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Lienne Twidwell RNBSN

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701 E County Rd 1720
Nauvoo,IL62354
USA
Tel (H): 217-847-3401
Mobile: 309-224-3898
E-mail: ltbe03a4@westpost.net

Work Experience
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Blessing Hospital/Hospice,Quincy, IL and Carthage, IL
Hospice Care Supervisor.(9/1991-8/2010)
I was hired to open the office in Carthage in 1991 and since then have supervise
d the staff including RNs, LPNs, and HHAs. I have been responsible for the oper
ation of the office and ensuring that all changes are relayed to and followed by
staff. I have been the communication source for the staff and have assisted in
coordinating cares.
Over the years my assessment skills have been fine tuned in part as a necessity
since hospice and home care nurses are out on their own and do not have someone
on hand to double check their findings and to give full and accurate information
to other staff and physicians.
Administer medications including IV and Subq meds and set up of mediplanners.
Assess patient condition with a full head to toe assessment and focusing on symp
toms and management of the same.
Assign or prepare work schedules, duties, tasks, or responsibilities.
Conduct laboratory or diagnostic tests in the home as related to assisting patie
nts with BS monitoring and urine checks.
Confer with team members to resolve problems.
Consult with medical staff.
Consult with contracted health practitioners and providers.
Develop and implement patient management or treatment plans and assisted in deve
lopment of computer based care plans.
Draw blood for testing.
Ensure compliance with health standards.
Monitoring use of supplies to help control cost.
Maintain accurate, detailed reports and records.
Maintain patient chart.
Modify patient treatment according to patients' responses and conditions.
Monitor all aspects of patient care, including diet, symptom control and physica
l activity.
New patient/client-intake.
Order medical equipment or supplies in collaboration with contracted DME provide
rs.
Perform Geriatric nursing not only in patient's homes but in LTCF thru out the s
ervice area.
Perform Nursing Case Management.
Perform Nursing Utilization Review for the last 19 years.
Perform Psychiatric nursing with training and care of psychiatric patients and t
hose patient and family members needing the increased support during the dying p
rocess.
Perform Skilled Care nursing.
Prescribe or administer treatment including wound care, neb treatments, CPAP, BI
PAP and continuous IV infusion.
Provide nurse phone triage.
Record medications or treatments given and monitoring need to change meds accord
ing to symptoms.
Refer individuals to community services including various government support age
ncies and use of local churches and support agencies to improve patient and fami
ly care.
Take, monitor and record patient vital signs with full assessment of patients.
Accountable for timely and accurate completion of tasks.
Coordinate with health information system.
Provided presentations to prospective clients and community groups.
Compile and maintain records.
Confer with health department, industry personnel, and physicians.
Assisting with control of expenditures.
Coordinate with other teams to ensure effective network implementations.
Direct activities of medical or auxiliary personnel.
Effectively use technology to facilitate the success of network administration.
Ensure adherence to policies and guidelines with contracted providers.
Ensure health and safety regulation and compliance.
Formulate policies with review of current policies according to regulatory chang
es and COPs.
Interpret quality assurance standards with participation in QA and other teams/c
ouncils aimed at improving hospice care.
Interview, recruit, hire, or discharge personnel with annual evaluations and wor
king with staff on areas of improvement needed.
Observe or evaluate personnel.
Plan improvements for health services with my focus on excellent patient care an
d 100% of families being very satisfied with the care provided.
Promote a team environment to accomplish excellent patient care and employee sat
isfaction.
I have been also supervising the staff in the Hannibal office since 1/2010.
I received a score of 100% on my management survey from the employees that I sup
ervise.
Participated in surveys from all Regulatory agencies.
Patient/family advocate to ensure needs are met.
Excellent ability to develop and maintain rapport with patients and families.
Possess current licenses in Missouri and Illinois. I possess an Iowa license th
at is inactive at this time but I can reinstate it.
Provided education to staff, patients, and families.
Strong psychiatric nurse background.
Prior to 1991 I was employed by Carthage Memorial Hospital in the Med/Surg unit
with previous ICU experience, though somewhat limited. I was also employed by K
eokuk Area Hospital from 1981 thru 1984 in the Psychiatric care unit and assiste
d in opening the unit. I worked for Lee County Health Department providing home
health care and hospice care from late 1984 to 1991. In 1992 I assisted Sherri
ck Drug in starting up the in home IV therapy program providing IV and chemother
apy services in the home.

* Trained staff in use of McKesson homecare computer assessments.* Assisted in d

evelopment of paperless care plans ensuring that regulations were met.
Education
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University of Central Missouri-Warrensburg, MO
BSN(1976-1980)
Bachelors degree from an accredited school of Nursing.
Professional References
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Nancy Huls,RN, previous coworker in hospice.,Carthage Memorial Hospital
217-440-5318nnhuls@frontiernet.net
Personal References
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Tom Mehaffey,Minister, Hospice Chaplain,Bowen First Christian Church
217-430-5218rabbitom@frontier.com