Donna Leah Lepardo

• To provide leadership, coaching and support, ensuring that quality care is delivered in the village, whilst fostering healthy culture to promote a safe and enjoyable work experience for the team.
• Manages number employees with various personalities and from different cultures by promoting high morale and staff retention through dynamic communication, prompt problem resolution, proactive supervisory practices and facilitation of positive work environment.
• Facilitate hiring of qualified clinical personnel by interviewing applicants and making recommendations for employment.
• Identified nurses' and staff training needs and devised training programs to close gaps.
• Improved interdisciplinary collaboration efforts leading to better coordinated care plans among different medical professionals involved in residents' treatment.
• Promote a culture of safety with clinical team by enforcing policies related to infection control, medication administration, and incident reporting procedures.
• Overseeing effective completion of interRAI responsibilities by designated RNs and within the appropriate timeframe.
• Ensuring effective coordination by the unit coordinator/RN/senior of three-monthly (or more frequent) GP visits for assessment and review of the general condition of each resident, and three-monthly review of all medication
• Maintained clinic's records and files, utilizing proper techniques to keep patient data confidential.
• Ensuring transparency is maintained with family/whānau, involving them at all levels of care planning, delivery, and evaluation.
• Maintained up-to-date knowledge of industry trends and best practices to inform ongoing improvements in clinical management strategies.
• Implemented quality improvement initiatives that led to measurable improvements in resident satisfaction scores.
• Provide ongoing case management to residents to implement appropriate treatment plan, adhere to quality models and maximize utilization of services needed to achieve optimal outcomes.
• Handled job duties for staff members which were unavailable or out of office.
• Ensured compliance with regulatory guidelines and accreditation standards through consistent monitoring and implementation of corrective actions when needed.
• Improved resident outcomes by implementing evidence-based clinical practices and protocols.
• Identified opportunities to improve clinical practices, devised strategies and implemented plans to increase patient care standards and enhance operational procedures.
• Delivered effective onboarding and training to new and existing employees and cross-trained staff members in other job roles to maximize coverage.
• Oversaw hiring, onboarding, and evaluation of nursing staff, contributing to a high-performing team environment.
• Developed interdisciplinary care plans with input from physicians, nurses, therapists, and other healthcare providers for optimal patient results.
• Communicated with residents, asked appropriate questions, and employed active listening to determine best care.
• Enhanced staff performance through regular training, mentoring, and professional development opportunities.
• Contributed to successful accreditation reviews with thorough preparation efforts focused on documentation completeness.
• Delegated tasks to staff members, monitored completion of all duties and provided support to enhance performance.
• Reviewed referral information and kept track of intakes from various referral sources.
• Ensuring compliance with relevant legislation and professional responsibilities and upholding resident's rights.
• Ensuring the adequate supply and effective utilisation of nursing and medical equipment, consumables and PPE for resident and team member use.
• Implemented ongoing learning strategies such as tutorials, instructional modules, and supervised hands-on sessions to help nurses and staff improve understanding of medical equipment and care best practices.
• Demonstrating professional accountability by working within scope of practice as outlined by the Nursing Council of New Zealand Code of Conduct and in accordance of Ryman policies and procedures
• Promoting, attaining, and adhering to the standards of the NZ Nursing Council, NZ Aged Care Association, HDSS and Te Whatu Ora service specifications.
• Creating and fostering professional relationships with all relevant external stakeholders including NASC, Care Coordination, Te Whatu Ora personnel.
• Analysing clinical indicators to identify adverse trends and forefront the development of resolution strategies in collaboration with appropriate team members.
• Working closely with the clinical quality team to ensure strong compliance in all clinical areas.
• Employing quality improvement plans (QIPs) as a key driver for change and improvement
• Promoting ongoing development by participating in educational opportunities including in-service education sessions and the performance review process.
• As a team member, demonstrating care for others by understanding their needs and providing help and support. Promoting ongoing development by participating in educational opportunities including in-service education sessions and the performance review process.
• An infection control officer whom helps develop ways to detect, prevent, and control the spread of disease in the village healthcare settings which helps keep patients and staff safe.

