Deena Khalifa - Registered Nurse, Executive Assistant, Transcriber, AgeWell PACE

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Work Background

West County Health CentersNursing Manager

Apr. 2024Sebastopol, California, United StatesPrimary focus as part of the nursing team is to provide a full range of nursing services including, but not limited to, floor nursing, patient triage, providing advice over the telephone, case management, Care Team coordination, and patient education. * Coordination of care within primary Care Team. * Proactive management of patients with chronic illness with poor clinical outcomes or with complex healthcare needs. * Assist patients in care management and system navigation with recent critical diagnosis. * Manage critical abnormal lab/DI results. * Provide management of Care Team’s “Care Transitions” program for patients discharged from an inpatient setting. * Active participation in Care Team’s “High Risk Case Management” program. * Assess, identify problems, plan goals, monitor and evaluate client plans and develop strategies that meet the clients immediate and long term needs. * Work closely with Primary Care Provider to manage patient “Care Items” which could include: medication refills per protocol, lab triage, document management, management of durable medical equipment, prior authorizations of needed medications or other services. * Provide proactive utilization management for patients with high risk needs, inappropriate utilization of Emergency room services and with complex medication needs. * Assist patients in obtaining appropriate medications and other medical supplies and equipment including coordination of Pharmaceutical Patient Assistance programs. * Participate in patient and staff education. * Provide Nurse visits for designated conditions per clinical protocol. * Coordinate Care Team support for patients with new health management goal. * Coordinate tracking of patients for follow-up and continuity of care. * Assist with discharge planning / home care referrals. * Provide, in collaboration with the Behavioral Health Team, assessment, diagnostic, and intervention services for clients who are overwhelmed by acute episodes.

Petaluma Health CenterNursing Manager

Feb. 2022 - Mar. 2024Petaluma, California, United StatesOversaw the delivery of patient care at Petaluma Health Center related to COVID-19 vaccinations, testing and treatment. Kept updated on CDC and Sonoma County guidelines related to COVID-19 care, and regularly updated procedures and training materials for staff. Additionally, managed federal, state and county programs related to COVID-19 care, including ordering of vaccines and testing supplies. - Supervised Lead Vaccine Nurses for the COVID-19 Vaccine Clinics. - Updated COVID-19 vaccination guidelines when approved by the Sonoma County Department of Public-Health and communicated changes to providers and staff. - Answered staff questions about COVID-19 Vaccine Guidelines. - Monitored inventory and usage of COVID-19 Vaccines and placed vaccine orders in a timely manner to maintain a PAR level of 4-6 weeks. - Ensured that all reporting and compliance requirements for the COVID-19 Vaccine programs are met. - Maintained compliance with state and federal programs for COVID-19 testing, including tracking of tests administered/given out. - Monitored and ordered rapid and PCR tests, monitored inventory and usage. - Monitored patient access to testing (both in-house and eternally). - Updated workflows related to COVID-19 testing and trained staff, in collaboration with the Testing Team and MA Manager. - Worked with provider champion to implement and maintain program for patient COVID-19 treatment.. - Coordinated with the Director of Compliance to ensure proper protocols were in place. - Participated in the COVID-19 Care Team interdisciplinary meetings. - Collaborated with schools and other external agencies. - Coordinated patient communication about access to services related to COVID-19. - Monitored spend-down of grants related to COVID-19 care.

Northvine Post Acute CareInfection Control Nurse

Jul. 2021 - Nov. 2022Santa Rosa, California, United StatesCollected, analyzed, and provided infection data and trends to nursing staff and healthcare practitioners. Also, implemented evidence-based infection control practices including those regulated by regulatory and licensing agencies as well as guidance from the CDC. - Reviewed antibiotic data to monitor the appropriate use of antibiotics in the resident population, as well as implemented measures to prevent the transmission of infectious agents to reduce risks for device and procedure-related infections. - Tracked, analyzed, and kept detailed, organized documentation of infection outbreaks among both the residents and staff. Implemented and documented actions to resolve related problems. - Managed the immunization program (e.g. COVID-19, influenza, pneumococcal.) - Educated residents and their families their rights and responsibilities with regards to health care decision making and advance directives. - Implemented effective problem solving and the extent of community among the residents and staff. - Managed food safety, including employee health and hygiene, and pest control, investigating potential food-borne illnesses and waste disposal. - Conducted tuberculosis screening on admission and following the discovery of a new case. - Managed active cases consistent with State requirements. - Developed appropriate infection control policies and procedures as well as training staff on them. - As needed, performed as floor nurse.

