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Work Background
MD Anderson Cancer CenterClinical Accreditation Specialist
Nov. 2019 - Dec. 2025I conducted thorough hospital-wide tracer audits to ensure compliance with The Joint Commission and CMS standards, serving as a clinical liaison between laboratory and nursing departments. I provided targeted education to chapter leaders and AMP system users to enhance compliance and survey preparedness. • Earned Healthcare Accreditation Certification (HACP-CMS) by demonstrating deep understanding of regulatory requirements and compliance strategies. • Recognized as go-to expert for resolving PowerPoint issues to improve presentation effectiveness for QAPI committee. • Led clinical tracers to contribute to maintenance of high compliance standards hospital-wide.
CHI St. Luke's Health - Baylor St. Luke's Medical CenterRegulatory Compliance RN
Jun. 2018 - Oct. 2019Houston, TexasI led quality assurance and regulatory compliance initiatives to improve patient safety and ensure adherence to healthcare standards. By mentoring clinical staff on compliance procedures and patient safety protocols, I fostered a culture of continuous improvement. • Collaborated with hospital leadership to maintain stringent compliance with healthcare regulations to contribute to culture of excellence in patient care. • Managed update of National Database of Nursing Quality Indicators (NDNQI) by playing pivotal role in nurse education and risk management.
St. Joseph Medical CenterDirector of Quality Management
Nov. 2016 - Apr. 2018I led quality assurance and regulatory compliance initiatives to improve patient safety and ensure adherence to healthcare standards. By mentoring clinical staff on compliance procedures and patient safety protocols, I fostered a culture of continuous improvement. • Collaborated with hospital leadership to maintain stringent compliance with healthcare regulations to contribute to culture of excellence in patient care. • Managed update of National Database of Nursing Quality Indicators (NDNQI) by playing pivotal role in nurse education and risk management.
St. Joseph Medical CenterRN/Quality Coordinator-Compliance
Apr. 2012 - Nov. 2016Houston, Texas
Memorial Hermann Healthcare SystemRegistered Nurse
Nov. 2011 - Apr. 2012
Texas Woman's UniversityAdjunct Faculty
Sep. 2011 - Jun. 2018Houston, Texas Area
Harris County Hospital DistrictDirector or Nursing, Women and Children's Services
Nov. 2010 - May. 2011I designed and implemented educational programs and workshops to enhance staff competencies and improve patient care delivery. Drawing on my extensive healthcare leadership experience, I drove regulatory compliance and ensured hospital survey readiness, maintaining the highest standards. • Administered inclusive nursing operations by overseeing three clinical nurse managers and directing workforce of more than 100 full-time employees. • Pioneered educational workshops that significantly improved nursing practices and patient outcomes. • Championed regulatory compliance, leading hospital to exceed survey readiness standards and maintain accreditation. • Advocated for patient rights and quality care by establishing culture of excellence within nursing departments.
Texas Children's HospitalNurse Manager, NICU 3
Jan. 1990 - Jan. 2010Provided leadership to over 100 employees as nurse manager, including staff scheduling, staff training, development and staff performance management process. Ensured the delivery of high quality, developmentally appropriate patient and family centered care in the NICU. Ability to quickly analyze key situations and strategies to improve outcomes.
The Methodist Hospital, Houston, TXAssistant Head Nurse, Labor and Delivery
Jan. 1981 - Jan. 1990Delivered a complete range of RN services and expertise to the perinatal care of the laboring and delivering patient. Prepared equipment and assisted physicians during patient examinations and treatments, deliveries, and cesarean sections. Delivered quality nursing care to recovering surgical patients. Participated in gyn surgery area as circulating nurse for emergency procedures.
University of Texas Medical Branch, Galveston, TXRegistered Nurse, Labor and Delivery
Jan. 1979 - Jan. 1980
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