• Trained and skilled in aged care and palliative care nursing for over 10 years.
• Earned recognition as a top performer in the facility consistently exceeding targets throughout my tenure as an infection control specialist, authorised NZ vaccinator and as a nurse preceptor in the field.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Liaise with GPs to updated residents charts with data such as medications to keep records current and support accurate treatments.
• Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex residents with multiple comorbidities.
• Improved residents outcomes by implementing evidence-based nursing interventions and individualized care plans.
• Conducted thorough resident's assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Enhanced resident's satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols. Also, assisted in the training and mentorship of CAP students, contributing to a positive work environment and high-quality patient care.
• Provided support for residents' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
• Collaborated with physicians to quickly assess residents and deliver appropriate treatment while managing rapidly changing conditions.
• Educated residents, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Skillfully managed challenging residents situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
• Managed care from admission to discharge.
• Advised residents, nurses and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
• Maintained quality care and comfort for residents with heart failure, pulmonary hypertension, and other conditions.
• Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
• Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
• Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
• Audited charts and reviewed clinical documents to verify accuracy.
• Promoted a culture of safety within the healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.
• Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
• Implemented evidence-based fall prevention strategies, resulting in a significant decrease in patient falls within the unit.
• Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
• Reduced hospital readmissions through effective discharge planning, patient education, and follow-up care coordination.
• Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
• Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
• Provided exceptional care to high-acute residents needing complex care such as palliative management, extensive wound care and infection control management.
• Provided didactic and clinical instructions to orient new nurses and potential student nurses to achieve training outcomes.
• Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
• Contributed substantially to successful MOH accreditation by consistently operating to highest standards of care.
• Promoted resident and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
• Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
• Performed triage on incoming patients and determined severity of injuries and illnesses.
• Followed all company policies and procedures to deliver quality work.

• Practices nursing in accordance with relevant legislation and upholds clients rights derived from that legislation
• Accepts professional responsibility and accountability for all actions and decision making within scope of practice

Knowledge:

• Acknowledges the Treaty of Waitangi/Te Tiriti o Waitangi and its relevance to the health of Maori in Aoteoroa/New Zealan
• Upholds the Treaty of Waitangi/Te Tiriti o Waitangi principles in all nursing practice

Skills and Abilities:

• Demonstrates knowledge of the differing health and socio-economic status of Maori and non-Maori in health services Upholds the principles of cultural safety in own nursing practice Acknowledges and applies the professional Nursing Vision for the organisation.
• Demonstrated clinical organisation and time management
• High standard of oral and written communication skills
• Demonstrated ability to make autonomous decisions/adopt leadership role Demonstrates ability and self direction in meeting resident and unit needs.

Personal Attributes:

• Demonstrates total commitment to person centred care Demonstrates commitment to and inclusion of quality evidence based standards in all care delivery.
• Promotes the image and practice of caring, supportive and competent nursing is available to cover rostered shifts and participate in the On-call system as required
• Practises collaboratively within a team
• Demonstrates excellent interpersonal communication skills, both verbal and written.
• Demonstrates commitment to ethical and culturally appropriate professional nursing practice.

• Enhanced workplace safety by implementing comprehensive health and wellness programs for employees.
• Reduced injury rates by conducting regular risk assessments and identifying potential hazards in the work environment.
• Conducted thorough pre-employment screenings to ensure proper placement of employees in physically demanding roles.
• Facilitated stress management workshops for employees, resulting in improved overall mental health and job satisfaction.
• Assisted in developing company policies regarding substance abuse prevention and testing, promoting a drug-free work environment.
• Coordinated emergency response efforts during industrial accidents, ensuring timely medical care for affected employees.
• Provided first aid treatment for minor injuries sustained in the workplace, expediting recovery times for employees.
• Promoted a culture of safety within the organization through ongoing training sessions and communication efforts.
• Collaborated with human resources teams to accommodate employees with special needs or disabilities, fostering an inclusive work environment.
• Improved employee health outcomes through tailored educational workshops on topics such as ergonomics, stress management, and nutrition.
• Conducted periodic health surveillance assessments to identify trends in employee well-being and address any areas of concern.
• Developed strong relationships with local healthcare providers to facilitate seamless coordination of employee medical care.
• Evaluated workplace equipment and recommended ergonomic improvements to reduce instances of musculoskeletal strain among employees.
• Administered vaccinations and other preventative measures during flu season to maintain a healthy workforce.
• Responded to emergencies onsite by rendering emergency medical care, CPR and prompt first aid treatment.
• Offered ambulatory care by treating sore throats, earaches, rashes, pink eye and other ailments to proactively manage chronic conditions, prevent serious illness and improve overall health of employees.
• Worked with doctors and other allied health in the community to offer free medical and surgical consultations and procedures.
• Supplied wellness materials and information to employees to prevent sickness, fatigue and mental burnout while fostering positive company culture.
• Evaluated and administered pharmacological treatment to employee illness and injury by using standard and ethical nursing practices.
• Conducted nursing assessment, triage, treatment and education for employee health concerns.
• Administered medical testing and vision and hearing screening to identify risks to health and improve well-being among staff.
• Evaluated patient histories, complaints, and current symptoms.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Provided skilled, timely and level-headed emergency response to critically-ill employees.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
• Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
• Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.