SONOMA SPECIALTY HOSPITAL, LLCInfection Preventionist

Jan. 2021 - Aug. 2021Sebastopol, California, United StatesDeveloped, organized, implemented, evaluated, and directed the infection control program in accordance with current CDPH/CDC rules, regulations and guidelines for a Long Term Acute Care Facility of ~230 staff and ~45 patients. - Planned and conducted COVID-19 testing on all staff (weekly and suspected exposures) and patients (new admissions and/or suspected exposures.) - Responded to COVID-19 outbreaks including contact tracing, facility zoning, and implementing isolation/quarantine regulations. Conducted organized, systematic, swift communication of changes to staff and collaborated with internal departments to implement changes. - Notified appropriate staff of investigative results; followed through with appropriate action plan(s) and corrective measures. - Reported all "Reportable Diseases" to Sonoma County Public Health. - Updated annual Infection Prevention plan and policies/procedures - Collected and presented data for Infection Prevention, Quality, Leadership, Safety, and Medical/Clinical staff committee meetings. - Educated and oriented new staff and students. - Performed surveillance and tracking of new admissions, central lines, foley catheters, ventilators, and isolation precautions. - Reviewed laboratory reports and placed patients on isolation precautions as appropriate. - Provided stewardship by tracking use of antibiotics including type, indication, and duration by collaborating with pharmacy and laboratory. - Monitored staff compliance with hand hygiene and proper use of PPE while providing correction and education when applicable.

Creekside Rehabilitation & Behavioral HealthInfection Preventionist

Sep. 2020 - Jan. 2021Developed, organized, implemented, evaluated, and directed the infection control program in accordance with current CDPH/CDC rules, regulations, and guidelines for a Skilled Nursing/Behavioral Health facility with ~200 staff and ~80 residents. - Monitored infection control practices and procedures to ensure that all personnel were implemented. - Ensured compliance with current CDC, OSHA, and local regulations concerning infection control and standard/universal precautions. - Developed professional rapport with all department directors and staff. - Participated in continuing educational programs, as well as CDPH webinars and conference calls designed to stay updated on infection control changes. - Provided recommendations to the Administrator and Director of Nursing regarding equipment and supply needs for maintaining an effective infection control program - Administered vaccinations to both residents and staff with detailed tracking and record-keeping. - Coordinated and facilitated COVID-19 vaccination administration and testing for all residents and staff as required in accordance with CDPH and facility guidelines. - Provided antibiotic stewardship by tracking use of antibiotics, including type, indication, and duration.

Pacific Frontier MedicalRegistered Nurse

Mar. 2019 - Aug. 2020Foster City, California, United StatesPlayed a key role as an Infusion Nurse for an Integrated medicine clinic. Exercised clinical judgment, maintained thorough best practices, and managed patient flow for three practices of an extensive caseload. - Performed PICC line dressing changes and accessing ports while maintaining sterile technique. - Informed providers of abnormalities or signs of infection on PICC or port sites. - Mixed, prepared, and calculated dosing formulations for IV infusions, including antibiotics and nutritional IVs. - Ensured correct calculations and IV drip rates were maintained via gravity drip. - Performed venipunctures as well as blood draws from ports and PICC lines. - Processed blood and urine specimens while adhering to specimen collection instructions for laboratory pick-up and/or mail-out. - Provided patient case management and telephone triaging. - Alerted providers of critical lab values and/or urgent messages. - Called in prescriptions to pharmacies, coordinated delivery of pharmacy-ordered IV supplies and medications for patients, mailed-out supplements purchased by patients from the clinic. - Oversaw all ordering/inventorying of medication and supplies.

Sutter Health - Palo Alto Medical FoundationCertified Medical Assistant

Mar. 2012 - Mar. 2013Redwood City, CAParticipated in the daily running of outpatient vascular surgery practice as a Medical Assistant/Department Coordinator. - Prepared patients for venous ablations assisted vascular surgeon throughout procedures. - Provided pre- and post-procedure patient education. - Measured vital signs of patients and notified provider of abnormal findings in a timely manner. - Ensured outpatient procedure room and exam rooms were sanitized, stocked, and appropriately set up prior to rooming patients. - Utilized Epic software to document clinical data, record correspondence, and maintain updated patient information - Managed rooming and patient flow including pre- and post-visit preparation. - Acted as receptionist and scheduled appointments. Ensured timely, quality patient care to meet workflow needs. Reviewed provider’s schedule for accuracy and compliance with organizational policies and unimpeded patient flow.