitatin
g notification of family members, clergy, funeral home, staff and physician and
overseeing removal of body from the home.
1988-1991 Float pool, Medical/Surgical- Patient pre-op and post op care and teac
hing
1983-1988 Oncology Floor- floor nursing, administrating chemotherapy, patient te
aching
Professional Activities, Memberships and Awards
1993-1999 Member of Michigan Hospice Nurses Association
1998 Steering Committee 100th Anniversary St. Joseph Hospital
1997 Research Committee ? Michigan Hospice Nurses Association
1996 Nominated by MHNA for Hospice Nurse of the Year
1995-1996 Henry Ford Hospital Aids Task Force under direction of Gary Sekerak, M
D
1994-1996 Executive Board of Directors MHNA- Treasurer
Education
1994-1998 Passed National Certification Exam for Hospice Nursing CRNH
1981-1983 Macomb Community College ? Associates Registered Nursing- magna cum la
ude
1975-1976 Oakland Community College ? Associates Liberal Arts? Cum Laude
Computer skills: Kronos Timekeeping, Word, Excel, Outlook.